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Diversion First Stakeholders Meeting: July 11, 2016

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Diversion First Stakeholders Meeting: 7-11-16

Diversion-Oriented System of Care Collaborative

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Diversion First Stakeholders Meeting: July 11, 2016

  1. 1. Stakeholders Update Diversion-Oriented System of Care Collaborative July 11, 2016
  2. 2. 2 This Diversion First baby is off the ground!!!!
  3. 3. Tonight’s Agenda Diversion-Oriented System of Care Collaborative July 11, 2016 Review of Purpose Good News Updates Work Group Report Outs Leadership Group Communications Team Data and Evaluation Workforce Development Fire and Rescue Juvenile Diversion CSB Updates Additional Updates and what’s coming next quarter Challenges Collaborative Updates, Announcements, Discussion 3
  4. 4. GOOD NEWS! WOW! Fairfax County FY 17 Diversion First Budget: $3.89 Million Sheriff’s Office: 3 MCRC positions Police Department: 3 MCRC positions Community Services Board: 8 positions + housing $ + peer support $ General District Court: 5 positions Fire and Rescue: Mental health training funds And diversion-related budget: Courts: Salary Supplements $1.2 Million 4
  5. 5. MORE Good News! CIT Assessment Site grant awarded from DBHDS: $624,316 for two years of funding for MCRC • 1 Police Officer • 1 Sheriff Deputy 5
  6. 6. EVEN MORE GOOD NEWS! Fairfax County accepted into the National Stepping Up Justice and Behavioral Health Leadership Academy – One of 15 individuals accepted in the country. – Attendance at an intense two-day conference in September. – 12 months of intense technical assistance and 1:1 coaching to support local efforts! 6
  7. 7. But wait, there may be more! • By our next Stakeholders Group, we should be able to report on the status of another grant application with the Department of Justice/Bureau of Justice Programs grant totaling $250K. • All of this points to our commitment to diversify our resources to support our local effort. 7
  8. 8. Work Group Report Outs 8 Note: to date, no work group has met outside!
  9. 9. Leadership Group Sheriff Stacey Kincaid 9
  10. 10. Leadership Group • Meeting monthly • MOUs- 4 of 6 completed; 2 pending – These allow for multi jurisdictional exchange of custody – Will also be reaching out to State Police and Metro Transit Police for MOUs • Chartering and developing internal Problem- Solving Team (more to come next quarter) – Focus on Quality Improvement in our diversion efforts 10
  11. 11. Communications and Public Outreach Team Presented by: Rhiannon Duck, Supervisor Cook’s Office Lindsey Doane, Chairman Bulova’s Office 11
  12. 12. Writing the Definition of “Diversion First” • Presented draft definition to Stakeholders Group at April meeting • Gathered input from stakeholders and public for 30+ days • Considered all input and edited • Presented to Leadership Group • Now sharing the current version of our definition 12
  13. 13. Final Definition “Diversion First offers alternatives to incarceration for people with mental illness or developmental disabilities, who come into contact with the criminal justice system for low level offenses. The goal is to intercede whenever possible to provide assessment, treatment or needed supports. Diversion First is designed to prevent repeat encounters with the criminal justice system, improve public safety, promote a healthier community and is a more cost effective and efficient use of public funding.” 13
  14. 14. Defining the “Why” behind Diversion First 14
  15. 15. Media Success • Op-Ed by Chairman Bulova (The Connection Newspapers) – Breaking the Cycle of Crime with Treatment Instead of Jail • Op-Ed by Supervisor Cook (Fairfax County Times) – Treatment, Not Incarceration, for our Troubled Heroes • Article by Northern Virginia Magazine – The Guardian/Warrior as Social Worker • Article by The Connection – Helping People in Crisis: Police Learn to De-Escalate Crisis Situations – Covering a Police Citizens Advisory Council meeting at Sully District Police Station 15
  16. 16. Other Communications Projects • FAQs - send us your suggestions • Presentation “package” for presenters • Social Media Blitz vs. Listserv • Seeking Stakeholder input on communications priorities Email with feedback 16
