Alameda CARE Team Update
Six Month
September 20, 2022
Nicholas Luby – Alameda Fire Chief
Six Month Highlights
● Program funding until June 30, 2023
● AHCD approved $250K for FY 22/23 for the program
● APD/AFD initiated interdepartmental field personnel meetings ● Proposal for state funding submitted for consideration in CA budget ● Scheduled train the trainer course for de-escalation certification ● All non-probationary Firefighter/Paramedics trained for CARE Team ● Initiated Vicarious Trauma/Peer Support training between AFD/AFS ● 988 Coordination discussions with key stakeholders
● New data software program (MediView)
● All AFD CARE Team positions filled on the unit
Six Month Data
12/16/21 – 06/16/22
• OUTCOMES
• TRANSPORT DESTINATIONS
• TIME ANALYSIS
• AFS ENGAGEMENT
• DEMOGRAPHICS
• APD
Alameda CARE Team (ACT) Activities
12/16/21 – 6/16/22
4 529 Total
Responses
471 ACT
Responses
290 ACT
Client
Engagements
• AVG 88 Responses /Month
• 74% increase in engagements from the previous year
CARE Team Demand for Service
Call Type Total
100s – Fire Calls 35
200s – Overpressure 1
300s – Medical and Rescue 471
400s – Hazardous Conditions 2
500s – Service Calls 3
600s – Good Intent 10
700s – False Alarm 7
Total 529
290 Client Engagements
• 204 -Referrals to AFS
• 4 –Transferred (Medical)
• 115 -Transports
• 35 -5150/5585 holds placed
Reporting Dates: 12/16/21 – 06/16/22
• 15 Refused service
• 18 Client Evaluated, No
Treatment/Transport
• 38 Cancelled on scene/no client
contact
• 8 Unable to locate
Destinations
Prior to CARE Team
166 Client field engagements
85% transported and 15%
did not require transport
11 Destinations
Utilized
CARE TeamDestinations
First Six Months
290 Client field engagements
37% transported, and 63%
did not require transport
21 Destinations
Utilized
AFD Client Demographics
Age (field contacts only)
AFD/AFS Client Demographics
Gender
128 132
30 75
62 26
0 20
40 60
80 100
120
140
Female Male Unknown
Gender Field Contact Compared to Case Management
Field Contacts Case Management
AFS Client Demographics
Ethnicity (AFS Case Management)
Time of Calls
(AFD engagements)
Time On Task
(avg. 68 minutes/engagement)
• Average Time: 68 Min
• Longest Incident Time:
5 Hrs. 36 Min
Alameda Family Services
On-Call Services – Total 108
14 58
23 13
49 9
20 4
7 19
0 10
20 30
40 50
60 70
Descalation/Safety
Planning
5150 Voluntary 5150 Involuntary 5585 Voluntary 5585 Involuntary Other Reason for Consult Outcome
Alameda Family Services
Case Management
• 210 - Total referrals (six direct from APD)
• 163 - Unduplicated client referrals
• 32 – Agencies/Organizations utilized to support case management
APD Comparison
Prior to CARE and with CARE
111
37 220
74 0
222
0 50
100
150
200
250
Prior to CARE With CARE
APD Comparison of calls and reports
generated prior to CARE and with CARE
APD Reports PD 5150 AFD 5150
154
38 0
20 40
60 80
100
120
140
160
180
PD Time Commited (min)
APD Time on Task (avg.)
PD5150 AFD5150
PILOT PROGRAM PATH FORWARD
• Streamline data collection, track long-term results, and add data collection points • Continue to evaluate dispatch protocols and monitor 988 influence on the program • Continue to evaluate the program and address challenges as they arise • Key Stakeholder Advisory Committee (mid-October) and QA/QI (ongoing) • Identify additional local, state, and federal funds to support the program long-term • Continue CARE Team training for AFD personnel
• Monitor and address the mental health of CARE Team responders • Provide comprehensive pilot updates to the community and key stakeholders • Collaborate on ways to assist clients long-term that need reoccurring support from the CARE Team
QUESTIONS?