ROBERT NERI, CAPLMHC

1
ROBERT NERI, CAP/LMHC
Reinvestment Monitoring Visits

• WESTCARE FOUNDATION, INC.

2
reinvestment monitoring visits

• Thank you for this rich learning
• experience!

3
monitoring15 sites

• 10 Implementation
• 5 Planning

4
monitoring goals

• Progress on grant objectives
• Lessons learned
• Statewide knowledge mgmt.

5
methodology

• Stakeholder focus groups
• Individual interviews
• Showcase projects
• Review data

6
key question

• Did funding change the system of care both CJ and
  Clinical for identified populations?

7
Important points

• Mutual investment has created collaboration and
  synergism in communities

8
Important points

• Decisions are from a data driven framework
• TAC
• Intercept mapping
• Strategic plans
• Objectives

9
Important points

• Co-location Efficiencies
• Reinvestment Flexibility
• Data Sound decisions
• Stakeholders/Leadership Urgency

10
Important points

• Anecdotal Evidence
• Jail Population ?
• Diversions ?
• Entitlements ?
• CIT ?
• Services Expanded

11
Important points

• Reinvestment triggered changes re
• Access to care how quickly can appointments be
  made?
• Medications bridging the institutions/community
  gap
• Person-centered approach

12
Important points

• Stakeholders
• Relational model built on trust
• Decisions can be made quickly
• Boundary spanner

13
Important points

• Lets examine some
• paradigm shifts

14
notable shift 1

• Correction/security officers asking MH screening
  questions and making referrals

15
notable shift 2

• DCF licensing as outreach to allow maximum
  flexibility for services.

16
notable shift 3

• The use of vouchers for services such as housing
  and transportation.

17
notable shift 4

• CIT training was a key accomplishment at every
  site
• Evolved

18
CIT

• Sheriff
• Police municipalities
• Correction/security deputies
• Dispatchers
• School resource officers

19
notable shift 5

• Accessing entitlements
• Reinstatement
• New approvals
• SOAR training
• Quicker approvals

20
notable shift 6

• Evaluation data
• Outcome
• Process
• Failure analysis
• University enhanced

21
notable shift 7

• Special services
• Developmentally challenged
• Guardian Ad Litem (children)
• NAMI Peer-to-Peer
• Gender-specific services

22
notable shift 8

• Balanced approach of incentives and sanctions
• Dedicated Probation Officer caseload
• Cross-trained clinical and criminal justice staff

23
notable shift 9

• Business and real estate leaders participating in
  the housing/employment challenges of our clients

24
notable shift 10

• Social enterprise
• Work labs
• Social support

25
notable shift 11

• Mobile Medical
• I-Dignity
• Wellness programs
• Smoking cessation
• Diabetes
• Obesity
• HIV Prevention

26
notable shift 12

• Prescriptions
• Prescription assistance programs
• Wal-Mart Stores
• Publix Stores

27
next steps (ongoing)

• Financing/sustainability
• Housing shortage
• Transportation (rural)
• Loss of driving privilege

28
next steps (ongoing)

• Juveniles in JJ system
• Juveniles in the adult system
• Co-occurring training and TX capacity

29
next steps (ongoing)

• Cross training for TX CJ systems
• Nurture a state wide network of peer-to-peer
  professionals

30
next steps (ongoing)

• Criminal justice services for veterans (in-reach)
• Engage the local hospitals as a stakeholder

31
ROBERT NERI, CAP/LMHC
Thank You!

• WESTCARE FOUNDATION, INC.