Even though the majority of incarcerated people with behavioral health diagnoses have not committed any violent crime, they may end up in jail as a consequence of both poverty and their behavioral health disorders. People with behavioral health conditions such as serious mental illness (SMI) and substance use disorders (SUDs), including opioid use disorder (OUD), are 3-6 times more likely than the general population to be represented in the criminal justice system (National Association of Counties, 2016). Stop, Triage, Engage, Educate, and Rehabilitate Systemwide Mental Assessment Response Teams HHS Substance Abuse and Mental Health Services Administration Police Assisted Addiction and Recovery Initiative Los Angeles Diversion Outreach and Opportunities for Recovery Health Insurance Portability and Protection Act HHS Office of the Assistant Secretary for Planning and Evaluation AAOIĪrlington Massachusetts Opiate Outreach Initiative The following acronyms are mentioned in this report and/or appendices. EXHIBIT 5: Jail Diversion Programs along the SIM.EXHIBIT 2: Overview of Programs Examined through Case Studies.EXHIBIT 1: SIM for Pre-Booking Jail Diversion.APPENDIX G: Secondary Data Collection Form.APPENDIX B: Example Programs from the Environmental Scan.Unspoken Assumptions and Knowledge Transfer State and Local Policies and Legislation Regarding Jail DiversionĤ.5. Law Enforcement/Behavioral Health CollaborationĤ.3. This report was completed and submitted on November 9, 2018.Ĥ.2. They do not reflect the views of the Department of Health and Human Services, the contractor or any other funding organization. 20201 The opinions and views expressed in this report are those of the authors. Humphrey Building, 200 Independence Avenue, S.W., Washington, D.C. For additional information about this subject, you can visit the DALTCP home page at or contact the ASPE Project Officers, Jhamirah Howard and Laurel Fuller, at HHS/ASPE/DALTCP, Room 424E, H.H. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and Abt Associates. This report was prepared under contract #HHSP233201600010I between the U.S. The SIM outlines the points, or intercepts, along the criminal justice continuum where there are potential interventions to divert people away from the criminal justice system. The predominant conceptual framework for jail diversion and the interactions between community service providers and the criminal justice system is the Sequential Intercept Model (SIM). With limited public resources and increasing numbers of people with behavioral health disorders entering criminal justice systems, jurisdictions have looked to develop alternatives to arrest and incarceration. These interventions include post-arrest diversion, drug and mental health courts, prison or jail treatment services, re-entry programs, and community supervision. Most research to date has been on interventions for people following arrest. This cycling between systems, in and out of services, is both unconducive to recovery and costly to society. As a result without coordinated intervention, some people with behavioral health diagnoses risk cycling in and out of the mental health, substance use, and criminal justice systems. People with behavioral health conditions such as serious mental illness (SMI) and substance use disorders (SUDs), including opioid use disorder (OUD), are 3-6 times more likely than the general population to be represented in the criminal justice system. Printer Friendly Version in PDF Format (91 PDF pages) APPROACHES TO EARLY JAIL DIVERSION: COLLABORATIONS AND INNOVATIONS Sue Pfefferle, Sarah Steverman, Elle Gault, Samantha Karon, and Holly Swan Abt Associates July 2019
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