Growing CIT in Native American
Communities
Presenters
• Dan Abreu, GAINS Center DAbreu@prainc.com
• LeMoine LaPointe, Experiential Education
professional foureaglesflying@yahoo.com
• Mark Anderson, Barbara Schneider
Foundation admin@thebarbaraschneiderfoundation.org
• Rhiana Yazzie, Playwright, director,
performer, and producer info@newnativetheatre.org
Growing CIT in Native American
Communities
Dan Abreu, MS CRC LMHC
SAMHSA’s National GAINS Center
The Crisis Intervention Team International
(CITI) Conference
October 14 - 16, 2013
Hartford, CT
2013 Tribal Justice Policy
Academy
Sheraton Wild Horse Pass – Chandler, AZ
May 22-24, 2013
Participating Tribes
General Team Composition
• Tribal leaders/officials
• Leaders in behavioral health
• Leaders in corrections, probation/parole, law
enforcement, and judicial systems (including
prosecution and defense)
• Other key stakeholders/decision makers
Creating a Local Systems Map
• Brings together key stakeholders to tap into local expertise
• Creates a local map using the Sequential Intercept Model
– Visually depicts local system
– Identifies:
o
Existing local services and processes
– Gaps in services
– Strengths to build upon --- opportunities and resources
– Data
o
Issues considered important to local stakeholders
• Helps everyone see the “big picture” and how they fit
– Helps diverse groups from various systems understand where/how
everything fits
– Intercepts provide manageable venues and opportunities for systems
interventions
Sequential Intercept Model
Intercept 5
Community
corrections
Prison/
Reentry
Parole
Violation
Probation
Violation
Jail
Re-entry
Dispositional Court
First Appearance Court
Initial Detention
Law Enforcement
Arrest
Intercept 4
Reentry
COMMUNITY
COMMUNITY
911
Intercept 3
Jails / Courts
Specialty Court
Intercept 2
Initial detention /
Initial court
hearings
Jail
Intercept 1
Law enforcement
Problems
• Transport Issues
• Multiple Jurisdictions
• No Public Defenders
• Lack of mobile response
• Most services off the reservation
• Poor data systems
Problems
• No detox on reservation
– At least an hour away
– Not all individuals eligible for county payments
• No 72 hour hold facility on reservation
– Could be 8 hours before placed
– Could go to detention
• Inconsistent MH screening in jails
• Inconsistent screening for NA in non tribal jails
Issues in Indian Country
• 911 services are not coordinated to meet the
needs in ‘reservation’ proper.
• There are more than two contact phone numbers
to know to access assistance – one for law
enforcement, one for ambulance and one for
seeking assistance in a crisis.
• Availability of resources to address or answer the
call for help.
Best Practices
• Cross deputization
• CIT Training – Mental Health Unit (Ute and
Shoshone)
• Shared Court Jurisdictions
• Shared Probation Supervision
Mde Maka Ska
Indigenize CIT
Cycle of Crisis
injury
illness
crisis event
repress
spirituality
tradition
traumatic
disruption crisis
invasion
displacement
violence
attack on
language
family
Cycle of Recovery
care
medicine
safety
support
orientation
spirit
joy of
serving/sacrifice
wisdom
recovery
health
wellness
connection to
place
nature
culture
family
children
elders
education in
healing ways
New Native Theatre
Wrap Up
• Questions?
• Comments?
• Feedback?
The Mental Health Crisis
Response Institute
a program of the
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Contact: Mark Anderson
Executive Director,
Barbara Schneider Foundation
612 801 8572
admin@thebarbaraschneiderfoundation.org
www.thebarbaraschneiderfoundation.org
The Barbara Schneider Foundation, 2419 Nicollet Ave, Minneapolis, 55404 (612)801-8572