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Advancing Community-Based Solutions for Justice-Involved People with Mental and Substance Use Disorders

1. The Sequential Intercept Model is most effective when used as a community strategic planning tool to do all of the following, except:

A. Assess available resources

B. Determine gaps in services

C. Refer clients for needed treatments

D. Plan for community change


2. Employed as a strategic planning tool, communities can use the Sequential Intercept Model to do all of the following, except:

A. Develop a comprehensive picture of how people with mental and substance use disorders flow through the criminal justice system along six distinct intercept points.

B. Identify gaps, resources, and opportunities at each intercept for adults with mental and substance use disorders.

C. Develop priorities for action designed to improve system and service-level responses for adults with mental and substance use disorders.

D. Perform assessments with the goal of determining the best treatment for each person with mental and substance use disorders.


3. Which of the following is considered an “Intercept 0” service?

A. Local law enforcement

B. Crisis lines

C. 911

D. First court appearance


4. Transition planning improves reentry outcomes by organizing services around an individual’s needs in advance of release.

A. True

B. False


5. Inmates should be provided with a minimum of _____ days’ medication at release and have prescriptions in hand upon release, including MAT medications prescribed for substance use disorders.

A. 7

B. 15

C. 30

D. 60


6. Baseline data can help determine if program or policy changes influence the problems the community is trying to address.

A. True

B. False


7. Aggregate, blinded data should be shared about individual participants.

A. True

B. False


8. When should jurisdictions share and integrate data?

A. When sophisticated databases or dashboards are developed.

B. When secure mechanisms of storing and analyzing data are established.

C. A jurisdiction should wait both for a sophisticated database and secure mechanisms of storing data before sharing.

D. It is in the best interest of the clients being served for the jurisdictions not to wait for sophisticated databases or secure mechanisms before sharing data.


9. Health care providers may share information with jails about inmates personal information in order to uphold safety and security in the correctional facility.

A. True

B. False


10. A mental health center may share a client’s information with a law enforcement officer if that information is needed “to prevent or lessen a serious and imminent threat to health or safety.”

A. True

B. False


11. Because they are a covered entity, mental health professionals acting as co-responders with law enforcement may also obtain information about a patient from other providers.

A. True

B. False


12. Health providers may share information with jails about medication that a detained person has been prescribed if the information is shared to provide health care, ensure the health and safety of inmates and others, protect transporting officers, promote law enforcement on premises, or for the safety and security of the correctional facility.

A. True

B. False


13. Following HIPAA will comply with all states' laws.

A. True

B. False


14. The critical components of intercept 0, crisis care and first response continuum, include:

A. Individuals who have been arrested going through the intake and booking process and having an initial hearing presided over by a judicial official.

B. Law enforcement and other emergency service providers responding to people with mental and substance use disorders who are in crisis in the community.

C. Individuals with mental and substance use disorders being held in pretrial detention while awaiting disposition of their criminal cases.

D. Resources that reduce reliance on emergency response, hospitalizations, and law enforcement to serve people in crisis or with low-acuity mental health needs.


15. In jurisdictions where very few resources exist, law enforcement may be involved in Intercept 0 diversion efforts in a parens patriae, or “guardian,” capacity, providing first responder services.

A. True

B. False


16. What is often not understood by stakeholders and the community is the impact of:

A. Individuals presenting at emergency departments who do not meet the eligibility criteria for admission.

B. Early, informed clinical decision-making by mobile crisis response teams or mental health professions connected by telehealth.

C. Community-based detoxification and withdrawal management services providing a resource to people needing a safe place to sober or initiate services for a mental or substance use disorder.

D. Dispatchers not having the capability to identify calls related to behavioral health needs and routing those calls to the appropriate services or responders.


17. What is accomplished by early, informed clinical decision-making by mobile crisis response teams or mental health professionals connected by telehealth routing people in crisis or with mental or substance use disorders to the most appropriate care settings?

