diversion first stakeholders meeting: dec. 7, 2015
TRANSCRIPT
Tonight’s AgendaDiversion-Oriented System of Care Collaborative
December 7, 2015
Review of Local Diversion Components and Timeframes Work Group Report Outs• CIT Training and Coordination: Lt. Ryan Morgan, Fairfax County Police Department• CIT Assessment Site: Daryl Washington, Fairfax-Falls Church Community Services Board• Communications and Public Outreach: Stacy Patterson, Office of Public Affairs• Evaluation and Data Collection – Implementation Phase: Laura Yager, CSB/CoEx• Fire and Rescue Diversion Efforts: Laura Yager, CSB/CoEx
Proposed Terminology for Assessment Site
Proposed Draft Criteria for DiversionAnnouncements and Updates from Collaborative
1
Stakeholders UpdateDiversion-Oriented System of Care Collaborative
December 7, 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
Highlights since our last meeting
• Small group of internal leadership has started dialog about how to best address roadblocks and policy issues, and keep Diversion First moving forward.
• Completing applications for national level learning collaboratives.• Communication with Miami-Dade about their data collection and sharing efforts
as well as their docket approaches.• CSB drafted board-level policy endorsing Diversion First to be adopted (after
review and public comment) in January. Encourage other organizations to do the same.
• Meeting with Chief Magistrate – All Magistrates will attend MHFA within 6-12 months.– Mapping and developing clearer understanding of this intercept point for both public
and law enforcement
4
Work Group Report Outs
5
Communications and Public Outreach Team
Chaired by Stacy Patterson
Office of Public Affairs
6
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
7
Communications Work Groups Formed
• Webpage Updates: Stacy Patterson, Lead• Hotline Update: Belinda Buescher, Lead• Personal Stories/Testimonials: Lucy Caldwell,
Lead• Outreach: Lindsey Doane, Lead
8
Get involved with communications!
• Next subcommittee meeting December 16, 3 to 4 pm, Suite 551, Government Center
• Contact [email protected] if you’d like to get involved!
9
Evaluation and Data Collection Team: Implementation Phase Launch
Presented by Laura Yager
10
Evaluation Work Group Progress
• Framework to assess the progress and effectiveness of the juvenile and adult diversion initiatives.
• New group being formed with CSB and LEO co-chairs
• First “phase 2” meeting will be prior to the holidays
11
Evaluation Plan Overview
12
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
Evaluation Group: Phase 2
• Move framework to actual implementation!• Determine exact data sets to be collected as well
as how these data will be collected.• Develop reporting mechanisms that apply cross-
systems:– Process measures (how many/how much)– Outcome measures (what happened, dispositions)– Impact planning (return on investment/individual and
collective impacts)
13
Coming next
Develop a permanent evaluation team responsible for:• Data collection and compilation
– Includes baseline and ongoing data– Includes process issues (such as IT needs) and will work closely with DIT to
assure quality systems measures and data analysis• Challenges: Information sharing across systems
– Information obtained from San Antonio and Miami-Dade to learn about protocols developed
– Reaching out to CIT sites in state to determine how this was addressed and aligned with regulation and confidentiality protections
• Reporting– Development and presentation of regular reports to stakeholders groups
and others
14
Fairfax County and Fairfax City Fire and Rescue Department Update
Laura Yager
15
Fire and Rescue Department
• Reminder: diversion means more than diversion from jail.
• Met with Inova to discuss national (will engage other health care and hospital providers in future) approaches to developing risk management approaches to medical clearance and diverting to mental health services.
• Met with Fairfax City FRD to launch MHFA training and discuss pilot diversion approaches.
• Anticipated diversion plan over next 6 months.
16
CIT Training and Coordination Work Group
Lt. Ryan MorganFairfax County Police Department
17
Crisis Intervention Team Training
• CIT Training– Graduated 22 officers from 40-hour CIT class on
December 4 – class included represenatives from Herndon, Vienna, Sheriff’s Office, and FCPD.
– FCPD General Order now under review with county attorney.
– Interviews underway for officers to be stationed at Merrifield.
– Working with FMD and security personnel to make sure Merrifield is as safe as possible. Official security re-review to take place in next 30 days.
18
CIT Assessment Site
Daryl WashingtonFairfax-Falls Church Community
Services Board
19
CIT Assessment Site
Work group focus areas:• Development of required policies and
procedures• Site planning• Operational planning• Data collection
20
CIT Assessment Site
• Tasks completed• Challenges• Target launch • Other updates
21
Discussion: Name of Assessment Site
Consideration for what to call this diversion program at Merrifield that is really part of the overall Emergency Services continuum. Current terminology up for consideration:
Merrifield Crisis Receiving Center
Stakeholders Group: Thoughts? Input? Ideas?
Additional input post-meeting should be sent to:[email protected]
22
Brief Synopsis of Criteria for Diversion
Input provided from a variety of stakeholders for the larger group
review and discussion
23
Diversion Criteria Ideas: Draft Target Population
Target Population Goal: To avoid the criminalization of individuals whose alleged criminal acts are clearly attributable to untreated or undertreated mental illness and to connect them to comprehensive and immediately available needed treatment rather than detention and/or punishment.
24
Draft Diversion Criteria
Target population conduct:• Adults who are alleged to have committed
non-violent misdemeanor offenses.• Behavior – not diagnosis alone – reflects some
type of severe or serious mental illness.
25
Draft Criteria:Target Population Considerations
• Inclusion of people who exhibit symptoms of brain injury, coexisting developmental disability, or co-occurring substance use problems.
• Inclusion of other individuals depending on level of need or functioning as well criminal charges to start as well as available CSB, Sheriff, and Police resources availability and funding.
26
Additional Considerations
• Aligning adult and youth diversion activities and criteria, assuring resource needs are addressed to support a range of ages in need of diversion.
• Determining if the criteria needs to be formalized and included across stakeholder organizations.
Comments? Ideas?Send to: [email protected]
27
Collaborative:Comments, Updates, Questions and Announcements
28
Next meeting: April 4, 20167 to 9 p.m.
Fairfax County Government CenterRooms 4/5
29