Intercept 0 – Community Services
Proper training to improve outcomes for individuals with mental health and substance use challenges starts before individuals even encounter law enforcement personnel.
Intercept 0 – Community Services
Intercept 0 includes community support providers such as crisis lines and the crisis care continuum (emergency rooms, psychiatric hospital units, residential crisis services, deflection and pre-arrest services, etc.). These services are labeled as Intercept 0 as they may not yet include law enforcement or the justice system but can become a doorway to Intercept 1 if law enforcement becomes involved or responds to the crisis. Therefore, Intercept 0 can present a valuable opportunity for intervention and possible diversion away from the criminal justice system while ensuring access to a robust continuum of care for mental health and substance use challenges.
Intercept 0 CCBHC Integration Opportunities
- Mobile crisis outreach teams and co-responders
- Emergency department (ED) diversion
- Police-friendly crisis services, including deflection services
Certified Community Behavioral Health Clinics (CCBHCs) are required to provide crisis response services, including 24-hour mobile crisis response and crisis stabilization services. EDs and local justice agencies are required care coordination partners for CCBHCs. The CCBHC model has supported clinics in engaging in co-responder initiatives (38%), dispatching Mental Health/Substance Use response teams in lieu of law enforcement (19%), establishing crisis drop-off facilities to allow officers to transition an individual more quickly to clinical treatment rather than hospitalization or jail (33%) and working with EDs to divert individuals in crisis to outpatient services where clinically appropriate (79%).
Intercept 0 Core Competencies
Collaboration and Teamwork
- Adopt a single system-wide county definition of key terms consistently used by local behavioral health systems, jails, courts and community corrections, including but not limited to:
- Substance use disorders
- Serious mental illness
- Identify service capacity/interventions/gaps.
- Understand respective roles and responsibilities.
- Develop cross-system information and data sharing agreements to facilitate communication between systems and to inform program development and analysis.
- Obtain leadership commitment (criminal justice council or task force).
- Develop collaborative criminal justice and behavioral task force if one does not already exist.
- Provide cross-systems training on:
- Substance Use Disorder and MAT
- Implicit bias
- Data and evaluation
- Trauma-informed Care
- Mental Health First Aid (MHFA) for public safety
- Motivational Interviewing
- Screening, Brief Intervention and Referral to Treatment (SBIRT)
- Peer Navigators/Recovery Coaches
- Integrated mental health treatment for co-occurring substance use disorders
- Training on deflection and pre-arrest diversion
Screening and Assessment
- Share assessment information with partners to streamline workflow and coordinate care.
Care Planning and Care Coordination
- Develop process for linking to services (warm handoffs).
- Apply and address across remaining categories once competent in these principles:
- Implement/enhance structural racism training and education.
- Adapt services to language, gender and pronoun preferences and cultural norms of population served.
- Promote diversity among staff teams, executive leadership, boards.
- Develop task force that is inclusive of individuals with lived experience to spearhead the implementation/assessment of anti-racist policies and procedures, training and education.
Racial and Ethnic Disparities
- Identify and address racial disparities within criminal justice system involvement and in health care access and quality for populations served.
- Develop task force to address racial and ethnic disparities to help achieve the following goals:
- Set qualitative process and outcome goals for racial and ethnic disparity reduction.
- Set a numerical target for reducing justice system involvement and/or improving outcomes for Black, Indigenous and people of color (BIPOC).
- Set a numerical target for reducing the relative likelihood of justice system involvement for BIPOC compared to White adults.
Evaluation and Quality Improvement
- Develop a city/county-level training plan that includes quality assurance to ensure fidelity.
- Develop a city/county-level plan for information/data sharing:
- Data Collection Across the Sequential Intercept Model (SIM): Essential Measures
Funding and Sustainability
- Prioritize policy, practice and funding improvements. For example:
- Understand Medicaid/SSA coverage.
- Routinely communicate with the people responsible for the county budget.
- Utilize data to justify funding.
- Explore federal funding opportunities.
National Council Resources
- 2021 CCBHC and Justice Systems Report
- 2022 CCBHC Impact Report
- Deflection and Pre-arrest Diversion to Prevent Opioid Overdose
- Overdose Response and Linkage to Care: A Roadmap for Health Departments
- Roadmap to the Ideal Crisis System
- Trauma-Informed Care Screening and Assessment Toolkit
- Trauma-informed, Recovery-oriented Systems of Care Toolkit
- 988 & Mobile Crisis Response Through CCBHCs Fact Sheet
Want to Learn More?
- Substance Abuse and Mental Health Services Administration (SAMHSA): 988 Suicide & Crisis Lifeline
- Transform 911: Blueprint for Transformation Chapter 7
- National Association of State Mental Health Program Directors (NASMHPD) and SAMHSA: 988 Implementation Guidance Playbooks
- National Council for Mental Wellbeing: Crisis Response
- Justice Community Opioid Innovation Network (JCOIN) and National Council for Mental Wellbeing: First Responder Deflection e-course
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