Diversion First Stakeholders Meeting: 7-11-16 Diversion-Oriented System of Care Collaborative

1. Stakeholders Update
Diversion-Oriented System of Care Collaborative
July 11, 2016

2. 2
This Diversion First
baby is off
the ground!!!!

3. Tonight’s Agenda
Diversion-Oriented System of Care Collaborative
July 11, 2016
Review of Purpose
Good News Updates
Work Group Report Outs
Leadership Group
Communications Team
Data and Evaluation
Workforce Development
Fire and Rescue
Juvenile Diversion
CSB Updates
Additional Updates and what’s coming next quarter
Challenges
Collaborative Updates, Announcements, Discussion
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4. GOOD NEWS! WOW!
Fairfax County FY 17 Diversion First Budget:
$3.89 Million
Sheriff’s Office: 3 MCRC positions
Police Department: 3 MCRC positions
Community Services Board: 8 positions + housing $ +
peer support $
General District Court: 5 positions
Fire and Rescue: Mental health training funds
And diversion-related budget:
Courts: Salary Supplements $1.2 Million
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5. MORE Good News!
CIT Assessment Site grant awarded from DBHDS:
$624,316 for two years of funding for MCRC
• 1 Police Officer
• 1 Sheriff Deputy
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6. EVEN MORE GOOD NEWS!
Fairfax County accepted into the National
Stepping Up Justice and Behavioral Health
Leadership Academy
– One of 15 individuals accepted in the country.
– Attendance at an intense two-day conference in
September.
– 12 months of intense technical assistance and 1:1
coaching to support local efforts!
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7. But wait, there may be
more!
• By our next Stakeholders Group, we should be
able to report on the status of another grant
application with the Department of
Justice/Bureau of Justice Programs grant
totaling $250K.
• All of this points to our commitment to
diversify our resources to support our local
effort.
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8. Work Group Report Outs
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Note: to date, no work group has met outside!

