1. New York State Division of Criminal Justice Services Law Enforcement/Mental Health Crisis Response Summit June 25-26, 2009 Leon Evans, President/CEO The Center for Health Care Services Mental Health Authority www.chcsbc.org [email_address] A Systems Approach to Crisis Care: Outcomes Based, Community Driven

3. Collaboration: It’s an unnatural act between… … two or more unconsenting adults .

5. Point of Contact with Law Enforcement Magistrate Court Bexar County Jail Post-Booking Diversion Community-based Wraparound Care CIT/Deputy Mobile Outreach Team Genesis Probation, Incarceration, Parole Emergency Transport to Hospital Pre-Trial Diversion Referrals to Community Providers *Pre-Arrest Diversion Residential Respite Arrested The Diversion Process Treatment in lieu of Incarceration 24/7 Crisis Services

9. Jail Diversion Initiatives Pre-Trial Services Mental Health Bond Involuntary Outpatient Commitment Genesis – Manos Programs Parole & Probation Referrals Omega Program Intensive 90 day residential probation Court Ordered Program Palo Alto Forensic ACT Team 24/7 Intensive psychiatric services

10. CHCS Service Units within the Model The Deputy Mobile Outreach Team – Mental health professionals accompany an MH trained Deputy Sheriff to calls from the community for assistance involving the mentally ill and the mentally retarded.

12. CHCS Service Units within the Model The Crisis Intervention Teams (CIT) – Officers trained by Law Enforcement and Mental Health Personnel via a 40 hour curriculum including role play demonstrations. Attends weekly operational meetings with MH and Community Stakeholders.

14. CHCS Service Units within the Model Magistrate Screening Program – Addresses the assessment and referral needs of the magistrate before booking and incarceration. Involuntary Outpatient Commitment Program - On site court assigned case manager liaison monitors IOPC and works directly with Judges Competency Restoration Program – Restores competency and works to reduce extended jail and State Hospital stays

15. CHCS Service Units within the Model The Pre-Trial Services Program –Obtains release from jail through a mental health bond (which is free to the consumer) and provides referral with transportation from jail to designated treatment facilities. Reviews and assesses CARE Match daily arrest activity with linkage at release and follow-up. The Mental Health Court – This docket is the combined efforts of the criminal courts, probation and mental health personnel to advise the court on consumer assessment, treatment and continuity of care. Court ordered referral is direct to intensive case management.

16. CHCS Service Units within the Model The Genesis Special Needs Offenders Program This unit provides intensive case management, psychiatric services and rehabilitation training for offenders on probation and parole in collaboration with local and state probation and parole departments. Provides treatment for 60 (MI) and 200 bed (Substance Abuse) residential units operated by Bexar County Probation Department

17. Genesis Omega Manos Probation Probationers within Mentally Impaired Facility Client Court Ordered Prison Parole Genesis - TCOOMMI Omega – TCOOMMI, CJAD, CHCS Manos - AstraZenica POST DIVERSION CLINICAL EXPANSION Palo Alto Combined Substance Abuse and MH Services Funding Source Forensic ACT Substance Abuse Treatment Facility Probationers within SA Treatment Unit Funding Source Bexar County Treatment Facility Treatment Alternative to Incarceration Program

23. Toolkit

24. The Center for Health Care Services Leon Evans, President/CEO The Center for Health Care Services Mental Health Authority www.chcsbc.org [email_address]