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4 <br /> • Collect and review prevalence numbers and assess individuals' needs to better identify adults entering <br /> jails with mental illnesses and their recidivism risk, and use that baseline information to guide <br /> decision making at the system, program, and case levels. <br /> • Examine treatment and service capacity to determine which programs and services are available in the <br /> county for people with mental illnesses and co-occurring substance use disorders, and identify state <br /> and local policy and funding barriers to minimizing contact with the justice system and providing <br /> treatment and supports in the community. <br /> • Develop a plan with measurable outcomes that draws on the jail assessment and prevalence data and <br /> the examination of available treatment and service capacity,while considering identified barriers. <br /> • Implement research-based approaches that advance the plan. <br /> • Create a process to track progress using data and information systems, and to report on successes. <br /> In addition to county leaders, national and state associations, criminal justice and behavioral health <br /> professionals, state and local policymakers, others with jail authority, and individuals committed to <br /> reducing the number of people with mental illnesses in jails should sign on to the Call to Action. <br /> Stepping Up participants will receive an online toolkit keyed to the six actions,with a series of <br /> exercises and related distance-learning opportunities, peer-to-peer exchanges, and key resources from <br /> initiative partners.' The online toolkit will include self-assessment checklists and information to assist <br /> participants working in counties in identifying how much progress they have already made and a <br /> Planning template to help county teams develop data-driven strategies that are tailored to local needs. <br /> 2. A NATIONAL SUMMIT to advance county-led plans to reduce the number of people with mental illnesses <br /> in jails. <br /> Supported by the American Psychiatric Foundation, a summit will be convened in the spring of 2016 <br /> in Washington, DC, that includes counties that have signed on to the Call to Action, as well as state <br /> officials and community stakeholders such as criminal justice professionals, treatment providers, <br /> people with mental illnesses and their advocates, and other subject-matter experts. The summit will <br /> help counties advance their plans and measure progress, and identify a core group of counties that <br /> are poised to lead others in their regions. Follow-up assistance will be provided to participants to help <br /> refine strategies that can be used in counties across the nation. After the 2016 summit, participants <br /> will be notified of potential opportunities for sites to be selected for more intensive assistance through <br /> federal and private grant programs. <br /> Although much of the initiative focuses on county efforts, states will be engaged at every step to ensure that their <br /> legislative mandates,policies,and resource-allocation decisions do not create barriers to plan implementation. <br /> To learn more about the initiative or to join the Call to Action,go to Ste UTogether.— <br /> Endnotes <br /> 1. Steadman,Henry,et al.,"Prevalence of Serious Mental Illness among Jail Inmates."Psgcbiatric Services 60,no.6(2009):761-765. <br /> These numbers refer to jail admissions.Even greater numbers of individuals have mental illnesses that are not"serious"mental <br /> illnesses,but still require resource-intensive responses. <br /> 2. Abram,Karen M.,and Linda A.Teplin,"Co-occurring Disorders Among Mentally 111 Jail Detainees,"American Psgcbologist 46,no.10 <br /> (1991):1036-1045. <br /> 3. Steadman,Henry,et al.,"Prevalence of Serious Mental Illness among Jail Inmates." <br /> 4. Sec,e.g.,Swanson,Jeffery,et al.,Costs of Criminal Justice Involvement in Connecticut:Final Report(Durham:Duke University School of Medicine,2011). <br /> 5. Among the key partners are the National Alliance on Mental Illness;Major County Sheriffs'Association;National Association of County <br /> Behavioral Health&Developmental Disability Directors;National Association of State Alcohol and Drug Abuse Directors;National <br /> Association of State Mental Health Program Directors;National Council for Behavioral Health;National Sheriffs'Association;and <br /> Policy Research Associates. <br />