Alameda CARE Team Update
April 5, 2022
“Community Assessment Response and Engagement”
Nicholas Luby - Alameda Fire Chief
WHY WAS THE CARE TEAM CREATED?
• Developing options to shift specific responsibilities for managing mental health crises from the Police Department to non-police agencies was a recommendation of the community-led committee on police reform and racial equity
• Regional and National trend
• Fill an existing gap in the community to address the hurdles with navigating mental health challenges
IMPLEMENTATION TIMELINE
March 16, 2021 –
Initial
recommendations
received from
Committee
May 8, 2021 –
CARE Team concept
added to
recommendations
July 6, 2021 – City
Manager /AFD
directed to
proceed with
CARE Team pilot
Sept. 21, 2021
– City Manger
approved to
negotiate with
AFS
December 8, 2021 –
contract finalized
with AFS
December 16,
2021 – CARE
Team goes into
service
CARE TEAM OBJECTIVES
1. Provide a resource for APD to utilize when engaging with mental health clients
2. Allow APD to increase Officer availability for other calls for service
3. Foster positive outcomes for community members in need of mental health services (triage–assess-navigate)
4. Reduce the need to use emergency services to stabilize mental health or address addiction recovery/stabilization
5. Reduce the use of AFD ambulances for 5150/5585 transports
6. Reduce impacts on local hospitals and facilities by reducing transportation of clients
7. Provide services to community members that have historically not had access to services that can assist in navigation
CARE TEAM CLIENT OPTIONS
• Medical referral or transport
• Transport to a friend, family, transportation hub, shelter, sobering facility, pharmacy, etc.
• Create a safety plan
• 5150 or 5585 psychiatric hold (danger to themselves or others) – AFS consultation
• Referrals to AFS for case management
FIRST 60 DAYS
12/16/21 – 02/16/22
• OUTCOMES
• TRANSPORT DESTINATIONS
• AFS ENGAGEMENT
• DEMOGRAPHICS
Outcomes – 92 Total Requests for
Service ( 68 Interactions)
• 28 -Referral to AFS (no
other intervention)
• 4 –Transferred (Medical)
• 12 –CARE Team Transports
• 13 -5150/5585 holds placed
Reporting Dates: 12/16/21 – 02/16/22
• 9 Refused service
• 16 Cancelled on scene/no client
contact
• 8 Unable to locate
• 2 Clients Evaluated, No
Treatment/Transport
ACT Transport Results
First 60 Days
• 48 calls during this period
• 25% of responses were transports
• 2% of responses went to JGPP
• 44 calls during this period
• 27% of responses were transports
• 0% of responses went to JGPP
ALAMEDA CARE TEAM COMPARISON
FIRST 60 DAYS
Prior to CARE Team
• 45 calls during this period
• 100% of responses were transports
• 9% of responses went to JGPP
• 2% of responses went to Willow Rock
With CARE Team
• 92 calls during this period
• 26% of responses were transports
• 1% of responses went to JGPP
• 5% of responses went to Willow Rock
12/16-
1/15
1/16-
2/16
Totals
Clients
referred
27 29 56
Repeat
referrals
2 1 3
Unduplicated
clients
25 28 53
12/16-
1/15
1/16-
2/16
Totals
No contact 4 5 9
Declined
services
4 3 7
Client in
outreach
4 3 7
Client
receiving
case
management
8 9 17
Referral
closed
6 7 13
AFS Referral outcomes
Total AFS Referrals
ALAMEDA FAMILY SERVICES
Referrals– Total 56
ALAMEDA FAMILY SERVICES
On Call Services – Total 37
14%
58%
22%
6%
Reason for Consult
De-escalation/Safety Plan
5150 Consult
5585
Other
54%
11%
19%
0%
8%
8%
Outcome of Consult
De-escalation/Saqfety Plan
5150 Voluntary
5150 Involuntary
5585 Voluntary (0%)
5585 Involuntary
Other
30%
24%
2%
2%
2%
4%
4%
11%
19%
2% Race
African American/Black White
Chinese Filipino
Vietnamese Other Asian
Puerto Rican Latino/Hispanic
Unk/Declined Indiginous People
CLIENT DEMOGRAPHICS – AFS DATA
CLIENT DEMOGRAPHICS – AFD DATA
PILOT PROGRAM PATH FORWARD
• Streamline data collection, track long term results, add data collection points – Beyond Lucid Technologies contract executed March 31, 2022 • Transition vehicle
• Continue to evaluate dispatch protocols
• Continue to evaluate the program, address challenges as they arise, and explore options for further community engagement
• Key Stakeholder Advisory Committee (mid-April) and QA/QI (ongoing) • Identify potential state and federal funds to support the program long-term • Train additional AFD members
• Monitor and address the mental health of AFD responders • Provide comprehensive pilot updates to City Council in July 2022 and January 2023
QUESTIONS?