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Sheriffs across the United States are facing increasing challenges related to behavioral health crises, substance use disorder, homelessness, and repeat justice system involvement. Traditional enforcement approaches alone are often insufficient to address these complex issues, which frequently require coordinated responses across public safety, public health, and community service systems.

This session highlights an innovative sheriff-led collaborative model developed in Chautauqua County, New York, where the Sheriff’s Office partnered with the county Department of Mental Hygiene and community providers to implement a coordinated strategy that addresses risk before crises escalate and supports individuals transitioning from jail back into the community.

Participants will learn how three key components work together:

• Chautauqua CARES Re-Entry Hub – a sheriff-supported program that provides peer support, care management, and rapid service connection for individuals leaving jail.
• The Situation Table Model – a structured multi-agency process designed to identify individuals experiencing Acutely Elevated Risk (AER) and coordinate immediate interventions.
• Public Health Collaboration – integrating behavioral health planning, treatment resources, and prevention strategies into public safety responses.

The presenters will share lessons learned from the first year of the Chautauqua County Situation Table, which brought together more than a dozen agencies to address housing instability, mental health crises, substance use, and other risk factors affecting vulnerable individuals.

Attendees will also hear about national trends in Situation Tables and collaborative response models, which are rapidly expanding across the United States as communities seek effective strategies to reduce recidivism, improve community safety, and better coordinate services.

Through real-world examples and an interactive scenario exercise, sheriffs and public safety leaders will gain practical guidance on how their own jurisdictions can implement similar models.

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