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INNOVATIONS IN CIT AND
HOMELESS OUTREACH:
AN INTER-AGENCY, MULTI
DISCIPLINARY APPROACH
IN FLORIDA
Presented by Ofc. D. McDonald and Dep. S. Krager
Your Presenters
Dep. Stephanie Krager
Hillsborough County
Sheriff’s Office
Tampa, FL
Homeless Initiative,
CIT Coordinator
Ofc. Daniel McDonald
Tampa Police
Department
Tampa, FL
Homeless Initiative,
CIT Coordinator
Phone: (813) 247-0330
E-mail: skrager@hcso.tampa.fl.us
Deputy Stephanie Krager
About Us
Deputy Stephanie Krager
Hillsborough County Sheriff’s Office
Tampa, FL
 Over 25 years of law enforcement experience
 Founded HCSO's CIT program in 2004
 Coordinates the HCSO Homeless Initiative since 2013 where she has
personally assisted over 200 chronically homeless persons obtain
permanent housing
 Deputy Krager has been honored with over 40 awards and commendations.
 Her innovations in crisis intervention and homelessness was recently
recognized in a private meeting with President Barack Obama
 Awarded Deputy of the Year, April 2016
 Nominated for DOJ Community Policing Award, April 2016
Phone: (813) 242-3825
E-Mail: daniel.mcdonald@tampagov.net
Officer Daniel McDonald, MPA
About Us
Officer Daniel McDonald
Tampa Police Department
Tampa, FL
 24 years of law enforcement and corrections experience
 Founded the TPD Homeless Initiative in 2012 to address the needs of the
chronically homeless
 Founded the TPD Crisis Intervention Team in 2015
 Officer McDonald's achievements have received worldwide attention
 His work has been featured on the Today Show, Inside Edition, ABC
News, CNN, People Magazine, the Tampa Tribune, the Tampa Bay Times,
the Times of India and the Daily Mail (London)
 He has received several awards including TPD Officer of the Month and
the Housing & Education Alliance Community Hero award.
 Nominated for the Distinguished Service Award, April 2016, by the
Florida Council on Crime and Delinquency (FCCD)
About Us
 Dep. Krager brings a crisis intervention background,
then added homeless initiative responsibilities
 Ofc. McDonald brings a homeless outreach
background, then added crisis intervention
responsibilities
 Their programs have converged into a combined
crisis intervention team and homeless initiative
because of the success of their methodology
Today’s Presentation
 We are leading the way with an innovative joint
agency program that combines crisis intervention
and homeless outreach teams
 The Tampa area has a population of 4.3 million
 The Hillsborough County Sheriff's Office ranks as one of
the top-ten largest sheriff's offices in the nation with
over 2,000 law enforcement and detention deputies
 The Tampa Police Department has over 1,000 officers
Today’s Presentation
 By proactively engaging clients before they reach a
crisis point, cross-trained officers and deputies can
assess and treat their client's mental health and / or
addictions while simultaneously housing them
through a housing-first strategy
The Homeless Circle of Life
Homelessness
Mental Illness Addictions
Jail
Objectives
1. Intergrating CIT with Homeless Outreach:
Turning Reactivity into Proactivity
 CIT Teams by definition respond to persons in crisis
 Your presenters will discuss the benefits of integrating
crisis intervention teams with homeless outreach teams
 This yields cross-trained officers possessing the tools to
reduce future crisis situations by addressing both their
client's mental health needs and housing needs
 In short - we bridge the gap between mental wellness
and mental illness
Objectives
2. Media Relations & Social Media
 Your presenters will demonstrate how an effective
media relations strategy can build community support
for a joint CIT / homeless outreach program
 We will present case studies to demonstrate how we
leverage media coverage for improved community
relations, capacity building and facilitating the
donations of goods and services
Objectives
3. Doing More with Less
 Law Enforcement Agencies throughout the nation serve
their communities while coping with the realities of
diminishing resources
 Who has an unlimited budget? Anyone?
