“How CIT Works in a Small Rural County” Sheriff Kevin Frye Avery County, NC 828-733-2071 [email_address] Ann Robinson Emergency Services Coordinator CIT Coordinator, SMC 828-759-2160 [email_address] Smoky Mountain Center 1-800-849-6127 Crisis Line
Reporting to the Hospital ED Going to the Magistrate Contacting First Responders (Mental Health Provider) Calling a Dispatcher
Hospital staff are required to assess the individual and draw lab work. Mobile Crisis/First Responder may be contacted.
If an IVC appears to be needed, the magistrate must be contacted. Law enforcement involvement is required once involuntary commitment is issued by magistrate.
The IVC requires an assessment (First Examination) by a mental health clinician and MD/Board Eligible Psychologist
Paperwork is completed and a placement is found if inpatient psychiatric care is required.
This process can tie up valuable time and resources!
Psychiatrist 24/7/365 (by Phone) Nurse or LCSW or Psychologist LCAS or CCS or CSAC QDDP or ADDP Para- Professional NR responders are licensed or license-eligible LPC, LCSW, LPA, LMFT and LCAS MC teams are organized differently across the state. Contact your local MC team to determine how your team responds in your area.
Expect responses to new consumers within these time frames: Emergent-immediately by phone, 2 hours for Face to Face Urgent-10 minutes by phone, 48 hours for Face to Face Routine-10 minutes by phone, 7 days for Face to Face
Develop a dialogue and keep an open line of communication.
Law Enforcement and Mobile Crisis work together to develop a protocol outlining expectations
Meet once per month to review CIT cases with Mobile Crisis involvement.
Discuss areas of potential improvement.
**Identify what did work**
First Responders or Mobile Crisis to the consumer as soon as feasible Deploy Delay involuntary commitment actions until the consumer has been assessed by the First Responder or Mobile Crisis Team Divert the consumer from the Emergency Department when possible This saves time and resources for you and frustration for the consumer!