Wayne State University Center for Behavioral Health and Justice Michigan Mental Health Diversion Council 2019 Pilot Summit Thursday, August 29, 2019 Michigan Mental Health Diversion Council & Wayne State University Center for Behavioral Health and Justice 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 1
Wayne State University Center for Behavioral Health and Justice Panel Discussion: Be Best t Practices es, Promising Practices, and Les Lessons Lea Learned In Intercept 1: : Law Enforcement Law Enforcement officers and/or emergency services are the first responders for people experiencing a mental health crisis or emergency, which can be an intervention point to avoid formal entry to the criminal justice system . Intercept 1 includes all prearrest diversion options and concludes when someone is arrested. 1 Lessons Learned in Promising Practices in Im Implementi ting a Best Practices in Standardized Referrals Div iversion Room Crisi isis In Interv rvention Featuring Training for Offic ficers Adria Cla lark Featuring Lynn Jo Johnson Featuring Monroe Community Mental Dan Holloway Pathways Community Mental Health Health Authority Marquette County Oakland County Health Network Lessons Learned in Promising Practices in Officers in Oa Oakland Cou County Developing a Cross ss-Sector trained in CIT CIT were Crisi isis Center Relationships 3x more likely Featuring Featuring to use the Cri Crisis Ce Center Chad Surque Ross Buit itendorp than untrained officers. Network 180 Lifeways Community Mental Health Kent County Authority - Jackson County 1 SAMHSA’s GAINS Center (2013), Developing a comprehensive plan for behavioral health and criminal justice collaboration: The S equential Intercept Model (3rd ed.). Delmar, NY: Policy Research Associates, Inc. Visit https://behaviorhealthjustice.wayne.edu/reports-publications-resources to view reports and publications for data sources. 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 2
Wayne State University Center for Behavioral Health and Justice Panel Discussion: Be Best t Practices es, Promising Practices, and Les Lessons Lea Learned In Intercept 2: : Initial Detention/ Initial Court Hearings Init nitial ial Detentio ion/I /Init itia ial l Cour Court Hea Hearin rings aims to avoid the costly collateral consequences of incarceration and connect people to services, and encompasses postarrest diversion options including diversion to treatment instead of incarceration or prosecution. 1 Best Practices in Promising Practices in Best Practices in Im Implementi ting Standardized Scr creening Cross ss-System Standardized Scr creens and Foll llow-up Data Match ching for at t Bookin ing Featuring Tim Timely In Interventi tion Lis isa Ianitell lli Featuring Featuring Majo jor Bob Butkiewic icz Community Mental Health and Substance Troy Goodnough Abuse Services of St. Joseph County Kalamazoo Community Mental Health Monroe County Jail and Substance Abuse Services 100% of individuals 63% of KCMHSAS clients booked into the flagged by the notification Monroe County Jail system received their receive a stan andardized first post-release service opioid misuse and with thin a a wee eek . mental health sc screen. 1 SAMHSA’s GAINS Center (2013), Developing a comprehensive plan for behavioral health and criminal justice collaboration: The S equential Intercept Model (3rd ed.). Delmar, NY: Policy Research Associates, Inc. Visit https://behaviorhealthjustice.wayne.edu/reports-publications-resources to view reports and publications for data sources. 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 3
Wayne State University Center for Behavioral Health and Justice Panel Discussion: Be Best t Practices es, Promising Practices, and Les Lessons Lea Learned In Intercept 3: : Jails/Courts Ja Jails ils/Co /Court rts focuses on people being held in pretrial detention and awaiting the disposition of their criminal cases, and concludes when someone is sentenced to incarceration or community supervision. 1 Best Practices in Promising Practices in Ja Jail-Based Boundary ry Spanning Id Identi tificati tion, and Data Sharin ing Referral and Servi vices Featuring Featuring Dane Beckford Nik ikole Skip ipp Riverwood Center - Berrien County Kent County Correctional Facility Mental Health Unit 100% of individuals identified as having a mental health need were referred to services; 98% received an asse assess ssment or ser servic ice. 1 SAMHSA’s GAINS Center (2013), Developing a comprehensive plan for behavioral health and criminal justice collaboration: The S equential Intercept Model (3rd ed.). Delmar, NY: Policy Research Associates, Inc. Visit https://behaviorhealthjustice.wayne.edu/reports-publications-resources to view reports and publications for data sources. 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 4
