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Key Resources

The following resources will help guide you through the Six Questions that county leaders need to ask
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Question 1: Is your leadership committed?

Community Conversations About Mental Health: Discussion Guide
Designed to help people and organizations who want to organize community conversations around mental health break down misperceptions and promote recovery; find innovative community-based solutions to treatment barriers; and develop clear steps for communities to address mental health needs. (SAMHSA)

The Criminal Justice Coordinating Council Network Mini-Guide Series: Managing a CJCC in a Small Jurisdiction
Interviews with two coordinators from criminal justice coordinating councils in small jurisdictions, who highlight the importance of having a coordinating council as well as the struggles they’ve faced and the useful solutions they’ve implemented. (The Justice Management Institute)

Sample Criminal Justice Coordinating Council (CJCC) Staff Job Descriptions
Links to sample job descriptions from members of the National Network of Criminal Justice Coordinating Councils. (The Justice Management Institute)

Criminal Justice/Mental Health Consensus Project
Helps policymakers and criminal justice and mental health professionals improve the response to people with mental illnesses who become involved in, or are at risk of involvement in, the criminal justice system. Chapter V focuses on improving collaboration. (CSG Justice Center)

Engaging Stakeholders in Your Project
Thirteen strategies to engage the community in problem-solving justice initiatives that practitioners have found successful. (Center for Court Innovation)

Getting It Right: Collaborative Problem Solving for Criminal Justice
Spells out a “practical team-based approach to envisioning the kind of criminal justice system a community wants; assessing the current system; and planning and implementing strategies for ‘getting it right’” (ix). (National Institute of Corrections)

Involving Peers in Criminal Justice & Problem-Solving Collaboratives
Defines the titles and roles of people who are involved in criminal justice and behavioral health collaboratives and provides guidance on how to include people impacted by the justice system. (SAMHSA’S GAINS Center)

NAMI: Engage Your Community
Suggestions for how mental health awareness advocates can work with their community to make changes. (NAMI)

Guidelines for Developing a Criminal Justice Coordinating Committee
Strategies and considerations for developing an effective criminal justice coordinating committee to assist jurisdictions in alleviating jail crowding and accomplishing other criminal justice system improvements. (National Institute of Corrections) 

Guidelines for Staffing a Local Criminal Justice Coordinating Committee
The logistics of staffing a local criminal justice coordinating committee, including what the costs are to develop a staff and how staff can be funded, trained, and evaluated. (National Institute of Corrections)

Howard County Behavioral Health Task Force
An example of a county Behavioral Health Task Force. (Howard County, Maryland Mental Health Authority)

Multnomah County (Oregon) Local Public Safety Coordinating Council
An example of a county criminal justice coordinating council. (NACo)

National Network of Criminal Justice Coordinating Councils
More information and resources about criminal justice coordinating councils. (The Justice Management Institute)

Ten Ways to Engage People Affected by Mental Illness in Your Community
NAMI has developed a list of steps that county leaders and other Stepping Up partners can take to engage people with mental illnesses and their families in efforts to reduce the number of people with mental illnesses in jails.

Module 1 Planning Guide

Webinar 1 (5/14/2015): Getting Started with Stepping Up


Question 2: Do you have timely screening and assessment?

A Model Shared Definition of Serious Mental Illness & Practical Strategies for Its Use to Reduce the Number of People with Mental Illnesses in California’s Jails

Frequently Asked Questions: A Model Shared Definition of Serious Mental Illness & Practical Strategies for Its Use to Reduce the Number of People with Mental Illnesses in California’s Jails

Adults with Behavioral Health Needs Under Correctional Supervision: A Shared Framework for Reducing Recidivism and Promoting Recovery
An evidence-based framework for prioritizing resources based on assessments of individuals’ risk of committing a future crime and their treatment and support needs, along with a proposed structure for agencies to build collaborative responses. (CSG Justice Center)

Mental Health Screens for Corrections
Highlights two projects to create and validate mental health screening instruments that corrections staff can use during intake. The researchers created short questionnaires, reproduced in the appendices, that accurately identify inmates who require mental health interventions. (National Institute of Justice)

Mental Health Screening in Juvenile Justice Settings
The majority of youth who come into contact with the juvenile justice system have a diagnosable mental or substance use disorder. In fact, many youth are experiencing both. Combinations of mental illness and substance use are often referred to as either behavioral health problems or co-occurring issues. (NCMHJJ)

Reducing Criminal Recidivism for Justice-Involved Persons with Mental Illness: Risk/Needs/Responsivity and Cognitive-Behavioral Interventions
A brief introduction and review of Risk-Need-Responsivity, the “leading offender recidivism-targeted intervention paradigm.” (SAMHSA’S GAINS Center)

