The document summarizes discussions from a Diversion First stakeholders meeting in January 2019. It includes the following: - An overview of the mental health docket pilot program and plans to officially launch the program in April 2019. Emerging needs around coordinating services and supports were also discussed. - A presentation on a new jail-based addiction treatment and recovery program at the Fairfax County Adult Detention Center, including eligibility criteria, program components, and next steps to evaluate outcomes. - Data from 2018 on individuals served at the Merrifield Crisis Response Center, including demographics, behavioral health characteristics, and an analysis of "super utilizers." The co-responder pilot with public safety and behavioral health was

1. Diversion First
Stakeholders Meeting | January 28, 2019

2. Meeting Agenda
 Welcome & Announcements
 Mental Health Docket
- Discussion
 Jail-Based Addiction Treatment and Recovery Program
 Merrifield Crisis Response Center(MCRC)/Community Response Team
 2018 MCRC Data
 Wrap-Up
2

3. Sequential Intercept Model (SIM)
 Applied for and received workshop to develop new SIM map through
SAMHSA’s GAINS Center for Behavioral Health and Justice
Transformation.
 Spring 2019: Will update our community-specific SIM map and use as
a strategic planning tool.
3

4. 2018 Annual Report
 Highlights and Success Stories of 2018
 What’s Ahead for 2019
Coming Soon!
4

5. Mental Health Docket
The Honorable Judge Tina Snee
Dawn Butorac | Chief Public Defender
Casey Lingan | Chief Deputy Commonwealth Attorney
Shawn Lherisse | Court Services
Marissa Fariña-Morse | Community Services Board
5

6. Supervised Release Program Docket (SRP)
Since August 2018, 160 cases have been heard in the pilot Mental Health Docket.
 60 have appeared more than once
 50 appeared due to something other than SRP (Bond Motion, Competency,
Probation)
Different functions:
 Bond Modification
 Compliance with Disposition of Charges
 Treatment Compliance
 Competency Restoration
2nd and 4th Friday of each month, Courtroom 2K
6

7. SRP Docket
Court Services Role
 Make recommendations on release
 Monitor compliance with the Court Order and report non-compliance
 Court appearance reminder to client & attorney
 Verify compliance and participation with treatment providers
 Make appropriate referrals
Community Services Board (CSB) Role
 Provide timely information on status of CSB services
 Encouragement to follow treatment recommendations
 Follow up to assist in accessing services
 Recommendations to the court for services needed and process
to access them
7

8. Peer Support Specialists & SRP Docket
CSB Peer Support Specialist
 Assistance (transportation, directions)
 Supportive Environment
 Rapport Building
 Information on Community Resources
8

9. Mental Health Docket
Official Mental Health Docket
 Finalizing Application State Supreme Court
 Target Launch April 2019
Emerging Needs
 Mental Health Docket Coordinator
 Commonwealth’s Attorney
 Public Defender’s Office
 12th Judge GDC Bench
 Community Based Services
- Housing (emergency/long term)
- Treatment Access
- Transportation
- Peer Support Specialists/Engagement
9

10. As we move forward with the Mental Health
Docket, which elements do you think would
be important to include in our planning?
Email:DiversionFirst@fairfaxcounty.gov
10

11. Jail-Based Addiction Treatment and
Recovery Program
Stacey Kincaid| Sheriff

12. Chesterfield County Jail
HARP
12

13. Fairfax County Adult Detention Center
13

14. Who Is Eligible?
 VOLUNTARY!
 Referred by Sheriff’s Office, CSB or self
 Fairfax County or City resident
 History of substance use disorder
 Pre- or post-sentenced
 Ideally less than 3 years to serve
 No violent crime convictions within 10 years
 No history of sexual crimes
 Positive jail adjustment
 Panel interview
14

15. What Is It About?
Living in Balance & 12-Step program
Recognize trauma
Identify triggers
Manage stress
Develop social supports
Set goals
Recommit after setback
15

16. What Is Next?
Data collection – GMU team: How do we gauge success?
Sheriff’s Office re-entry specialist position
Assistance from Re-Entry Council
Continuity of care – CSB partners
Transitional housing and job readiness
16

17. Merrifield Crisis Response Center (MCRC)
Co-Responder Pilot
Dwayne Machosky | Police Department
Abbey May | Community Service Board
Redic Morris | Sheriff’s Office
Adam Willemssen | Fire & Rescue

18. Merrifield Crisis Response Center
 Youth Drop-in Group- “Heads Up”
 Parent’s Group- “Talk It Out”
Peer led and Youth and Family Staff
Open House:
February 4
2 to 3 p.m.
Group Launch:
February 7
6 to 7:30 p.m.
18

19. Merrifield Crisis Response Center
Medical Clearance
Partnership with Inova and CSB to provide medical clearance at the
MCRC
Goal is to decrease number of clearances in emergency department,
improve client experience, and increase safety
Pilot:
 Positions are advertised
 Electronic health record build
 Contract under review
19

20. Co-Responder Model
Community Response Team (CRT)
- Public Safety and CSB responding together on
super-utilizer calls
Pilot launched November 2018
Goals and outcomes
More efficient and appropriate use of resources
Improvements in public safety and community health
Reduction in calls for service
Outreach, intervention, and diversion from arrest
Criteria
6 or more calls to public
safety within 60 days
Referrals from dispatch
(advised events)
20

