Sequential Intercept Mapping (SIM)

This unique workshop focuses on people with mental illness and co-occurring disorders involved with the criminal justice system and it is tailored to individual communities. It aims to:

  • Further delivery of appropriate services
  • Assist communities in identifying gaps in service, and to
  • Optimize use of local resources

This workshop is designed to tap into local expertise by bringing together key stakeholders to develop a “map” that illustrates how people with mental and substance use disorders come in contact with and flow through the local criminal justice system. This map identifies opportunities and resources for diverting people to treatment and indicates gaps in services. The SIM workshop is based on the Sequential Intercept Model developed through SAMHSA’s GAINS Center at Policy Research Associates (PRA).


  • GOBHI provides examples of successful systems integration, promising programs, and emergent collaborations from around the United States
  • Participants establish a local set of priorities for change


The map below shows the history of SIM mapping in Oregon counties from January 2018 through December 2020. Use the slider to the right of the map to select a month, or press the right arrow button to animate the timeline.


This summary of Sequential Intercept Model (SIM) mappings reflects the top 10 gaps and priorities key local stakeholders identified across Oregon.

The items identified at a single mapping might be a source of concern in another county, and yet other issues were more salient to the group of stakeholders on a given day. Priorities are a reflection of what the stakeholders were going to start working on as part of a strategic plan to address the gaps identified in the SIM. In order to be able to intervene in a focused manner, the plans could not address all the identified gaps at one time, thus the priority list count may look different than the gap list.

The summary also reflects SIMs over a long span of time (2010 to present) and some counties have re-mapped as part of a continuous improvement process, therefore the gaps and priorities in some areas might have changed over time.


  • This addition to the SIM workshop is a guided exercise that enables communities to determine areas where immediate steps will affect a more cohesive, integrated approach to service delivery.


  • Facilitates cross-system communication and communication
  • Helps identify underused resources
  • Improves the early identification of people with co-occurring disorders who come into contact with the criminal justice system, increases effective service linkage, reduces the likelihood of people recycling through the criminal justice system, enhances community safety, and improves quality of life

Download the OCBHJI SIM brochure

For more information on SIM, download the GAINS Center SIM brochure.

Oregon SIM Workshop Testimonials

“Thank you for leading
our community through this important process. While our community has done great work and pushed ourselves to build a system that breaks down barriers and build up supports, we still have work to do.”
Tammy Baney
Deschutes County Commissioner

“Coos County owes a great big “thank you” to the Oregon Center on Behavioral Health and Justice Integration for their February 5, 2018, workshop on Sequential Mapping.  Their presenters, Carol Speed and Ari Wagner led us through a process of learning keys to success in integrating mental health and public safety efforts in dealing with the mentally ill, analyzing local gaps and opportunities, and finally establishing priorities for moving ahead with a local action plan.  Their expertise and leadership was evident throughout the workshop.  At the end of the day we walked away not only with a better understanding of the issues involved but more importantly an action plan.  It was hands down the best workshop I have ever attended.”
John Sweet
Coos County Commissioner