Risk Assessment Instruments Validated and Implemented in Correctional Settings in the United States: An Empirical Guide
Foundational knowledge and a working framework of risk assessment instruments for criminal justice and social service agencies, practitioners, and policymakers. (CSG Justice Center)

Risk-Need-Responsivity Model for Offender Assessment and Rehabilitation
The risk-need-responsivity model has been used with increasing success to assess and rehabilitate criminals in Canada and around the world. (James Bonta and Don A. Andrews)

Screening and Assessment of Co-occurring Disorders in the Justice System
An overview of the systemic and clinical challenges involved in the screening and assessment of people with co-occurring disorders who are involved in the criminal justice system, and a review of current assessment practices and instruments. (University of South Florida, SAMHSA’s GAINS Center)

Sharing Information between Behavioral Health and Criminal Justice Systems
This webinar, presented to Justice and Mental Health Collaboration Program and Second Chance Act Co-Occurring Substance Use and Mental Disorders grantees, discussed strategies for developing information sharing collaborations between criminal justice and behavioral health systems. (CSG Justice Center)

Supporting People with Serious Mental Illnesses and Reducing Their Risk of Contact with the Criminal Justice System
This primer highlights how critical it is for psychiatrists to better identify and address the clinical and forensic needs of these patients and incorporate interventions that address their criminogenic risks and needs into patient treatment plans. (CSG Justice Center)

The Council of State Governments Justice Center: Risk Assessment: What You Need to Know
A recent Associated Press story on risk assessments, performed to determine the likelihood that someone involved in the criminal justice system will reoffend, contains several common misunderstandings. By taking a closer look at a few of these misconceptions, we hope to clarify some major points about risk assessment overall. (CSG Justice Center)

The Pew Charitable Trusts: Risk Needs Assessment 101: Science Reveals New Tools to Manage Offenders
When developed and used correctly, these risk/needs assessment tools can help criminal justice officials appropriately classify offenders and target interventions to reduce recidivism, improve public safety and cut costs. (CSG Justice Center)

Working with People with Mental Illness Involved in the Criminal Justice System: What Mental Health Service Providers Need to Know
What mental health service providers should know about the criminal justice system, the people they serve, and how they can best meet the needs of people with mental illnesses in the justice system. (SAMHSA’S GAINS Center)

Prevalence of Serious Mental Illness Among Jail Inmates
This study estimated current prevalence rates of serious mental illness among adult male and female inmates in five jails during two time periods (2002-2003 and 2005-2006) (Dr. Henry Steadman, Dr. Fred Osher, Dr. Steven Samuels, Pamela Robbins, and Brian Case)

Sample Business Associate Agreement Provisions
The HIPAA Rules generally require that covered entities and business associates enter into contracts with their business associates to ensure that the business associates will appropriately safeguard protected health information. The business associate contract also serves to clarify and limit, as appropriate, the permissible uses and disclosures of protected health information by the business associate, based on the relationship between the parties and the activities or services being performed by the business associate. (U.S. Department of Health and Human Services)

Module 2 Planning Guide

Archived Webinar: Risk-Need-Responsivity 101: A Primer for SCA and JMHCP Grant Recipients Information on Risk-Need-Responsivity as well as guidance on implementing risk assessment tools to direct resources and support recidivism-reduction strategies. (CSG Justice Center)

Webinar 2 (6/30/2015) — Slides (PDF)
Strategies to Assess the Needs of Individuals with Mental Illness in Jails


Question 3: Do you have baseline data?

Closing the Gap: Using Criminal Justice and Public Health Data to Improve the Identification of Mental Illness
Information to improve the identification of mental health needs for a specific population; improve the delivery of mental health services; support the design of new policies and programs; and establish a baseline against which to measure the effectiveness of new initiatives. (Vera Institute of Justice)

Council of State Governments Justice Center and George Mason University Center for Advancing Correctional Excellence: Process Measures at the Interface Between the Justice System and Behavioral Health: Advancing Practice and Outcomes
This paper proposes client and system-level process measures intended to gauge how well the justice and behavioral health treatment systems are collaboratively addressing individuals’ behavioral health needs. (CSG Justice Center and BJA)

How to Collect and Analyze Data: A Manual for Sheriffs and Jail Administrators
The third edition of a useful guide for anyone who needs to gather and analyze data concerning various jail-related issues, with guidance on how information can fuel policy decision-making. (National Institute of Corrections)

Information Sharing in Criminal Justice–Mental Health Collaborations: Working with HIPAA and Other Privacy Laws
Intended to help criminal justice officials work with health professionals to better use information from both systems to reduce, when appropriate, criminal justice involvement for people with mental illnesses and provide better links to treatment. (CSG Justice Center and BJA)

Archived Webinar: Working with Data for Mental Health Court Practitioners, Part One: Data Collection and Manipulation
An orientation to data collection in mental health courts and concrete skills for working with data in Microsoft Excel. (CSG Justice Center)

Webinar 3 (8/20/2015) — Slides (PDF)
Examining Treatment and Service Capacity


Question 4: Have you conducted a comprehensive process analysis and service inventory?