21. Co-Responder Model
Demographics
Disposition
Responses by
public safety
Number and
duration of
calls
Demonstrated Need 2018
35 Super Utilizers Tracked
2343 calls to
Dispatch
708 Fire and
Rescue Dept.
calls
466 Fire and
Rescue
transports
481 Law
Enforcement
involved
responses
21

22. Example 1 (pre-CRT)
 264 calls into DPSC -739.72 minutes
 3 Advised Events
 24 Police Events
 32 EMS Events
 53 Fire Events
Example 2 (pre-CRT)
 53 calls into DPSC -395.8 minutes
 1 Advised Event
 40 Police Events
 33 EMS Events
 0 Fire Events
Co-Responder Model
Success Stories
22

23. Co-Responder Model
Working Together:
 First step is understanding our differences and learning from each other.
 Law enforcement initiated training in the field for all teams to proactively learn
operational techniques and learn from each other.
23

24. Crisis Intervention Team Training
Total trained in CIT = 734
 283 Trained in 2018
Fairfax County Police = 458, to date
Fairfax County Sheriff = 116, to date
Included in training total:
 City of Falls Church PD
 George Mason University PD
 Town of Herndon Police PD
 Town of Leesburg PD
 Loudoun County Sheriff’s Office
 Manassas City PD
 Metro Transit PD
 Metropolitan Washington Airport Authority PD
 Northern Virginia Community College PD
 Town of Vienna PD
 United States Marine Corp
 Alexandria City Sheriff’s Office
 Alexandria City PD
 Central Intelligence Agency
 Virginia State Police
 Fairfax County Fire & Rescue Department
 City of Fairfax PD
 Fairfax County Court Services/Pre-Trial Probation
 Fairfax County Department of Public Safety
Communications

25. MCRC
Community Awareness and Outreach
Public Service Announcement Video:
25

26. 2018 Year End Analysis:
MCRC Population Overview
Chloe Lee| Community Service Board

27. 375
403
530
CY 2016 CY 2017 CY 2018
Diverted from Potential
Arrest
463
1,033
1,365
1,616
CY 2015 CY 2016 CY 2017 CY 2018
ECO: 2015-2018
249% Increase from
2015 to 2018
56%Increase from
2016 to 2018
41% Increase from
2016 to 2018
Diverted from potential
arrest since 2016
Over
1,300
Emergency Custody Orders (ECOs) & Diverted
from Arrest
27

28. Inmates with
behavioral health
issues
Inmates with SMI
who are Fairfax
County residents
and who did forensic
intake during the
current
incarceration and
were released
during the period of
data collection
1,776
Unique
individuals
in 2018
Evaluation Plan
28

29. MCRC Population: Demographic Characteristics
(N=1,776)
43% Female
57% Male
6%
9%
9%
21%
54%
Multi-race
Other
Asian
Black
White
Race
16%
Hispanic or
Latino
Unstable Housing
(Based on CSB EHR and HMIS database in 2018)
10%
29

30. MCRC Population: Demographic Characteristics
(N=1,776)
1%
14%
19%
21%
18%
11%
9% 8%
7-12 13-17 18-22 23-29 30-39 40-49 50-59 60 or
older
Age Group
Under 18
15.4% (273) 86%
Fairfax County, City and City
of Falls-Church Residents
30

31. MCRC Population: Behavioral Health
Characteristics
36%Serious Mental Illness or
Serious Emotional
Disturbance
22%
Substance Use Disorder
11%
Alcohol-related Diagnosis
5%
Developmental Disability
Adult SMI: 37%
Minor SED: 26%
Adult SUD: 24%
Minor SUD: 10%
Adult Alcohol: 22%
Minor Alcohol: 3%
Adult DD: 4%
Minor DD: 10%
 The SUD prevalence was lower among the MCRC population than among the jail behavioral population (64% of the jail
behavioral health population had SUD in 2016).
 The SMI prevalence was higher among the MCRC population than among the jail behavioral health population (28% of the
jail behavioral health population had SMI in 2016).
 There was a significant difference in the prevalence of SUD and DD between adults and minors.
31

32. Familiar Faces: MCRC Super Utilizers Analysis
(N=1,776)
1%
1%
3%
13%
82%
5 times or more
4 times
3 times
2 times
1 time
Super Utilizers
Diverted more than once
in 2018
Over 2%
(41 Individuals)
Repeated Diversion
Top 5%: 89
individuals
32

33. MCRC Super Utilizers: Associated Factors
MCRC Super
Utilizers
1 Minors
 Minors (under 18) have a higher
likelihood of being a super utilizer
of MCRC services than adults.
3
People with Serious
Mental Illness
 People with Serious Mental Illness
(SMI) have a higher likelihood of
being a super utilizer of MCRC
services than people without SMI.
2 Girls
 Girls have a higher likelihood of
being a super utilizer of MCRC
services than boys.
 Women and men were not
significantly different in the
likelihood of being a super utilizer.
4
People with
Developmental Disability
 People with Developmental
Disability (DD) have a higher
likelihood of being a super utilizer
of MCRC services than people
without DD.
33

34. Next Steps…
Sequential Intercept Model Map
Focus on Intercepts 4 & 5
NACo Leadership Lab
Explore additional opportunities for stakeholder feedback
34

35. Next Stakeholders Meeting
May 16, 2019
7 p.m.
Government Center, Rooms 4 & 5
35