CRIMINAL JUSTICE AND MENTAL HEALTH CLIENTS Successful collaboration in a rural community
PROSECUTOR LOCAL MENTAL and COUNTY HEALTH GOVERNMENT PROVIDER COMMUNITY LAW LOCAL SAFETY ENFORCEMENT HOSPITAL/ER MENTAL HEALTH NEEDS ADDRESSED CRIMINAL JUSTICE intersects MENTAL HEALTHCARE Collabo Co borative initiatives to ensure community safety and justice.
Llano County (Rural) • Tension point with death of an inmate at the county jail. – Sheriff’s Department – Prosecutor and County Government – Local Mental Health Provider – Local emergency room
Llano County Solution • Medic icaid id 1115 Waiv iver Project – County Judge and 1 Commissioner – County Attorney – Local hospital – Sheriff’s Department – Local Mental Health Provider – Other Agencies/Departments (CPS, APS, ISD, probation, etc….) • Committed ambulance assets to perform “wellness checks” on high risk citizens with underlying mental health concerns. • Published the “Llano County Community Resource Guide” • Established the “Llano County Mental Health Coalition”
MENTAL HEALTH COALITION • Met qu quarterly for ~ 2 years – Com ombi bined Com ommunity Resou ource ce Coor oordination on Grou oup (CRCG) with Me Mental Hea Health C Coalit itio ion a and meet m eet 2 2-4 4 X year. – CR CRCG CG addresses youth as we well as adult needs. • Hi Hill Co Country MHDD HDD grants – Me Mental Health Deputy for or Llano Cou ounty – Te Tele-psych ch service ces for or Llano Cou ounty Jail – Con ontract cts 3 private hos ospitals for or emergency cy admission ons when the Crisis St Stabi bilization Un Unit is not availabl ble. • Co County created new relationshi hips to network with MHDD HDD and acce access their regional al resource ces to as assist with juvenile/C /CPS youth (i (i.e .e. . San Marcos cent nter) r)
MANAGING EXPECTATIONS • Understand and respect partners’ statutory and contractual obligations and limitations: – Law Enforcement – Training requirements – Jail Standards – Law Enforcement Emergency Detention Orders – Transporting individuals with mental health concerns – _______________________ – Prosecutor/Judge – Mental Health Commitments – Bond Considerations – Prosecutorial discretion
MANAGING EXPECTATIONS – Mental Health & Developmental Disabilities – Contractual Requirements (What they can and can’t do) – CSU limitations on admissions – Inability to provide transportation (Health and Safety Code) – Local Hospital/ER – EMTALA – Limited “security”
TIPS FOR SUCCESSFUL COLLABORATION PARTNERSHIP SHARED MISSION – Start where you’re at Share understandings • – Build trust and address stigma Feeling of connection and • – Cross refer—allow others to be belonging expert – Reassess with change and growth Proactive—schools, churches, • resources centers, county and city officials, law enforcement, LMHA FINANCIAL MOTIVATION – Shared resources-cost effective – Funder encourage partnerships – Partners share search for funders
THE BOTTOM LINE • A person in psychiatric crisis did not “ as ask ” to be in the crisis! • A mental illness is a physical illness • A person with acute mental illness is a person in need • A person with mental illness is not “yours” or “mine”, but someone who deserves a coordinated and caring response!
PROCESS • ID IDENT NTIF IFY “IND INDIV IVID IDUA UAL IN IN CRISIS” ISIS” at Jail il In Intake ke • NO NOTI TIFY MENT NTAL HEALTH TH DEPUTY UTY • CA CALL LL “M “MHDD HDD CR CRISIS HO HOTLI LINE” – Loca ocal MH MHDD will rece ceive not otifica cation on – On On-ca call prov ovider will meet “cl client/defendant” in jail
COMMON FRUSTRATIONS • Law Enforcement alerts MHDD … … “We have your perso son…” …” • Of Officer ers may have been been misled ed in rec ecen ent tr trainings gs th that it is acce accept ptab able to “drop” p” individual als off at ps psych ch hospi pital als. • Te Tele-psy psych ch scr screens ar are underutilized • Co County partners need to collabo borate to address “i “individual” ne needs pri rior to cri risis. • Sh Shift focus to “Can an Do” vs “Can an ’t Do”
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