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Tonight’s AgendaDiversion-Oriented System of Care Collaborative
April 4, 2016
Review of Local Diversion Components and Timeframes Work Group Report Outs• Communications and Public Outreach: Tony Castrilli, Office of Public Affairs• CIT Training and Coordination: Lt. Ryan Morgan, Fairfax County Police Department• Merrifield Crisis Response Center: Daryl Washington, Fairfax-Falls Church Community Services
Board• Evaluation and Data Collection – Implementation Phase: Lisa Potter, CSB; Lt. Derrick Ledford,
Office of Sheriff; Lt. Ryan Morgan, FCPD• Fire and Rescue Diversion Efforts: Captain Jonithan Brantley, Fairfax City FD• Juvenile Diversion Updates: Bob Bermingham, Juvenile and Domestic Relations Court• Leadership Group: Pat Harrison, Deputy County Executive for Human Services• Other Updates: Laura Yager, Office of County Executive/CSB
Additional Work Groups Coming Soon! Announcements and Updates from Collaborative
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Stakeholders UpdateDiversion-Oriented System of Care Collaborative
April 4, 2016
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Quick Review of Components and Timeframes
Launch a data-driven multi-faceted diversion system by January 1, 2016.– Built around Sequential Intercept Model– CIT-trained first responders– Crisis Assessment Site and custody transfer
• Expanding Mobile Crisis Unit• Working toward mental health docket• Use data to manage and evolve a robust Diversion-
Oriented Services Program over next 3 to 5 years.– Expand diversion services to all 5 intercepts
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Work Group Report Outs
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Communications and Public Outreach Team
Chaired by Stacy Patterson
Office of Public Affairs
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February 11 Media Event!
• Panel discussion invited media and stakeholders to learn about Diversion First progress
• Shared first month data and announced new web presence at www.fairfaxcounty.gov/DiversionFirst
• Shared personal story from CSB employee Kevin Earley
• Strong media presence and coverage– Sample coverage: NBCWashington
-Diversion First Offering Treatment Instead of Jail
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Communications and Public Outreach
Website is the source for Diversion First news and historical information:• Sign up for new Diversion First Listserv• View some of the media coverage• Home for current data around Diversion
First initiativeshttp://www.fairfaxcounty.gov/diversionfirst/
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Defining Diversion
• Developed draft definition of Diversion• Inviting stakeholder and public input beginning
next week through May 16 by using the website contact button
• Team will review and finalize definition, share with Leadership Group
• Next Step: Communications Team will draft a Diversion First Policy statement to be adopted by BOS
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Diversion Definition Draft
Diversion First offers alternatives to incarceration for people with mental illness (with or without a co-occurring substance use disorder), or for those with an intellectual or developmental disability, who come into contact with law enforcement for low level crimes. Diversion First helps stop repeat encounters with the criminal justice system by sending people to assessment and treatment when jail is clearly not the appropriate place for them.
