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Topeka/Shawnee County CIT

Topeka/Shawnee County CIT. CPT Bill Cochran Assistant Division Commander Field Operations Division Topeka Police Department. Dwayne Moore Team Leader Crisis Diversion Services Valeo Behavioral Health Care. History.

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Topeka/Shawnee County CIT

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  1. Topeka/Shawnee County CIT

  2. CPT Bill Cochran Assistant Division Commander Field Operations Division Topeka Police Department Dwayne Moore Team Leader Crisis Diversion Services Valeo Behavioral Health Care

  3. History • Talk of a CIT program started in 2006 after officers used lethal force on a man with mental illness • Program started in 2007 • First training was in April of 2008 • Family has participated in every CIT training • Family donates money to the program

  4. March 2012

  5. March 12th – March 16th, 2012

  6. Building the Community Foundation Our committee is made of members from the Mental Health Community (Valeo Behavioral Health, Family Service and Guidance Center, Veterans Administration), Law Enforcement, Shawnee County Department of Corrections, and NAMI Topeka (MOUs) Constant communication between partners in an effort to improve our effectiveness Meet monthly

  7. Building the Community Foundation Continued • Every other month is a Mental Health, Court, and Law Enforcement meeting to discuss : Osawatomie State Hospital Report Working Groups – CIT, Crisis Diversion, Out Patient Services, Social Detox, Barriers, and Agency Reports • Quarterly conference call with all the CIT programs in the state, facilitated by Rick Cagan - NAMI Kansas Executive Officer • Mobile Response to Law Enforcement

  8. Valeo Crisis Support CliniciansMobile Response to Law Enforcement5:00pm-8:00am seven days a weekPhone: 785-220-6134

  9. Overview of Mobile Crisis Support Clinician Response: • Valeo Crisis Support Clinician(CSC) will be available to respond to calls from Law Enforcement Officers(LEO) in the community to assist with identifying mental health needs for individuals who have LEO encounters. This may include phone or face-to-face consult. • CSC Mobile Response service is offered from 5pm to 8am seven days a week. • LEO can contact a CSC from 5p to 8am / 7 days a week, including holidays, at 785-220-6134.

  10. Overview of Mobile Crisis Support Clinician Response Continued: • During normal business hours 8am-5pm Mon-Fri LEO will need to utilize Valeo Crisis services located at 330 Oakley. Crisis Line number is 785-234-3300. • Calls for assistance will be responded to within 5 minutes of receiving the call. The CSC will then give an estimated time for face-to-face assistance. • CSC will obtain a Release of Information on face-to-face contacts from individuals in crisis so collaboration with LEO can occur.

  11. CSC Mobile Responders objectives include the following: • Provide a timely and appropriate initial response to individuals experiencing a mental health crisis by intervening proactively and earlier, before the level of deterioration is such that hospital services or arrest becomes necessary. • Enhance the capacity to provide short-term crisis stabilization to promote safe outcomes for individuals in crisis, clinical staff, the public and LEO. • Facilitate a range of crisis intervention, stabilization, support, safety plans, and/or follow-up services to connect individual to adequate mental health services once the acute phase of the crisis is resolved.

  12. CSC Mobile Responders objectives include the following continued: • Reduce the potential for escalation and aggression in the presence of LEO (e.g. those individuals who feel threatened/fearful when interacting with LEO) • Enhance the ability for LEO to defer mental health responses to the Mobile Responder, and thereby reducing LEO resources on-scene, time waiting with individuals in the ER, Stormont Vail West, etc.

  13. CSC Mobile Responders objectives include the following continued: • Promote a respectful and non-threatening early intervention for individuals experiencing psychiatric symptoms, while enhancing the capacity to remain in the community, or the least intrusive and most appropriate services for the individual • Facilitate the most appropriate care option to reduce repeated or inappropriate contacts with LEO • Adopt a more proactive approach to addressing evolving community issues regarding individuals with mental illness, through effective partnership and liaison activity between MH and LEO.

  14. Role and Responsibility of CSC: • CSC will assist the LEO as requested in crisis situations with individuals with mental needs in the community and priority will be given to LEO for assistance. • CSC will identify Crisis Intervention, Safety Plans or Coping Skills needs for individuals in crisis to minimize the risk of harm to self or others. • CSC will provide next day short-term follow-up to individual seen by LEO. These situations must not be urgent in nature, and for individuals who do not require immediate assessment/hospital admission. • CSC will make arrangements with LEO to meet at scene in the event situation warrants face-to face mental health intervention. The parties will consult regarding roles and best mode of intervention for individual in crisis.

  15. Role and Responsibility of CSC Continued: • CSC will utilize mental health services such as, Crisis Residential Program- The Residence, Crisis In-Home Support Services, CCM Follow-Up, MH Screening, etc. as needed. • CSC will complete tracking and appropriate documentation on each call. • CSC will communicate with LEO about prioritizing if multiple calls occurs.

  16. Role and Responsibility of LEO: • CSC and LEO will confer in order to make sure safety is determined and the necessity of LEO to remain and continue to provide stand-by assist to the CSC. As soon as safety is determined the LEO will be freed up and the CSC will continue to provide interventions as identified. • If necessary CSC will request LEO to come back to a scene in the event the individual decompensates or becomes volatile and safety is compromised for the individual and/or the CSC. • If necessary CSC will request LEO assist with transporting individual if they pose a danger risk to self or others to appropriate location for CSC to evaluate treatment needs.

  17. Data Collection • Is important • To conduct research on your program, • It directly impacts your conclusions and expectations of your program, • Data can be organized and analyzed to measure success, failures, and effectiveness, and • Provides avenues for recommendations and decision making • It’s Difficult to do • Options to collecting data • Dispatch • Activity logs • Special reports • What to collect

  18. Topeka CIT Data Collection Started January 1, 2012 • Calls per shift and length of calls • Reporting party • Age group • Race/Ethnic/Sex Factors • Reason for the call • Outcome • Territory (beat location)

  19. Moving CIT Forward in Kansas • Tower foundation grant 2009 founded state wide trainings through the first quarter of 2012 • February 21, 2012 CIT resolution passed the Kansas House of Representatives • March 15, 2012 CIT resolution passed the Kansas State Senate • Video link • August 27 – 31, 2012 (SROs and Juvenile Issues) • Yearly State Summit – September 11, 2012

  20. CIT: Doing the right thing for the right reasons Questions

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