Presentation from the Oct. 13, 2015 Diversion First Stakeholders Meeting, held at the Fairfax County Government Center.

1. Tonight’s Agenda
Work Group Report Outs
• Communications and Public Outreach
– Laura Yager, Fairfax-Falls Church Community Services Board
• Fire and Rescue Diversion Efforts
– Deputy Chief Jason R. Jenkins, Fairfax County Fire and Rescue Department
• Crisis Intervention Team (CIT) Training
– Lt. Ryan Morgan, Fairfax County Police Department
• CIT Assessment Site
– Daryl Washington, Fairfax-Falls Church Community Services Board
• Sequential Intercept Model (SIM) 3: Magistrate Interventions/Mental Health Docket
– Laura Yager, Fairfax-Falls Church Community Services Board
• Evaluation and Data Collection
– Deputy County Executive Pat Harrison
– Jesse Ellis, Fairfax County Department of Neighborhood and Community Services
Other Updates of Interest
– Intervention at the jail
– Court response to an individual needing mental health supports
– Mental Health First Aid training launch with jail-based staff
Announcements and Updates from Collaborative
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2. Stakeholders Update
Diversion-Oriented System of Care Collaborative
October 13, 2015
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3. Welcome
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4. Review of our local
Fairfax County efforts
• Launching a data-driven multi-faceted
diversion system by January 1, 2016
– Built around Sequential Intercept Model
– CIT-trained first responders
– Crisis Assessment Site
• Use data to manage and evolve a robust
Diversion-Oriented Services Program over
next 3 to 5 years
– Expanded Mobile Crisis Unit
– Working toward mental health docket 4

