1. Therapeutic Justice Model: The Integration of Treatment and Justice Presentation for the APPA Winter Training Institute Austin, Texas Jan 31-Feb 3, 2010 Gilbert Gonzales Director, Communications and Diversion Initiatives The Center for Health Care Services Mental Health and Substance Abuse Authority Bexar County San Antonio, Texas [email_address] www.chcsbc.org Linda Tavel Director, Criminal Justice Substance Abuse Services Mental Health and Substance Abuse Authority Bexar County The Center for Health Care Services [email_address] www.chcsbc.org

2. Therapeutic Justice Model: The Integration of Treatment and Justice “Therapeutic Justice is defined as a systemic approach which insures a collaborative partnership between the Courts, the Criminal Justice System and the Behavioral Health system while providing that the public safety net is able to provide for the most efficient and effective support for persons who are in crisis and or are experiencing psychiatric and substance abuse disorders.” Leon Evans, President and CEO, CHCS Bexar County Mental Health Authority

4. Collaboration Integration Restoration Transformation

5. The Problem

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

8. Graphic by Seth Godin Sheriff’s Office SAPD CHCS Metro Health University Health System Adult Probation EMS CPS APS SASH NAMI FIRE DA County Judge Area Hospitals University of Texas Criminal Justice Veterans Administration Pre Trial Services GI Forum DSHS Consumers And Families Magistration Facility City of San Antonio Bexar County Commissioner’s Court Law Enforcement Mental Health Partners Medical Directors Roundtable Children's Diversion Collaborative Juvenile Probation Criminal Courts Probate Courts Texas A&M DAPA SAMM Ministries Patrician Movement Connecting Community Leveraging Outcomes

9. 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 Circa 2002

11. Mental Health Forensic Flow a work in progress… Circa 2010,

15. The Crisis Care Center Psychiatric Screening Minor Medical Clearance 24/7 Access for Law Enforcement Circa 2005

18. “ The immediate availability of detoxification services is priceless…. ” “ Providing treatment to those who desperately need help will save taxpayers millions of dollars over the long run. ” Gloria Padilla, Express News 9/13/2008 San Antonio Express News

19. Therapeutic Justice Service Array

20. GI Forum Veterans Residential 1,000

22. Show me the DATA !!!

23. Forensic and Civil Court Programs 1. Outpatient Competency Restoration 2. Forensic Outpatient Commitments 3. Mental Health Court 4. Drug Court 5. Civil – Involuntary Outpatient Commitment

26. Toolkit

29. CIT SAVE THE DATE First International CIT Conference (Formerly the National CIT Conference) June 1 - 3, 2010 On site registration May 31, 2010 San Antonio CIT - Deep In The Heart of Texas! For Information and Registration : http://chcsbc.org/cit

30. Gracias ! For Additional Information on this presentation please contact: Leon Evans, President and Chief Executive Officer The Center for Health Care Services 210 731-1300, Email: [email_address] www.chcsbc.org Thank you for visiting !