Peer Support Specialists Working in the Sequential Interecept Model (SIM)

A presentation describing opportunities for California Peer Support Specialists (PSS) to be employed within government and community programs and services providers working at the intersections of the criminal-legal and behavioral health systems.

This presentation was made to the California Association of Mental Health Peer-Run Organizations (CAMHPRO) LEAD Peer Statewide 2023 Conference

1. PEERS AT THE INTERSECTIONS
AND INTERCEPTS OF OUR
CRIMINAL- LEGAL AND
BEHAVIORAL HEALTH SYSTEMS
Jerry Hall
Civic Mapping
June 2023
California Association of Mental Health Peer -Run
Organizations (CAMHPRO)
LEAD Peer Statewide Conference

2. Introduction
You are my other me.
If I do harm to you, I do harm to myself.
If I love and respect you, I love and respect myself.
~Luis Valdez
I work in San Diego, California, traditional lands of the indigenous
Kumeyaay/Kumiai- Tipai tribes; and work in a nation with Black
and African-Americans who, since 1769 and 1619 respectively,
suffered greatly under US authority, neither having been
sufficiently honored or compensated for their historic losses. I
work to live up to our promise of being 'one nation, indivisible,
with liberty and justice for all.'
2
https://native-land.ca/

3. Overview
Language Matters
Sequential Intercept Model (SIM)
Criminal Legal & Behavioral Health Systems
Governance Systems
Peer Opportunities: Employment & Advocacy
Resources & Next Steps
3

4. 4
Language & Perception
Person Centered Language - ‘people’ not ‘inmates’
Racial Implications - inextricably linked
Criminal-legal vs. criminal justice
‘Died by suicide’ vs. ‘committed suicide’
Employment and Entrepreneurship
SIM as a model map – not a methodology

5. Sequential Intercept Model (SIM) Map
5
© 2019 Policy Research Associates, Inc.

6. Intercept 0 & 1
Hotlines & Warmlines
Crisis & Emergency Response
Medical & Provider Network
Community Services
San Francisco San Diego
Riverside
6

7. 9-8-8
&
9-1-1
Co-
Response
2-1-1 &
Crisis Lines
Shelter &
Housing
Crisis Response
& Behavioral
Health System
Hospitals
& CSU
Psychiatric
& AOD
Services &
Care
Mobile
Crisis
Response
AA,
NA, CA
Detox,
Treatment,
Recovery
Sheriff
& Police
Intercept 0-1
7

8. Sequential Intercept Model (SIM) Map
8
© 2019 Policy Research Associates, Inc.

9. Intercept 2 & 3
Booking & Assessments
Prosecution & Defense
Diversion & Regular Courts
Jail, Prisons, & Services
9

10. Criminal-Legal
Judicial,
Diversion &
Incarceration
System
Prison
District Attorney
Public Defender
Probation
Parole
Prosecutes
Recommends Bail
Offers Pleas
Diversion Offers
Sentence Recommendation
Defends Person
Negotiates Plea & Diversion
Sentence Recommendation
Jail Services
Supervises Upon Release
Sets Conditions
Enforces Conditions
Supervises Prison -Released
Sets Conditions
Enforces Conditions
Jail
Diversion
Courts
Arraignment
Sets Bail & Terms
Diversion Oversight
Hears Cases
Sentences
Courts &
Judge
Intercept 2-3
10

11. Collaborative
Diversion
Courts
Adult and Juvenile
Mental Health
Drug
Veterans
Reentry
Community/Homeless
Adult Courts
Juvenile Courts
Domestic Violence
DUI
Tribal Healing to Wellness
Family Dependency Drug
Federal District Drug
Domestic Violence
Drug
Mental Health
Peer/Youth
Girls
CSEC (Sexual Exploitation)
11

12. Sequential Intercept Model (SIM) Map
12
© 2019 Policy Research Associates, Inc.

13. Intercept 4 & 5
Reentry Preparation
Probation & Parole
Community Supports & Services
Medical, Medication, & Treatment
Community Integration
13

14. Reentry Prep,
Probation,
and Parole
Wellness Recovery Action Plan
(WRAP)
Connection to Services
Probation & Parole Supervision
Housing & Employment
Community Supports & Services
Community Integration
Intercept 4-5
14

15. 15
Peer
Support
Roles
Across the
Sequential
Intercept
Model
(SIM)

16. Pre- & Post- Intercepts
•Historical and cultural traumas
•Intergenerational trauma
•Social Determinants of Health (SDoH)
•Adverse Childhood Experiences (ACEs)
•Juvenile legal system involvement
•Family & Friends Network
•Community Engagement
•Housing & Employment
•Education, Training, & Skills
•Faith-based involvement
Before the crisis Off paper and beyond
16