 Your presenters will explain how to leverage the fiscal
benefits of a joint CIT / homeless outreach team
through inter-agency cooperation and community
partnerships
The Concept: Why our Program Works
 HCSO and TPD have jointly developed a combined
CIT and homeless outreach program
 We proactively meet the needs of the highest system
utilizers while minimizing the likelihood of future crisis
situations
 Up to 46% of chronically homeless persons suffer from
mental illness and / or substance abuse issues (source: NAMI)
 ―If you want to go fishing, go where the fish are‖
The Concept: Why our Program Works
0
100000
200000
300000
Days in Jail by Top Consumers
(Each has 20-157 arrests)
The Concept: Why our Program Works
Source: University of Tampa
A Classic Example
 Murray Barr AKA ―Million Dollar Murray‖ was
homeless in Reno, Nevada
 ―If you totted (sic) up all his hospital bills for the ten
years that he had been on the streets—as well as
substance-abuse-treatment costs, doctors’ fees, and
other expenses—Murray Barr probably ran up a
medical bill as large as anyone in the state of
Nevada‖
A Classic Example
 ―It cost us one million dollars not to do something
about Murray‖
 (Source: Malcolm Gladwell, www.gladwell.com)
Integrating CIT and Homeless Outreach
Integrating CIT and Homeless Outreach
 Our model is based on street engagement
 We go to the clients – we do not wait for them to come
to us
 Many are located during outreach events
 We conduct vulnerability surveys (VI/SPDAT)
 Mental illness, addictions, medical problems are
diagnosed before they reach a crisis point
Integrating CIT and Homeless Outreach
Is this man in crisis?
Integrating CIT and Homeless Outreach
Is this man in crisis?
―Charles‖
Integrating CIT and Homeless Outreach
―William‖
Integrating CIT and Homeless Outreach
 A Hillsborough County deputy tried to serve an
eviction notice to 59-year-old William Paxton Elliott
 Elliott was armed and confronted the deputy
 The deputy tried to protect himself by locking
himself in a bathroom
 The deputy was able to escape
 The suspect then barricaded himself inside the unit
Integrating CIT and Homeless Outreach
Integrating CIT and Homeless Outreach
 Elliott has been permanently housed by the HCSO
Homeless Initiative in the ―Homes of Second
Chances‖
Integrating CIT and Homeless Outreach
―John‖
Integrating CIT and Homeless Outreach
Integrating CIT and Homeless Outreach
 John lived on a cardboard box in downtown Tampa
 He described himself as ―invisible‖
 Has a mental health diagnosis
 I discovered that he had $42,000 in the bank
 John now lives in permanent housing
Integrating CIT and Homeless Outreach
―Daniel‖
Integrating CIT and Homeless Outreach
 Almost homeless, 74-year-old vet benefits from
outreach (Source: Tampa Tribune)
Integrating CIT and Homeless Outreach
 Daniel, 74, was living on $600 a month from his
part-time job at a car wash
 He lived on the front porch in a dilapidated house
without heat
 He never had a bank account
 Dep. Krager took Daniel to a local bank and helped
him open an account
 He received $14,000 in past-due benefits
 Daniel is now permanently housed, receiving a $1,400
monthly pension
―Rocky and Evelyn‖
Integrating CIT and Homeless Outreach
Integrating CIT and Homeless Outreach
 Rocky and Evelyn have been homeless for 3 years
 They have been together for 22 years
 They both suffer from disabling conditions
 They wanted to get married and get into housing
Integrating CIT and Homeless Outreach
Integrating CIT and Homeless Outreach
―Edgardo‖
Integrating CIT and Homeless Outreach
Integrating CIT and Homeless Outreach
Integrating CIT and Homeless Outreach
Media Relations & Social Media
Media Relations & Social Media
Media Relations & Social Media
Media Relations & Social Media
Media Relations & Social Media
 Orlando Sentinel - Young Homeless Family Gets
Shuffled in Good Intentions – April 18, 2016
 ―In the no-good-deed-goes-unpunished file, two Goodwill
Industries workers who tried to help a young homeless
mother and her three children get off the streets have
incurred the wrath of Hillsborough County Sheriff's Office
and the Tampa Police Department after the family was sent
there via Greyhound bus‖.
