Tonight’s AgendaWork Group Report Outs• Communications and Public Outreach

– Laura Yager, Fairfax-Falls Church Community Services Board• Fire and Rescue Diversion Efforts

– Deputy Chief Jason R. Jenkins, Fairfax County Fire and Rescue Department• Crisis Intervention Team (CIT) Training

– Lt. Ryan Morgan, Fairfax County Police Department• CIT Assessment Site

– Daryl Washington, Fairfax-Falls Church Community Services Board• Sequential Intercept Model (SIM) 3: Magistrate Interventions/Mental Health Docket

– Laura Yager, Fairfax-Falls Church Community Services Board• Evaluation and Data Collection

– Deputy County Executive Pat Harrison– Jesse Ellis, Fairfax County Department of Neighborhood and Community Services

Other Updates of Interest– Intervention at the jail– Court response to an individual needing mental health supports– Mental Health First Aid training launch with jail-based staff

Announcements and Updates from Collaborative

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Stakeholders UpdateDiversion-Oriented System of Care Collaborative

October 13, 2015

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Welcome

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Review of our local Fairfax County efforts

• Launching a data-driven multi-faceted diversion system by January 1, 2016– Built around Sequential Intercept Model– CIT-trained first responders– Crisis Assessment Site

• Use data to manage and evolve a robust Diversion-Oriented Services Program over next 3 to 5 years– Expanded Mobile Crisis Unit– Working toward mental health docket 4

Work Group and Other Report Outs

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Communications and Public Outreach Team

Chaired by Stacy Patterson/Tony CastrilliFairfax County Office of Public Affairs

Presented by Laura YagerFairfax-Falls Church CSB

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Communications and Public Outreach

• Migration of webpage to: http://www.fairfaxcounty.gov/diversionfirst/

• First team meeting (all are welcome) set for: – Thursday, October 15 at 3 p.m.– Fairfax County Government Center - Office of

Public Affairs, 12000 Government Center Parkway, Fairfax, Suite 551

– POC: Stacy Patterson, Office of Public Affairs (stacy.patterson@fairfaxcounty.gov)

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Communications Goals

• Develop the strategy

• One message, many voices

• Utilize our existing communications platforms

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Fairfax County Fire and Rescue Department Update

Deputy Chief Jason R. Jenkins

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Fire and Rescue Department

• Diversion means more than diversion from jail• Fire and Rescue efforts– Review laws and policies related to use of CIT

Assessment Site for people experiencing mental health issueso Medical clearance and screening requirementso Review of data for frequent users of EMT and FRD

services Developing data sharing protocols between FRD

and CSB

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Fire and Rescue Department

• Mental Health First Aid Training– Pilot training to launch in November-December

with focus group to determine future expansion and feasibility for EMTs and other staff

• CIT Training– Desire to access training to assess inclusion and

expansion to FRD

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CIT Training and Coordination Work Group

Lt. Ryan MorganFairfax County Police Department

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Review: What is a Crisis Intervention Team?

• The Crisis Intervention Team (CIT) Program is an evidence-based, first responder-based, mental health crisis response initiative.– Interdisciplinary, collaborative, community program that

enhances law enforcement capability to respond to situations involving individuals with symptomatic behavioral health issues.

• CIT creates a coalition of stakeholders (Diversion First)– Oversight and program guidance

• CIT Training– 40 hours of advanced training for law enforcement, first

responders and others.

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Accomplishments and Updates

• CIT Coordinator moved to Merrifield!

• Policies

• Training

• CIT pins

• Budget processes developed to tap grant $

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Ongoing Efforts

• Scheduling 40-hour CIT classes for 2015 and beyond

• Building capacity through training to ensure CIT officers are available countywide 24/7

• Building relationships with partner agencies

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CIT Assessment Site

Daryl WashingtonFairfax-Falls Church

Community Services Board

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What is a CIT Assessment Site?

• The ideal for a CIT program is to have a physical location that is not a jail or criminal lock-up always available to which an officer can deliver a person in crisis and turn over custody to someone trained to assist that person. This releases the officer to return to other duties and provides the treatment options needed by the consumer.

• The ideal standard is a site that operates 24/7, a community’s inability to fund 24/7 site coverage should not preclude their pursuit of developing a site that builds over time.

