diversion first stakeholders meeting: nov. 12, 2015
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Tonight’s AgendaDiversion-Oriented System of Care Collaborative
November 12, 2015
Review of Local Diversion Components and Timeframes Work Group Report Outs• Communications and Public Outreach: Stacy Patterson, Office of Public Affairs• Evaluation and Data Collection: Jesse Ellis, Fairfax County Department of Neighborhood and
Community Services• Fire and Rescue Diversion Efforts: Deputy Chief Jason R. Jenkins, Fairfax County Fire and
Rescue Department• CIT Training and Coordination: Lt. Ryan Morgan, Fairfax County Police Department• CIT Assessment Site: Daryl Washington, Fairfax-Falls Church Community Services Board• Mental Health Docket Work Group (AKA Sequential Intercept 3 Work Group): Judge Thomas
Mann• Forecast of Ad Hoc and Future Work Groups: Laura Yager, Fairfax-Falls Church Community
Services Board
Successes and Challenges from CSB Diversion Staff Announcements and Updates from Collaborative
1
Stakeholders UpdateDiversion-Oriented System of Care Collaborative
November 12, 2015
2
Review of Local Diversion Components and Timeframes
• Launching a data-driven multi-faceted diversion system by January 1, 2016.– Built around Sequential Intercept Model– CIT-trained first responders– Crisis Assessment Site – Expanded 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.
3
Work Group and Other Report Outs
4
Communications and Public Outreach Team
Chaired and presented by Stacy Patterson
5
Communications Strategy
Prior to Early 2016 launch: Educate public and raise awareness about issue and available services. General messaging includes:• Info on CSB hotline services• How to request CIT-trained officers• General awareness and reducing/removing stigma
6
Key Messages (drafts)
• There’s hope and there’s help.• Diversion First can save lives.• Diversion is a community process.• We (county) are helping people in need.
7
Communications Work Groups Formed
• Webpage Updates: Stacy Patterson, Lead• Hotline Update: Laura Yager, Lead• Personal Stories/Testimonials: Lucy Caldwell,
Lead• Outreach: Lindsey Doane, Lead
8
Get involved with communications!
• Next subcommittee meeting TBD early December.
• Contact Stacy.Patterson@fairfaxcounty.gov if you’d like to get involved!
9
Evaluation and Data Collection TeamChaired by Pat Harrison
Office of the County ExecutivePresented by Jesse Ellis
Neighborhood and Community Services
10
Evaluation Work Group Progress
• To identify indicators and develop a framework to assess the progress and effectiveness of the juvenile and adult diversion initiatives.
11
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.
12
What do we want to know?
• Is CIT working to deescalate crises and divert people from arrest to crisis treatment?
• Is the Crisis Assessment Center being used effectively, both as a diversion from arrest and as a connection to treatment and supports?
• Are people getting the help – treatment and supports – they need?
• Is Diversion First having an impact on community-level outcomes such as jail population and recidivism?
• Where are the gaps? What do we need to improve?
13
Evaluation Plan Overview
14
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
Activity Measures
• Capacity:– How many can be served?– How much coverage is provided?
• Demand:– How many are in need of the service?– How often is the service requested?
15
Operations and Utilization Outcomes
• Utilization:– How many are being served?– How much of the demand is being met?
• Referrals:– How many are referred to Crisis Assessment?– How many are referred to a formal diversion program?
• Process Time:– How much time elapsed between the request for service/referral
and service delivery?• Exits:
– How many ended their involvement in a formal diversion program?
16
Performance and Systems Outcomes
• Screenings:– How many were screened for Assessment Site eligibility?– How many were screened for diversion eligibility?
• Placements:– How many were placed in a formal diversion program?
• Service Provision:– How many received treatment and/or support services through a formal
diversion program?• Compliance:
– How many successfully completed each service referred or assigned?• Satisfaction:
– How satisfied with the program / system were individuals served?– How satisfied were partners and stakeholders?
17
Client and Community Outcomes
• Diversion Completion:– How many successfully completed their formal diversion program?
• Jail Population:– What is the total jail population and how has it changed?– What percentage of the jail population has identified behavioral
health needs and how has it changed?• Recidivism:
– What is the recidivism rate among individuals currently in diversion?
– What is the recidivism rate among individuals who have completed diversion?
18
Next Steps
Develop a permanent evaluation team responsible for:• Data collection and compilation
– Includes baseline and ongoing data– Includes process issues, such as IT needs
• Data review and analysis– Assessing effectiveness and identifying gaps and disparities– Assessing return on investment/cost effectiveness– Developing recommendations
• Reporting– Development and presentation of regular reports
19
Fairfax County Fire and Rescue Department Update
Deputy Chief Jason R. Jenkins
20
Fire and Rescue Department
• Diversion means more than diversion from jail.– Meeting scheduled Friday with Inova to plan for
upcoming larger group discussion.– Larger meeting with medical personnel to be held
in December to further develop medical clearance approaches, transport options, and diverting from the ER/ED.
– Launch of Mental Health First Aid training in December.
21
CIT Training and Coordination Work Group
Lt. Ryan MorganFairfax County Police Department
22
Crisis Intervention Team Training
• CIT Training– Completed 3rd 40-hour basic CIT class in October
graduating 21 students.– Utilizing stakeholders from CIT training work group
to assist with CIT presentation efforts.– Observers from FCPD Chaplain Corps attended to
better understand CIT.– Working with FCPD PIO to highlight CIT through
social media efforts (aligns with communications group).
23
CIT Training
• Upcoming CIT training class 11/3—12/4 with projected 20-22 candidates with trainees from FCPD, FCSO, Vienna, and Herndon.
• Exploring a 2016 class emphasizing officers from Fairfax, George Mason, and NVCC.
• Developing entire 2016 schedule to include 40 hour trainings and 2 dispatcher trainings.
• Developing new trainers with assistance from Prince William County and fill vacancies, growing trainer capacity to 19.
24
CIT Training
• Developed an announcement seeking qualified candidates for assignment to Merrifield Center – should be posted soon, closing December 7, with a panel interview of peers, law enforcement, and mental health.
• Still adjusting policy to conform with law and accreditation standards but will go soon to county leadership for review and approval.
25
CIT Assessment Site
Daryl WashingtonFairfax-Falls Church Community
Services Board
26
CIT Assessment Site
Work Group Focus Areas:• Development of required policies and
procedures• Site planning• Operational planning• Data collection
27
CIT Assessment Site
• Assessment site is on target to open January 1 or sooner.
• Police procedures have been drafted.• Internal CSB procedures are being finalized.
28
CIT Assessment Site
• Application for DBHDS License Amendment is set for submission.
• Implementation of peer services are on target.• FCPD is establishing method to collect
required data elements for assessment site.• CSB is establishing method for collecting
required data elements for assessment site.
29
Mental Health Docket Work Group (AKA Sequential Intercept 3 Work Group)
Judge Thomas Mann
30
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
early 2016.– 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.31
Forecast of Ad Hoc and Future Work Groups
Laura YagerFairfax-Falls Church Community Services
Board
32
Forecast of Ad Hoc and Future Work Groups
• Ad Hoc Baseline Data Group (target completion by December meeting)
• Diversion criteria (for December meeting)• Ad Hoc Process Mapping Group • Post-Diversion Services Work Group
33
Other Diversion Updates of Interest
• Quick overview of the work of CSB Diversion staff.• Successes and Challenges from CSB Diversion
staff.– Katrena Brisco and Kim Berlin
34
Collaborative:Comments, Questions and Announcements
35
Next meeting: December 7, 2015
7 to 9 p.m.
Fairfax County Government CenterRooms 4/5
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