Criminal Justice/Mental Health Consensus Project (Chapter VIII)
Helps policymakers and criminal justice and mental health professionals improve the response to people with mental illnesses who become involved in, or are at risk of involvement in, the criminal justice system. Chapter VIII focuses on measuring and evaluating outcomes. (CSG Justice Center)

Improving Responses to People with Mental Illnesses: The Essential Elements of a Mental Health Court
Ten essential elements to mental health court design and implementation. (CSG Justice Center)

Improving Responses to People with Mental Illnesses: The Essential Elements of a Specialized Law Enforcement-Based Program
Ten essential elements for any specialized law enforcement-based response program and a common framework for program design and implementation, designed to promote positive outcomes while being sensitive to every jurisdiction’s distinct needs and resources. (CSG Justice Center and PERF)

Judges’ Guide to Mental Illness in the Courtroom
A two-page bench card to help judges recognize the signs of possible mental illnesses among individuals in the courtroom and respond sensitively and productively. (CSG Justice Center)

Mapping the Criminal Justice System to Connect Justice-Involved Individuals with Treatment and Health Care under the Affordable Care Act
A guide for states and local jurisdictions interested in using system mapping to maximize opportunities for criminal justice and health care system integration and efficiency through the Affordable Care Act. (National Institute of Corrections)

Michigan: Diversion Strategies Workgroup Executive Summary
Includes information on Michigan’s Diversion Action Plan, which is an example of a plan for state system change in the diversion of individuals with mental illness away from incarceration and to monitored treatment. (Michigan State Diversion Strategies Workgroup)

SAMHSA’s GAINS Center: Developing a Comprehensive plan for Mental health and Criminal Justice Collaboration: The Sequential Intercept Model
Developed by Mark R. Munetz, MD and Patricia A. Griffin, PhD, the Sequential Intercept Model provides a conceptual framework for communities to organize targeted strategies for justice-involved individuals with serious mental illness. (SAMHSA’s GAINS Center)

The Processing and Treatment of Mentally Ill Persons in the Criminal Justice System: A Scan of Practice and Background Analysis
A look at the national landscape of mental health care for people with mental illnesses in the criminal justice system, including a state-by-state scan of current practices that can be used for comparative purposes. (Urban Institute)

Bexar County Community Medical Directors Roundtable Agenda (10/27/15)

Archived Webinar: Addressing Co-Occurring Disorders in Adult Court-Based Programs
An overview of how court-based programs (e.g., problem-solving courts) can effectively address the needs of participants who have both mental health and substance use disorders, including discussion on what these programs can do to ensure their success. (CSG Justice Center)

Module 3 Planning Guide

Webinar 4 (9/10/2015) — Slides (PDF)
Effective Law Enforcement and Diversion Strategies

Webinar 5 (10/8/2015) — Slides (PDF)
Effective Strategies for Connecting People with Mental Illnesses to Services


Question 5: Have you prioritized policy, practice, and funding?

A Checklist for Implementing Evidence-Based Practices and Programs for Justice-Involved Adults with Behavioral Health Disorders
An easy-to-use checklist intended to help behavioral health agencies assess their use of evidence-based practices. (SAMHSA’s GAINS Center and CSG Justice Center)

A Guide to Implementing Police-Based Diversion Programs for People with Mental Illness
Describes specialized police response program models, identifies common program characteristics, details implementation steps, and offers lessons learned. (SAMHSA’S GAINS Center)

Blueprint for Success: The Bexar County Model (How to Set Up a Jail Diversion Program in Your Community)
A step-by-step guide to help other communities develop the conceptual framework and collaborations necessary for a successful jail diversion program. (Bexar County Jail Diversion Program)

Council of State Governments Justice Center: Improving Responses to People with Mental Illnesses at the pretrial stage: Essential Elements
This report introduces essential elements for responding to people with mental illnesses at the pretrial stage, including decisions about pretrial release and diversion. (CSG Justice Center)

