Rx-Oclusion – grueso http-REg. Rx delgado - re Diverticulo de Meckel.
Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel,...
-
Upload
john-mcdowell -
Category
Documents
-
view
217 -
download
0
Transcript of Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel,...
![Page 1: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/1.jpg)
Growing CIT With State Government Support: Lessons From The Connecticut CIT Program
Loel W. Meckel, LCSWAssistant DirectorDivision of Forensic ServicesConnecticut Department of Mental Health and Addiction Services [email protected]
![Page 2: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/2.jpg)
Today’s Objectives
• Understand why and how state government would support development of CIT• Be able to make a compelling case to state
government for collaboration and financial support to develop CIT• Be able to engage your local mental health
agency and other providers in supporting development of CIT
![Page 3: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/3.jpg)
Who Are You?
• Law Enforcement• Advocates for people with mental illness• Family• Mental Health • Local Government• County/State Government• Other
![Page 4: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/4.jpg)
Today’s Outline
• Story of CIT in Connecticut• Your State• Define short term and long-term goals• Identify resources required• Identify stakeholders• Identify concerns of stakeholders• Identify benefits of CIT • Match concerns of stakeholders to benefits• Develop a plan for your state expansion
![Page 5: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/5.jpg)
Story of CIT in Connecticut
![Page 6: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/6.jpg)
Connecticut
• Small state• No County/Regional government• No County/Regional law enforcement• Police are local and state, no Sheriffs • State operates all criminal courts • State operates all jails and prisons• State administers mental health svcs
![Page 7: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/7.jpg)
CIT Expansion In CT
• 1988 - CIT started in Memphis, TN
• 2000 - New London, CT Police travel to Memphis for CIT training
• 1999-2001- CT Alliance to Benefit Law Enforcement begins research on training
• 2001 - Capt. Ken Edwards meets CABLE
• 2002 – CT Criminal Law Foundation, NL PD and CABLE join together
![Page 8: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/8.jpg)
CIT Expansion In CT
• 2003 - CT NAMI introduces CABLE to DMHAS
• 2003 – First CT CIT training; observed by DMHAS Forensic Manager
• 2003 – Capt. Edwards invited to speak at NAMI-CT Conference
• 2003 – NAMI affiliates in Eastern CT obtain private donations, help recruit PDs
![Page 9: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/9.jpg)
CIT Expansion In CT
• 2004 – Second CIT training; Funded by CABLE and donations to NAMI affiliates
• 2004 – DMHAS awarded US DOJ funds for CIT expansion; 25% state match
• 2004 – DMHAS contracts with CABLE for CIT training
• 2004/5 – DMHAS funds training and hires CIT clinicians for 3 large cities and PDs.
![Page 10: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/10.jpg)
CIT Expansion In CT
• 2005-2006 – More PDs send officers to CIT training• 2007 - Federal funds end, State replaces
and expands funding • 2008 – Increase trainings/year and more
DMHAS CIT clinicians hired• 2013 – state funding has continued despite
recession
![Page 11: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/11.jpg)
Police in CT
• Municipal Police Officers 6,700• State Police Officers 1,100• Others ?
