Justice Center: Consensus Project Newsletter, September 28, 2012

CSG Justice Center Releases Framework for Reducing Reincarceration and Improving Recovery among Corrections-Involved Adults with Substance Abuse and Mental Health Disorders

The Council of State Governments (CSG) Justice Center recently released Adults with Behavioral Health Needs under Correctional Supervision: A Shared Framework for Reducing Recidivism and Promoting Recovery. The report is written for policymakers, system administrators, and front-line service providers committed to improving outcomes for men and women with behavioral health disorders that cycle through the criminal justice system. The framework introduced in the report can be used at the corrections and behavioral health systems level to prioritize scarce resources based on objective assessments of individuals’ risk of committing a future crime and their treatment and support needs.

The report outlines the principles and practices of the corrections and behavioral health systems and a structure for state and local agencies to begin building truly collaborative responses. It dispels myths about the link between mental illness and violence, underscores that recovery and rehabilitation are possible, and calls for the reallocation of resources where they will be most efficient and effective.

To download a summary of the report, click here. To download the full report, click here. More information about this project and related resources also can be found at www.csgjusticecenter.org/mentalhealth/bhcorrframework.

Note: On Tuesday, October 2, the CSG Justice Center will host a webinar that will introduce the underlying principles and potential uses of the framework. To register for the webinar, click here.

---

New Resource: A Checklist for Implementing Evidence-Based Practices and Programs for Justice-Involved Adults with Behavioral Health Disorders

SAMHSA's GAINS Center for Behavioral Health and Justice Transformation and the Council of State Governments Justice Center have produced an easy-to-use checklist to help behavioral health agencies assess their utilization of evidence-based practices and programs (EBPs). A particular challenge for public behavioral health stakeholders is ensuring that EBPs that address the needs of justice-involved people with behavioral health disorders are available and integrated into existing systems of care. This is most often achieved through the collaborative efforts of several agencies working within multiple systems. The checklist provides guidance on how to build successful cross-system collaboration; asks a series of questions to help agencies determine whether their system has the necessary elements in place to support the implementation of EBPs; and outlines the EBPs that researchers, experts, and practitioners have identified as being appropriate for adults with behavioral health disorders who are involved in the criminal justice system.

The checklist is divided into two sections:

• Section One: Building a Cross-Collaborative System to Support the Implementation of EBPs helps behavioral health agencies determine whether their systems have the critical components necessary to effectively implement EBPs and address the needs of clients who are involved in the criminal justice system.
• Section Two: Assessing and Implementing Effective Programs contains a list of EBPs and promising practices and programs for justice-involved clients. Providers can use this list to identify whether their agencies utilize these key practices and programs or to prioritize for future implementation.

To download the checklist, click here.

---

JMHCP Success Story: CIT and Outreach Program Work Together to Help Young Man and His Family

The Council of State Governments Justice Center—which coordinates the Criminal Justice / Mental Health Consensus Project—has been collecting stories that will be published monthly about individuals whose lives have improved as a result of their involvement in a Justice and Mental Health Collaboration Program (JMHCP)-funded grant program. If you would like to provide a story about a successful client in your JMHCP-funded program, please contact Stephanie Joson of the CSG Justice Center.

This story is about a juvenile enrolled in the Recovery from Serious Emotional Disturbance through Family Interventions and Crisis Intervention Team (CIT) Program. All names and other individually identifying details have been changed to preserve confidentiality.

Grant Program: Justice and Mental Health Collaboration
Grantee Type: Expansion
State: Missouri
Grantee: Missouri Department of Mental Health and the National Alliance on Mental Illness (NAMI)—St. Louis
Program Name: Recovery from Serious Emotional Disturbances through Family Interventions and Crisis Intervention Team (CIT) Program.

Over the course of a year, 17-year-old Robert became increasingly reclusive. He had stopped eating regularly and was often angry and easily agitated to the point of threatening his mother. On one such occasion, his mother feared for her safety and called the police. Officers assigned to a specially trained crisis intervention team (CIT) responded and persuaded Robert to let his mother take him to a hospital.

There he was diagnosed for the first time with bipolar disorder and admitted for inpatient treatment. When he was discharged a few days later, psychiatrists gave Robert a prescription for medication and advised his mother to connect him to outpatient psychiatric services.

When the sergeant who heads the CIT program reviewed the incident report filed by the responding officers, he referred the case to NAMI St. Louis, which he felt could provide Robert’s family valuable follow-up services. The organization’s family-outreach professional contacted Robert’s mother and set up an in-person appointment. Over the course of several weeks, the NAMI outreach worker met with Robert, his mom, and his sister numerous times. She listened to his mom and sister describe their feelings of isolation and the heavy emotional burden that Robert’s illness had caused for them both. These conversations provided Robert’s mother an outlet to express her anxiety for her son and concerns for his illness’s impact on her daughter.

To continue reading this success story, click here.