Media Relations & Social Media
Media Relations & Social Media
Media Relations & Social Media
Media Relations & Social Media
Media Relations & Social Media
Fiscal Challenges: Doing More with Less
We Offer These Services
 Full-service crisis intervention teams
 Birth certificates
 This is a barrier to permanent housing
 Service providers will not fund
 This is funded through church donations
 Social Security cards
 Florida ID cards
 We have an MOU (agreement) with the Tax Collector
 Immigration documents for ID cards
 Marriage certificates for ID cards
We Offer These Services
 Medicaid/Medicare
 VA benefits and programs (for veterans)
 Hillsborough County Health Care
 Bus passes
 Long distance to reunite clients with their families
 We verify that the client has a support network in place
 Local passes for clients get to court, doctors
appointments and job interviews
We Offer These Services
 Verifications of Disability to qualify for benefits
 Collaborate with the city prosecutor on the
Municipal Diversion Agreement (MDA)
 Defendants willing to receive assistance can have their
charges dismissed in 30 days
 Collaborate with the Office of the Public Defender
on clients with criminal charges that are mentally ill
and homeless
We Offer These Services
 Provide toiletries, clothing & items necessary for
street survival to clients
 Assist with clothing for job interviews
 Perform media relations functions
 Conduct monthly outreach events throughout the
county, including events with the VA
 Annual Point-in-Time Count (Homeless Census)
Community Collaboration
 We attend meetings with:
 Florida CIT Coalition
 Partners in Crisis
 Hillsborough County Acute Care Partnership
 Hillsborough County Continuum of Care
 SPAN (Service Providers Advisory Network)
 VA – HUD VASH program for veterans
 PIP (Pre-Trial Intercept) Program
 Hillsborough Safe and Sound
Community Collaboration
 We have developed partnerships with the following
agencies:
 Agency for Community Treatment Services (ACTS)
 Gracepoint Wellness
 Tampa Crossroads
 James A. Haley Veterans Hospital
 Hillsborough County Homeless Services
 Catholic Charities
 Salvation Army
Community Collaboration
 We have developed partnerships with the following
agencies:
 Society of St. Vincent de Paul
 Department of Highway Safety and Motor Vehicles
 Hillsborough County Tax Collector
 Clerk Of the 13th Circuit Court – Civil
 Lazy Days Employee Foundation
 Metropolitan Ministries
 Tampa Hillsborough Homeless Initiative (THHI)
How Much is Our Annual Budget?
 Anyone? Anyone?
 Hillsborough County Sheriff’s Office (HCSO)
 $
 Tampa Police Department
 $
How Much is Our Annual Budget?
 Anyone? Anyone?
 Hillsborough County Sheriff’s Office (HCSO)
 $ ZERO
 Tampa Police Department
 $ ZERO
How Much is Our Annual Budget?
 Anyone? Anyone?
 Hillsborough County Sheriff’s Office (HCSO)
 $ ZERO
 Tampa Police Department
 $ ZERO
 We operate our programs at no cost to the
taxpayers (except salaries and vehicles)
•We hope you enjoyd our presentation
•Are there any questions?
Thank You for Attending
• Dep. Stephanie Krager:
• skrager@hcso.tampa.fl.us
• Ofc. Daniel McDonald
• daniel.mcdonald@tampagov.net
Thank You for Attending

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CIT Presentation 2016 - Finalized

  • 1. INNOVATIONS IN CIT AND HOMELESS OUTREACH: AN INTER-AGENCY, MULTI DISCIPLINARY APPROACH IN FLORIDA Presented by Ofc. D. McDonald and Dep. S. Krager
  • 2. Your Presenters Dep. Stephanie Krager Hillsborough County Sheriff’s Office Tampa, FL Homeless Initiative, CIT Coordinator Ofc. Daniel McDonald Tampa Police Department Tampa, FL Homeless Initiative, CIT Coordinator
  • 3. Phone: (813) 247-0330 E-mail: skrager@hcso.tampa.fl.us Deputy Stephanie Krager
  • 4. About Us Deputy Stephanie Krager Hillsborough County Sheriff’s Office Tampa, FL  Over 25 years of law enforcement experience  Founded HCSO's CIT program in 2004  Coordinates the HCSO Homeless Initiative since 2013 where she has personally assisted over 200 chronically homeless persons obtain permanent housing  Deputy Krager has been honored with over 40 awards and commendations.  Her innovations in crisis intervention and homelessness was recently recognized in a private meeting with President Barack Obama  Awarded Deputy of the Year, April 2016  Nominated for DOJ Community Policing Award, April 2016
  • 5. Phone: (813) 242-3825 E-Mail: daniel.mcdonald@tampagov.net Officer Daniel McDonald, MPA
  • 6. About Us Officer Daniel McDonald Tampa Police Department Tampa, FL  24 years of law enforcement and corrections experience  Founded the TPD Homeless Initiative in 2012 to address the needs of the chronically homeless  Founded the TPD Crisis Intervention Team in 2015  Officer McDonald's achievements have received worldwide attention  His work has been featured on the Today Show, Inside Edition, ABC News, CNN, People Magazine, the Tampa Tribune, the Tampa Bay Times, the Times of India and the Daily Mail (London)  He has received several awards including TPD Officer of the Month and the Housing & Education Alliance Community Hero award.  Nominated for the Distinguished Service Award, April 2016, by the Florida Council on Crime and Delinquency (FCCD)
  • 7. About Us  Dep. Krager brings a crisis intervention background, then added homeless initiative responsibilities  Ofc. McDonald brings a homeless outreach background, then added crisis intervention responsibilities  Their programs have converged into a combined crisis intervention team and homeless initiative because of the success of their methodology
  • 8. Today’s Presentation  We are leading the way with an innovative joint agency program that combines crisis intervention and homeless outreach teams  The Tampa area has a population of 4.3 million  The Hillsborough County Sheriff's Office ranks as one of the top-ten largest sheriff's offices in the nation with over 2,000 law enforcement and detention deputies  The Tampa Police Department has over 1,000 officers
