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

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Stakeholders UpdateDiversion-Oriented System of Care Collaborative

December 7, 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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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

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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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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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Communications Work Groups Formed

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

Lead• Outreach: Lindsey Doane, Lead

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Get involved with communications!

• Next subcommittee meeting December 16, 3 to 4 pm, Suite 551, Government Center

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

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Evaluation and Data Collection Team: Implementation Phase Launch

Presented by Laura Yager

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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

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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

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)

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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

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Fairfax County and Fairfax City Fire and Rescue Department Update

Laura Yager

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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.

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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– 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.

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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

• Tasks completed• Challenges• Target launch • Other updates

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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:Daryl.Washington@fairfaxcounty.gov

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Brief Synopsis of Criteria for Diversion

Input provided from a variety of stakeholders for the larger group

review and discussion

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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.

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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.

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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.

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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: Laura.Yager@fairfaxcounty.gov

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Collaborative:Comments, Updates, Questions and Announcements

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Next meeting: April 4, 20167 to 9 p.m.

Fairfax County Government CenterRooms 4/5

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