Capital Area Human Services District's (CAHSD) proposed East Baton Rouge (EBR) Parish Early Diversion Program is designed to reduce arrest rates for the target population of adults with serious mental illnesses (SMI), who may have co-occurring addictive disorders (COD), by expanding the capacity of CAHSD's mobile and outpatient behavioral health treatment services to provide early diversion services for the parish along with treatment services for the Louisiana 19th Judicial District Court's new Adult Mental Health Court. The program focuses on the most populated parish in CAHSD's geographic catchment area with a total population of 447,037. EBR's prevalence estimate of adults with SMI is 15,570 based on Louisiana's 4.5% annual average (SAMHSA National Survey on Drug Use and Health, 2015-2016). The program intends to enroll 100 unduplicated individuals in ongoing care annually and to enroll 500 unduplicated individuals in ongoing care over the 2018-2023 five-year grant period with grant funds. CAHSD will coordinate regular meetings of the Law Enforcement & Behavioral Health Partnership and collaborate with the Partnership to develop, implement, and continuously improve the EBR Parish Early Diversion Program plan (i.e., encounter, enable , engage). Potential program participants will be identified by local law enforcement, the EBR Coroner's Office, the District Attorney's Office, the Public Defender's Office, Probation & Parole, and the project's Intake Coordinator/Social Services Counselor. Interested individuals will be engaged by the project's two community-based Peer Support Specialists. Behavioral health services will be provided by five staff with guidance from the Project Director/Social Worker Supervisor and the Project Evaluator. CAHSD is requesting $330,000 annually in grant funding and providing $110,000 in-kind annually for the program's yearly budget of $440,000. The projected cost is $366.66 per participant per month.
Carroll County Mental Health Advocates Program is an interagency collaborative network of community partners that work to address the mental health epidemic in Carroll County. It currently works to provide education to the community, provides a NAMI Support Group, provides Crisis Intervention Training for Law Enforcement and works with Carroll County Probate Court to provide a small pre-trial diversion program. The proposed project will provide an opportunity to expand services for Early Diversion (prior to arrest or booking) for SMI/COD clients to decrease the number arrests in Carroll County. In addition, the program proposes to increase the number of SMI/COD adults receiving services through evidence-based practices in Carroll County. The program will also work to increase community education of mental health/mental illness and community resources through free trainings and public relations efforts.
Project CARE will address the high numbers of unserved and underserved adults with SMI and COD (including veterans) currently caught up in the law enforcement and court system in Holyoke MA. It will implement EBP in a comprehensive early diversion program. We will create a system that includes multiple diversion entry points for clients and multiple levels of outreach, support, and connections to community-based EBP. Goal 1: Implement a systemic Early Diversion Program for person with SMI and COD Objective 1. Implement a diversion from arrest and diversion from court program that connects person with SMI and COD (including veterans) to community-based mental health services Objective 2: Implement a diversion from incarceration driven by probation, the courts, and the DA to divert court-involved person with SMI and COD (including veterans) to the CARE model and associated community-based mental health services and supports. Objective 3: Implement an alternative to incarceration for already incarcerated persons with SMI and COD (including veterans) driven by the House of Corrections to connect these persons to the CARE model and associated community-based mental health services and supports. Objective 4: Operate a fully implemented early diversion program for SMI and COD. Objective 5: Develop local community-based options for individuals referred to Section 12 & 35. Goal 2: Decrease the number of persons with SMI and COD (including targeted veterans) who are involved with the legal system. Objective 1: Identify persons with SMI and COD (including targeted veterans) at early access points, and develop an ongoing list of identified persons in order to continually intervene at early diversion access points. Objective 2: Recruit eligible persons with SMI and COD (including targeted veterans) and divert them to community based mental health services and supports. Objective 3: Reduce the number of Persons with SMI and COD (including targeted veterans) who are arrested, arraigned, and / or incarcerated by 30 to 50% by the end of CARE grant. Goal 3: Increase the number of access points and community-based supports for person with SMI and COD (including targeted veterans). Objective 1: Create access points to at the HPD, Probation, Court, and the House of Corrections. Objective 2: Actively support the referrals of persons with SMI and COD (including targeted veterans) to CARE programs. Objective 3: Monitor use of access points and successful connections of referred person with SMI and COD (including targeted veterans) to community-based services and supports. We anticipate that Project CARE will serve 30 clients in Year 1, 50 clients in Year 2, 100 clients in Year 3, 150 clients in Year 4 and 150 clients in Year 5. This will serve a total of 480 persons with SMI and COD, especially veterans.