9. Leadership Group
Sheriff Stacey Kincaid
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10. Leadership Group
• Meeting monthly
• MOUs- 4 of 6 completed; 2 pending
– These allow for multi jurisdictional exchange of
custody
– Will also be reaching out to State Police and Metro
Transit Police for MOUs
• Chartering and developing internal Problem-
Solving Team (more to come next quarter)
– Focus on Quality Improvement in our diversion efforts
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11. Communications and Public
Outreach Team
Presented by:
Rhiannon Duck, Supervisor Cook’s Office
Lindsey Doane, Chairman Bulova’s Office
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12. Writing the Definition of
“Diversion First”
• Presented draft definition to Stakeholders Group at April
meeting
• Gathered input from stakeholders and public for 30+ days
• Considered all input and edited
• Presented to Leadership Group
• Now sharing the current version of our definition
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13. Final Definition
“Diversion First offers alternatives to incarceration for
people with mental illness or developmental disabilities,
who come into contact with the criminal justice system for
low level offenses. The goal is to intercede whenever
possible to provide assessment, treatment or needed
supports. Diversion First is designed to prevent repeat
encounters with the criminal justice system, improve public
safety, promote a healthier community and is a more cost
effective and efficient use of public funding.”
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14. Defining the “Why”
behind Diversion First
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15. Media Success
• Op-Ed by Chairman Bulova (The Connection Newspapers)
– Breaking the Cycle of Crime with Treatment Instead of Jail
• Op-Ed by Supervisor Cook (Fairfax County Times)
– Treatment, Not Incarceration, for our Troubled Heroes
• Article by Northern Virginia Magazine
– The Guardian/Warrior as Social Worker
• Article by The Connection
– Helping People in Crisis: Police Learn to De-Escalate Crisis
Situations
– Covering a Police Citizens Advisory Council meeting at
Sully District Police Station
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16. Other Communications
Projects
• FAQs - send us your suggestions
• Presentation “package” for presenters
• Social Media Blitz vs. Listserv
• Seeking Stakeholder input on communications priorities
Email diversionfirst@fairfaxcounty.gov with feedback
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17. Data and Evaluation Team
Presented by:
Lisa Potter, CSB
Lt. Ryan Morgan, FCPD
Lt. Myrna Kinney, Sheriff’s
Office
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18. Jan-March, 2016 April-June, 2016 TOTAL
Jan-June,
2016
TOTAL
Jan-June,
2015
Police Department
Mental health investigations in the field
- Fairfax County Police Dept. 831 916 1747 1511
- Resolved in the field (Fairfax County) 471 505 976 894
- Involved Merrifield Crisis Response Center (MCRC) for
all jurisdictions)
360 411 771 NA
Merrifield Crisis Response Center/Emergency Services
Total service encounters 1296 1380 2676 2439
– General Emergency Services (non-law enforcement involved) 936 969 1905 1822
– Involved Law Enforcement 360 411 771 617
- Voluntary transports to MCRC 158 141 299 417
- Emergency Custody Order (ECO) transports to MCRC 202 270 472 200
Diverted from potential arrest 103 106 209 NA
Unduplicated number of people served 1,742 1,590
Mobile Crisis Unit
– Total number of services (attempts and contacts) 319 361 680 511
- Total number of services (contacts) 215 242 457 404
– Services with law enforcement involvement or referral 79 126 205 134
Unduplicated number of people served (contacts) 408 319
Office of the Sheriff
– Temporary Detention Orders (TDOs) from Jail 3 13 16 NA
– Transports from MCRC to out-of-region psychiatric hospitals 26 37 63 NA
– Jail transfers to Western State Hospital (forensics) 5 2 7 4
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19. Data Highlights
Where we are…
Focus on Access, Capacity and Utilization
• Merrifield Crisis Response Center (MCRC) Law
Enforcement Officer (LEO) involved
– Jan. 2016-June 2016 = 771
– 25% increase from same time period in 2015
On average, 35% of all LEO encounters prior to
MCRC involved a CIT trained officer
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20. Data Highlights
Emergency Custody Orders (ECO)
An ECO gives a law enforcement officer permission to take a person into
custody temporarily (up to 8 hours) in an emergency situation. This
provides time for CSB staff to evaluate the person and locate a
treatment facility for them if necessary
The ECO can be issued by a magistrate, or by the law enforcement officer,
when it is believed that a person:
– Has a mental illness and is highly likely in the near future to seriously harm
himself or others, or to suffer serious harm due to incapacity to protect
himself or to provide for his own basic needs,
– Needs hospitalization or treatment, and
– Is unwilling or incapable of voluntarily seeking hospitalization or
treatment
With an ECO, the person remains in custody until a temporary detention
order is issued, until the person is released, or until the emergency
custody order expires
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21. 136% increase in ECOs
from 2015-2016
74
126
200 202
270
472
0
50
100
150
200
250
300
350
400
450
500
ECOs
ECO 2015 - 2016 Comparison
1st Q 15 2nd Q 15 Total Jan - Jun 15 1st Q 16 2nd Q 16 Total Jan - Jun 16
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22. Data Highlights
Diverted from Potential Arrest
– Instances in which the law enforcement officer could
have made an arrest, but provided an opportunity
for mental health services instead.
– Jan. 2016-June 2016:
• 209/771 (27%) of the law enforcement involved
cases at MCRC were diverted from potential
arrest.
– Includes both voluntary and ECO
– Working to understand “true” diversion rate, to
include those arrested in the community.
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23. 23