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Communications and Public Outreach
On the horizon…• Refining website• Focus on community messaging• Develop talking points around current Diversion First
initiatives• Supporting with interagency communication
strategies and information-sharing• Social media• Opportunities to pitch to media
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CIT Training and Coordination Work Group
Lt. Ryan MorganFairfax County Police Department
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Crisis Intervention Team and Mental Health First Aid Training
• Graduates since September 2015 = 110
• Dispatcher training- (18)— Coordinating additional classes (157 Fairfax County + CSB partner
agencies)
• Mental Health First Aid (MHFA) To date:
– Deputies- 139– Magistrates- 31
• 100% of magistrates are trained– Fire and Rescue- 19– Juvenile Intake Officers- 18
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New CIT Pins for Graduates
Crisis Intervention Training (CIT)
• Department of Public Safety Communications (DPSC)- call-takers and dispatchers can relay the nearest available CIT officer for dispatch consideration
• The Sheriff has been instrumental in sending qualified deputies to serve at the MCRC
• Fairfax County Police Department has allowed qualified officers an opportunity to enhance their knowledge through 60-90 day Inter-Bureau Transfers to MCRC
• The relationship between MCRC law enforcement personnel and CSB staff has grown tremendously
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Merrifield Crisis Response Center
Daryl WashingtonFairfax-Falls Church Community
Services Board
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Merrifield Crisis Response Center (MCRC)
• Individuals are being diverted every day • Strong staffing collaboration with FCPD and Office of
the Sheriff• Unanticipated services provided by law enforcement • Ongoing strengthening of relationships • Collaborative problem-solving• Opportunities for improvement– MOUs on the horizon– Resource demands
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Merrifield Crisis Response Center
In January and February, demand for ECO transfer of custody has overwhelmed dedicated resources • MCRC officer unable to assume custody, extending the time the field
officer is at MCRC– January- 10 of 42 (37%)– February- 25 of 68 (35%)– March- 42 of 68 (62%)
Increase in the number of ECOs initiated by MCRC officer for “walk-ins” at Merrifield Emergency Services
– January- 5 of 42 (12% of ECOs)– February- 14 of 68 (20% of ECOs)– March- 12 of 68 (18% of ECOs)
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Lessons Learned/Future Opportunities
• Will apply for state grant opportunity• Need for medical clearance on site • MCRC does reach law enforcement capacity • New service highlights need for resources at
intercept points
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Evaluation and Data Collection Team: Implementation Phase Launch
Presented byLisa Potter, CSB
Lt. Derrick Ledford, Office of the SheriffLt. Ryan Morgan, FCPD
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Data and Evaluation Purpose: Move the evaluation framework from conception to implementation.
Structure: Full group
• Meets at least quarterly • Provides guidance as data is developed and evaluation work progresses• Identifies and works to solve issues encountered in data collection, review,
analysis and reporting• Works collaboratively to plan updates on evaluation for stakeholders
Subgroup • Meets at least monthly to assure data collection and analysis• Completes data collection tasks between meetings• Addresses challenges and identifies process improvements for data collection
and reporting
To date, primary focus has been on Intercept 121
Data and Evaluation:Work Group Members
• Jason Jenkins– Fire & Rescue Department, Chair
• Derrick Ledford– Sheriff’s Office, Chair
• Lisa Potter– Community Services Board, Chair
• Terry Atkinson– Gartlan Advisory Board
• Dalton Becker– Police Department
• Shalev Ben-Avraham– Office of the Public Defender
• Steve Black– Community Services Board
• Peter Clark– Northern Virginia Mental Health Foundation
• Robert Cluck– NAMI, Concerned Fairfax, Ad Hoc Police Practices
review Commission• Debra Dunbar
– Department of Information Technology• Ken Garnes
– Community Services Board• Kathaleen Karnes
– Neighborhood & Community Services
• Jason Kasper– Community Services Board
• John Korman– Public Safety Communications
• Lisa Lunghofer– Consultant
• Ryan Morgan– Police Department
• Linda Mount– Community Services Board
• Jerome Newsome– Community Services Board
• Margo Ray– Sheriff’s Office
• Joan Rodgers– Community Services Board
• Gregory Scott– Department of Information Technology
• Annie Thompson– Police Department
• Dennis Vorbau– Police Department
• Jess Werder– Office of the County Executive
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Data and Evaluation: Accomplishments
• Strong collaboration among non-traditional partners• Working with a conceptual framework based on sequential
intercept model• Refining Intercept 1 measures
– Collecting data from multiple systems (identified/designated staff from each agency to manage data collection)