The Meriden Early Diversion, Referral, and Retention (MEDRR) project will result in a duplicable model for early diversion by law enforcement to behavioral health treatment and/or services that will keep clients living in central Connecticut’s Middlesex and New Haven Counties from becoming justice involved. The City’s first responders, including the local ambulance company, fire department, and police department, will identify clients for diversion through a brief screening process and refer them to Rushford Center. Rushford is the Local Mental Health Authority (LMHA) and addictions treatment center serving central Connecticut, however, Rushford accepts clients from outside the region as well. In alignment with the state’s effort to reduce the prison population in Connecticut, this project will help persons with behavioral health diagnoses to find an alternative to incarceration through recovery from mental illness and/or SUD. The Law Enforcement and Behavioral Health Partnership (LEBHP) formed to guide the project will increase access to behavioral healthcare and supports for persons encountering law enforcement in the City of Meriden using a model that will be replicated across portions of Middlesex and New Haven Counties through dissemination of the model to interested law enforcement agencies. Grant support for this project will assist in the diffusion of the model through the provision of staffing to develop and test the framework and through the provision of clinical services for project participants. Ultimately, MEDRR will enhance immediate access to high-quality behavioral health treatment and services to reduce the number of arrests for individuals diagnosed with SMI or COD and enable evidenced based treatment options in the community that focus on recovery and intervention, to divert justice involved persons to treatment. Additionally, through innovative treatment options, MEDRR will reduce the high-risk behaviors of individuals with SMI or COD that may contribute to involvement with the justice system. This project reduces recidivism by providing access to client-centered and recovery oriented wrap-around services and allows for enhanced coordination to help deliver more resources to support the health of the community and reduce the adverse impact of incarceration on individuals with behavioral health disorders. MEDRR will seek the input of consumers, families, youth, and others that may be targeted by this project and organizations representing their interests will be invited to participate in LEBHP meetings in order to guide the effort. Consumers, families, youth, and other service populations may receive training and related support necessary for them to contribute in a meaningful way.
Nevada’s Rural Region is requesting funds to enhance early jail diversion to divert adults with Serious Mental Illness (SMI) or Co-occurring Disorders (COD) away from the criminal justice system. The region is a rural jurisdiction covering Churchill, Lyon, Carson, and Douglas Counties. This rural region is home to 179,016 residents and is located East of the state’s capital. The region encompasses 8,050 square miles and is nearly the size of New Jersey State. The counties have a documented history of cross-system collaboration, as evidenced by ongoing regional meetings to implement and enhance the Sequential Intercept Model throughout the region. The region will implement an Assertive Community Treatment (ACT) team to support community members identified at early intercept points. The target population are adults with a serious mental illness (SMI) or co-occurring disorder (COD) experiencing chronic crisis who are identified through Mobile Outreach Safety Teams (MOST) and Crisis Intervention Trained (CIT) law enforcement officers in the first intercept. The region will consider veterans a priority population. The region will serve a minimum of 300 individuals through ACT early jail diversion programming. The goals of the program are: Goal 1: Enhance collaboration planning between the community-based providers, behavioral health, and law enforcement. Goal 2: Increase identification of people with mental health and co-occurring disorders at early intercept points in the criminal justice system. Goal 3: Increase front-end diversion of people with mental health and co-occurring disorders.
