# Presentation: 545296

## Annual Jail Diversion Grantee Meeting
Bethesda, MD

May 12, 2005

**Bethesda, MD**
**May 12, 2005**

**Jail Diversion: *****A Public Health Intervention Affecting Whole ******Communities and Impacting ******System Change***

**A. Kathryn Power, M.Ed., Director**
**Center for Mental Health Services**

## “Law and order exist for the purpose of establishing justice...when they fail in this purpose they become the dangerously structured 
dams that block the flow 
of social progress.”

Martin Luther King, Jr.

***dams that block the flow ***
***of social progress.”***
***Martin Luther King, Jr.***

## Lives Touched...

**Jail Diversion Grantee Meeting**

- 3

## Mental Health Transformation

## Transformation calls for a public health approach to mental illnesses.

## Defining Resiliency and Recovery

***Recovery:**** The process by which people are able to live, work, learn, and participate fully in their communities; the ability to live a fulfilling and productive life despite a disability; a reduction or complete remission of symptoms; the ability to make important decisions affecting one’s own life. *

## The Challenges of a Linear System

## Example: Bexar County

_***Based on three phases of intervention***_***:**** *
**Divert** persons with mental illness before they are arrested or booked
**Identify** those with mental illness within the system and make recommendations for alternatives to incarceration
**Provide** appropriate services upon release from jail or prison

## Example: CT Women’s Treatment and Support Program

_***Highlights***_***:**** *
**Gender-**specific, **trauma-**informed treatment that incorporates intensive support in the community
- Organized **first Women’s Expo **bringing together multiple community agencies and service providers** **
- Department of Mental Health and Addiction Services now recognizes the need to adapt **trauma treatment models** to women who enter treatment through the criminal justice system

## Example: Miami-Dade County

_***Highlights***_***:**** *
- Mission statement:  **diversion and linkage to comprehensive care will make jail the last resort**
- Incorporates both **pre-** and **post-booking** diversion models
**Crisis Intervention Team** policing
- Florida Department of Children & Families instituted a **comprehensive care program** that includes case management, housing, and medication

## Mental Health State Incentive Grants (SIGs)

**Provide $18.8 million to support States’ efforts to focus on systemic changes **
**Help States develop and implement Comprehensive State Mental Health Plans **
**Are limited to the immediate office of the Chief Executive Officer for States, Territories, the District of Columbia, native tribes, and tribal organizations**
**Applications are due by June 1, 2005 ****  **** **

## We are already—
conducting a comprehensive evaluation of our workforce, including an inventory of how cultural competence is being addressed in behavioral healthcare training programs; 
developing a prototype of individualized plans of care that promote recovery and resilience; 
expanding the science to service agenda; 
developing new toolkits on specific evidence-based practices; 
initiating technical assistance on recovery and resilience; 
providing technical assistance to help States develop comprehensive State Mental Health Plans; 
educating Medicaid and other public and private payers about the practicability of supporting evidence-based mental health services. 

- conducting a comprehensive evaluation of our workforce, including an inventory of how cultural competence is being addressed in behavioral healthcare training programs;
- developing a prototype of individualized plans of care that promote recovery and resilience;
- expanding the science to service agenda;
- developing new toolkits on specific evidence-based practices;
- initiating technical assistance on recovery and resilience;
- providing technical assistance to help States develop comprehensive State Mental Health Plans;
- educating Medicaid and other public and private payers about the practicability of supporting evidence-based mental health services.

- SAMHSA Activities

## “Law and order exist for the purpose of establishing justice...when they fail in this purpose they become the dangerously structured 
dams that block the flow 
of social progress.”

Martin Luther King, Jr.

***dams that block the flow ***
***of social progress.”***
***Martin Luther King, Jr.***