CITY COUNCIL
Staff Report
CA Review AF
Meeting Date: March 15, 2022
To: Mayor and City Council
From: Scott Chadwick, City Manager
Staff Contact: Ryan Opeka, Police Lieutenant
Rya n.Opeka @ca rlsbadca.gov, 442-339-2149
Subject: Memorandum of Agreement with San Diego County Health and Human Services Agency Behavioral Health Services and Exodus Recovery Inc. for Mobile Crisis Response Team
District: All
Recommended Action
Receive a report on the partnership with San Diego County Behavioral Health Services and Exodus Recovery for Mobile Crisis Response Team services within the City of Carlsbad.
Executive Summary
This report provides information about the services provided to the City of Carlsbad by the mobile crisis response teams staffed by Exodus Recovery. The services are contracted by San Diego County's Behavioral Health Services Department. These teams of behavioral health professionals help people having crises involving common mental illnesses and substance use disorders behavioral health crisis. These teams have been working in Carlsbad for the past year, in conjunction with the Carlsbad Police Department, to provide a non-law enforcement response to non-violent behavioral health crises.
This report also covers a newly developed memorandum of agreement among the county, Exodus Recovery, the Carlsbad Police Department and other North County law enforcement agencies: the Oceanside Police Department; the county Sheriff's Department, which patrols several other North Coast cities; and the Camp Pendleton Police Department. These agencies came together to develop the policies and procedures to prepare Exodus Recovery personnel for deploying their crisis teams across the area.
Discussion
Every year, thousands of calls involving a behavioral health crisis are made to law enforcement agencies across the county. In 2021, the Carlsbad Police Department detained 658 people (under California Welfare and Institutions Code Section 5150), a 22 percent increase over the previous year. The Carlsbad Police Department also responds to hundreds of other behavioral health calls that do not require law enforcement intervention. In these circumstances, behavioral health professionals can be more effective in addressing than police officers in dealing with non-violent behavioral health situations, which frees the officers to address situations needing law enforcement professionals.
March 15, 2022 Item #9 Page 1 of 23
In February 2021, San Diego County, through its Behavioral Health Services Department, began to develop a program to provide psychiatric crisis care services in the field for those situations in which law enforcement personnel were not needed. The plan was to deploy a team of clinicians and peer specialists directly to someone experiencing a mental health or substance use crisis. These mobile teams would respond to calls placed directly into their call center, or after receiving a referral from the law enforcement agency holding jurisdiction over the location where the crisis was occurring.
After careful consideration, the county decided to contract with two organizations to provide these services: Exodus Recovery, Inc. was selected to cover the North Coastal area of the county, while Telecare Corporation was chosen to cover the remaining regions.
Exodus Recovery assembled its team of professionals and began drafting policies and procedures for the necessary services. Dr. Megan Patrick-Thompson, the program director, recognized the importance of working closely with law enforcement personnel and, over the following months, personnel from Behavioral Health Services, Exodus Recovery and North Coastal law enforcement agencies met monthly to finalize policies and procedures for the safe deployment of the crisis teams. This group also identified how the teams are to work collaboratively with the law enforcement agencies to achieve the best possible outcomes in these crises.
Overview of Mobile Crisis Response Team
Each Mobile Crisis Response Team consists of a Licensed Mental Health Clinician, a master's level Case Manager and a Peer Support Specialist.
The Mobile Crisis Response Team is dispatched through the San Diego Access and Crisis Line.
Requests for service come directly from the public or can be sent through a law enforcement referral. Public calls made directly to the crisis line are triaged by the program's dispatch center.
If the crisis requires an emergency response, the local law enforcement agency will be notified, and a call for service generated.
The teams offer comprehensive services for people of all ages, including:
•Community based intervention for individuals experiencing a behavioral health crisis, whether at a home, a workplace or anywhere else a crisis occurs. •Crisis assessment and intervention
•Suicide and risk assessment and intervention
•Coordination of care with existing treatment providers •Coordination with law enforcement as appropriate
•Referrals to community- based organizations and primary care providers •Care coordination and follow-up with the people being helped post-intervention The crisis line is in operation 24 hours a day, seven days a week, 365 days a year. The team starts its field response at 7 a.m. and has a last call-out time of 9 p.m. Eventually, mobile response will be available around the clock.
The team will not respond to calls if the following factors are present:
•There are injuries requiring a medical response
•There is a weapon involved, or the person is known to be in possession of a weapon •The person is involved in serious criminal activity related to the incident at hand March 15, 2022 Item #9 Page 2 of 23
•The person is known to be wanted in connection with an ongoing law enforcement investigation
•Someone has threatened immediate violence, or there is a reasonable potential for immediate violence or use of violence toward others or self •Law enforcement is specifically requested
The team can summon assistance if the evolving circumstances at a service call require the presence of law enforcement officers, the team can summon a psychiatric emergency resource team, which includes a clinician and a police officer, or other uniformed personnel.
The memorandum of agreement that set the policies and procedures for the crisis teams is attached as Exhibit 1. The referral instructions given to police officers is Exhibit B to the memorandum of agreement.
