CARE
Community Assessment Response &
Engagement Team Update:
Recommendation to Renew Service
Agreement with Alameda Family Services
City Council
May 6, 2025
Deputy Fire Chief Cody Moxley
NEEDED COMMUNITY SERVICE
• Traditional 911 responses were not designed for
mental health crisis
• AFD proposed a new model with clinicians and
paramedics
• Council launched a pilot in December 2021
• Alameda Family Services partnership established.
2 WHAT CARE TEAM DOES
• Trained fire personnel respond 24/7 to non-violent
mental health crises
• Integrated clinical evaluations, psychiatric holds
(5150/5585), and care plans in coordination with
AFS
• Connects individuals to mental health and social
services
3 AFS: SERVICES PROVIDED
• 24/7 On-Call Licensed Clinicians
• Assist with diagnostic assessments and
safety planning
• Clinical Case Management & Bridge Therapy
• Program data collection and effectiveness
• Training and consultation for AFD personnel
4 WHY AFS PARTNERSHIP
• Essential partner since 2021, integrated and
aligned with CARE model
• Staffed to meet program needs - Program
director, case managers, clinical program assistant,
quality assurance manager
• Proposed 3-year term: July 2025-June 2028
• Total cost: $1,681,886
5 CALL VOLUME & OUTCOMES
• 1,332 calls in 2024
• 880 CARE client engagements
• 46% resolved on-site
• 28% Transported to additional care
– 8% psychiatric holds (48 adult, 23 minor)
• 26% good intent or unable to locate client
6 PEOPLE AND OUTCOMES
• Client 1: Young parent stabilized
with substance abuse support
• Client 2: Teen connected to grief
counseling and school-based care
• Client 3: Suicidal student supported
through crisis stabilization and follow-up
counseling
7 CLIENT DEMOGRAPHICS
• Race/Ethnicity: White (37.1%), African American
(27.3%), Mexican American/Other Non-White (10.3%
each), Asian/Southeast Asian (6.5%/6.1%)
• Gender: Male (50.8%), Female (46.9%), Trans & Non-
Conforming (2.3%)
• Age: 30–49 (30.2%), 19–29 (22.5%), 11–18 (21.6%), 50– 69 (18.5%), 70+ (5.5%)
8 KEY PROGRAM ACHIEVEMENTS IN
2024
• Alameda County CARE Court integration
• ALCO EMS program of the year
• Staff training in 5150/5585 and Pro-ACT
• New prepaid phone program for clients
• High utilizer care plans
• Secured $963,000 Byrne Grant funding
9 2025 VISION AND TARGETS
• Create brochures and long-term support
strategies for client family members
• Expand partner collaboration
• Pursue ongoing local, state, and federalfunding
• Expand clinical support, enhance data tracking
and outcome evaluation
10 STAFF RECOMMENDATION
• Approve a 3-year agreement with AFS
• Continue mental health crisis response
with a trusted partner
• Maintain momentum and positive
community impact
11 QUESTIONS
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