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

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Stakeholders UpdateDiversion-Oriented System of Care Collaborative

November 12, 2015

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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.

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Work Group and Other Report Outs

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Communications and Public Outreach Team

Chaired and presented by Stacy Patterson

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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

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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.

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Communications Work Groups Formed

• Webpage Updates: Stacy Patterson, Lead• Hotline Update: Laura Yager, Lead• Personal Stories/Testimonials: Lucy Caldwell,

Lead• Outreach: Lindsey Doane, Lead

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Get involved with communications!

• Next subcommittee meeting TBD early December.

• Contact Stacy.Patterson@fairfaxcounty.gov if you’d like to get involved!

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Evaluation and Data Collection TeamChaired by Pat Harrison

Office of the County ExecutivePresented by Jesse Ellis

Neighborhood and Community Services

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Evaluation Work Group Progress

• 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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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?

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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

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?

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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?

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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?

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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?

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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

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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.– 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.

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CIT Training and Coordination Work Group

Lt. Ryan MorganFairfax County Police Department

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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).

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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.

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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.

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CIT Assessment Site

Daryl WashingtonFairfax-Falls Church Community

Services Board

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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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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.

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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.

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

Judge Thomas Mann

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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

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

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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

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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

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Collaborative:Comments, Questions and Announcements

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Next meeting: December 7, 2015

7 to 9 p.m.

Fairfax County Government CenterRooms 4/5

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