Description
The nationwide competency crisis has challenged the justice system, policy makers, and mental health experts to think creatively about how to meet the needs of citizens evaluated to be incompetent to stand trial. This training will provide a brief overview of some of California’s responses to this crisis, focusing on efforts to create treatment opportunities outside of the state hospital system and embedded in the local communities. The Early Access and Stabilization Services interventions, Jail Based Competency Restoration programs, Community Inpatient Facilities, outpatient competency restoration services, and Diversion programs of the California Department of State Hospitals will be reviewed including their impacts in easing the competency crisis. Future directions for further development and ongoing challenges will be addressed.
Format
Live webinar.
Learning Objectives
Upon completion of this activity, participants will be able to:
- Describe the different levels of care and settings of the DSH Continuum of Care
- Articulate factors assessed for appropriate patient/program placement in the continuum
- Identify who to contact for collaboration and consultation across the continuum
Outline
- Overview of state hospital origins and the competency crisis
- Overview of jail-based competency treatment
- Incompetent to Stand Trail (IST) solutions
- Presumption Flip and Placement Evaluations
Target Audience
Psychiatrist, Physician (Non-Psychiatric), Psychiatric Technician, Psychologist, Counselor/Therapist, Social Worker, Student (Non-Medical), Peer Specialist
Instructional Level
Introductory
Estimated Time to Complete
Estimated Duration: 60 minutes
Program Release 09/15/2026
Program End Date: 09/15/2026
Ongoing Interdisciplinary Discussion Board
After completing the course, engage with colleagues in the mental health field through the Webinar Roundtable Topics discussion board. This is an easy way to network and share ideas with other clinicians who participate in this webinar. Access through the discussion tab.
How to Earn Credit
After completing the evaluation, participants will have the opportunity to claim their hours of participation and download the appropriate certificate. Physicians may obtain an official CME certificate, other healthcare professionals may receive a CE certificate (as applicable), and all other attendees may generate a certificate of participation. Each certificate will reflect the event date and total hours earned.
Continuing Education Credit
In support of improving patient care, American Psychiatric Association (APA) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physicians
The APA designates this live event for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Psychologists
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
Social Workers
As a Jointly Accredited Organization, American Psychiatric Association (APA) is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. APA maintains responsibility for this course. Social workers completing this course receive up to 1.00 general, social work practice, knowledge, and skills continuing education credits.
***Continuing education requirements vary from state to state. Many state boards grant reciprocity with national accrediting organizations and other state boards. It is the responsibility of each professional to understand the requirements for license renewal or check with the state or national licensing board and/or professional organization to become more familiar with their policies for acceptable continuing education credit. Social workers and Psychologists should contact their regulatory board to determine course approval.
Faculty and Planner Disclosures
The American Psychiatric Association adheres to the ACCME's Standards for Integrity and Independence in Accredited Medical Education. Any individuals in a position to control the content of a CME activity - including faculty, planners, reviewers, or others - are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
Faculty:
- Dr. Joshua Slater completed his doctoral training at Rutgers University. He is currently the Assistant Chief Psychologist in DSH's Competency and Stabilization Unit where he leads a team supporting California's JBCT and EASS programs. He has been working in the area of competency restoration for the better part of two decades in both state hospital and jail settings. His contributions include helping lead the revision of DSH-Napa's competency assessment processes, acting as a minor consultant to the National Judicial College in their development of their Mental Competency - Best Practices model, and providing trainings in the areas of competency restoration, competency assessment, and assessment of response style among other topics.
- Dr. Daniel Lance is a clinical and forensic psychologist with fourteen years of experience in the field, both in California and Colorado. He earned his doctoral degree from Alliant International University, completing his pre-doctoral and post-doctoral training in forensic and correctional programs. He has worked with patients with SMI in DSH Jail Based Competency Treatment (JBCT) and Conditional Release Programs (CONREP) since 2011, where he conducted assessments to determine eligibility, coordinated admissions, and discharges, provided treatment, supervised patients int he community, conducted risk assessments, and more. Currently, he oversees DSH's community IST programs in California in his role as Chief Psychologist.
Program Planners:
- John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no relevant financial relationships to disclose.
- Amy N. Cohen, PhD, American Psychiatric Association. Dr. Cohen has no relevant financial relationships to disclose.
- Sherin Khan, LCSW, Thresholds, Chicago. Ms. Khan has no relevant financial relationships to disclose.
Accessibility for Participants with Disabilities
The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.
Technical Requirements
This internet-based CME activity is best experienced using any of the following:
The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
Internet Explorer 11+
This Web site requires JavaScript and session cookies to be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be Adobe Acrobat Reader, Microsoft PowerPoint, or Windows Media Player.
Optimal System Configuration:
Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
Internet Connection: 1 Mbps or higher
Minimum Requirements:
Windows PC:
Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video
For assistance: Contact educme@psych.org for questions about this activity |
Contact support@smicaladviser.org for technical assistance