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The White House Data Justice Initiative includes three key focus areas: 1- Facilitate Data Sharing between justice system and human services- this is key to our ability to measure individual outcomes and system improvements 2- Implement proven pre-arrest mental health diversion programs 3- Implement data-driven risk assessment tools– We will hear more about new efforts in this area tonight from our court services staff
Participation in this national initiative will help move our local diversion efforts forward.
Turn this over to Tisha
Every defendant placed into Pre-Trial Supervision that has not previously completed a screening. Released to bond prior to screening Unable to be screened Health problems/injuries Intoxication Functioning Difficulties/Debilitated Juvenile Court and Circuit Court
An elementary instrument, deployable at the initial intake. Designed for use by staff with little to no mental health training. Eight (8) Questions for use on male and female defendants. Less than 3 minutes to administer and score. Validated in a study of 10,330 inmates at 4 jails in NY and MD.
Diversion First: Diversion-Oriented System of Care Stakeholders Update: Oct. 17, 2016
Diversion-Oriented System of Care
October 17, 2016
• Good News Announcements
• Data & Evaluation Team + Workforce
• Court Services Launch
• Updates from the CSB
• Communications Team
• Leadership Group
• Expanding focus in 2017
• Public Comment
• Other announcements and discussion
New Initiative Participation
The Honorable Sharon Bulova
Chairman, Fairfax County Board of
White House Data Justice Initiative
• Fairfax County signed on to this initiative!
– One of three localities in Virginia
– 120 total in USA
– Announced nationally on October 13
– This initiative will provide ongoing technical
assistance to our diversion efforts
Fairfax-Falls Church CSB
Gary Ambrose, 2016 Joseph V. Gartlan Award for Leadership and
Advocacy recipient from the Virginia Association of VACSBs
• Chairman, Fairfax-Falls Church CSB
• Chair, Diversion First Stakeholders Group
• Active member of NAMI of Northern Virginia and Concerned Fairfax
• And many, many more areas of involvement!
Data and Evaluation Work Team
2nd Lt. Myrna Kinney, Sheriff’s Office
Lt. Ryan Morgan, Police Department
Lisa Potter, Community Services Board
Deputy Chief Jason Jenkins, Fire and Rescue
Diverted from Potential Arrest
Instances in which law enforcement officers diverted individuals
from arrest and provided an opportunity for mental health
In the first nine months (Jan. 2016-Sept. 2016):
• 1,164 people were transported by law enforcement to
Merrifield Crisis Response Center.
• 294 or 25% had potential criminal charges but were diverted to
mental health services.
• Includes both voluntary and ECO
• Working on a process to quantify broader diversion rate and
include those arrested in the community
• On average, 35% of all LEO transports to the MCRC involved a
CIT trained officer
Mental health investigations in the field
– Fairfax County Police Dept. 831 916 900 2,647
- Resolved in the field (Fairfax County)1 471 505 479 1,455
- Involved Merrifield Crisis Response Center
(MCRC) for all jurisdictions2
360 411 393 1,164
Merrifield Crisis Response Center/Emergency Services
Total service encounters 1,296 1,380 1,170 3,846
– General Emergency Services (non-law enforcement
936 969 777 2,682
– Involved Law Enforcement 360 411 393 1,164
- Voluntary transports to MCRC 158 141 127 426
- Emergency Custody Order (ECO)
transports to MCRC
202 270 266 738
Diverted from potential arrest 103 106 85 294
Unduplicated number of people served at Emergency Services 1,742
Mobile Crisis Unit3
– Total number of services (attempts and contacts) 319 361 415 1,095
- Total number of services (contacts) 215 242 294 751
– Services with law enforcement involvement or referral 79 126 148 353
Unduplicated number of people served (contacts) 408
Office of the Sheriff
– Temporary Detention Orders (TDOs) from Jail 3 13 9 25
– Transports from MCRC to out of region MH hospitals 26 37 28 91
– Jail transfers to Western State Hospital (forensic) 5 2 6 13
1 Officer dispatched and provided a services; no further action required
2 Jurisdictions include (Cities of Fairfax & Falls Church, Towns of Herndon & Vienna, George Mason University, Northern Virginia Community College, Virginia State Police)
3 One Mobile Crisis Unit until Sept. 2016
Crisis Intervention Team Training
and Mental Health First Aid
Crisis Intervention Team (CIT) Training
• Graduates since September, 2015 – 217 total (18% of patrol offices
• Dispatcher training - 38 trained
• Coordinating additional classes
Mental Health First Aid (MHFA)
Trained to date:
• Deputies – 211 (approx. 50%)
• Magistrates – 30 (100%)
• Juvenile Intake Officers – 23 (100%)
• Fire and Rescue- adaptation of MHFA curriculum (120 trained to
Sheriff’s Office Data
• Temporary Detention Orders (TDOs) from jail- 25
• Includes those with mental health issues who would be
better served in a psychiatric hospital
• Transports from MCRC to out of region psychiatric
• Transport requires 2 deputies, at least one CIT-trained
• Jail transfers to Western State Hospital
• Individuals taken to jail (not bonded out) but need
hospitalization due to decompensation
• Analyzing data to determine prevalence rates for serious
– Benchmarking national rates
– Determine change in these rates over time
• Reviewing data on individuals with serious mental illness
who are incarcerated to identify demographics, recidivism,
charges, and treatment linkage
Progress and Next Steps
• Conducted research for program evaluation data
measures and benchmarking with diversion programs
• Mapped process flow and data variables for jail,
magistrates and court services- other
intercepts/intervention points will be mapped next
Progress and Next Steps
• DIT and third-party evaluator actively involved with
data and evaluation efforts; CSB position to manage
and analyze data and evaluate diversion efforts coming
• Team is participating in White House Data-Driven
• Planning a pilot to develop the framework for cross
system long-term outcomes
General District Court
The Honorable Michael Cassidy,
Rusty Hefner, Court Services
Gene Whitlock, Court Services
Early Identification and Intervention
• Local jurisdictions and courts
in Pennsylvania, Maryland
and The District of Columbia
• National Institute of Justice
• Substance Abuse and Mental Health
Services Administration (SAMHSA)
• Fairfax Community Services Board
Only in Pre-Trial services, can Court Services impact all of the courts and allow for
Work Group Goals
(launched in March)
• Implement Diversion First Initiative at the Pre-Trial Stage
• Adapting our Pre-Trial program to meet the court’s needs.
