2. Meeting Agenda
Welcome & Announcements
Mental Health Docket
- Discussion
Jail-Based Addiction Treatment and Recovery Program
Merrifield Crisis Response Center(MCRC)/Community Response Team
2018 MCRC Data
Wrap-Up
2
3. Sequential Intercept Model (SIM)
Applied for and received workshop to develop new SIM map through
SAMHSA’s GAINS Center for Behavioral Health and Justice
Transformation.
Spring 2019: Will update our community-specific SIM map and use as
a strategic planning tool.
3
4. 2018 Annual Report
Highlights and Success Stories of 2018
What’s Ahead for 2019
Coming Soon!
4
5. Mental Health Docket
The Honorable Judge Tina Snee
Dawn Butorac | Chief Public Defender
Casey Lingan | Chief Deputy Commonwealth Attorney
Shawn Lherisse | Court Services
Marissa Fariña-Morse | Community Services Board
5
6. Supervised Release Program Docket (SRP)
Since August 2018, 160 cases have been heard in the pilot Mental Health Docket.
60 have appeared more than once
50 appeared due to something other than SRP (Bond Motion, Competency,
Probation)
Different functions:
Bond Modification
Compliance with Disposition of Charges
Treatment Compliance
Competency Restoration
2nd and 4th Friday of each month, Courtroom 2K
6
7. SRP Docket
Court Services Role
Make recommendations on release
Monitor compliance with the Court Order and report non-compliance
Court appearance reminder to client & attorney
Verify compliance and participation with treatment providers
Make appropriate referrals
Community Services Board (CSB) Role
Provide timely information on status of CSB services
Encouragement to follow treatment recommendations
Follow up to assist in accessing services
Recommendations to the court for services needed and process
to access them
7
8. Peer Support Specialists & SRP Docket
CSB Peer Support Specialist
Assistance (transportation, directions)
Supportive Environment
Rapport Building
Information on Community Resources
8
9. Mental Health Docket
Official Mental Health Docket
Finalizing Application State Supreme Court
Target Launch April 2019
Emerging Needs
Mental Health Docket Coordinator
Commonwealth’s Attorney
Public Defender’s Office
12th Judge GDC Bench
Community Based Services
- Housing (emergency/long term)
- Treatment Access
- Transportation
- Peer Support Specialists/Engagement
9
10. As we move forward with the Mental Health
Docket, which elements do you think would
be important to include in our planning?
Email:DiversionFirst@fairfaxcounty.gov
10
14. Who Is Eligible?
VOLUNTARY!
Referred by Sheriff’s Office, CSB or self
Fairfax County or City resident
History of substance use disorder
Pre- or post-sentenced
Ideally less than 3 years to serve
No violent crime convictions within 10 years
No history of sexual crimes
Positive jail adjustment
Panel interview
14
15. What Is It About?
Living in Balance & 12-Step program
Recognize trauma
Identify triggers
Manage stress
Develop social supports
Set goals
Recommit after setback
15
16. What Is Next?
Data collection – GMU team: How do we gauge success?
Sheriff’s Office re-entry specialist position
Assistance from Re-Entry Council
Continuity of care – CSB partners
Transitional housing and job readiness
16
17. Merrifield Crisis Response Center (MCRC)
Co-Responder Pilot
Dwayne Machosky | Police Department
Abbey May | Community Service Board
Redic Morris | Sheriff’s Office
Adam Willemssen | Fire & Rescue
18. Merrifield Crisis Response Center
Youth Drop-in Group- “Heads Up”
Parent’s Group- “Talk It Out”
Peer led and Youth and Family Staff
Open House:
February 4
2 to 3 p.m.
Group Launch:
February 7
6 to 7:30 p.m.
18
19. Merrifield Crisis Response Center
Medical Clearance
Partnership with Inova and CSB to provide medical clearance at the
MCRC
Goal is to decrease number of clearances in emergency department,
improve client experience, and increase safety
Pilot:
Positions are advertised
Electronic health record build
Contract under review
19
20. Co-Responder Model
Community Response Team (CRT)
- Public Safety and CSB responding together on
super-utilizer calls
Pilot launched November 2018
Goals and outcomes
More efficient and appropriate use of resources
Improvements in public safety and community health
Reduction in calls for service
Outreach, intervention, and diversion from arrest
Criteria
6 or more calls to public
safety within 60 days
Referrals from dispatch
(advised events)
20
21. Co-Responder Model
Demographics
Disposition
Responses by
public safety
Number and
duration of
calls
Demonstrated Need 2018
35 Super Utilizers Tracked
2343 calls to
Dispatch
708 Fire and
Rescue Dept.
calls
466 Fire and
Rescue
transports
481 Law
Enforcement
involved
responses
21
22. Example 1 (pre-CRT)
264 calls into DPSC -739.72 minutes
3 Advised Events
24 Police Events
32 EMS Events
53 Fire Events
Example 2 (pre-CRT)
53 calls into DPSC -395.8 minutes
1 Advised Event
40 Police Events
33 EMS Events
0 Fire Events
Co-Responder Model
Success Stories
22
23. Co-Responder Model
Working Together:
First step is understanding our differences and learning from each other.