– Determining which data points are most useful
• Compiling baseline data• Producing monthly “data snapshot” • Ongoing analysis of qualitative and quantitative data• Identifying areas for data process improvement and
making changes as needed23
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Data and Evaluation: Challenges
• Multiple data systems and no data interoperability• Data not always easily attainable
– Many processes are currently manual and not automated– Review of records and case notes– Consistency of data collection in the field– Baseline - data points that were not in place historically
• Data sharing/confidentiality (e.g. HIPAA and 42 CFR)• Learning as we go…
– As data is analyzed, needs, gaps and process issues are identified• Identifying all partners and affiliates who need to be involved• Dedicated resources
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DataDispatchers• Total number of calls dispatched for service- over 80,000 each month
– Over 800 mental health investigations by officers in the field- (Jan. 1- March 24)
Emergency Services• Total number served- 1200 (duplicated); 859 (unduplicated)
– Walk-ins - 873 of 1200 (73%)– Involved law enforcement - 327 of 1200 (27%)
Diverted from potential arrest - 100
MCRC Police Involved Cases• Informal Handoff to MCRC Emergency Services Staff - 149• Emergency Custody Order (ECO) police transports- 178• Involuntary or Voluntary transport to MCRC by CIT trained officers- 37%
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Data and Evaluation:Office of the Sheriff
• Temporary Detention Orders (TDOs) from jail- 3– Accomplished through collaborative partnerships
• Out-of-county transports to psychiatric hospitals- 24– Transport requires 2 deputies, at least one CIT-trained
• Jail transfers to Western State Hospital- 3– Individuals taken to jail (not bonded out) but need
hospitalization due to decompensation• Mental Health First Aid- 139
– Including Medical Staff
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Data and Evaluation
Mobile Crisis Unit (MCU)• Total number of outreach services- 280• Unduplicated number served to date- 191
Detox DiversionJanuary 4 - March 17:• 114 people served
– 83 people admitted to detox through diversion efforts 6 through police referral; 77 through community referral and
outreach efforts• 45 received medical detox services (54%)• 90% had a co-occurring mental health issue
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Data and Evaluation• Number of informal handoffs to MCRC Emergency Services
staff and ECOs reversed in January and February, and trend continued in March– Informal handoff to ES staff- 65 in January, 41 in February, 43 in
March– ECOs- 42 in January, 68 in February, 68 in March
• From first quarter 2015 to first quarter 2016, the number of law enforcement involved cases increased by 54%
• To date, no injuries after officer arrived on scene• Increase in ECOs at MCRC• Increase in demand for transfer of custody
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Data and Evaluation-Future Planning and Efforts
• Exploring potential technology solutions for data-sharing
• Moving forward with dedicated management analyst • Expanding data reporting to include more outcome-
focused data• Training staff in all agencies to consistently and
accurately capture data• Partner with affiliates that need to be involved• Focus on other intercepts
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Fairfax County and Fairfax City Fire and Rescue Department Update
Captain Jonithan BrantleyEMS Program Manager
City of Fairfax Fire Department
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Fire and Rescue Department
• FRD and CSB collaborating on MHFA Training – applicability for EMT and other FRD staff– Modified curriculum will be completed in April– First offering will occur in May
• Fairfax City Fire Department launched pilot EMT diversion project
• Fairfax County will implement the diversion process once additional staff complete MHFA Training
• Ongoing collaboration with CSB and area hospital systems about more efficient medical clearance strategies
• Representation within the Data and Evaluation Work Group32
Fire and Rescue Department
• Ongoing dialogue with CSB and hospitals about more efficient medical clearance strategies required for psychiatric hospitalization
• Ongoing participation in the Data and Evaluation Work Group and other support as needed
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Juvenile Diversion Efforts
Bob BerminghamDirector of Court Services
Juvenile and Domestic Relations District Court
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Juvenile and Domestic Relations Court Diversion
Efforts
Code of Virginia (16.1-227) mandates that we “divert from or within the juvenile justice system, to the extent possible, consistent with protection of public safety, those children who can be cared for or treated through alternative programs.”
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Juvenile Diversion
• Research shows that assessing to determine risk levels and need areas and matching with interventions and treatment is integral to reducing recidivism.