5. Work Group and Other
Report Outs
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6. Communications and Public
Outreach Team
Chaired by Stacy Patterson/Tony Castrilli
Fairfax County Office of Public Affairs
Presented by Laura Yager
Fairfax-Falls Church CSB
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7. Communications and
Public Outreach
• Migration of webpage to:
http://www.fairfaxcounty.gov/diversionfirst/
• First team meeting (all are welcome) set for:
– Thursday, October 15 at 3 p.m.
– Fairfax County Government Center - Office of
Public Affairs, 12000 Government Center Parkway,
Fairfax, Suite 551
– POC: Stacy Patterson, Office of Public Affairs
(stacy.patterson@fairfaxcounty.gov)
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8. Communications Goals
• Develop the strategy
• One message, many voices
• Utilize our existing communications platforms
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9. Fairfax County Fire and Rescue
Department Update
Deputy Chief Jason R. Jenkins
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10. Fire and Rescue
Department
• Diversion means more than diversion from jail
• Fire and Rescue efforts
– Review laws and policies related to use of CIT
Assessment Site for people experiencing mental
health issues
o Medical clearance and screening requirements
o Review of data for frequent users of EMT and FRD
services
 Developing data sharing protocols between FRD
and CSB
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11. Fire and Rescue
Department
• Mental Health First Aid Training
– Pilot training to launch in November-December
with focus group to determine future expansion
and feasibility for EMTs and other staff
• CIT Training
– Desire to access training to assess inclusion and
expansion to FRD
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12. CIT Training and Coordination
Work Group
Lt. Ryan Morgan
Fairfax County Police Department
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13. Review: What is a Crisis
Intervention Team?
• The Crisis Intervention Team (CIT) Program is an
evidence-based, first responder-based, mental health
crisis response initiative.
– Interdisciplinary, collaborative, community program that
enhances law enforcement capability to respond to
situations involving individuals with symptomatic behavioral
health issues.
• CIT creates a coalition of stakeholders (Diversion First)
– Oversight and program guidance
• CIT Training
– 40 hours of advanced training for law enforcement, first
responders and others.
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14. Accomplishments and
Updates
• CIT Coordinator moved to Merrifield!
• Policies
• Training
• CIT pins
• Budget processes developed to tap grant $
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15. Ongoing Efforts
• Scheduling 40-hour CIT classes for 2015 and
beyond
• Building capacity through training to ensure
CIT officers are available countywide 24/7
• Building relationships with partner agencies
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16. CIT Assessment Site
Daryl Washington
Fairfax-Falls Church
Community Services Board
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17. What is a CIT
Assessment Site?
• The ideal for a CIT program is to have a physical
location that is not a jail or criminal lock-up always
available to which an officer can deliver a person in
crisis and turn over custody to someone trained to
assist that person. This releases the officer to return to
other duties and provides the treatment options
needed by the consumer.
• The ideal standard is a site that operates 24/7, a
community’s inability to fund 24/7 site coverage should
not preclude their pursuit of developing a site that
builds over time.
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18. CIT Assessment Site
• Workgroup has met twice
• Goals
• Memorandum of Understanding (MOU)
• Procedures
• Staffing
• Data
• Assessment Site Requirements
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19. CIT Assessment Site
Work Group Focus Areas:
• Development of required policies and
procedures
• Site planning
• Operational planning
• Data collection
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20. Goals:
Assessment Site
1. Provide immediate response by specially trained law-
enforcement officers;
2. Reduce the amount of time officers spend out of service
awaiting assessment and disposition;
3. Afford persons with mental illness, substance abuse
problems, or both, a sense of dignity in crisis situations;
4. Reduce the likelihood of physical confrontation;
5. Decrease arrests and use of force;
6. Identify underserved populations with mental illness,
substance abuse problems, or both, and linking them to
appropriate care;
7. Provide support and assistance for mental health
treatment professionals;
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21. Goals:
Assessment Site
8. Decrease the use of arrest and detention of persons
experiencing mental health and/or substance abuse crises
by providing better access to timely treatment;
9. Provide a therapeutic location or protocol for officers to
bring individuals in crisis for assessment that is not a law-
enforcement or jail facility;
10. Increase public recognition and appreciation for the
mental health needs of a community;
11. Decrease injuries to law-enforcement officers and
individuals needing services during crisis events;
13. Decrease the need for mental health treatment in jail;
14. Ensure that individual treatment needs are being met as
well as balance with what the community-at-large needs.
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22. MOU Update
• Draft MOU has been created
• MOU under review by multiple jurisdictions
• Review is also underway by County Attorney
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23. Procedures
• Police procedures have been drafted and are
being reviewed by different law enforcement
agencies
• CSB draft procedures are underway
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24. Assessment Site Staffing
• Office of the Sheriff and Fairfax County Police Department
have each dedicated two full time officers/deputies to work
at Assessment Site
• Staff from Fairfax County Police Department and Office of
the Sheriff are reviewing staff trained in CIT to ensure a
good fit with the Assessment Site
• CSB staff recruitment has launched
• Contract is established to hire peer staff for the Assessment
Site
– Will be coordinating specialized training
• General consensus is that the Assessment Site will quickly
reach capacity, and a plan will need to be developed to
handle multiple situations, sick leave, vacation, etc.
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25. Data
• Required State data elements have been
shared with the Data Workgroup
• Assessment Site workgroup is developing a
functional plan to implement capturing
needed data
• Will further coordinate with Evaluation Team
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26. Assessment Site Needs
• Pursuing any necessary Department of
Behavioral Health and Developmental Services
(DBHDS) licensure changes that need to occur
• Pursuing protocol for medical clearance
and/or screening that needs to occur
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27. Assessment Site
Next Steps
• Next meeting to occur on October 22nd at
Merrifield, 9:00 a.m., Room LL-419
• Refining MOUs and policies
• Hiring and training staff
• Implementing process for data collection
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28. Mental Health Docket Work Group
(AKA Sequential Intercept 3 Work Group)
Laura Yager
(for Bob Bermingham, Juvenile and
Domestic Relations Court Services)
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29. 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 next 60 days
– 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
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30. Docket Updates
• Review Veteran’s docket processes, successes,
and any challenges faced
• Develop linkages between docket staff to
learn from each other and find areas of
common ground
• Share information related to logistics, forms,
and materials needed to launch docket
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31. Evaluation Team
Pat Harrison
Office of the County Executive
Jesse Ellis
Neighborhood and Community Services
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32. Evaluation and Data
Collection Work Group
• To identify indicators and develop a
framework to assess the progress and
effectiveness of the juvenile and adult
diversion initiatives.
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33. 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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34. Foundation for the Plan
• “Measuring for Results: Outcome and
Performance Measures for Pretrial Diversion
Field”
- Evaluation guide from the National Association of
Pretrial Services Agencies (NAPSA) and the
National Institute of Corrections (NIC)
• Required measures
- State-required measures for the criminal justice
system
- Fidelity tools for all evidence-based practices
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35. 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

36. Keys to Success
• Agreement on evaluation framework
• Willingness to share data
• Ability to collect data
• Ability to disaggregate data consistently
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37. Other Diversion Updates
of Interest
• Intervention at the jail
• Court response to an individual needing
mental health supports
• Mental Health First Aid training launch with
jail-based staff
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38. Collaborative:
Comments, Questions and
Announcements
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39. Next meeting:
November 12, 2015
7 to 9 p.m.
Fairfax County Government Center
Rooms 4 and 5
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