  17. 17. Data and Evaluation Team Presented by: Lisa Potter, CSB Lt. Ryan Morgan, FCPD Lt. Myrna Kinney, Sheriff’s Office 17
  18. 18. Jan-March, 2016 April-June, 2016 TOTAL Jan-June, 2016 TOTAL Jan-June, 2015 Police Department Mental health investigations in the field - Fairfax County Police Dept. 831 916 1747 1511 - Resolved in the field (Fairfax County) 471 505 976 894 - Involved Merrifield Crisis Response Center (MCRC) for all jurisdictions) 360 411 771 NA Merrifield Crisis Response Center/Emergency Services Total service encounters 1296 1380 2676 2439 – General Emergency Services (non-law enforcement involved) 936 969 1905 1822 – Involved Law Enforcement 360 411 771 617 - Voluntary transports to MCRC 158 141 299 417 - Emergency Custody Order (ECO) transports to MCRC 202 270 472 200 Diverted from potential arrest 103 106 209 NA Unduplicated number of people served 1,742 1,590 Mobile Crisis Unit – Total number of services (attempts and contacts) 319 361 680 511 - Total number of services (contacts) 215 242 457 404 – Services with law enforcement involvement or referral 79 126 205 134 Unduplicated number of people served (contacts) 408 319 Office of the Sheriff – Temporary Detention Orders (TDOs) from Jail 3 13 16 NA – Transports from MCRC to out-of-region psychiatric hospitals 26 37 63 NA – Jail transfers to Western State Hospital (forensics) 5 2 7 4 18
  19. 19. Data Highlights Where we are… Focus on Access, Capacity and Utilization • Merrifield Crisis Response Center (MCRC) Law Enforcement Officer (LEO) involved – Jan. 2016-June 2016 = 771 – 25% increase from same time period in 2015 On average, 35% of all LEO encounters prior to MCRC involved a CIT trained officer 19
  20. 20. Data Highlights Emergency Custody Orders (ECO) An ECO gives a law enforcement officer permission to take a person into custody temporarily (up to 8 hours) in an emergency situation. This provides time for CSB staff to evaluate the person and locate a treatment facility for them if necessary The ECO can be issued by a magistrate, or by the law enforcement officer, when it is believed that a person: – Has a mental illness and is highly likely in the near future to seriously harm himself or others, or to suffer serious harm due to incapacity to protect himself or to provide for his own basic needs, – Needs hospitalization or treatment, and – Is unwilling or incapable of voluntarily seeking hospitalization or treatment With an ECO, the person remains in custody until a temporary detention order is issued, until the person is released, or until the emergency custody order expires 20
  21. 21. 136% increase in ECOs from 2015-2016 74 126 200 202 270 472 0 50 100 150 200 250 300 350 400 450 500 ECOs ECO 2015 - 2016 Comparison 1st Q 15 2nd Q 15 Total Jan - Jun 15 1st Q 16 2nd Q 16 Total Jan - Jun 16 21
  22. 22. Data Highlights Diverted from Potential Arrest – Instances in which the law enforcement officer could have made an arrest, but provided an opportunity for mental health services instead. – Jan. 2016-June 2016: • 209/771 (27%) of the law enforcement involved cases at MCRC were diverted from potential arrest. – Includes both voluntary and ECO – Working to understand “true” diversion rate, to include those arrested in the community. 22
  23. 23. 23
  24. 24. Sheriff’s Office Data Jan-June, 2016 Temporary Detention Orders (TDOs) from jail- 16 • Accomplished through collaborative partnerships – Transports from MCRC to out of region psychiatric hospitals- 63 • Transport requires 2 deputies, at least one CIT- trained – Jail transfers to Western State Hospital (forensic)- 7 • Individuals taken to jail (not bonded out) but need hospitalization due to decompensation 24
  25. 25. Where we are going…. • Jail population – Changes over time • Additional data points (e.g. arrests) • Future focus on demographics, disposition and outcomes • Data inter-operability – Requirements for data variables – Adherence to confidentiality regulations • Data and outcome beyond Intercept 1 – Involvement of other key stakeholders 25
  26. 26. Crisis Intervention Team and Mental Health First Aid Training CIT Training • Graduates since September 2015 = 170 • Dispatcher training- 18 — Coordinating additional classes • Mental Health First Aid (MHFA) To date: – Deputies- 201 – Magistrates- 30 • 100% of magistrates are trained – Fire and Rescue- 71 – Juvenile Intake Officers- 23 26