• Pre-screen with YASI tool • Helps identify those most appropriate for service
and those most appropriate for diversion.• Completing our one year diversion pilot program.
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Juvenile Diversion
• Divert as many low level, first time juvenile offenders based on certain criteria determined through:– Admission of guilt– Whether or not there is excessive restitution
and/or significant injury to the victim
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Juvenile Diversion
Wide spectrum of offenses that can be diverted including:
Alcohol Offenses, Marijuana Poss., Misdemeanor Arson, Destruction of Property, Domestic/Simple Assault, CHINS, CC Fraud, Concealed Weapon, Curse and Abuse, Disorderly Conduct, Embezzlement <$500, False ID to LEO, False Report, Indecent Exposure, Obstruction, Petty Larceny, Poss. of Fraudulent ID, Poss. of Marijuana, Poss. of Scheduled Substance III or IV, Poss. of Fireworks, Receiving Stolen Property, Poss. of Obscene Material, Shoot/Throw Missile, Shoplifting, Vehicle Tampering, Telephone Abuse, Trespassing, UUV, Unlawful Entry, Grand Larceny, Forgery, and Unlawful Videotaping/Photography.
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What happens when a young person is diverted?
• May be referred to an Informal Hearing Process, Restorative Justice, or Monitored Diversion
• May include disposition to include a referral to other agencies for treatment or services to meet their needs
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Juvenile Diversion Outcomes
• In FY 2015, 71% of intakes were handled through court action, with remaining 29% handled through diversion, informal action, or referrals to other agencies
• Of those diverted, 84% successfully completed services
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Juvenile Diversion: Future of Diversion
• Continue with the evidence-based screening and assessment tools as they are effective in determining needs and risks as well as level of intervention
• Continue to refer to substance use and mental health services as needs are identified to reduce recidivism and provide needed intervention
• Continue to partner with these systems (example- All juvenile intake officers are trained and certified in Mental Health First Aid)
• Share our experience as the adult diversion system rolls out
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Leadership Group
Pat HarrisonDeputy County Executive for
Human Services
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Leadership Group
• Meeting monthly focused on:– Partnership among leader organizations– Policy– Budget– Troubleshooting
• Meeting leadership shifts quarterly so all are involved in process
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Leadership Group
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• Competitive application• Our jurisdiction one of 50 across the country selected to attend
National Summit April 17-19• Team of 5 includes key leadership: Deputy County Executives for
Public Safety and Human Services, Sheriff, CSB, BOS/staff • Key findings will be reported next quarter
Leadership Group
• Budget update– Advertised budget– Emerging priorities
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Additional Work Group Information and Updates
Laura YagerOffice of County Executive
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Additional Work Group Information and Updates
• Co-occurring and ongoing discovery, implementation, quality improvement, and evaluation!
• Ongoing dialogue with courts regarding docket– Collaboration and resources
• Next quarter -- Magistrate’s Office (warning!)• Fund-Seeking
– DJS Application (May)– DBHDS CIT Assessment Site Expansion RFP (coming soon)– $286K Permanent Supportive Housing grant (Pathway Homes) +
HSC/NAMI request for local match to expand further
• In progress -- launch of Intercept 4 and 5 work group with emphasis on re-entry (back-end) services
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Collaborative:Comments, Updates, Questions and Announcements
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Upcoming Budget Hearing Information
Public Hearing on County FY 2017 Budget - Board Auditorium - Govt. Center - 4:00 p.m. April 5, 2016
Public Hearing on County FY 2017 Budget - Board Auditorium - Govt. Center - 1:00 p.m. April 6, 2016
Public Hearing on County FY 2017 Budget - Board Auditorium - Govt. Center - 1:00 p.m. April 7, 2016
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Each speaker must register in advance and will have three minutes to provide comment. For more information and to register, call the Office of the Clerk to the Board at 703-324-3151, TTY 711.
Next meeting: Monday, July 11
7 to 9 p.m.
Fairfax County Government CenterRooms 4-5
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