• Utilize existing staff resources within Court Services’ Pre-Trial
• Work within the framework of existing workflow and timelines
Pre-Trial Evaluation Unit
• A single Probation Officer I is on staff 140 hours of a 168 hour work week.
• Evaluations are conducted on all qualified defendants held in the jail.
• Evaluation interviews last 30 to 60 minutes depending on the defendant’s
location within the jail.
• A typical interview consists of approximately 63 questions encompassing basic
demographics, employment, references, drug history, and criminal history.
• Risk Assessment – 40 questions
• Substance Abuse Assessment – 17 questions
• Financial Eligibility – 20 questions
• Additional Evaluations:
Mental Health Screening
A simple screening instrument will be administered to:
Every defendant completing a jail evaluation.
Every defendant placed into Pre-Trial Supervision that has not
previously completed a screening
The Brief Jail Mental Health Screen (BJMHS)
• An elementary instrument, deployable at the initial intake.
• Designed for use by staff with little to no mental health
• Eight (8) Questions for use on male and female defendants.
• Less than 3 minutes to administer and score.
• Validated in a study of 10,330 inmates at 4 jails in NY and
Magistrate – Initial Judicial Review
General District Court
General District Court
J&DR District Court
- Advisement Hearing
- Bond Motion
- Bond Appeals
A RECOMMENDATION WILL BE MADE FOR PLACEMENT INTO THE
SUPERVISED RELEASE PROGRAM (SRP) WHERE THEY WILL BE SUPERVISED
BY COURT SERVICES AND CONNECTED WITH MENTAL HEALTH SERVICES.
The Next Step:
Administered to defendants placed into SRP who:
Have Mental Health ordered as a special condition of release.
Have scored a need for further assessment on the simple Screening.
Administered at intake by a Probation Officer II with mental health
training and training on the administration of the advance screening.
15 to 20 minute administration.
A qualifying score on the instrument would indicate the need for a
mental health assessment.
Jackson Mental Health Form III Modified Mini Screen
Mental Health Assessments
All cases placed on SRP with a special condition for mental health treatment will
be referred to the CSB, or to their pre-existing treatment provider.
All SRP cases where advanced screening indicates a need for a mental health
assessment will be referred to the CSB.
Ideally, within 48 hours of release, an SRP referred defendant will
have been screened, referred, and scheduled for an assessment or
July to present
– 59% reported a previous mental health diagnosis
– 42% were County Residents, 30% were Virginia(non-county) residents
– 22% were placed in the Supervised Release Program
Of 3000+ arrestees, 900 defendants were eligible for interview by Court Services staff
and administered the BJMHS.
300 (33%) of the defendants screened were identified by the BJMHS to need further
Evaluations for appropriate treatment can be initiated early and
monitored with community based supervision, leading to informed
disposition of criminal cases.
Costs of incarceration and services can be mitigated by early
Identify defendants in need of mental health intervention.
Through simple and advanced screening administered early after arrest
With Pre-trial supervision submitting status reports to the court, CA & DA
Allow Seamless transition from Pre-trial to Probation supervision
Same specialized Probation Officer and setting
Stronger collaboration and alignment with CSB to improve response time
for mental health and substance abuse assessments.
Consideration of immediate CSB assessment (skipping CSB screening) of
all Court screened referrals and improved communication.
Improved data sharing to enhance/target court and CSB service delivery.
Strengthening/Building of private provider pool to provide services to
defendants assessed ineligible for CSB services.
Consideration for additional suicidality screening.
Planning for the Future
CSB Deputy Director
Communications and Public
Rhiannon Duck, Supervisor Cook’s Office
Lindsey Doane, Chairman Bulova’s Office
• Presentations scheduled for local groups that
may be interested in Diversion First
– Presented to Arc of Northern Virginia staff in Aug.
– Upcoming presentations scheduled:
• Arc of Northern Virginia member parents (Oct.)
• MVLE (Nov.)
• LTCCC (Nov.)
• Little River United Church of Christ (Jan. 2017)
• Considering community presentations open to all
• Interested groups may email
• Work continues on website, with news and
information added as needed
• New data page added
• FAQ page in progress
• One-page info sheet developed
• Video outlining how to request
a CIT-Trained first responder
• Small communications team workgroups
focusing on specific areas:
– Outreach and Presentations
– Website Updates and Maintenance
– Hotline Consolidation and Education
– Internal Communications and Wordsmithing
Deputy County Executive
• Development of problem-solving team
– Core members
– Ad hoc members
– Method for public to reach out to this group will
become available through website later this year
• Ongoing regular meetings and commitment
Coming in 2017:
Continue with intercept 1 with focus
on Expanding to Intercepts 2 and 3
Intercept 2- Initial detention and court involvement
Intercept 3- Courts and jail
Sequential Intercept Model