cross system collaboration promotes access to health care
DESCRIPTION
Presented by: Cindy A. Schwartz, MS, MBA Project Director and Lourdes Mata, MBA Continuing Care CoordinatorTRANSCRIPT
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Cross System Collaboration Promotes Access to Health Care
Miami-Dade County, Florida
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ELEVENTH JUDICIAL CRIMINAL MENTAL HEALTH PROJECT
JAIL DIVERSION PROGRAM
Designed and implemented to divert people with serious mental illnesses away from the
criminal justice system into community-based treatment and services
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MISSION
To make jail the last resort for people with severe
mental illnesses and co-occurring substance use
disordersama
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NEED
• Miami-Dade County has among the highest percentage of persons with SMI of any urban community in the United States (9.1% or approximately 210,000 people)
• Less than 13% of these persons receive treatment
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NEED
Although the Miami-Dade County jail has by default become the largest psychiatric institution in Florida, it cannot provide the necessary and appropriate treatment that is required for successful rehabilitation and recovery.
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FACTS
• There are 800-1200 detainees that experience mental illness on any given day at the Miami-Dade County jail.
• This represents approximately 20% of the total inmate population and costs taxpayers millions of dollars annually to manage this population in jail.
• Persons with mental illnesses stay in jail 8 times longer than those individuals without mental illness at a cost of 7 times more.
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Pre-BookingCIT
• 36 of 36 Police Departments participate in CIT training
• More than 2,500 officers trained since 2003
• More than 1,200 CIT officers On Duty throughout Miami-Dade County
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POST-BOOKING
• Originally established to divert nonviolent misdemeanant defendants with SMI and possible co-occurring substance use disorders
• Program expanded to serve defendants that have been arrested for less serious felonies and other charges as determined appropriate
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Cross System Collaboration
• Judges
• The Court
• Public Defender
• State Attorney
• Law Enforcement
• Consumers and Families
• Department of Corrections
• Mental Health Providers
• Social Security
• Foundations
• DCF
Ama
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Successful Community Re-Entry and Recovery
• Individuals voluntarily agree to services and are assisted with linkages to a comprehensive array of community-based treatment, support, and housing services
• The CMHP utilizes the APIC Model to provide transition planning for all program participants
• Upon stabilization, legal charges may be dismissed or modified in accordance with treatment engagement
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Immediate AccessProvide linkage to the necessary treatment
and supportive services:
• Treatment
• Medication
• Housing
• Transportation
• Entitlements
ama
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PEER SPECIALISTS
• Due to their life experience they are uniquely qualified to perform the functions of the position.
• Peer support specialists work as members of the jail diversion team.
• Primary responsibility is to assist jail diversion participants with community re-entry and engagement in continuing treatment and services
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GAP FUNDING
• Interim Assistance Agreement between Miami-Dade County and SSA
• Designed to provide assistance for the period between application and approval of SSI/SSDI benefits.
• Funding for services provided will be reimbursed to the County when the individuals are approved and receive social security benefits.
Cas
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SSI/SSDIOUTREACH
ACCESSRECOVERY
(SOAR)
• An approach that was developed to access and expedite social security entitlements for Individuals that are homeless and mentally ill
• Gap Funding in combination with SOAR will improve diversion efforts to community-based treatment and services upon discharge from jail Cas
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Assess the Individual Served
• Face to face contact by JDP Case Manager• Needs Assessment includes:
– Housing (73% homeless at time of arrest)– Treatment: mental health, substance abuse,
trauma– Culture– Entitlements– Case management– Special needs
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Plan for Treatment and Services• Planning includes:
– Referrals to community services based on individual needs
– Initiate contact with Social Security
– Address possible gaps
• Transportation
• Clothing
• Identification
• Language
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Identify Appropriate Community and Corrections Programs
• Forward a complete summary of release conditions to community provider
• Ensure individual served is aware of community providers responsibility to report status to the court
• Ensure individual served has the necessary tools to comply with conditions of release
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Coordinate the Transition Plan
• Link to Peer Specialists for support during community reentry process– Release– Intake to community provider
• Immediate access to community services
• Ensure that the individual served knows who to contact for:– Medication issues– Court reporting
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Summary
• Intervention and Support
• Individualize Transition Planning
• Cross-System Collaboration
• Promote Creative Solutions
• Reduce Jail Recidivism
• Promote HOPE and RECOVERY
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For Additional Information
Cindy A. Schwartz, MS, MBAProject [email protected]
Lourdes Mata, MBAContinuing Care [email protected]