  27. 27. Fairfax County and Fairfax City Fire and Rescue Department Update Presented by Fire Chief Richie Bowers Fairfax County Fire and Rescue Department 27
  28. 28. Fire and Rescue Department • Developed specialized mental health awareness training for FRD and pilot scheduled with plans for rollout • CSB will train staged workforce members throughout July-September approximately 75-100 per month • Upcoming meeting with Deputy County Executive to finalize protocol for FRD diversions to MCRC 28
  29. 29. Juvenile Diversion Efforts Bob Bermingham, Director of Court Services Lori Winter, Juvenile Intake Juvenile and Domestic Relations District Court 29
  30. 30. Juvenile Intake Diversion Pilot • Wrapping up July 30 with Juvenile Intake Unit rollout August 1 • For those eligible, new policies/practices include: – Global Assessment of Individual Needs Short Screen (GAIN-SSO)- mental health and substance abuse screen to help identify need for further assessment – Youth Assessment Survey Instrument (YASI) is a risk/need assessment focusing on needs individuals may have and looks at attitudes, community/peer/families, and some MH/SA – Information gathered through interview and assessments is used to place youth in appropriate level of supervision 30
  31. 31. Alternative Accountability Program • Joint restorative justice effort includes partnership with FCPS, FCPD, JDRC, and Northern Virginia Mediation Services – Promising results so far with only 1 youth reoffending upon completion of program – 2 FCPD substation and all School Resource Officers are accessing the program – MOU being finalized for additional program referrals – AAP to be available to all police substations by September 1, 2016 31
  32. 32. Mental Health Program Data • 49% (n=146) of youth assessed with the pre- screen YASI have some indication of mental health needs • 58% (n=25) of youth assessed with the GAIN- SS in June 2016, were in need of referral to mental health services 32
  33. 33. CSB Updates Lyn Tomlinson and Jean Hartman Assistant Deputy Directors, CSB 33
  34. 34. CSB Diversion First Updates • Peers at MCRC! – 6 hired and in training at MCRC • Coming Soon: Diversion First Service Director • Update on Status of 2nd Mobile Crisis Unit • Housing Opportunities – Possible State Funds (in process) for Permanent Supportive Housing (some will help people diverted) of up to $700K – $500K from FY 17 budget for housing • $400K for 17-19 units for people diverted • $100K for emergency housing up to 1500 nights 34
  35. 35. Additional Updates Laura Yager Office of County Executive 35
  36. 36. Additional Updates • Each new Diversion First position will include performance measurements • Updates will be provided in future stakeholders meetings 36
  37. 37. Courts • Discussions are underway with Court Services staff about new positions and how to align them with Diversion First efforts • Additional discussions with Veteran’s Docket stakeholders, judges, and others to continue to explore docket • One of the new CSB positions will align with Courts to support docket or other mental health related work with courts • Will be bringing together a “thoughts group” to explore the pros and cons of a docket and what will work for our community • Watch for a future report out on these efforts 37
  38. 38. Magistrates • Evaluation team members will meet with Magistrate’s office to discuss measures and processes that can support diversion at this level 38
  39. 39. Data and Evaluation • Have met with Department of Information Technology about developing a tracking system for longitudinal data that will help us get to effectiveness, recidivism, and other outcomes • Have develop a list of desired longitudinal measures • Still have to work through a protocol to share information 39
  40. 40. Challenges… 40
  41. 41. Challenges • Goal to reach 24/7 LEO coverage at MCRC • Medical Clearance – CHCN at Merrifield - delays – After hours clearance- still working • Coming discussions with Inova ED and Inova Labs • Specific data needs (arrests, jail population, etc.) • Getting to outcomes (beyond process measures) – Longitudinal, individual- level – Data sharing protocols and use of releases 41
  42. 42. Collaborative: Comments, Updates, Questions and Announcements 42
  43. 43. ENJOY THE SUMMER! Next meeting: October 18, 2016 7 to 9 p.m. Fairfax County Government Center Rooms 9-10 43