The document provides an agenda for a Diversion-Oriented System of Care Collaborative meeting on April 4, 2016. It includes reports from various work groups on diversion efforts including communications and public outreach, CIT training, the Merrifield Crisis Response Center, data collection and evaluation, fire and rescue diversion, juvenile diversion updates, and leadership group updates. The agenda also includes announcements and stakeholder updates.

1. Tonight’s Agenda
Diversion-Oriented System of Care Collaborative
April 4, 2016
Review of Local Diversion Components and Timeframes
Work Group Report Outs
• Communications and Public Outreach: Tony Castrilli, Office of Public Affairs
• CIT Training and Coordination: Lt. Ryan Morgan, Fairfax County Police Department
• Merrifield Crisis Response Center: Daryl Washington, Fairfax-Falls Church Community
Services Board
• Evaluation and Data Collection – Implementation Phase: Lisa Potter, CSB; Lt. Derrick Ledford,
Office of Sheriff; Lt. Ryan Morgan, FCPD
• Fire and Rescue Diversion Efforts: Captain Jonithan Brantley, Fairfax City FD
• Juvenile Diversion Updates: Bob Bermingham, Juvenile and Domestic Relations Court
• Leadership Group: Pat Harrison, Deputy County Executive for Human Services
• Other Updates: Laura Yager, Office of County Executive/CSB
Additional Work Groups Coming Soon!
Announcements and Updates from Collaborative
1

2. Stakeholders Update
Diversion-Oriented System of Care Collaborative
April 4, 2016
2

3. Quick Review of Components
and Timeframes
 Launch a data-driven multi-faceted diversion
system by January 1, 2016.
– Built around Sequential Intercept Model
– CIT-trained first responders
– Crisis Assessment Site and custody transfer
• Expanding 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.
– Expand diversion services to all 5 intercepts
3

4. Work Group Report Outs
4

5. Communications and Public
Outreach Team
Chaired by
Stacy Patterson
Office of Public Affairs
5

6. February 11 Media Event!
• Panel discussion invited media and stakeholders
to learn about Diversion First progress
• Shared first month data and announced new web
presence at www.fairfaxcounty.gov/DiversionFirst
• Shared personal story from CSB employee Kevin
Earley
• Strong media presence and coverage
– Sample coverage: NBCWashington-Diversion First
Offering Treatment Instead of Jail
6

7. Communications and
Public Outreach
Website is the source for Diversion First news
and historical information:
• Sign up for new Diversion First Listserv
• View some of the media coverage
• Home for current data around Diversion
First initiatives
http://www.fairfaxcounty.gov/diversionfirst/
7

8. Defining Diversion
• Developed draft definition of Diversion
• Inviting stakeholder and public input
beginning next week through May 16 by using
the website contact button
• Team will review and finalize definition, share
with Leadership Group
• Next Step: Communications Team will draft a
Diversion First Policy statement to be adopted
by BOS
8

9. Diversion Definition
Draft
Diversion First offers alternatives to incarceration
for people with mental illness (with or without a co-
occurring substance use disorder), or for those with
an intellectual or developmental disability, who
come into contact with law enforcement for low
level crimes. Diversion First helps stop repeat
encounters with the criminal justice system by
sending people to assessment and treatment when
jail is clearly not the appropriate place for them.
9

10. Communications and
Public Outreach
On the horizon…
• Refining website
• Focus on community messaging
• Develop talking points around current Diversion
First initiatives
• Supporting with interagency communication
strategies and information-sharing
• Social media
• Opportunities to pitch to media
10

11. Get involved with
communications!
• Contact Stacy.Patterson@fairfaxcounty.gov
if you’d like to get involved!
11

12. CIT Training and Coordination
Work Group
Lt. Ryan Morgan
Fairfax County Police Department
12

13. Crisis Intervention Team and
Mental Health First Aid Training
• Graduates since September 2015 = 110
• Dispatcher training- (18)
— Coordinating additional classes (157 Fairfax County + CSB
partner agencies)
• Mental Health First Aid (MHFA)
To date:
– Deputies- 139
– Magistrates- 31
• 100% of magistrates are trained
– Fire and Rescue- 19
– Juvenile Intake Officers- 18
13

