Pre-Arrest Diversion Webinar Series #2. Law Enforcement s Path to Improving Public Safety: Partnering with Local Behavioral Health Agencies

Transcription

1 Pre-Arrest Diversion Webinar Series #2 Law Enforcement s Path to Improving Public Safety: Partnering with Local Behavioral Health Agencies July 20, 2017 Logistics The webinar is being recorded and will soon be available at For technical assistance send an to ITteam@theiacp.org To submit a question for the presenter use the chat feature and send to Organizers 1

2 Webinar 1: Starting your Pre-Arrest Diversion (PAD) Effort Law Enforcement, Behavioral Health and Community Together Police, Treatment and Community (PTACC) Collaborative PTAC Collaborative Five Strategic Areas Big Idea/Big Tent the PTAC Collaborative leadership team Think Tank for behavioral health (drug treatment, mental health) and social services to ensure their equal and critical seat at the table Informing the Field for law enforcement focused on learning about what s going on Research interested in developing standard metrics for Police Diversion research and evaluation Community for our citizens and communities to add their voices and perspectives for practitioners already considering or implementing PTAC Diversion 2

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4 Four Strategies Establish a clearly defined and sustainable partnership with one or more community mental health organization Develop and implement a model policy addressing police response to persons affected by mental illness Train and certify 100 percent of your agency s sworn officers (and selected non sworn staff, such as dispatchers) in Mental Health First Aid for Public Safety Provide Crisis Intervention Team (CIT) training to a minimum of 20 percent of your agency s sworn officers (and selected non sworn staff, such as dispatchers) Panelists Falmouth Police Department, Falmouth, MA Sgt. Michael Simoneau Overdose Intervention Program Officer Tyler Narbonne CIT Trained Mental Health Liaison Gosnold on Cape Cod Raymond V. Tamasi, President and Founder, Gosnold Innovation Center 4

5 Law Enforcement s Path to Improving Public Safety: Partnering with Local Behavioral Health Agencies JULY 2017 Learning Objectives How the Opioid Crisis and Overdose Deaths led to partnerships and the Overdose Intervention Program (OIP) Why the OIP has grown in the greater community and how it has elevated community policing Lessons learned about the benefits of working together in the community reduction in the number of overdose-related deaths changing attitudes about the stigma of addiction improvement of relations between law enforcement, treatment centers, and the community 5

6 Substance use and mental illness driving factors in justice system involvement 56% 64% 53% 68% 19% 4% 16% 17% 9% GENERAL STATE PRISON LOCAL POPULATION JAIL GENERAL STATE PRISON LOCAL POPULATION JAIL GENERAL STATE PRISON LOCAL POPULATION JAIL ANY MENTAL HEALTH PROBLEM SERIOUS MENTAL ILLNESS SUBSTANCE USE DISORDER Sources: James and Glaze, 2006; Ditton, 1999 and Metzner, 1997 as cited in Osher, D Amora, Plotkin, Jarrett, and Eggleston, 2012; Mumola and Karberg, 2006; Karberg and James, 2005; NSDUH at SAMHSA,

7 Opiate Overdose Death Trends Opioid Sales, OD Deaths & Treatment Admissions 7

8 All cause mortality, ages Case and Deaton (2015) US White non Hispanics (USW), US Hispanics (USH), and six comparison countries: France (FRA), Germany (GER), the United Kingdom (UK), Canada (CAN), Australia (AUS), and Sweden (SWE). GOSNOLD ON CAPE COD Mortality by poisoning, suicide, chronic liver disease, and cirrhosis, among white non Hispanics Case and Deaton (2015) Rising morbidity and mortality in midlife among white non Hispanic Americans in the 21st century GOSNOLD ON CAPE COD 8

9 Mortality by cause, white non Hispanics ages Case and Deaton (2015) Rising morbidity and mortality in midlife among white non Hispanic Americans in the 21st century GOSNOLD ON CAPE COD The Opioid Crisis on Cape Cod GOSNOLD ON CAPE COD 9

10 The 5 Diversion Intercept Points 1. Pre Arrest: Interaction with Public Safety or Emergency Services 2. Post Arrest: Initial Court Hearings 3. Jails/Courts: Engage with and Motivate Person to accept Treatment 4. Post Jail: Re entry into the community probation, parole, supervision 5. In the Community: Community Support Services Goal 1: Divert people to treatment instead of incarceration Goal 2: Divert people from the cycle of crime GOSNOLD ON CAPE COD How the Partnerships Began Too many dying from opioid overdoses & mental health crises Officers responding to more medical emergencies, not criminal activity The scope and scale of crisis generated new thinking between community partners Treatment providers wanted to reduce police burden of behavioral health challenges 10

11 Yarmouth Police Department For Police, a Playbook for Conflicts Involving Mental Illness 11

12 Sharing Resources To Save Lives Gosnold provides 1,500 doses of Evzio, the injectable form of Naloxone, to police departments on the Cape and South Shore of Massachusetts Police say they Want to Aid, not Arrest, Addicts Gosnold s Intervention Specialists Kristoph Pydynkowski (left) and Brendan Gettings (right) are working with Sergeant Michael Simoneau out of the Falmouth Police Department. 12

13 How the Programs Works Police document names of overdose/mental health victims Community Intervention Specialist joins with Sgt. Simoneau or Off. Narbonne to visit victims (& family) ASAP following incident Officer and Specialist assure victim they aren t there to arrest, but to help If victim consents to treatment, specialist arranges referral to treatment (detox, IOP, etc.) or a mental health service. GOSNOLD ON CAPE COD How the Programs Works Officers generally not in uniform Visits occur in unmarked cars Not every police officer is right for this role (selection) Never mix roles law enforcement vs. social worker GOSNOLD ON CAPE COD 13

14 Mental Health Interventions The CIT Model Police Officers trained in the Community Intervention model (CIT) learn to de escalate crisis situations. Patients and Advocates add insight and help inform the approaches to a mental health crisis. Mental Health Professionals provide treatment, training, and assistance to both the mentally ill & the police OIP Program Outcomes Part 1 WHAT WE KNOW Of the 827 overdose victims, 403 (49%) were able to be reached. Of the 403 victims contacted, 310 (77%) agreed to participate in treatment Of the 310 people referred, 153 were transferred to detox treatment As of December 2016 about 10% of those we were able to contact, had another overdose. Contacts who agree to Treatment % of Contacts who Accept Treatment Overdose Victims % Of Victims Male Female Victims Contacted Contacted % % 14

15 Program Outcomes Part 2 Treatment providers and law enforcement have greater mutual respect Collaboration on this issue has resulted in more favorable community opinions of treatment providers and the police Together we more fully recognize that these individuals are not bad people, they are sick people Program Outcomes Part 3 The stigma of addiction & mental illness is reduced as community groups partner for the common good Affected individuals are more likely to ask for help due to the caring and compassion being extended by the police, their historical adversary Impact on other police officers in the department 15

16 Learnings and Opportunities How many who went to treatment are still engaged? How many of those reached had another overdose? How to stop the revolving door? Emergency interventions (detox, psych hospital) are insufficient. How does community policing make the community safer? How does this program help the police pay it forward? GOSNOLD ON CAPE COD Implementation Issues for Consideration Why are you doing this? What is scope of problem? What does success look like? Reduce crime, help people, etc. Who are you going to divert? Define the Population to be served Who is going to do this and how? Officer Selection & Training Where will you divert them? The Community Partners How will you divert individuals? Implementation Procedures 16

17 Questions? Michael Simoneau Tyler Narbonne Raymond Tamasi 17