Oregon Health Authority Promising Practices
Jail Diversion
- Collaboration and regular meetings between CMHP, local law enforcement, and the local court
- Integrate staff that are Peer Support Specialists or Certified Recover Mentors into the team
- Integrate staff with a Substance Use Disorder and/or Dual Diagnosis specialty into the team
- Ongoing training and supervision in topics such as trauma-informed care, cultural competency, civil commitment, law enforcement culture, criminogenic risk factors, and/or other related topics
- Complete all documentation within 24 hours of intervention
- Assigned Jail Diversion staff that are co-located staff in the jail to engage with clients with the goal of enrolling them in the jail diversion program
- Sequential Intercept Model (SIM) mapping and adoption
- Transitional treatment bed access
- Availability of Mental Health Crisis resources available to law enforcement to encourage pre-booking diversion
Mobile Crisis
- Collaboration and regular meetings between CMHP and local law enforcement, ED, and other emergency/crisis providers
- Involve staff that are Peer Support Specialists or Certified Recover Mentors
- Ongoing training and supervision in topics such as trauma-informed care, cultural competency, civil commitment, and/or other related topics
- Having all mobile crisis clinicians trained as civil commitment investigators
- Having all mobile crisis clinicians trained and able to initiate a Director’s Custody
- Two clinicians on staff per shift for backup and support
- Have a supervisor available 24 hours a day, 7 days a week for immediate consultation
- Complete all documentation within 24 hours of intervention
- Sequential Intercept Model (SIM) mapping and adoption
- Mental Health Crisis Center
Aid and Assist
- Dedicated Deputy District Attorney to oversee Aid and Assist cases
- Dedicated judge to oversee Aid and Assist cases
- Dedicated docket for Aid and Assist cases, with community stakeholders present and engaged
- Dedicated staff to provide restoration services and case management throughout the Fitness to Proceed process
- Partnerships with local and regional service providers
- Collaboration between CMHP, judiciary, DA’s office, defense bar, and others as needed
- Development of a process map between CMHP, judiciary, DA’s office, and defense bar around Aid and Assist roles, responsibilities, and timelines
- Sequential Intercept Model (SIM) mapping and adoption
- Mobile Crisis Units
- CMHP representation at court hearings
- Mental Health Crisis Center
- Contracted Certified Forensic Evaluators (CFE)
- Coordination with the Oregon State Hospital around admissions, discharges, and transition planning
- Development of housing resources at various levels of care with appropriate wraparound services
- Use of videoconference, when appropriate, for CFE Evaluations