14. 14
New CIT Pins for Graduates

15. Crisis Intervention
Training (CIT)
• Department of Public Safety Communications (DPSC)-
call-takers and dispatchers can relay the nearest
available CIT officer for dispatch consideration
• The Sheriff has been instrumental in sending qualified
deputies to serve at the MCRC
• Fairfax County Police Department has allowed qualified
officers an opportunity to enhance their knowledge
through 60-90 day Inter-Bureau Transfers to MCRC
• The relationship between MCRC law enforcement
personnel and CSB staff has grown tremendously
15

16. Merrifield Crisis Response Center
Daryl Washington
Fairfax-Falls Church Community
Services Board
16

17. Merrifield Crisis
Response Center (MCRC)
• Individuals are being diverted every day
• Strong staffing collaboration with FCPD and Office
of the Sheriff
• Unanticipated services provided by law
enforcement
• Ongoing strengthening of relationships
• Collaborative problem-solving
• Opportunities for improvement
– MOUs on the horizon
– Resource demands
17

18. Merrifield Crisis
Response Center
In January and February, demand for ECO transfer of
custody has overwhelmed dedicated resources
• MCRC officer unable to assume custody, extending the time
the field officer is at MCRC
– January- 10 of 42 (37%)
– February- 25 of 68 (35%)
– March- 42 of 68 (62%)
Increase in the number of ECOs initiated by MCRC officer
for “walk-ins” at Merrifield Emergency Services
– January- 5 of 42 (12% of ECOs)
– February- 14 of 68 (20% of ECOs)
– March- 12 of 68 (18% of ECOs)
18

19. Lessons Learned/
Future Opportunities
• Will apply for state grant opportunity
• Need for medical clearance on site
• MCRC does reach law enforcement capacity
• New service highlights need for resources at
intercept points
19

20. Evaluation and Data Collection Team:
Implementation Phase Launch
Presented by
Lisa Potter, CSB
Lt. Derrick Ledford, Office of the Sheriff
Lt. Ryan Morgan, FCPD
20

21. Data and Evaluation
Purpose: Move the evaluation framework from conception to
implementation.
Structure:
Full group
• Meets at least quarterly
• Provides guidance as data is developed and evaluation work progresses
• Identifies and works to solve issues encountered in data collection,
review, analysis and reporting
• Works collaboratively to plan updates on evaluation for stakeholders
Subgroup
• Meets at least monthly to assure data collection and analysis
• Completes data collection tasks between meetings
• Addresses challenges and identifies process improvements for data
collection and reporting
To date, primary focus has been on Intercept 1
21

22. Data and Evaluation:
Work Group Members
• Jason Jenkins
– Fire & Rescue Department, Chair
• Derrick Ledford
– Sheriff’s Office, Chair
• Lisa Potter
– Community Services Board, Chair
• Terry Atkinson
– Gartlan Advisory Board
• Dalton Becker
– Police Department
• Shalev Ben-Avraham
– Office of the Public Defender
• Steve Black
– Community Services Board
• Peter Clark
– Northern Virginia Mental Health Foundation
• Robert Cluck
– NAMI, Concerned Fairfax, Ad Hoc Police
Practices review Commission
• Debra Dunbar
– Department of Information Technology
• Ken Garnes
– Community Services Board
• Kathaleen Karnes
– Neighborhood & Community Services
• Jason Kasper
– Community Services Board
• John Korman
– Public Safety Communications
• Lisa Lunghofer
– Consultant
• Ryan Morgan
– Police Department
• Linda Mount
– Community Services Board
• Jerome Newsome
– Community Services Board
• Margo Ray
– Sheriff’s Office
• Joan Rodgers
– Community Services Board
• Gregory Scott
– Department of Information Technology
• Annie Thompson
– Police Department
• Dennis Vorbau
– Police Department
• Jess Werder
– Office of the County Executive
22

23. Data and Evaluation:
Accomplishments
• Strong collaboration among non-traditional partners
• Working with a conceptual framework based on
sequential intercept model
• Refining Intercept 1 measures
– Collecting data from multiple systems (identified/designated staff
from each agency to manage data collection)
– Determining which data points are most useful
• Compiling baseline data
• Producing monthly “data snapshot”
• Ongoing analysis of qualitative and quantitative data
• Identifying areas for data process improvement and
making changes as needed
23