17. Ecosystem
Mapping
San Diego County
17

18. Peer
Engagement
Opportunities
County CL & BH Ecosystem
Behavioral Health Advisory Board
Reentry Roundtable Community Advocacy Organizations
County Association of Government (AOG)
MHSA 3-Year Plan County Budget Procurement Portal
Provider Network
DA Public Defender Probation Courts
Community Corrections Partnership (CCP)
Sheriff’s and Local Police Departments
Crisis Hotline & Response Systems
Community Supports Services
Legal Aid
Hospitals
Clubhouses
Boards & Commissions
Liaisons
Social Groups
EMS
9-1-1
2-1-1
9-8-8
Volunteer MatchReentry Services
18

19. Community
Program
Planning
(CPP)
Processes
It’s the law. Just do it.
19
‘Review and approve the procedures used to ensure citizen and professional involvement at all stages of the planning process...’
Welfare and Institutions Code (WIC) (5604.2.(a)(4) )
MHSA 3-Year Plan
Evaluate
Plan
Budget
Train
Engage
The CPP
Year-long
Process
Up to 5%
of MHSA
Revenue
CPP Requires
Mental Health
Advisory Board
Approval
30-Day Public Review and Hearing

20. Technology & the Law
Tech & Web Orientation, Laws
•Social Media
•Mobile Technologies
•Surveillance
Connectedness and opportunities.
20

21. Data and Accountability
21
•Critical element, must continually inform
•Data training
•Evaluation, planning, and budgeting processes
•Objectives and goals
•Key Performance Indicators (KPIs)
•Portals, Dashboards, & Reports

22. Resources
22

23. Key Organizations and Resources
23

24. Advocacy, Media, & Data
Informed peers are effective peers.
24

25. Peer Alliance, Training & Recovery
25

26. California SIM & Peer Resources
Sequential Intercept Model (SIM)
•The Sequential Intercept Model (S)
•Peers Across the SIM and M (PRA)
•Utilizing the Sequential Intercept Model to Guide Local Reform
Diversion Models & System Strategies
•Reducing Harm Through Collaborative Solutions – Promising and Proven
City Models (N)
•Care First, Jails Last – Health and Racial Justice Strategies for Safer
Communities (LA-ATI)
•Responding to Individuals in Behavioral Health Crisis via Co -Responder
Models (PRA)
•Advancing An Alternative to Police: Community -Based Services for Black
People with Mental Illness
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1.Talk Therapy: BetterHelp
2.Depression: Talkspace
3.Mindfulness: Headspace
4.Stress Relief: Sanvello
5.Addiction: I Am Sober
6.CBT: MoodKit
7.Better Sleep : Calm
8.Positive Thinking: Happify
9.Kids: Breathe, Think, Do with Sesame
10.Anxiety: Worry Watch
10 Best Mental Health Apps
by verywell mind

27. California SIM & Peer Resources
Diversion Models & System Strategies (cont.)
•Behavioral Health Diversion Interventions (CSG)
•Five Steps to Effective Integration of Peer Recovery Support Services in the Criminal
Justice System
•Advancing the Work of Peer Support Specialists in Behavioral Health- Criminal Justice
Programming (CSG)
Current Practices
•Prevalence of Local Criminal Justice Practices - D
•Data Collection Across the Sequential Intercept Model (SIM): Essential Measures
Mental Health
•The Criminal/Legal Experiences of Individuals with Mental Illness along the
Sequential Intercept Model: An Eight- Site Study
Trauma
•What is Genetic Trauma? •How Awareness of Epigenetics and Generational Trauma Can Inform Therapy
•Adverse Childhood Experiences (ACES)
•Trauma-Informed Approaches Across the Sequential Intercept Model (CSG)
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Tools
•Peer Support Toolkit (DBHIDS)
•Mental Health Crisis Plan Mobile App
•Digital Peer Support | App Database
•We Are More | Peer Support Group App
Reentry Plans
•Collaborative Comprehensive Case Plan (CCCP)
•Wellness Recovery Action Plan (WRAP)
Know-How Guides
•
When You Turn 18 | Legal Survival
Guide
•What is Digital Privacy – protect your
data
•Surveillance TechnologiesFirst Responder Peer Support
•Peer Connect

28. 28
Courts
•Peers in the Courts (NCSC)
•Leading Change: The Court’s Collective Response to Individuals who Frequently Cycle Through Systems (NCSC)
Jails
•City & County Leadership to Reduce the Use of Jails: Engaging Peers in Jail Use Reduction Strategies
(NLC)
•Peer Recovery Support Services in Correctional Settings (BJA)
Peer Networks
•P
romise Resource Network (PRN)
Workforce
•F
illing the Gaps in the Behavioral Health Workforce (BPC)
Juvenile
•Detour to Opportunity: A guide on young adult diversion from the criminal justice system
(USDOL)
•California Juvenile Justice Process Map
Legislative
•Model Expanding Access to Peer Recovery Support Services Act (LAPPA)
Research
•California Peer Providers in Transitions of Care
(UCSF)
California SIM & Peer Resources