A. It reduces the number of police transports.

B. It improves outcomes.

C. It aligns services.

D. Early, informed clinical decision-making by mobile crisis response teams or mental health professionals connected by telehealth routing people in crisis or with mental or substance use disorders to the most appropriate care settings reduces the number of police transports, improves outcomes, and aligns services.


18. Detoxification centers need to:

A. Ensure compliance with HIPAA in sharing information.

B. Consider 42 CFR Part 2 in planning and implementing data sharing plans.

C. Detoxification centers need to both ensure compliance with HIPAA in sharing information and consider 42 CFR Part 2 in planning and implementing data sharing plans.

D. Detoxification centers are exempt from compliance with HIPAA in sharing information and 42 CFR Part 2 in planning and implementing data sharing plans.


19. In many jurisdictions, when a person in crisis exhibits illegal behavior, law enforcement officers have the discretion to place the person under arrest or to divert them to treatment or services.

A. True

B. False


20. Data contained in computer-aided-dispatch (CAD) systems managed by law enforcement agencies or other regional public safety authorities are private and may not be shared.

A. True

B. False


21. When officers do not take someone into custody, the only record of what happened at the scene may be what is contained in the:

A. Records management systems

B. Computer-aided-dispatch systems

C. Crisis intervention team forms

D. Even if someone is not taken into custody, records of what happened are stored in records management systems, CAD systems, and CIT forms


22. All of the following are important elements of intercept 2, intake, booking, and bond setting / reviewing, except for:

A. Law enforcement and other emergency service providers responding to people with mental and substance use disorders who are in crisis in the community.

B. Identification of people with mental and substance use disorders being processed and booked in the jail.

C. Placement of people with mental and substance use disorders into community-based treatment after intake or booking at the jail.

D. Availability of specialized mental health caseloads through pretrial service agencies.


23. Processing arrests and booking people into a jail provides an opportunity to screen them for mental and substance use disorders and assess their need for follow-up services.

A. True

B. False


24. Implementing a screening at the _____ stage can provide jurisdictions with an understanding of the extent to which people with mental and substance use disorders are interfacing with the local criminal justice system.

A. Crisis care

B. Arrest processing

C. Jail or prison reentry

D. Probation and/or parole


25. What choice does a diversion depend on?

A. To refer the individual to services.

B. To accept referred individuals onto pretrial services caseloads.

C. To accept referred individuals into community-based services.

D. Diversions depend on a number of decisions, including choosing to refer the individual to services, to accept referred individuals onto pretrial services caseloads, or to accept referred individuals into community-based services.


26. Intercept 3, courts and incarceration in jail or prison, centers around:

A. Diversion of individuals from the jail or prison into programs or services that allow criminal charges to be resolved while also addressing the defendant’s mental and substance use disorder needs.

B. Identification of people with mental and substance use disorders being processed and booked in the jail.

C. Placement of people with mental and substance use disorders into community-based treatment after intake or booking at the jail.

D. Law enforcement and other emergency service providers responding to people with mental and substance use disorders who are in crisis in the community.


27. Often, issues of _____ are raised during the court process for which specific evaluations and restoration services are required.

A. Past criminal records

B. Fleeing after posting bond

C. Competency

D. Necessary medical treatment


28. Emergency departments are the largest de facto mental health facility in many counties, and it is therefore critical that their environments, programs, and processes enable support for people with mental and substance use disorders.

A. True

B. False


29. Planning for reentry begins upon:

A. Entry into jail or prison

B. Arrest

C. Initial detention

D. First court appearance


30. Which other community-based programs could have meaningful information on a person by the time they are placed under community corrections?

A. Assisted outpatient treatment

B. Individualized employment programs

C. Housing-first programs

D. Medication-assisted treatment, assisted outpatient treatment, individualized employment programs, housing-first programs, and other recovery supports may have meaningful information on a person by the time they are placed under community corrections


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