  • 9. Today’s Presentation  By proactively engaging clients before they reach a crisis point, cross-trained officers and deputies can assess and treat their client's mental health and / or addictions while simultaneously housing them through a housing-first strategy
  • 10. The Homeless Circle of Life Homelessness Mental Illness Addictions Jail
  • 11. Objectives 1. Intergrating CIT with Homeless Outreach: Turning Reactivity into Proactivity  CIT Teams by definition respond to persons in crisis  Your presenters will discuss the benefits of integrating crisis intervention teams with homeless outreach teams  This yields cross-trained officers possessing the tools to reduce future crisis situations by addressing both their client's mental health needs and housing needs  In short - we bridge the gap between mental wellness and mental illness
  • 12. Objectives 2. Media Relations & Social Media  Your presenters will demonstrate how an effective media relations strategy can build community support for a joint CIT / homeless outreach program  We will present case studies to demonstrate how we leverage media coverage for improved community relations, capacity building and facilitating the donations of goods and services
  • 13. Objectives 3. Doing More with Less  Law Enforcement Agencies throughout the nation serve their communities while coping with the realities of diminishing resources  Who has an unlimited budget? Anyone?  Your presenters will explain how to leverage the fiscal benefits of a joint CIT / homeless outreach team through inter-agency cooperation and community partnerships
  • 14. The Concept: Why our Program Works  HCSO and TPD have jointly developed a combined CIT and homeless outreach program  We proactively meet the needs of the highest system utilizers while minimizing the likelihood of future crisis situations  Up to 46% of chronically homeless persons suffer from mental illness and / or substance abuse issues (source: NAMI)  ―If you want to go fishing, go where the fish are‖
  • 15. The Concept: Why our Program Works 0 100000 200000 300000 Days in Jail by Top Consumers (Each has 20-157 arrests)
  • 16. The Concept: Why our Program Works Source: University of Tampa
  • 17. A Classic Example  Murray Barr AKA ―Million Dollar Murray‖ was homeless in Reno, Nevada  ―If you totted (sic) up all his hospital bills for the ten years that he had been on the streets—as well as substance-abuse-treatment costs, doctors’ fees, and other expenses—Murray Barr probably ran up a medical bill as large as anyone in the state of Nevada‖
  • 18. A Classic Example  ―It cost us one million dollars not to do something about Murray‖  (Source: Malcolm Gladwell, www.gladwell.com)
  • 19. Integrating CIT and Homeless Outreach
  • 20. Integrating CIT and Homeless Outreach  Our model is based on street engagement  We go to the clients – we do not wait for them to come to us  Many are located during outreach events  We conduct vulnerability surveys (VI/SPDAT)  Mental illness, addictions, medical problems are diagnosed before they reach a crisis point
  • 21. Integrating CIT and Homeless Outreach Is this man in crisis?
  • 22. Integrating CIT and Homeless Outreach Is this man in crisis?
  • 24. Integrating CIT and Homeless Outreach
  • 26. Integrating CIT and Homeless Outreach  A Hillsborough County deputy tried to serve an eviction notice to 59-year-old William Paxton Elliott  Elliott was armed and confronted the deputy  The deputy tried to protect himself by locking himself in a bathroom  The deputy was able to escape  The suspect then barricaded himself inside the unit
  • 27. Integrating CIT and Homeless Outreach
  • 28. Integrating CIT and Homeless Outreach  Elliott has been permanently housed by the HCSO Homeless Initiative in the ―Homes of Second Chances‖
  • 29. Integrating CIT and Homeless Outreach
  • 31. Integrating CIT and Homeless Outreach
  • 32. Integrating CIT and Homeless Outreach  John lived on a cardboard box in downtown Tampa  He described himself as ―invisible‖  Has a mental health diagnosis  I discovered that he had $42,000 in the bank  John now lives in permanent housing
  • 33. Integrating CIT and Homeless Outreach
  • 35. Integrating CIT and Homeless Outreach  Almost homeless, 74-year-old vet benefits from outreach (Source: Tampa Tribune)
  • 36. Integrating CIT and Homeless Outreach  Daniel, 74, was living on $600 a month from his part-time job at a car wash  He lived on the front porch in a dilapidated house without heat  He never had a bank account  Dep. Krager took Daniel to a local bank and helped him open an account  He received $14,000 in past-due benefits  Daniel is now permanently housed, receiving a $1,400 monthly pension
  • 38. Integrating CIT and Homeless Outreach
  • 39. Integrating CIT and Homeless Outreach  Rocky and Evelyn have been homeless for 3 years  They have been together for 22 years  They both suffer from disabling conditions  They wanted to get married and get into housing
  • 40. Integrating CIT and Homeless Outreach
  • 41. Integrating CIT and Homeless Outreach
  • 43. Integrating CIT and Homeless Outreach
  • 44. Integrating CIT and Homeless Outreach
  • 45. Integrating CIT and Homeless Outreach
  • 46. Media Relations & Social Media
  • 47. Media Relations & Social Media
  • 48. Media Relations & Social Media
  • 49. Media Relations & Social Media
  • 50. Media Relations & Social Media  Orlando Sentinel - Young Homeless Family Gets Shuffled in Good Intentions – April 18, 2016  ―In the no-good-deed-goes-unpunished file, two Goodwill Industries workers who tried to help a young homeless mother and her three children get off the streets have incurred the wrath of Hillsborough County Sheriff's Office and the Tampa Police Department after the family was sent there via Greyhound bus‖.
