IT ALL BEGINS IT ALL BEGINS

AT THE JAILAT THE JAIL

Presenters:Presenters:

Denise Curiel, Criminal Justice Denise Curiel, Criminal Justice Liaison for Community Liaison for Community

Partnership of Southern ArizonaPartnership of Southern Arizona

Diana Carino, Criminal Justice Diana Carino, Criminal Justice Assistant for Community Assistant for Community

Partnership of Southern ArizonaPartnership of Southern Arizona

What is CPSA?What is CPSA?

Community Partnership of Southern Community Partnership of Southern ArizonaArizona RBHA = Regional Behavioral Health AuthorityRBHA = Regional Behavioral Health Authority A local, nonprofit, community-based organizationA local, nonprofit, community-based organization Contracts with the Arizona Department of Health Contracts with the Arizona Department of Health

Services/Division of Behavioral Health ServicesServices/Division of Behavioral Health Services Oversees public behavioral health services for Oversees public behavioral health services for

Southern ArizonaSouthern Arizona Subcontracts direct care for adults and childrenSubcontracts direct care for adults and children

Criminal Justice Team Criminal Justice Team ObjectivesObjectives

Improve the lives of our membersImprove the lives of our members Successfully resolve criminal charges, re-Successfully resolve criminal charges, re-

engage in treatment, prevent future criminal engage in treatment, prevent future criminal activityactivity

Increase public safetyIncrease public safety Individuals stabilized on treatment are less Individuals stabilized on treatment are less

likely to commit mental health-related crimelikely to commit mental health-related crime Save taxpayer dollarsSave taxpayer dollars

Jail days, future prosecution, inpatient hospital Jail days, future prosecution, inpatient hospital admission (and other more costly treatment)admission (and other more costly treatment)

CPSA Criminal Justice CPSA Criminal Justice Program’s OverviewProgram’s Overview

Initial Appearance: CPSA staff person Initial Appearance: CPSA staff person present to identify in real time enrolled present to identify in real time enrolled membersmembers

Obtain release of informationObtain release of information Provide information to judge regarding release Provide information to judge regarding release

conditionsconditions Identify individuals who may need immediate Identify individuals who may need immediate

psychiatric interventionpsychiatric intervention Positive outcomes & how it can work in Positive outcomes & how it can work in

your communityyour community

CPSA Criminal Justice CPSA Criminal Justice Program’s OverviewProgram’s Overview

Mental Health Courts & CollaborationsMental Health Courts & Collaborations Seven in total in Pima CountySeven in total in Pima County Mix of Urban & Rural, Felony & Mix of Urban & Rural, Felony &

Misdemeanor, Diversion & Non-DiversionMisdemeanor, Diversion & Non-Diversion First MHC in Arizona at Tucson City Court First MHC in Arizona at Tucson City Court

in 2000in 2000

Diversion: What is it?Diversion: What is it?

““Alternatives to the incarceration Alternatives to the incarceration and/or prosecution, of individuals and/or prosecution, of individuals with co-occurring disorders that with co-occurring disorders that involve interagency coordination involve interagency coordination among and between behavioral among and between behavioral health, law enforcement, and health, law enforcement, and criminal justice systems”criminal justice systems”

Mental Health Diversion Mental Health Diversion EligibilityEligibility

Person (s) with a serious mental illnessPerson (s) with a serious mental illness Person (s) with a co-occurring disorderPerson (s) with a co-occurring disorder Person (s) with a Traumatic brain Person (s) with a Traumatic brain

impairmentimpairment Person (s) with a developmental Person (s) with a developmental

disabilitydisability Title 19 AHCCCS/Medicaid eligibleTitle 19 AHCCCS/Medicaid eligible

Stakeholders:Stakeholders:

DefendantDefendant Public Public DefendersDefenders

VictimsVictims ProsecutorProsecutor

Community Community ProvidersProviders

Law EnforcementLaw Enforcement RBHA(CPSA)RBHA(CPSA)