---

ANNOUNCEMENTS

HIV in Prisons, 2001-2010

This bulletin from the U.S. Department of Justice's Bureau of Justice Statistics presents national trends among state and federal prison inmates from 2001 to 2010 in the rates of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS), as well as AIDS-related death rates among this population. To download this bulletin, click here.

Considerations in Assessing State-Specific Fiscal Effects of the ACA's Medicaid Expansion

This brief report from the Urban Institute's Health Policy Center explores how the Affordable Care Act (ACA) will impact states. The report's focus is limited to the effect the ACA will have on state costs, state savings, state administration, and state revenue. Developing a definitive fiscal analysis for a particular state requires analyzing unique, state-specific information sources. The goal of this report is to aid those efforts by flagging issues for consideration by state-level analysts. To download the report, click here.

The Affordable Care Act: Implications for Public Safety and Corrections Populations

This report from the Sentencing Project introduces key provisions of the Affordable Care Act as they relate to correctional populations, and includes links to organizations that are closely following the implementation of the act. To download the report, click here.

2011 National Survey on Drug Use and Health

This survey from the Substance Abuse and Mental Health Services Administration (SAMHSA) showed the rates of recent drinking, binge drinking, and heavy drinking among underaged people continued a decline from 2002. Alcohol use within the past 30 days among 12- to 20-year olds declined from 28.8 percent in 2002 to 25.1 percent in 2011, while binge drinking (consuming five or more drinks on a single occasion on at least one day in the past 30 days) declined from 19.3 percent in 2002 to 15.8 percent in 2011, and heavy drinking declined from 6.2 percent in 2002 to 4.4 percent in 2011. Overall, the use of illicit drugs among Americans age 12 and older remained stable since the last survey in 2010. The survey shows that 22.5 million Americans aged 12 or older were current (past month) illicit drug users—8.7 percent in 2011 versus 8.9 percent in 2010. To download the survey, click here.

---

CJ/MH IN THE NEWS

Articles from newspapers around the country covering issues at the intersection of mental health and criminal justice can be found on the Consensus Project website. Some recent headlines are posted below.

ENews Park Forest (IL) — Health care law increases number of mental and behavioral health providers

9/25/12 — Health and Human Services (HHS) Secretary Kathleen Sebelius today announced a new program, made possible by the Affordable Care Act, which will boost the number of social workers and psychologists who work with Americans in rural areas, military personnel, veterans, and their families.

Newsworks (PA) — Philly's mental health court celebrates series of successes

9/20/12 — For three years, Philadelphia's Mental Health Court has identified lower-level felons who suffer from mental illness and worked to help them become more productive members of society.

Palo Alto Weekly (CA) — Police training session focuses on mental illness

9/20/12 — In a bid to reduce conflicts and better help mentally ill people, Palo Alto police officers completed an innovative training program Wednesday, Sept. 19.

The Renton Reporter (WA) — Crisis Solution Center another option for offenders with mental health issues

9/19/12 — The Crisis Solution Center was created as a therapeutic alternative for people experiencing a behavioral crisis to go for help, instead of jail or an emergency room.

ThisWeek Community News (OH) — Mental health services added for jail inmates

9/17/12 — The Delaware County commissioners voted unanimously on Monday, Sept. 10, to approve a memorandum of understanding between the county jail and Recovery and Prevention Resources of Delaware and Morrow Counties Inc. to provide mental health services.

Indy Star (IN) — Crisis Intervention Training teaches Johnson County officers to deal with mentally ill

9/17/12 — Forty-five officers, dispatchers, prosecutors and probation officials from Johnson County, Greenwood and Franklin recently attended the Crisis Intervention Training.

Green Bay Press (IN) — Group offers support to mentally ill inmates

9/15/12 — Since March, the Depression & Bipolar Support Alliance of Brown County has provided separate support groups for male and female inmates.

Kent Patch (OH) — Kent cop named Crisis Intervention Officer of the Year

9/14/12 — Kent Police Officer James Fuller was named the 2012 Crisis Intervention Team Officer of the Year by the Mental Health & Recovery Board of Portage County and the Portage County Police Chiefs Association.

KCTV (KS) — New push to get mentally ill out of Kansas jails

9/12/12 — Mental health advocates are looking at a successful jail diversion program to get the mentally ill out of Kansas jails.

Tallahassee Democrat (FL) — Leon commission funds mental-health court with one-time $100,000

9/11/12 — Leon County commissioners voted 5 to 2 to put $100,000 toward one year of competency services to help those with arrested who suffer from mental illnesses.

Santa Maria Times (CA) — Consolidated county mental health facility applauded

9/12/12 — Consolidating mental health treatment services at a vacant facility owned by Marian Regional Medical Center in Santa Maria was heralded Tuesday by Santa Barbara County supervisors, doctors and others as a major step toward meeting the county’s longstanding mental health needs.