SUMMARY: The Law Enforcement and Behavioral Health Partnership STL CARES (Community Assessment and Referral for Enduring Stability) will enable early diversion of individuals with Serious Mental Illness (SMI) and Co-Occurring Disorders (COD) at risk of arrest by using targeted outreach and trained co-response teams to connect individuals with SMI or COD experiencing homelessness to behavioral health treatment, housing and support services. POPULATION: The proposed project will serve individuals with SMI or COD encountered by law enforcement in the City of St. Louis, Missouri which covers nearly 62 square miles and a population of 311,404 residents, including over 17,700 veterans. Services will be provided to adults (18 years of age or older) who are identified as having an SMI or COD, including veterans. Special efforts will be made to reach and engage individuals who are experiencing homelessness. St. Louis residents are 46.8% Black or African American, 4% Hispanic/Latino, 3.3% Asian and 2.4% Two or More Races. Of the homeless individuals arrested that year, 84% were male, 57% were Black or African American and a majority (55%) were over the age of 35. INTERVENTIONS: The proposed project will build on a regional Crisis Intervention Team (CIT) infrastructure to provide a blended approach of location-based crisis stabilization, on-site behavioral health assistance and co-response by behavioral health personnel and police. The project will: (1) deliver training in trauma-informed response, Mental Health First Aid for Public Safety and Veterans CIT to a critical mass of law enforcement officers; (2) strengthen protocols and clarify coordination across law enforcement and behavioral health providers to engage individuals with SMI or COD in ongoing wraparound services, case management and recovery support; and (3) integrate project activities with the city’s housing and homelessness initiatives. GOALS: (1) Increase the capacity of law enforcement, behavioral health and social service partners to coordinate services and share data to provide wraparound support for individuals with SMI or COD. (2) Increase successful referrals from SLMPD encounters to engagement in behavioral health and wraparound services. (3) Decrease SLMPD arrests for possession of controlled substances and low-level charges that are behavioral health related. OBJECTIVES: Deliver mental health training to 30% of city law enforcement officers; Increase referrals to behavioral health programs by 10% over baseline; Successfully place a minimum of 25 chronically homeless households in permanent housing; Reduce arrests for identified drug charges and behavioral health encounters by 10% compared to baseline. CLIENTS SERVED: 800 referred to mental health or related services by law enforcement; 610 screened for mental health or related interventions by behavioral health staff; 400 referred to behavioral/mental/substance abuse health services; 230 provided case management and wraparound services; 200 engaged in behavioral health treatment 3 months after referral/diversion; 360 law enforcement staff trained in mental health and/or trauma-informed response. Unduplicated Numbers: 800 clients and 360 law enforcement personnel.
The Rhode Island Early Diversion project will implement a direct transfer approach for law enforcement to divert individuals affected by mental health or cooccurring substance use disorders from arrest to services. Police may transport individuals to the Behavioral Health Link (BH Link) assessment and triage center or request on-site assistance. BH Link will provide short term crisis stabilization services and make connections to treatment and recovery services. The Law Enforcement and Behavioral Health Partnership comprised of stakeholders and consumers will be convened by BHDDH to provide input on approaches and strategies for achieving the goals of the project which are to: (1) Improve partnerships and policies that support law enforcement to respond to individuals with mental illness and co-occurring disorders (2) Increase knowledge and skills of local law enforcement to respond to individuals with mental illness and co-occurring disorders and conduct warm handoffs to the treatment and recovery support system of care (3) Increase appropriate health care referrals of persons with mental illness and co-occurring disorders that are encountered by police and referred to the state’s assessment and triage center, BH Link Clinical and support services to be provided include Assertive Community Treatment, Medication Treatment, Evaluation and Management, Integrated Treatment for Co-Occurring Disorders, Illness Management and Recovery Support services including case management and peer support services. Engagement in services will be monitored at 3 months, 6 months, and one year after diversion. A Law Enforcement Liaison will be contracted to engage police departments to refer to BH Link and to take the One Mind pledge to implement 4 promising practices over a 12-36 month period that includes formalizing partnerships with mental health organizations, developing model policy to respond to persons affected by mental illness, training officers and other staff in mental health first aid and crisis intervention training. The Rhode Island Early Diversion statewide project proposes to serve 100 unduplicated individuals in Year 1 of the project, 200 on an annual basis thereafter and a total of 900 individuals affected by mental illness or cooccurring substance use disorders with a priority to Veterans over the five-year project period.
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