Wayne State University Center for Behavioral Health and Justice Building from Baseline Data 2019 Michigan Mental Health Diversion Council Pilot Summit Wayne State University Center for Behavioral Health and Justice 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 5
Wayne State University Center for Behavioral Health and Justice We envision communities in which research , data , and best practices are used by multiple stakeholders to enhance the optimal well-being of individuals with mental illness and/or substance use disorders who come in contact with the criminal/legal system. TECHNIC HNICAL L ASSIS SISTANCE NCE We serve as consultants and evaluators for the Council’s pilot The Center for Behavioral Health and Justice works with six programs currently underway in ten Stepping Up communities to gather sufficient data to counties. Our staff also help the properly identify the target population, select and Diversion Council identify state-level implement appropriate interventions, and develop a sustainable system to track and monitor impact. policy and practice improvements. 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 6
Wayne State University Center for Behavioral Health and Justice 2019 K6 Mental Health Screen (N=3,802) 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 7
Wayne State University Center for Behavioral Health and Justice Kessler 6 (K6) Screening Instrument 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 8
Wayne State University Center for Behavioral Health and Justice Kessler 6 (K6) Screening Instrument 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 9
Wayne State University Center for Behavioral Health and Justice Total Booking and K6 Usable Screens 7000 6,1 6,143 6000 5,2 5,261 5000 • Total jail bookings during the 3,802 3,8 4000 study period increased 3,356 3,3 between 2017 and 2019*. 3000 • Equal proportions of ‘usable’ 2000 K6 screens were gathered in 2017 (64%) and 2019 (62%). 1000 0 2017 2019* Booking K6 Usuable *Booking numbers estimated for one county. Data Source: K6 Collection 2017 & 2019 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 10
Wayne State University Center for Behavioral Health and Justice Total Booking and K6 Usable Screens By County 2019 900 846 846 839 839 836 836 800 738 738 700 630 630 576 576 600 • Proportion of 514 514 503 503 480 480 487 487 ‘usable’ K6 screens 500 432 432 425 425 423 423 ranged from 38% to 408 408 391 391 400 353 353 86%. 325 325 306 306 272 272 300 161 161 200 100 0 Cty A Cty B Cty C Cty D Cty E Cty F Cty G Cty H Cty I Cty J Booking* K6 Usuable *Booking numbers estimated for one county Data Source: K6 Collection 2017 & 2019 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 11
Wayne State University Center for Behavioral Health and Justice Positive K6 – Serious Mental Illness (SMI) K6 SMI Over Time (n=3,222**) 25% 24% 24 Positive SMI, 23% 23% 23% 21% 21 21% 20% 20 19% Negative SMI, 77% 77% 17% 15% 2019 Collection* 2015 2017 2019 (n=3,802) * Includes two counties not included in 2017 collection ** Includes only the original 8 counties for comparison purposes Data Source: K6 Collection 2015, 2017, and 2019 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 12
Wayne State University Center for Behavioral Health and Justice SMI by County, Over Time 30% 30% 30% 30% 20% 20% 20% 20% 22% 22 22 22% 21% 21 19% 19 18 18% 16% 16 16 16% Cou County ty Cou County ty County Cou ty 10% 12 12% 10% 10% 10% Cou County ty E H G D 0% 0% 0% 0% 2017 2019 2017 2019 2017 2019 2017 2019 40% 30% 30% 30% 30% 27% 27 32 32% 25% 25 20% 20% 20% 22% 22 21% 21 22 22% 20% 18 18% 19% 19 Co County ty Co County ty County Cou ty J 10% 10% County Cou ty 10% I 10% A B 0% 0% 0% 0% 2017 2019 2017 2019 2017 2019 2017 2019 Data Source: K6 Collection 2017 & 2019 2019 Jail Diversion Pilot Summit – Thursday, August 29 th , 2019 13
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