29. CA Health Systems and Advisory Boards
County, MHSA Advisory Board, and Behavioral Health System Acronyms
Alameda MHB | BHS
Alpine MHB | BHS
Amador BHAB | BHS
City of Berkeley MHC | BHS
Butte BHB | BHS
Calaveras MHAB | BHS
Colusa BHB | BHS
Contra Costa MHC | BHS
Del Norte BHB | BHS
El Dorado MHB | BHS
Fresno BHB | BHS
Glenn MHB | BHS
Humboldt MHB | BHS
Imperial MHB | BHS
Inyo BHAB | BHS
Kern BHB | BHS
Kings BHAB | BHS
Lake MHC | DMH
Lassen BHAB | BHS
Los Angeles MHC | BHS
Madera BHB | BHS
Marin MHB | BHS
Mariposa BHB | BHS
Mendocino BHB | BHS
Merced OPC | BHS
Modoc UNK | BHS
Mono BHAB | BHS
Monterey BHC | BHS
Napa MHSUAB | BHS
Nevada MHSUAB | BHS
Orange MHB | BHS
Placer MHADAB | BHS
Plumas BHC | BHS
Riverside BHC | BHS
Sacramento MHB | BHS
San Benito BHAB | BHS
San Bernardino BHC | BHS
San Diego BHAB | BHS
San Francisco MHB | BHS
San Joaquin BHB | BHS
San Luis Obispo BHB | BHS
San Mateo MHSARC | BHS
Santa Barbara BWC | BHS
Santa Clara BHB | BHS
Santa Cruz MHAB | BHS
Shasta MHADAB | BHS
Sierra BHAB | BHS
Siskiyou BHB | BHS
Solano MHAB | BHS
Sonoma MHB | BHS
Stanislaus BHB | BHS
Sutter-Yuba BHAB | BHS
Tehama BHAB | BHS
Tri-City MHC | BHS
Trinity | BHS
Tulare MHB | BHS
Tuolumne BHAB | BHS
Ventura BHAB | BHS
Yolo LMHB | BHS
BHAB Behavioral Health Advisory Board
BHAC Behavioral Health Advisory
Committee
BHB Behavioral Health Board
BHS Behavioral Health Services
BWC Behavioral Wellness Commission
DMH Department of Mental Health
LMHB Local Mental Health Board
MHSARC Mental Health & Substance Abuse
Recovery Commission
MHAB Mental Health Advisory Board
MHSUAB Mental Health and Substance Use
Advisory Board
MHB Mental Health Board
MHC Mental Health Commission
MHADAB Mental Health, Alcohol and Drug
Advisory Board
OPC Ongoing Planning Council
by BHABrehab.com
29

30. Next Steps: What can I do now?
30
Community Corrections Partnership Plans
MHSA Annual Plans – Behavioral Health Systems
Community Engagement & Advocacy
1.Identify Boards and Commissions and Serve
a)M
eeting times and dates.
b)Give appropriate public comments.
c)Volunteer for appointment & service.
2. Get and Review MHSA Annual Plan from your BHS
a)Where are peers engaged?
b)Where are gaps?
c)Advocate to Advisory Board to fill gaps.
d)Participate in Community Program Planning (CPP)
process.
3.Research Resources and Tools of Interest
a)Create local Google Alerts “ san diego” “peer”
4.Find opportunities to advocate to local Board of
Supervisors for additional Peer Supports funding and
opportunities.
5.Network, network, network.

31. DISCUSSION
Does helping understand the greater
criminal- legal and behavioral-health
ecosystem give you ideas of where
peers could plug in?
What types of Diversion courts are
used in your county?
Do you know how to contribute to
your local planning processes?
Do you have relationships with any
of the government or provider
planning stakeholders that you can
champion peer supports with?

32. Attributions
Ekaterina Bolovtsova
LinkedIn Sales Navigator
Jovydas Pinkevicius
Sarah Sch
Joel Muniz
Firmbee.com
Benjamin Sow
Georgio Trovato
Joseph Frank
Алексей Сабулевский
San Diego News 8 (MCRT)
Ruan Richard Roundrigues
Denys Nevozhai
Khamkéo Vilasing
OPPO Find X5 Pro
Kaysha
Kenny Eliason
Nick Sarvari
Christina @ wocintechchat
Mailchimp on Unsplash
Erica Wittlieb
Riverside.ca.gov (9-1-1 Center)
Images by
Sequential Intercept Model
SIM Model © 2019 Policy Research Associates, Inc.
Thanks for use of your
creative works!
32
Remaining Content Civic Mapping CC 4.0

33. THANK YOU
Download this hyperlinked deck in PDF at:
CivicMapping.com/camhpro2023
Jerry Hall
[email protected]
CivicMapping.com
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