  • 51. Media Relations & Social Media
  • 52. Media Relations & Social Media
  • 53. Media Relations & Social Media
  • 54. Media Relations & Social Media
  • 55. Media Relations & Social Media
  • 56. Fiscal Challenges: Doing More with Less
  • 57. We Offer These Services  Full-service crisis intervention teams  Birth certificates  This is a barrier to permanent housing  Service providers will not fund  This is funded through church donations  Social Security cards  Florida ID cards  We have an MOU (agreement) with the Tax Collector  Immigration documents for ID cards  Marriage certificates for ID cards
  • 58. We Offer These Services  Medicaid/Medicare  VA benefits and programs (for veterans)  Hillsborough County Health Care  Bus passes  Long distance to reunite clients with their families  We verify that the client has a support network in place  Local passes for clients get to court, doctors appointments and job interviews
  • 59. We Offer These Services  Verifications of Disability to qualify for benefits  Collaborate with the city prosecutor on the Municipal Diversion Agreement (MDA)  Defendants willing to receive assistance can have their charges dismissed in 30 days  Collaborate with the Office of the Public Defender on clients with criminal charges that are mentally ill and homeless
  • 60. We Offer These Services  Provide toiletries, clothing & items necessary for street survival to clients  Assist with clothing for job interviews  Perform media relations functions  Conduct monthly outreach events throughout the county, including events with the VA  Annual Point-in-Time Count (Homeless Census)
  • 61. Community Collaboration  We attend meetings with:  Florida CIT Coalition  Partners in Crisis  Hillsborough County Acute Care Partnership  Hillsborough County Continuum of Care  SPAN (Service Providers Advisory Network)  VA – HUD VASH program for veterans  PIP (Pre-Trial Intercept) Program  Hillsborough Safe and Sound
  • 62. Community Collaboration  We have developed partnerships with the following agencies:  Agency for Community Treatment Services (ACTS)  Gracepoint Wellness  Tampa Crossroads  James A. Haley Veterans Hospital  Hillsborough County Homeless Services  Catholic Charities  Salvation Army
  • 63. Community Collaboration  We have developed partnerships with the following agencies:  Society of St. Vincent de Paul  Department of Highway Safety and Motor Vehicles  Hillsborough County Tax Collector  Clerk Of the 13th Circuit Court – Civil  Lazy Days Employee Foundation  Metropolitan Ministries  Tampa Hillsborough Homeless Initiative (THHI)
  • 64. How Much is Our Annual Budget?  Anyone? Anyone?  Hillsborough County Sheriff’s Office (HCSO)  $  Tampa Police Department  $
  • 65. How Much is Our Annual Budget?  Anyone? Anyone?  Hillsborough County Sheriff’s Office (HCSO)  $ ZERO  Tampa Police Department  $ ZERO
  • 66. How Much is Our Annual Budget?  Anyone? Anyone?  Hillsborough County Sheriff’s Office (HCSO)  $ ZERO  Tampa Police Department  $ ZERO  We operate our programs at no cost to the taxpayers (except salaries and vehicles)
  • 67. •We hope you enjoyd our presentation •Are there any questions? Thank You for Attending
  • 68. • Dep. Stephanie Krager: • skrager@hcso.tampa.fl.us • Ofc. Daniel McDonald • daniel.mcdonald@tampagov.net Thank You for Attending