Mental Health and the

Criminal Justice System

Office of Forensic Services
Nicole R. Johnson, M.D., FAPA
September 20, 2016

e Agency. One Mission. One Voice.

District of Columbia Department of Behavioral Health

DC Department of Behavioral Health

Vision

The District of Columbia is a thriving

community where prevention is
possible and recovery from mental
illness and substance use disorders is
the expectation.

One Agency. One Mission. One

Voice.
District of Columbia Department of Behavioral Health

Adult Services and Supports

Supported Housing - provides an array of housing

options ranging from 24 hour awake supervision to
independent unsupervised settings.
Supported Employment - provides employment
assistance and support for individuals with significant
mental health diagnoses for whom competitive
employment has been interrupted or intermittent. Support
services include job placement, job coaching, and crisis
intervention so that consumers can maintain part or fulltime employment;
Assertive Community Treatment (ACT) - provides
intensive, integrated community-based mental health
intervention and support services designed to reduce
psychiatric hospitalizations and increased community
tenure
One Agency.
One Mission.
Voice.
Integrated
Care - One
clinical
consultation, case management,
and
supportive
services
that assist of
individuals
transitioning
District
of Columbia
Department
Behavioral
Health

Adult Services and Supports

the central point for coordinating, collaborating
and ensuring communication amongst all relevant parties
engaged in the delivery of each consumers care. The Health
Home is responsible for achieving the District of Columbias
Triple Aim Goals:
Health Homes -

(1) Improving the individual experience of assessing and receiving care;

(2) Improving the health of its population; and
(3) Reducing the per capita costs of care.
Specifically, a Health Home is responsible for:
Preventing avoidable hospital admissions and readmissions;
Preventing unnecessary emergency room visits;
Providing timely post discharge follow-up; and
Decreasing the overall Medicaid cost for the consumers in the District
who have a serious

One Agency. One Mission. One Voice.

District of Columbia Department of Behavioral Health

Forensic Services
Competency Restoration inpatient and
outpatient ( 1 of 16 states in the US)
Court-ordered evaluations competency, criminal
responsibility
Re-Entry Coordination DC Jail, Court Services
and Offender Supervision Agency (CSOSA)
Officer Agent Certification
Crisis Intervention Officer (CIO) involvement
Monitoring civil commitment
*****Urgent Care Clinic DC Superior Courthouse
Monitor Not Guilty By Reason of Insanity
Acquitees inpatient and outpatient

One Agency. One Mission. One Voice.

District of Columbia Department of Behavioral Health

Forensic Services
Training forensic fellows and psychiatry
residents
Comprehensive Psychiatric Emergency
Program (CPEP)

+ Juvenile competency restoration

+Screening with Metropolitan Police Department
+Identifying Super-utilizers

e Agency. One Mission. One Voice.

District of Columbia Department of Behavioral Health

Changes in Philosophy

Trauma Informed Care

Patient Centered Treatment
Diversion from Criminal Justice System

ne Agency. One Mission. One Voice.

District of Columbia Department of Behavioral Health

DBH Contact Information

Forensic Services Nicole R. Johnson, MD

nicoler.johnson@dc.gov
Press Representative Phyllis Jones phyllis.jones@dc.gov
Directors Office Deborah Spencer
deborah.spencer@dc.gov
Access Helpline 1 877-7WE-HELP (1 877- 793-4357)

e Agency. One Mission. One Voice.

District of Columbia Department of Behavioral Health