24. 24

25. Data and Evaluation:
Challenges
• Multiple data systems and no data interoperability
• Data not always easily attainable
– Many processes are currently manual and not automated
– Review of records and case notes
– Consistency of data collection in the field
– Baseline - data points that were not in place historically
• Data sharing/confidentiality (e.g. HIPAA and 42 CFR)
• Learning as we go…
– As data is analyzed, needs, gaps and process issues are identified
• Identifying all partners and affiliates who need to be involved
• Dedicated resources
25

26. Data
Dispatchers
• Total number of calls dispatched for service- over 80,000 each
month
– Over 800 mental health investigations by officers in the field- (Jan. 1- March 24)
Emergency Services
• Total number served- 1200 (duplicated); 859 (unduplicated)
– Walk-ins - 873 of 1200 (73%)
– Involved law enforcement - 327 of 1200 (27%)
 Diverted from potential arrest - 100
MCRC Police Involved Cases
• Informal Handoff to MCRC Emergency Services Staff - 149
• Emergency Custody Order (ECO) police transports- 178
• Involuntary or Voluntary transport to MCRC by CIT trained officers-
37%
26

27. Data and Evaluation:
Office of the Sheriff
• Temporary Detention Orders (TDOs) from jail- 3
– Accomplished through collaborative partnerships
• Out-of-county transports to psychiatric hospitals- 24
– Transport requires 2 deputies, at least one CIT-trained
• Jail transfers to Western State Hospital- 3
– Individuals taken to jail (not bonded out) but need
hospitalization due to decompensation
• Mental Health First Aid- 139
– Including Medical Staff
27

28. Data and Evaluation
Mobile Crisis Unit (MCU)
• Total number of outreach services- 280
• Unduplicated number served to date- 191
Detox Diversion
January 4 - March 17:
• 114 people served
– 83 people admitted to detox through diversion efforts
 6 through police referral; 77 through community referral
and outreach efforts
• 45 received medical detox services (54%)
• 90% had a co-occurring mental health issue
28

29. Data and Evaluation
• Number of informal handoffs to MCRC Emergency Services
staff and ECOs reversed in January and February, and trend
continued in March
– Informal handoff to ES staff- 65 in January, 41 in February, 43
in March
– ECOs- 42 in January, 68 in February, 68 in March
• From first quarter 2015 to first quarter 2016, the number of
law enforcement involved cases increased by 54%
• To date, no injuries after officer arrived on scene
• Increase in ECOs at MCRC
• Increase in demand for transfer of custody
29

30. Data and Evaluation-
Future Planning and Efforts
• Exploring potential technology solutions for data-
sharing
• Moving forward with dedicated management
analyst
• Expanding data reporting to include more
outcome-focused data
• Training staff in all agencies to consistently and
accurately capture data
• Partner with affiliates that need to be involved
• Focus on other intercepts
30

31. Fairfax County and Fairfax City Fire
and Rescue Department Update
Captain Jonithan Brantley
EMS Program Manager
City of Fairfax Fire Department
31

32. Fire and Rescue
Department
• FRD and CSB collaborating on MHFA Training
– applicability for EMT and other FRD staff
– Modified curriculum will be completed in April
– First offering will occur in May
• Fairfax City Fire Department launched pilot EMT diversion
project
• Fairfax County will implement the diversion process once
additional staff complete MHFA Training
• Ongoing collaboration with CSB and area hospital systems
about more efficient medical clearance strategies
• Representation within the Data and Evaluation Work
Group
32

33. Fire and Rescue
Department
• Ongoing dialogue with CSB and hospitals
about more efficient medical clearance
strategies required for psychiatric
hospitalization
• Ongoing participation in the Data and
Evaluation Work Group and other support as
needed
33

34. Juvenile Diversion Efforts
Bob Bermingham
Director of Court Services
Juvenile and Domestic Relations District Court
34

35. Juvenile and Domestic
Relations Court Diversion
Efforts
Code of Virginia (16.1-227) mandates that we
“divert from or within the juvenile justice system,
to the extent possible, consistent with protection
of public safety, those children who can be cared
for or treated through alternative programs.”
35

