Cuyahoga County Diversion Center: Overview and Procedures

1. Cuyahoga County Diversion Center Community CIT Training 2022

2. Goals for the Training • Provide an overview to law enforcement and other stakeholders about how to use the Cuyahoga County Diversion Center • Provide an overview of the services available to individuals at the Cuyahoga County Diversion Center

3. 24-Hour Police Help Line – When to Call? The 24-Hour Police Help Line: 216-623-6888 (FrontLine Service) will be available 24/7 to law enforcement and fire/EMS who interact with an individual showing signs of mental health and/or substance misuse issues. Additionally, friends of clients, family members of clients, or clients themselves (self-referral) can make a referral by calling this number

4. 24-Hour Police Help Line – What to Expect? After a brief recorded message (don’t hang up!), you will be connected to the next available mental health professional who will ask you the following if you are law enforcement: • Your name, badge number and your community/district. • The name, date of birth and address of the individual in question. • A brief description of why you were called to the scene.

5. 24-Hour Police Help Line – What to Expect? • A brief description of your observations/understanding of what is going on with the individual. • The criminal offense that the person could be charged with. If there is no criminal offense, explain any mental health or substance use concerns. • A little information about the person’s basic functioning level.

6. 24-Hour Police Help Line – What to Expect? •If a friend, family member, or the client themselves is making the referral, the screening process is a bit different. •Callers will be asked a short series of questions to determine if the Diversion Center is the appropriate level of care for the client.

7. 24-Hour Police Help Line – What Happens Next? Once the mental health professional has gathered the necessary information, they will advise the caller to take one of the following actions: • Transport to the Diversion Center (1804 East 55th St.) • Transport to the Crisis Stabilization Unit (8315 Detroit Ave.) • Transport to St. Vincent’s Psychiatric Emergency Department (2351 East 22nd St.)

8. Continued… • Transport to the nearest Hospital Emergency Department • Leave the individual in place with follow-up to be done by the Mobile Crisis Team or Police/Mental Health Co-Responder Team

9. Flow Chart Someone comes into contact with an individual with a suspected mental health or substance use issue Individual calls Police Help Line 216-623-6888 (Frontline Service) Frontline and the individual complete the phone screening process Individual does not meet legal and health criteria Individual meets legal and health criteria Frontline Service Calls Diversion Center with ETA for drop-off Individual is transported to jail, crisis stabilization unit, St. Vincent Psychiatric ED, or nearest hospital Individual is transported to the Diversion Center

10. Diversion Center Process

11. Cuyahoga County Diversion Center operated by Oriana House

12. Target Population • Adults (18 years and older) • Individuals with mental health and/or substance use issues • Individuals eligible for diversion from jail

13. Our Staff • LPNs • RNs • CNPs (certified nurse practitioners) • Psychiatrists • Social workers and Counselors • Behavior health specialists • Recovery coaches

14. Certifications • Certified by OMHAS • General Services • SUD Residential • Class 1 Mental Health Residential • CPST

15. What We Do Diagnostic assessments Medical evaluation Case management Counseling Medications Medication Assisted Treatment (MAT) Withdrawal management (detox) Group counseling Individual counseling Referrals and linkage to other services

16. Amenities We have 2 days rooms where clients can lounge and watch television Art room Game room Cafeteria (meals are delivered by Aramark) Reading room Group therapy rooms Recreation area Two smoking areas

17. Fact Sheet • The Diversion Center is a VOLUNTARY facility not a lock down facility or a psychiatric hospital. Clients have agency over their medical and psychiatric decisions, and they have the option to leave the facility if they choose. • The Diversion Center is meant to evaluate clients and connect them with community resources, including mental health and substance use treatment. The target length of stay is 2-5 days. We work within the confines of the current system to provide additional resources such as connection with housing or shelter programs, but we may not be able to accomplish this during a brief stay.

18. Fact Sheet • All referrals MUST go through Frontline (216-623-6888) first. Clients, families, and friends can refer, but they must call Frontline and wait for approval to be admitted. • Being that the Diversion Center is voluntary, we cannot force clients to take medications. We will work with clients regarding mental health treatment and encourage engagement and consideration of medications where clinically indicated, but the clients may choose not to take medications during their stay with us.

19. Fact Sheet • Must be a Cuyahoga County Resident • We do not currently accept referrals from hospitals or community agencies as the Diversion Center is not a “step down” facility. • We do not close. We are open 24/7. • Clients should have mental health concerns, substance use concerns, or both

23. Cuyahoga County Diversion Center