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