The Sequential Intercept Model: Using Assisted Outpatient Treatment to Reduce the Need for Competency Restoration-Presentation Slides

Presentation Slides

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The document is a presentation on the Sequential Intercept Model and the use of Assisted Outpatient Treatment (AOT) to reduce the need for competency restoration. The presentation is part of the Clinical Support System for Serious Mental Illness (CSS-SMI) initiative, implemented by the American Psychiatric Association (APA) and funded by the Substance Abuse and Mental Health Services Administration (SAMHSA). The presenter discusses the over-representation of individuals with serious mental illness in the criminal-legal system and the reasons behind it, including untreated mental illness, social factors, and criminogenic risks and needs. The Sequential Intercept Model, which provides a framework to address the problem, is introduced, with specific focus on Intercept 0, which emphasizes the need for accessible, effective, and criminologically informed mental health treatments in the community to prevent criminal legal involvement altogether. The presenter also discusses the challenges and alternatives to competency restoration, including outpatient restoration and secure residential treatment. The advantages and feasibility of Intercepts 1 and 2 diversion are highlighted, along with examples from Ohio where Senate Bill 2 has been implemented to prohibit inpatient competency restoration for non-violent misdemeanors and allow for diversion to civil commitment or outpatient restoration. The presenter emphasizes the need for trust and collaboration among stakeholders to bring about changes in the system and improve outcomes for justice-involved individuals with mental illness. The presentation includes a bibliography for additional references and concludes with a Q&A session with the presenter.

Keywords

Sequential Intercept Model

Assisted Outpatient Treatment

Competency Restoration

Clinical Support System for Serious Mental Illness

Over-representation of individuals with serious mental illness

Criminogenic risks and needs

Intercept 0

Outpatient restoration

Intercepts 1 and 2 diversion

Trust and collaboration among stakeholders