36. Juvenile Diversion
• Research shows that assessing to determine risk
levels and need areas and matching with
interventions and treatment is integral to
reducing recidivism.
• Pre-screen with YASI tool
• Helps identify those most appropriate for service
and those most appropriate for diversion.
• Completing our one year diversion pilot program.
36

37. Juvenile Diversion
• Divert as many low level, first time juvenile
offenders based on certain criteria
determined through:
– Admission of guilt
– Whether or not there is excessive restitution
and/or significant injury to the victim
37

38. Juvenile Diversion
Wide spectrum of offenses that can be diverted including:
Alcohol Offenses, Marijuana Poss., Misdemeanor Arson,
Destruction of Property, Domestic/Simple Assault, CHINS, CC
Fraud, Concealed Weapon, Curse and Abuse, Disorderly
Conduct, Embezzlement <$500, False ID to LEO, False Report,
Indecent Exposure, Obstruction, Petty Larceny, Poss. of
Fraudulent ID, Poss. of Marijuana, Poss. of Scheduled
Substance III or IV, Poss. of Fireworks, Receiving Stolen
Property, Poss. of Obscene Material, Shoot/Throw Missile,
Shoplifting, Vehicle Tampering, Telephone Abuse, Trespassing,
UUV, Unlawful Entry, Grand Larceny, Forgery, and Unlawful
Videotaping/Photography.
38

39. What happens when a
young person is diverted?
• May be referred to an Informal Hearing
Process, Restorative Justice, or Monitored
Diversion
• May include disposition to include a referral to
other agencies for treatment or services to
meet their needs
39

40. Juvenile Diversion
Outcomes
• In FY 2015, 71% of intakes were handled
through court action, with remaining 29%
handled through diversion, informal action, or
referrals to other agencies
• Of those diverted, 84% successfully completed
services
40

41. Juvenile Diversion:
Future of Diversion
• Continue with the evidence-based screening and
assessment tools as they are effective in determining
needs and risks as well as level of intervention
• Continue to refer to substance use and mental health
services as needs are identified to reduce recidivism
and provide needed intervention
• Continue to partner with these systems (example- All
juvenile intake officers are trained and certified in
Mental Health First Aid)
• Share our experience as the adult diversion system
rolls out
41

42. Leadership Group
Pat Harrison
Deputy County Executive for
Human Services
42

43. Leadership Group
• Meeting monthly focused on:
– Partnership among leader organizations
– Policy
– Budget
– Troubleshooting
• Meeting leadership shifts quarterly so all are
involved in process
43

44. Leadership Group
44
• Competitive application
• Our jurisdiction one of 50 across the country selected to attend
National Summit April 17-19
• Team of 5 includes key leadership: Deputy County Executives for
Public Safety and Human Services, Sheriff, CSB, BOS/staff
• Key findings will be reported next quarter

45. Leadership Group
• Budget update
– Advertised budget
– Emerging priorities
45

46. Additional Work Group
Information and Updates
Laura Yager
Office of County Executive
46

47. Additional Work Group
Information and Updates
• Co-occurring and ongoing discovery, implementation,
quality improvement, and evaluation!
• Ongoing dialogue with courts regarding docket
– Collaboration and resources
• Next quarter -- Magistrate’s Office (warning!)
• Fund-Seeking
– DJS Application (May)
– DBHDS CIT Assessment Site Expansion RFP (coming soon)
– $286K Permanent Supportive Housing grant (Pathway Homes) +
HSC/NAMI request for local match to expand further
• In progress -- launch of Intercept 4 and 5 work group
with emphasis on re-entry (back-end) services
47

48. Collaborative:
Comments, Updates, Questions and
Announcements
48

49. Upcoming Budget
Hearing Information
Public Hearing on County FY 2017 Budget -
Board Auditorium - Govt. Center - 4:00 p.m.
April 5, 2016
Public Hearing on County FY 2017 Budget -
Board Auditorium - Govt. Center - 1:00 p.m.
April 6, 2016
Public Hearing on County FY 2017 Budget -
Board Auditorium - Govt. Center - 1:00 p.m.
April 7, 2016
49
Each speaker must register in advance and will have three minutes
to provide comment. For more information and to register, call the
Office of the Clerk to the Board at 703-324-3151, TTY 711.

50. Next meeting:
Monday, July 11
7 to 9 p.m.
Fairfax County Government Center
Rooms 4-5
50