24. Sheriff’s Office Data
Jan-June, 2016
Temporary Detention Orders (TDOs) from jail- 16
• Accomplished through collaborative partnerships
– Transports from MCRC to out of region psychiatric
hospitals- 63
• Transport requires 2 deputies, at least one CIT-
trained
– Jail transfers to Western State Hospital (forensic)- 7
• Individuals taken to jail (not bonded out) but need
hospitalization due to decompensation
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25. Where we are going….
• Jail population
– Changes over time
• Additional data points (e.g. arrests)
• Future focus on demographics, disposition and
outcomes
• Data inter-operability
– Requirements for data variables
– Adherence to confidentiality regulations
• Data and outcome beyond Intercept 1
– Involvement of other key stakeholders
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26. Crisis Intervention Team and
Mental Health First Aid Training
CIT Training
• Graduates since September 2015 = 170
• Dispatcher training- 18
— Coordinating additional classes
• Mental Health First Aid (MHFA)
To date:
– Deputies- 201
– Magistrates- 30
• 100% of magistrates are trained
– Fire and Rescue- 71
– Juvenile Intake Officers- 23
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27. Fairfax County and Fairfax City Fire
and Rescue Department Update
Presented by
Fire Chief Richie Bowers
Fairfax County Fire and Rescue Department
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28. Fire and Rescue
Department
• Developed specialized mental health
awareness training for FRD and pilot
scheduled with plans for rollout
• CSB will train staged workforce members
throughout July-September approximately
75-100 per month
• Upcoming meeting with Deputy County
Executive to finalize protocol for FRD
diversions to MCRC
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29. Juvenile Diversion Efforts
Bob Bermingham,
Director of Court Services
Lori Winter,
Juvenile Intake
Juvenile and Domestic Relations District Court
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30. Juvenile Intake
Diversion Pilot
• Wrapping up July 30 with Juvenile Intake Unit rollout
August 1
• For those eligible, new policies/practices include:
– Global Assessment of Individual Needs Short Screen
(GAIN-SSO)- mental health and substance abuse screen to
help identify need for further assessment
– Youth Assessment Survey Instrument (YASI) is a risk/need
assessment focusing on needs individuals may have and
looks at attitudes, community/peer/families, and some
MH/SA
– Information gathered through interview and assessments
is used to place youth in appropriate level of supervision
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31. Alternative
Accountability Program
• Joint restorative justice effort includes
partnership with FCPS, FCPD, JDRC, and Northern
Virginia Mediation Services
– Promising results so far with only 1 youth reoffending
upon completion of program
– 2 FCPD substation and all School Resource Officers are
accessing the program
– MOU being finalized for additional program referrals
– AAP to be available to all police substations by
September 1, 2016
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32. Mental Health
Program Data
• 49% (n=146) of youth assessed with the pre-
screen YASI have some indication of mental
health needs
• 58% (n=25) of youth assessed with the GAIN-
SS in June 2016, were in need of referral to
mental health services
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33. CSB Updates
Lyn Tomlinson and Jean Hartman
Assistant Deputy Directors, CSB
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34. CSB Diversion First
Updates
• Peers at MCRC!
– 6 hired and in training at MCRC
• Coming Soon: Diversion First Service Director
• Update on Status of 2nd Mobile Crisis Unit
• Housing Opportunities
– Possible State Funds (in process) for Permanent
Supportive Housing (some will help people diverted)
of up to $700K
– $500K from FY 17 budget for housing
• $400K for 17-19 units for people diverted
• $100K for emergency housing up to 1500 nights
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35. Additional Updates
Laura Yager
Office of County Executive
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36. Additional Updates
• Each new Diversion First position will include
performance measurements
• Updates will be provided in future
stakeholders meetings
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37. Courts
• Discussions are underway with Court Services staff about
new positions and how to align them with Diversion First
efforts
• Additional discussions with Veteran’s Docket stakeholders,
judges, and others to continue to explore docket
• One of the new CSB positions will align with Courts to
support docket or other mental health related work with
courts
• Will be bringing together a “thoughts group” to explore the
pros and cons of a docket and what will work for our
community
• Watch for a future report out on these efforts
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38. Magistrates
• Evaluation team members will meet with
Magistrate’s office to discuss measures and
processes that can support diversion at this
level
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39. Data and Evaluation
• Have met with Department of Information
Technology about developing a tracking
system for longitudinal data that will help us
get to effectiveness, recidivism, and other
outcomes
• Have develop a list of desired longitudinal
measures
• Still have to work through a protocol to share
information
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40. Challenges…
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41. Challenges
• Goal to reach 24/7 LEO coverage at MCRC
• Medical Clearance
– CHCN at Merrifield - delays
– After hours clearance- still working
• Coming discussions with Inova ED and Inova Labs
• Specific data needs (arrests, jail population, etc.)
• Getting to outcomes (beyond process measures)
– Longitudinal, individual- level
– Data sharing protocols and use of releases
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42. Collaborative:
Comments, Updates, Questions and
Announcements
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43. ENJOY THE SUMMER!
Next meeting:
October 18, 2016
7 to 9 p.m.
Fairfax County Government Center
Rooms 9-10
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