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Reinvestment Grant#RFA06H16GS1 Working Draft Court monitoring — Clients in the MHC are under an Order Allowing Defendant to Be Released ROR with MHC Conditions, and following discussion with their attorneys, have agreed to and signed a "Conditions of Mental Health Court Agreement', which includes a minimum of 6 month participation in MHC. Supervision typically includes status hearings with the MHC judge and monitoring by mental health staff and probation officers. Initially, a client is required to appear in court weekly. As he/she demonstrates progress through the program, required court appearances may become less frequent. It is an important beneficial feature of IRCMHC that clients are sincerely praised for doing well and sanctioned when appropriate. Sanctions may include verbal reprimand, community service hours, more frequent court appearance, and, less frequently, incarceration. Highly restrictive conditions that cause more frequent minor violations are avoided when possible. Eligible MHC clients have been shown to respond favorably to the immediate attention, positive support and recognition that this supportive MHC setting provides. Graduation —When a client has progressed successfully through the program by gaining insight into his mental illness, establishing a stable environment, and maintaining sobriety, he/she graduates from MHC. Graduation includes a certificate, recognition and a courtroom ceremony that includes family and friends. The participant also may be eligible for dismissal of charges. Intercept 4— Re-entry: Re-entry into the community is a critical time for intervention because mortality rates are elevated during the weeks following release from a correctional facility. Upon entry into MHC, a Case Manager helps the client either reestablish or implement client-centered mental health services as quickly as possible. If a client already has services available to him, the Case Manager assures that those services are not client-resistant and then helps reestablish those services that may have been interrupted while he was incarcerated. If indicated, the Case Manager makes an immediate appointment for the client to see a psychiatrist prior to their release from jail. These appointments are critical in that the jail only provides three days of medication when releasing a client. It currently takes 4-6 weeks to get appointments for mental health and substance abuse services for MHC clients. Intercept 5— Community corrections / Community support: One of SEFBHN's goals would be to educate and access the community to the services provided by the Mobile Crisis Teams in order to: create opportunities to divert mental health clients prior to any criminal justice involvement; and, to assist in avoiding further decompensation of existing behavioral health services participants experiencing a crisis. Often preventing incarceration, SEFBHN can intervene to provide a responsive safety net for the mentally ill or substance-impaired population by calling in an MCT who will de- escalate the situation and supportively access the consumer to stabilizing, recovery- oriented services. Mobile Crisis Team: Crisis intervention and stabilization services are available to individuals who are experiencing an urgent or emergent mental health crisis. On a 24/7 basis, via mobile field response and/or by telephone, the multi-disciplinary Crisis Team Page 17 of 33