JailJail

What the Mental Health What the Mental Health Diversion Offers the Diversion Offers the

defendantdefendant A Team that has experience in working A Team that has experience in working

with defendants with a co-occurring with defendants with a co-occurring disordersdisorders

Behavioral Health Probation Officer Behavioral Health Probation Officer Continues engagement with treatmentContinues engagement with treatment Misdemeanor charges are dismissed Misdemeanor charges are dismissed

(Felonies in most cases are reduced to a (Felonies in most cases are reduced to a misdemeanor or a lower class felony)misdemeanor or a lower class felony)

What Mental Health What Mental Health Diversion offers its Diversion offers its

stakeholdersstakeholders Coordination of Care Coordination of Care Expedite case processingExpedite case processing Decrease number of jail daysDecrease number of jail days Reduce recidivismReduce recidivism Relieve jail overcrowdingRelieve jail overcrowding Cost effective to the CityCost effective to the City Enhances community safetyEnhances community safety

Referral SourceReferral Source

Member / defendantMember / defendant Criminal Justice AssistantCriminal Justice Assistant Jail / Law Enforcement Jail / Law Enforcement Case workersCase workers Family membersFamily members AttorneysAttorneys

CPSA Criminal Justice Team CPSA Criminal Justice Team AccomplishmentsAccomplishments

Jail diversion saves Pima County taxpayers more Jail diversion saves Pima County taxpayers more than $1 million per yearthan $1 million per year

Tucson City Mental Health Court has a 97% Tucson City Mental Health Court has a 97% graduation rategraduation rate

CPSA trained more than 700 Southern Arizona CPSA trained more than 700 Southern Arizona police officers in Crisis Intervention Training (CIT)police officers in Crisis Intervention Training (CIT)

On any given day, the team supervises up to 800 On any given day, the team supervises up to 800 individuals with mental illness in the Justice systemindividuals with mental illness in the Justice system

Reduced the number of jail days from 28 to 7 for Reduced the number of jail days from 28 to 7 for defendants with a behavioral health needdefendants with a behavioral health need

Established working relationships between Established working relationships between behavioral health and Criminal Justice Systembehavioral health and Criminal Justice System

Allowed those persons with a behavioral health Allowed those persons with a behavioral health need to re-engage in their treatmentneed to re-engage in their treatment

CPSA Criminal Justice Team CPSA Criminal Justice Team AwardsAwards

National GAINS Center: Impact AwardNational GAINS Center: Impact Award National Council on Community Behavioral National Council on Community Behavioral

Healthcare: Program of SignificanceHealthcare: Program of Significance City of Tucson: Public Services Excellence City of Tucson: Public Services Excellence

AwardAward Harvard University, Kennedy School of Harvard University, Kennedy School of

Government: Top 100 NationwideGovernment: Top 100 Nationwide Arizona Supreme Court: Innovations AwardArizona Supreme Court: Innovations Award Arizona Center for Disability Law: Award for Arizona Center for Disability Law: Award for

Mental Health AdvocacyMental Health Advocacy Arizona Criminal Justice Commission: Arizona Criminal Justice Commission:

Innovation in Community ProgramsInnovation in Community Programs Schorr Family Award: Distinguished Schorr Family Award: Distinguished

Contribution in Mental HealthContribution in Mental Health

Thank you for comingThank you for coming

Contact Names and Contact Names and NumbersNumbers

Denise Curiel - CPSA (520) 322-4102 Denise Curiel - CPSA (520) 322-4102 or at or at Denise.Curiel@cpsa-rbha.orgDenise.Curiel@cpsa-rbha.org

Diana Carino – CPSA (520) 322-4106 Diana Carino – CPSA (520) 322-4106 or at or at Diana.Carino@cpsa-rbha.orgDiana.Carino@cpsa-rbha.org