Norfolk Crisis Intervention Team

The Goal

The goal is to improve multi-systems’ response to persons experiencing behavioral health crises who come into contact with law enforcement first responders. Individuals may come to the attention of law enforcement due to exhibiting symptoms or behaviors that are misinterpreted as criminal in nature, inappropriate, dangerous or violent. Law enforcement officers routinely interact with individuals with behavioral health disorders as a result of the statutory structure of Virginia’s civil commitment process. If incarceration if not required by code then assistance is provided to pursue access to mental health treatment.

Effective CIT programs enhance community collaboration, develop stable infrastructure and provide outstanding training to improve

criminal justice and mental health system response to individuals with mental health

issues.

Norfolk Police Department Norfolk Community Services Board Norfolk Emergency Operations The CHAS Foundation Norfolk National Alliance on Mental Illness Norfolk Sheriff’s Office Norfolk Emergency Medical Services Norfolk Office of the Magistrate Norfolk Commission for Persons with Disabilities Norfolk City Manager’s Office

NCSB Consumer Advisory Council Old Dominion University Police Norfolk State University Police Naval Station Norfolk Base Police Sentara Norfolk General Hospital Bon Secours DePaul Hospital Norfolk Department of Human Services Norfolk International Airport EVMS Police Department Tidewater Community College Police

Stakeholders

Crisis Intervention Team Components

• Training

• Roving Patrol

• CIT Assessment Center

Police Officers engage in a 40-Hour Core Training

- Hearing Voices - Substance Abuse and Addiction - Introduction to Mental Illness - Psychotropic Medications - Gero-psychiatric, Alzheimer’s and

Dementia - Site Visits and Overview of CSB

Services - Youth and Young Adults - National Alliance of Mental Illness

& IOOV

- Veterans, PTSD and Wellness - Suicide Prevention and Awareness - Current Cultural Topics & Diversity - Crisis Intervention and Verbal De-

escalation - Law and Civil Commitment - Civil Liability - Basic, Intermediate and Advanced

Role Plays

Roving Patrol

A dedicated patrol unit consisting of two Norfolk CIT trained officers that are tasked with responding to crisis or mental health related calls city wide. NPD is currently operating three units that run from 08:00 am to 02:00 am Sunday through Friday weekly in three shifts.

Crisis Intervention Team Assessment Center

Located at 7460 Tidewater Drive - Currently operates on Monday thru Thursday due to statistical

analysis. - Two NPD Officers in two shifts from 10:00 am to 10:00 pm - Serves several purposes

- Resource Center - Access to referral for services - Access to Crisis Stabilization Unit - Assessment Center (Drop-in) - Drop-off (Transfer and assessment)

- Peer Support Specialist – Follow-up services also provided - Access to Emergency Services

Statistics

Law Enforcement Training 341 Individuals trained since 10/01/15 250 Sworn Officers (NPD, NSO, ODU, NSU, Eastern Shore) 91 Civilians (Mental Health, Nurses)

Statistics

Reduce Incarceration (Jail Diversion) 848 Calls from 02/01/15 – 06/30/16 53% Voluntary 12 Arrests (mostly due to outstanding warrants) 12.3 % could have resulted in arrest but treatment was priority option.

Statistics

Reduce Injury (Use of force) 848 Calls from 02/01/15 – 06/30/16 1 injury to Officer 1 injury to Consumer

Statistics

Provide a space for safe and effective interventions 152 Visits to CIT Assessment Center since 09/01/15 After visiting the CIT Assessment Center, all consumers receive a follow up phone call from a CIT Peer Specialist.

NCSB & NPD CRISIS INTERVENTION TEAM (CIT) FIELD RESOURCE LIST

Police Non Emer. 757-441-5610 NCSB Emergency 757-664-7690 NCSB SA 757-664-6670 NCSB Adult Intake 757-823-1312 NCSB Youth Intake 757-823-1630 NCSB Jail Diversion 757-955-2278 Norfolk Human Ser. 757-664-6000 CHKD Behavioral 757-668-8866 Adult Protection 757-664-6123 Child Protection 757-664-6022 Norfolk HART 866-750-4431 NEST Locations 757-226-9922 Senior Services 757-461-9481 Domestic Abuse 757-430-2120

YWCA 757-625-5570 Rape Crisis 757-243-0024 Samaritan House 757-631-0710 Pathways to Life 757-395-4122 The UpCenter 757-354-3819 Salvation Army 757-543-8100 Catholic Charities 757-533-5217 NAMI Norfolk 757-375-5298 LGBT Center 757-200-9198 Housing Crisis 757-587-4202 Red Cross 757-446-7700 CIT Coordinator 664-6681 CIT Cell 375-6678 CIT Peer desk 823-4120

NCSB & NPD CRISIS INTERVENTION TEAM (CIT) FIELD RESOURCE LIST

National Suicide Prevention Lifeline 800-273-8255 National Eating Disorder Association 800-931-2237 W.E.L.L (Women Emerging Living Life) 757-664-7799 Domestic Violence 800-799-7233 AIDS Hotline 800-342-2437 Al-Ateen: 800-352-9996 SOS Teen Hotline 800-949-0057 Rape, Abuse, and Incest National Network (RAINN) 800-656-HOPE Seton Youth Service 757-498-4357 POISON CONTROL 800-222-1222

Military Specific Resources Nat’l Call Center for Homeless Veterans 877-424-3838 Vets’s Helping Vets 757-623-7584 Women’s Vet Programs 757-722-9961 x2398 ACTIVE DUTY CRISIS HOTLINE 800-273-8255 MILITARY ONE SCOURCE 800-342-9647 Vet2Vet Line 877-838-2838

Resource Cards

CRISIS INTERVENTION TEAM (CIT) PSYCHIATRIC MEDICATION REFERENCE LIST

ANTIPSYCHOTIC SCHIZOPHRENIA, BIPOLAR,

COMPLEX DEPRESSION BRAND GENERIC Abilify aripiprazole Clozaril clozapine Geodon ziprasidone Haldol haloperidol Risperdal risperidone Seroquel quetiapine Thorazine chlorpromazine Zyprexa olanzapine

MOOD STABILIZERS BIPOLAR DISORDER

BRAND GENERIC Lithium lithium Dpakene valproic acid Depakote divalproex Lamictal lamotrigine Tegretol carbamazepine Topamax topiramate Trileptal oxcarbazapine

CRISIS INTERVENTION TEAM (CIT)

ANTIDEPRESANTS DEPRESSION & ANXIETY

BRAND GENERIC Celexa citalopram Cymbalta duloxetine Elavil amitriptyline Effexor venlefaxine Lexapro escitalopram Paxil paroxetine Prozac fluoxetine Remeron mirtazapine Wellbutrin buproprion Zoloft sertraline

ANTI-ANXIETY SHORT ACTING

BRAND GENERIC Ativan lorazepam Klonopin clonazepam Valium diazepam Xanax alprazolam __________________________

ADHD MEDICATIONS Adderall amphetamine Concerta methylphenidate Ritalin methylphenidate Straterra automexetine

Resource Cards

Questions?