Law enforcement initiated training in the field for all teams to proactively learn
operational techniques and learn from each other.
23
24. Crisis Intervention Team Training
Total trained in CIT = 734
283 Trained in 2018
Fairfax County Police = 458, to date
Fairfax County Sheriff = 116, to date
Included in training total:
City of Falls Church PD
George Mason University PD
Town of Herndon Police PD
Town of Leesburg PD
Loudoun County Sheriff’s Office
Manassas City PD
Metro Transit PD
Metropolitan Washington Airport Authority PD
Northern Virginia Community College PD
Town of Vienna PD
United States Marine Corp
Alexandria City Sheriff’s Office
Alexandria City PD
Central Intelligence Agency
Virginia State Police
Fairfax County Fire & Rescue Department
City of Fairfax PD
Fairfax County Court Services/Pre-Trial Probation
Fairfax County Department of Public Safety
Communications
26. 2018 Year End Analysis:
MCRC Population Overview
Chloe Lee| Community Service Board
27. 375
403
530
CY 2016 CY 2017 CY 2018
Diverted from Potential
Arrest
463
1,033
1,365
1,616
CY 2015 CY 2016 CY 2017 CY 2018
ECO: 2015-2018
249% Increase from
2015 to 2018
56%Increase from
2016 to 2018
41% Increase from
2016 to 2018
Diverted from potential
arrest since 2016
Over
1,300
Emergency Custody Orders (ECOs) & Diverted
from Arrest
27
28. Inmates with
behavioral health
issues
Inmates with SMI
who are Fairfax
County residents
and who did forensic
intake during the
current
incarceration and
were released
during the period of
data collection
1,776
Unique
individuals
in 2018
Evaluation Plan
28
29. MCRC Population: Demographic Characteristics
(N=1,776)
43% Female
57% Male
6%
9%
9%
21%
54%
Multi-race
Other
Asian
Black
White
Race
16%
Hispanic or
Latino
Unstable Housing
(Based on CSB EHR and HMIS database in 2018)
10%
29
30. MCRC Population: Demographic Characteristics
(N=1,776)
1%
14%
19%
21%
18%
11%
9% 8%
7-12 13-17 18-22 23-29 30-39 40-49 50-59 60 or
older
Age Group
Under 18
15.4% (273) 86%
Fairfax County, City and City
of Falls-Church Residents
30
31. MCRC Population: Behavioral Health
Characteristics
36%Serious Mental Illness or
Serious Emotional
Disturbance
22%
Substance Use Disorder
11%
Alcohol-related Diagnosis
5%
Developmental Disability
Adult SMI: 37%
Minor SED: 26%
Adult SUD: 24%
Minor SUD: 10%
Adult Alcohol: 22%
Minor Alcohol: 3%
Adult DD: 4%
Minor DD: 10%
The SUD prevalence was lower among the MCRC population than among the jail behavioral population (64% of the jail
behavioral health population had SUD in 2016).
The SMI prevalence was higher among the MCRC population than among the jail behavioral health population (28% of the
jail behavioral health population had SMI in 2016).
There was a significant difference in the prevalence of SUD and DD between adults and minors.
31
32. Familiar Faces: MCRC Super Utilizers Analysis
(N=1,776)
1%
1%
3%
13%
82%
5 times or more
4 times
3 times
2 times
1 time
Super Utilizers
Diverted more than once
in 2018
Over 2%
(41 Individuals)
Repeated Diversion
Top 5%: 89
individuals
32
33. MCRC Super Utilizers: Associated Factors
MCRC Super
Utilizers
1 Minors
Minors (under 18) have a higher
likelihood of being a super utilizer
of MCRC services than adults.
3
People with Serious
Mental Illness
People with Serious Mental Illness
(SMI) have a higher likelihood of
being a super utilizer of MCRC
services than people without SMI.
2 Girls
Girls have a higher likelihood of
being a super utilizer of MCRC
services than boys.
Women and men were not
significantly different in the
likelihood of being a super utilizer.
4
People with
Developmental Disability
People with Developmental
Disability (DD) have a higher
likelihood of being a super utilizer
of MCRC services than people
without DD.
33
34. Next Steps…
Sequential Intercept Model Map
Focus on Intercepts 4 & 5
NACo Leadership Lab
Explore additional opportunities for stakeholder feedback
34