Outline
How did NAMI Maine develop successful diversion coalitions
How did we blend CIT into those efforts Raising money The Sequential Intercept Model
Precipitating events
2/2000 – James Thomas, “A teens last trip to prison”
Ken Moore – Maine Times article
Step One:Research
National Up the River, Travels in a Prison Nation New Jack Crazy online
State – press clippings Meet with Sheriffs Association Local – jail survey
Step Two: Awareness
Generate press Op Eds Press calls – pitch stories Release report
Collect names of callers
Step Three: Planning
What is needed? Who can help decide
what is needed: list of partners that will be needed
Issue invitation to join coalition.
First meeting
GOAL WHAT TIMEAttendees know why each person has come
Introductions10 mins.
Mission outlined Draft mission disseminated and reviewed
20 mins
Brainstorm needed changes Participants list things that need to change if people with mental illness are to not go to jail and to get out faster when they do
30 mins
Set next meeting time and agenda
Participants book next meeting
5 mins.
NAMI MAINE’S COALITIONS
2000 to 2003 – The Coalition on Mental Illness, Substance Abuse and Criminal Justice.
Mission and members Statewide
Drafted omnibus legislation
Members review Hired lobbyist Followed first legislation
and subsequent study Mission accomplished -
disbanded
Sequential Intercept Model
Model for organizing discussion of diversion and linkage alternatives and for systematically addressing criminalization
Based on public health principles Developed in Ohio and adopted by GAINS
Center Where to intervene; at what “intercept”.
Intercepts
One: Law enforcement and emergency services
Two: Initial Hearings and Detention Three: Jails and Courts Four: Reentry from jails, prisons, hospitals Five: Community corrections and Community
support
PENOBSCOT SEQUENTIAL INTERCEPT MAP: REVISED MARCH 2007
Arrest Detention
1st Co
urt
Vis
it Jail
Co
urt
Dis
po
sitio
n
La
w E
nfo
rce
me
nt
MH Ride-along
CIT Response
ER or Crisis Bed
Relink to MH Services, family., friend
Cite- Release
Bail conditions-V0A
Intercept 1 – Law Enforcement/Crisis
Intercept 2 – Booking; InitialAppearance
Intercept 3 – Jails, Courts
Intercept 4 – Re-entry
Intercept 5 - Community
Crisis Assessment
Jail Screening;
ER; Hospitalization; 72 Hr. Bed.; Detox; Rapid Response
DHHS ICM linkage
VOA – bail contract
PR Bail, Release, Court ordered eval., Family
Crisis Assessment
In-jail treatment – Peer supports
Hospital
Enhanced Drug Court
VOA bail contract
Community Corrections
Discharge Planning; Pre-release services
CommunityACTICICSWICMTherapy.ResidentialS.A. OPS.A. IOP½ way houseProbationPeer SupportBed gatekeeper - DHHS
Boundary spanner
Substance abuse treatment mandate
DOC re-entry worker
Action Plan
What Why How Who When
Need for boundary spanners
Disconnect between court, providers, jail
Document need;
Mobilize pilot project using existing resources
MarkDeb
Carol
First meeting – March 3
Pilot in place by 9-07
Penobscot Accomplishments
Creation of first boundary spanner positions – with no new funding
Pilot project developed – data tracked Peer support grant obtained CIT – jail and police force
Kennebec Coalition
Call to Chief Justice Conversion Foundation grant Road blocks Coalition building Co-occurring Court US DOJ grant Steering Committee Summitt
History
2000 first grants 2001 Portland – 8 officers 2002-2004 – Add sites; grant writing 2004 – 2 Jail based CIT grants 2005-2007 – Expansion grant with research 2007 – obtained state funding
CIT process
Organize local collaboration
“Sell” CIT CIT as first collaboration
or part of existing collaboration
CIT expansion CIT marketing
Expansion Grant
Ten funders LIFP experience Add 8 jails, 6 communities over two years Research replicability Data collection difficulties Steering Committee for sustainability Newsletter Database of all CIT officers
Looking Ahead
Portland’s sustainability plan? To Stipend or Not to Stipend Awards and other recognition CIT is THE backbone
Funding
Local funders Conversion foundations Byrne Grants Federal grants (Samhsa, USDOJ) State government buy in Legislation
LESSONS LEARNED
Coalitions can change the world if the right people are at the table
Planning keeps coalitions alive Without strong leadership coalitions don’t
continue Visible accomplishments keep things going. Thank god for SIM
Lessons learned
You can do a lot without new money. Coalitions may have a natural life and then
end when their work is done. Coalitions require strong leadership and
maintenance Planning and vision are important When stuck, SIM
When you need funding
Government list serve for grant announcements.
Gains Center Local funders (Maine Philanthropy Center
and grant makers directory) Foundation Center Directory NAMI opportunity grants Pharma
Maine funding
DOT – Samhsa Co-occurring Court – U.S. DOJ Penobscot County – NIMH CIT: 6 local foundations, Eli Lilly, Bristol
Meyers Squibb. State government
TWO YEAR AGENDA
Sustainability (legislation) Maintenance Individual officer recognition Individual program recognition Data collection Release of research re: CIT in jail Certification