Diversion First Stakeholders Meeting: Nov. 12, 2015

1. Tonight’s Agenda
Diversion-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

2. Stakeholders Update
Diversion-Oriented System of Care Collaborative
November 12, 2015
2

3. 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

4. Work Group and Other
Report Outs
4

5. Communications and Public
Outreach Team
Chaired and presented by
Stacy Patterson
5

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
6

7. 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

8. 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

9. Get involved with
communications!
• Next subcommittee meeting TBD early
December.
• Contact Stacy.Patterson@fairfaxcounty.gov if
you’d like to get involved!
9

10. Evaluation and Data Collection Team
Chaired by Pat Harrison
Office of the County Executive
Presented by Jesse Ellis
Neighborhood and Community Services
10

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

19. 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

20. Fairfax County Fire and Rescue
Department Update
Deputy Chief Jason R. Jenkins
20

21. 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

22. CIT Training and Coordination
Work Group
Lt. Ryan Morgan
Fairfax County Police Department
22

23. 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

24. 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

25. 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

26. CIT Assessment Site
Daryl Washington
Fairfax-Falls Church Community
Services Board
26

27. CIT Assessment Site
Work Group Focus Areas:
• Development of required policies and
procedures
• Site planning
• Operational planning
• Data collection
27

28. 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

29. 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

30. Mental Health Docket Work Group
(AKA Sequential Intercept 3 Work Group)
Judge Thomas Mann
30

31. 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

32. Forecast of Ad Hoc and
Future Work Groups
Laura Yager
Fairfax-Falls Church Community Services
Board
32

33. 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

34. 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

35. Collaborative:
Comments, Questions and
Announcements
35

36. Next meeting:
December 7, 2015
7 to 9 p.m.
Fairfax County Government Center
Rooms 4/5
36