County Jails and the Affordable Care Act: Enrolling Eligible Individuals in Health Coverage
Information on healthcare coverage eligibility and enrollment for qualified individuals who are held in county jails or are preparing to reenter the community, with examples of existing county-based enrollment strategies. (NACo)

Critical Connections: Getting People Leaving Prison and Jail the Mental Health Care and Substance Use Treatment They Need, What Policymakers Need to Know about Health Care Coverage
Highlights examples of local practices and legislative and administrative actions drawn from 30 states. With support from the U.S. Justice Department’s Bureau of Justice Assistance, the paper illustrates how policymakers have used a wide range of strategies to improve connections to health care coverage and treatment. (CSG Justice Center)

Franklin County, Ohio – A County Justice and Behavioral Health Systems Improvement Project
An extensive data analysis coupled with more than 50 in-person interviews with local and state leaders led to these key recommendations for reducing the number of people with behavioral health disorders who cycle in and out of jail in Franklin County, Ohio. (CSG Justice Center)

Guidelines for the Successful Transition of People with Behavioral Health Disorders from Jail and Prison
Promotes the criminal justice partnerships necessary to develop successful approaches to identifying individuals in need of services, determining what services these individuals need, and addressing those needs during their transition from incarceration to community-based treatment and provision. (SAMHSA’S GAINS Center)

Improving Responses to People with Mental Illnesses: The Essential Elements of Specialized Probation Initiatives
Ten key components found in successful initiatives to improve outcomes for people with mental illnesses under probation supervision and specific recommendations for responding to this population’s complex treatment and service needs. (CSG Justice Center and PERF)

Jail Diversion: Strategies for Persons with Serious Mental Illness
Jail diversion strategies for people who have mental illness. (The National Association of Mental Health Planning and Advisory Councils)

New York City, NY: Mayor’s Task Force on Behavioral Health and the Criminal Justice System: Action Plan 2014
An example of a comprehensive plan to reduce the number of people with mental health and substance use problems in New York City’s jails. (City of New York Mayor’s Task Force)

Practical Advice on Jail Diversion: Ten Years of Learnings on Jail Diversion from the CMHS National GAINS Center
An explanation of how to develop and implement a jail diversion program for people with mental illnesses and co-occurring substance use disorders. (SAMHSA’s GAINS Center)

Salt Lake County, Utah:  A County Justice and Behavioral Health Systems Improvement Project
An extensive data analysis coupled with over 50 in-person interviews with stakeholders in Salt Lake County’s justice and behavioral health systems led to the identification of key recommendations improve outcomes for people involved with the county’s criminal justice system, particular those with behavioral health disorders. (CSG Justice Center)

State Substance Abuse Agencies, Program Management, and Data Utilization: Case Studies of Eleven States
Results from case studies of 11 states demonstrate that the Single State Agencies (SSAs) for Substance Abuse Services have put forth significant effort to develop data-driven information systems that guide program management and policymaking decisions. (NASADAD)

Archived Webinar: Working with Data for Mental Health Court Practitioners, Part Two: Data Analysis and Communication
Perspectives on data analysis, including considerations for doing cost-benefit analyses, and suggestions for generating data-based communications for internal and external audiences. (CSG Justice Center)

Homeless Services 101: What Reentry Service Providers Need to Know
Accessing stable, affordable housing is vital to successful reentry. Individuals experiencing homelessness are more likely to be arrested than those who are stably housed, and people with criminal records are more likely to become homeless than those without. (CSG Justice Center)

Webinar on How Homeless Service Providers Can Serve Reentry Population
People returning to the community from jail or prison, or those who have criminal records, often face numerous barriers to securing safe, stable, affordable housing. Attendees will have the opportunity to learn how homeless service providers can develop more effective partnerships with the criminal justice system and better serve people who are experiencing homelessness or those at risk of homelessness. (NLIHC)

Webinar 6 (11/17/15) — Slides (PDF)
Preparing a Plan and Tracking Progress (this webinar covers both Modules 4 and 5)


Question 6: Do you track progress?

Program Quality and Performance Measurement
Multiple resources on program quality and performance measurement to aid practitioners in measuring the results and impact of their initiatives. (National Reentry Resource Center)

Measuring Performance of CJCCs
An overview on measuring the performance of criminal justice coordinating councils, what is happening in local jurisdictions around performance measurement, and several specific examples of how to gain feedback from members. (The Justice Management Institute)

Story County, Iowa: Three Year Strategic Plan for MH/DD Services: Progress Report
An example of how to measure progress after the implementation of a strategic plan. (Story County, Iowa)


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