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CIT Assessment Site

• Workgroup has met twice• Goals• Memorandum of Understanding (MOU)• Procedures• Staffing • Data• Assessment Site Requirements

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CIT Assessment Site

Work Group Focus Areas:• Development of required policies and

procedures• Site planning• Operational planning• Data collection

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Goals:Assessment Site

1. Provide immediate response by specially trained law-enforcement officers;

2. Reduce the amount of time officers spend out of service awaiting assessment and disposition;

3. Afford persons with mental illness, substance abuse problems, or both, a sense of dignity in crisis situations;

4. Reduce the likelihood of physical confrontation; 5. Decrease arrests and use of force; 6. Identify underserved populations with mental illness, substance

abuse problems, or both, and linking them to appropriate care; 7. Provide support and assistance for mental health treatment

professionals;

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Goals:Assessment Site

8. Decrease the use of arrest and detention of persons experiencing mental health and/or substance abuse crises by providing better access to timely treatment;

9. Provide a therapeutic location or protocol for officers to bring individuals in crisis for assessment that is not a law-enforcement or jail facility;

10. Increase public recognition and appreciation for the mental health needs of a community;

11. Decrease injuries to law-enforcement officers and individuals needing services during crisis events;

13. Decrease the need for mental health treatment in jail; 14. Ensure that individual treatment needs are being met as well as

balance with what the community-at-large needs.21

MOU Update

• Draft MOU has been created

• MOU under review by multiple jurisdictions

• Review is also underway by County Attorney

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Procedures

• Police procedures have been drafted and are being reviewed by different law enforcement agencies

• CSB draft procedures are underway

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Assessment Site Staffing

• Office of the Sheriff and Fairfax County Police Department have each dedicated two full time officers/deputies to work at Assessment Site

• Staff from Fairfax County Police Department and Office of the Sheriff are reviewing staff trained in CIT to ensure a good fit with the Assessment Site

• CSB staff recruitment has launched• Contract is established to hire peer staff for the Assessment Site

– Will be coordinating specialized training• General consensus is that the Assessment Site will quickly reach

capacity, and a plan will need to be developed to handle multiple situations, sick leave, vacation, etc.

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Data

• Required State data elements have been shared with the Data Workgroup

• Assessment Site workgroup is developing a functional plan to implement capturing needed data

• Will further coordinate with Evaluation Team

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Assessment Site Needs

• Pursuing any necessary Department of Behavioral Health and Developmental Services (DBHDS) licensure changes that need to occur

• Pursuing protocol for medical clearance and/or screening that needs to occur

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Assessment SiteNext Steps

• Next meeting to occur on October 22nd at Merrifield, 9:00 a.m., Room LL-419

• Refining MOUs and policies• Hiring and training staff• Implementing process for data collection

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Mental Health Docket Work Group (AKA Sequential Intercept 3 Work Group)

Laura Yager(for Bob Bermingham, Juvenile and Domestic Relations Court Services)

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Docket and Magistrate Updates

• Meetings– Courts– Public Defender– Scheduled with Commonwealth Attorney

• Next steps– Have not yet scheduled a work group meeting but plan to

do so in next 60 days– Obtaining understanding of all justice system players and

needs/concerns/buy-in– MOUs to be developed and agreed upon by all players – System “flow” process to be designed to best address

system concerns 29

Docket Updates

• Review Veteran’s docket processes, successes, and any challenges faced

• Develop linkages between docket staff to learn from each other and find areas of common ground

• Share information related to logistics, forms, and materials needed to launch docket

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Evaluation Team

Pat HarrisonOffice of the County Executive

Jesse EllisNeighborhood and Community Services

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Evaluation and Data Collection Work Group

• To identify indicators and develop a framework to assess the progress and effectiveness of the juvenile and adult diversion initiatives.

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Deliverables

• Evaluation framework A common understanding of the measures of interest and common types of measures of process and outcomes

• Indicators Identified indicators for which each agency will be responsible

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Foundation for the Plan

• “Measuring for Results: Outcome and Performance Measures for Pretrial Diversion Field” - Evaluation guide from the National Association of

Pretrial Services Agencies (NAPSA) and the National Institute of Corrections (NIC)

• Required measures- State-required measures for the criminal justice system- Fidelity tools for all evidence-based practices

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Evaluation Plan Overview

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Activities

Pre-Intercept

Intercept 1: Law Enforcement &

Emergency Services

Crisis Assessment Site

Intercept 2: Post-Arrest

Intercept 3: Post-Initial Hearings

Intercept 4: Reentry

Intercept 5: Community

Corrections & Community Support

Activity Measures

Capacity

Demand

Operations & Utilization Outcomes

Utilization

Referrals

Process Time Placement

Exits

Performance & Systems Outcomes

Screenings

Placements

Service Provision

Compliance

Satisfaction

Operations & Utilization Outcomes

Diversion Completion

Jail Population

Recidivism

Keys to Success

• Agreement on evaluation framework

• Willingness to share data

• Ability to collect data

• Ability to disaggregate data consistently

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Other Diversion Updates of Interest

• Intervention at the jail• Court response to an individual needing

mental health supports• Mental Health First Aid training launch with

jail-based staff

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Collaborative:Comments, Questions and Announcements

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Next meeting: November 12, 2015

7 to 9 p.m.Fairfax County Government Center

Rooms 4 and 5

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