• Total 7,800 +
![Page 12: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/12.jpg)
DMHAS-funded Training
![Page 13: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/13.jpg)
CT 5-Day CIT Training
• 1,278 Police officers have attended• Local Police Departments• State Police • University/College Police• Hospital Police• US Coast Guard Police• US Dept. Veterans Affairs Campus Police• State Capital Police• Casino Police
![Page 14: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/14.jpg)
CT 5-Day CIT Training
• 278 Others have attended• Civilian police employees• Mental health clinicians• Probation Officers• Parole Officers• State Judicial Marshals• EMS/Fire Dept employees• FBI Agents• U.S. Marshals
![Page 15: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/15.jpg)
CT Police Departments
•92 Municipal Police Departments• Largest approximately 450 officers
•81 Towns served by State Police• 56 Have Resident State Troopers (115)
38 Municipal PDs have a CIT policy44 PD have started training, no policy
![Page 16: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/16.jpg)
State Role - DMHAS
• Access federal grant funds
• Obtain Governor’s and Legislature’s
support for state funding
• Coordinate response from Local Mental
Health Authority (LMHA) system
• Promote CIT benefits and
accomplishments at state level
![Page 17: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/17.jpg)
CIT In CT 2013
• DMHAS Provides Funding• Overtime coverage for Officers who
attend CIT training (for PDs with CIT policy)• CABLE – CIT training, outreach and
support to PDs, annual symposium• NAMI-CT - outreach and support to
service providers, publish CIT newsletter
![Page 18: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/18.jpg)
Mental Health Response
• Regional drop-off sites are not an option• Need a local response to Police• DMHAS-funded CIT clinicians in 6
metro areas • DMHAS-funded LMHA Mobile Crisis
Team clinicians can respond to police in other communities• Local Hospital ED staff are included in
CIT implementation
![Page 19: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/19.jpg)
CIT Clinicians
• DMHAS CIT Clinicians• CIT-trained, embedded in MCT• Agency specialists in Police collaboration• Paired with Police CIT coordinator• Training and Consultation to Police• Follow-up with subjects and
service providers after police contact• Occasional on-site assistance to Officers at
scene
![Page 20: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/20.jpg)
Your State• Define short term and long-term goals• Identify resources required• Identify stakeholders• Identify concerns of stakeholders• Identify benefits of CIT • Match concerns of stakeholders
to benefits• Develop a plan for your state expansion
![Page 21: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/21.jpg)
Thinking Caps
![Page 22: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/22.jpg)
Develop Your State Plan
![Page 23: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/23.jpg)
Remember this …Your State Leaders Want The
Benefits Of CIT
Your Job Is To Show That CIT Addresses Their Concerns
![Page 24: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/24.jpg)
Define Goals
• Short term – Describe the status of CIT in your state in two years
• Long-term – Describe the status of CIT in your state in five to ten years
![Page 25: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/25.jpg)
Resources
• Identify resources required for your goal • Collaboration • Funding • Training • Support• Others ________________
• Identify the resources that you have • Identify the resources that you need
![Page 26: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/26.jpg)
Thinking Cap #2
![Page 27: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/27.jpg)
Who are the stakeholders?
Anyone who spends:•Money • Time• Energy
On people with psychiatric disorders in contact with police
![Page 28: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/28.jpg)
Stakeholders
• Subjects of police contacts• Law Enforcement • Jails (usually local or county) - not
convicted or convicted with short sentence• Prisons (state) – convicted with long
sentence
![Page 29: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/29.jpg)
Stakeholders
• Criminal court• Families and advocates• Agencies that provide services• Hospitals• Elected officials• Policy and Budget officials• Others _________________
![Page 30: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/30.jpg)
Stakeholder Buy-in
Why would a stakeholder
support CIT?• See potential for more good stuff
• See potential for less bad stuff
• Messenger and message are believable
• Requested support is manageable
![Page 31: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/31.jpg)
Stakeholder Concerns
• Save money !!!!!• Favorable publicity• Reduce injuries• Avoid shootings• Prestige• Professional pride• Reduce incarceration• Reduce arrests
![Page 32: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/32.jpg)
Stakeholder Concerns
• Demonstrate effective governance• Improve community relations• Attract federal grants• Reduce court docket volume• Connect people to services• Avoid expensive hospital admissions• Other __________________
![Page 33: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/33.jpg)
Identify CIT Benefits
• Less need for the use of lethal force• Reduced Officer injuries• Reduced citizen injuries• Reduced SWAT/ERT call outs• Reduced time “off patrol”• Reduced civil litigation• Reduced ER/hospital admissions• Reduced incarceration
![Page 34: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/34.jpg)
Identify CIT Benefits
• Reduced Arrests• Improved community relations• Demonstrates effective government• Attract federal grant funding to your state• Prestige/Pride for involved professionals• Favorable publicity for officials• Connect people with MI to services
![Page 35: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/35.jpg)
Match Concerns of Stakeholders to Benefits of CIT
• Determine what resources each stakeholder may be able to provide• Identify the most important concerns for
each stakeholder• Craft your request around how CIT will
save Money, Time, Energy for the stakeholder
![Page 36: Growing CIT With State Government Support: Lessons From The Connecticut CIT Program Loel W. Meckel, LCSW Assistant Director Division of Forensic Services.](https://reader036.fdocuments.in/reader036/viewer/2022062423/56649de75503460f94ae067a/html5/thumbnails/36.jpg)
Develop Your Plan