During the past year, police officers would have to respond to a call for service to refer someone for help from the response teams. With the recently developed memorandum of agreement in place, dispatchers will be able to summon the crisis response teams directly if there is no threat of violence and other criteria are met.
Fiscal Analysis
The cost of the mobile crisis response team program is fully funded by San Diego County through its contracted service provider, Exodus Recovery, and involvement with the program will have no fiscal impact on the City of Carlsbad.
Next Steps
Carlsbad Police Department and Exodus Recovery staff have already engaged in training to familiarize police personnel with the response team's capabilities and limitations, as well as how to access the access and crisis line and connect community members with the services.
Upon full execution of the memorandum, Carlsbad police will begin dispatching the mobile crisis response teams to assist community members in need as appropriate. The department will also coordinate with the team to respond when a situation evolves, and law enforcement personnel are requested to assist crisis team personnel.
Environmental Evaluation
This action does not constitute a "project" within the meaning of the California Environmental Quality Act under Public Resources Code section 21065 in that it has no potential to cause either a direct physical change in the environment, or a reasonably foreseeable indirect physical change in the environment.
Public Notification
This item was noticed in keeping with the state's Ralph M. Brown Act and it was available for public viewing and review at least 72 hours before the scheduled meeting date.
Exhibits
1. Memorandum of agreement between North County law enforcement agencies, the County of San Diego Health and Human Services Agency Behavioral Health Services and Exodus Recovery Inc.
March 15, 2022 Item #9 Page 3 of 23
1 LIVE WELL Exhibit 1
AGREEMENT FOR PARTICIPATION
IN MOBILE CRISIS RESPONSE TEAM
Parties
This Agreement for Participation in Mobile Crisis Response Team (Agreement) is made on , between the County of San Diego (County) by and through its Health and Human Services Agency (HHSA), and jurisdictions operating the Participating Law Enforcement Agencies (LEA) as the "Parties" or individually as a "Party". The Participating LEAs are listed in Exhibit "A" which is attached hereto and incorporated herein by reference.
Recitals
WHEREAS, HHSA provides a broad range of health, and social services to community residents including a broad array of trauma-informed behavioral health services based on Biopsychological and Rehabilitation (BPSR) principles that have proved effective in reducing psychiatric hospitalization and assisting individuals in accessing needed behavioral health services.
WHEREAS, The Mobile Crisis Response Team (MCRT) program is one such BPSR program; and WHEREAS, LEAs provide a variety of community-based public safety and emergency management services, including receipt and processing of emergency calls and non-emergency calls via dispatch, and engages with a broad array of collaborations with governmental and non-governmental organizations to meet the service expectations and needs of its community; and WHEREAS, MCRTs are designed to respond to urgent and emergency behavioral health-related calls in the community, provide a non-law enforcement intervention for individuals in a behavioral health crisis and to connect them to the most appropriate level of behavioral health care; and WHEREAS, MCRT services will be funded, provided, and coordinated by HHSA through a contracted service provider; and
WHEREAS, LEAs will coordinate with MCRT contractor(s) to define their respective roles and responsibilities for MCRT services, and the MCRT contractor(s) will be paid by HHSA using County funds; and
WHEREAS, the Parties desire to partner to provide MCRT services to individuals experiencing behavioral health crisis in their respective community.
THEREFORE, in consideration of the foregoing recitals and the mutual covenants and promises set forth below, and for other good and valuable consideration, receipt of which is hereby acknowledged, the Parties hereto agree as follows:
1. Administration of Agreement: Each Party identifies the following individual to serve as the authorized administrative representative for that Party. Any Party may change its administrative representative by notifying the other Party in writing of such change. Any such change will become effective upon the receipt of such notice by the other Party to this Agreement. Notice of the authorized representative shall be sent to each Party.
Agreement -dA
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6Ifi-Law Enforcement Jurisdictions Item #9 Pagie 1.Jof 20 Paggrffigify22t22
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County San Diego Unified Port District
HHSA Behavioral Health Services (BHS)
Administration
Attn: Amelia Guingab
3255 Camino del Rio South
San Diego, CA 92108
Amelia.Guingabsdcountv.ca.aov
San Diego Harbor Police Department
Administration
Attn: Dayanna Ojeda
3380 North Harbor Drive
San Diego, CA 92101
dojeda(ftortofsandiego.org
County City of La Mesa
Office of the District Attorney
Attn: Michelle Bush
330 West Broadway
San Diego, CA 92101
[email protected]
La Mesa Police Department
Attn: Captain Greg Runge
8085 University Avenue
La Mesa, CA 91942
grungecityoflamesa.us
County City of San Diego
Sheriffs Department Administration
Attn: Tracy Jones-Weatherford
9621 Ridgehaven Court
San Diego, CA 92123
Tracv.Jones-Weatherfordsdsheriff.oro
San Diego Police Department
Attn: Assistant Chief Bernie Colon
1401 Broadway
San Diego, CA 92101
Bcolonpd.sandiego.clov
City of Carlsbad City of El Cajon
Carlsbad Police Department
Attn: Captain Christie Calderwood
2560 Orion Way
Carlsbad, CA 92010
Christie.calderwoodcarlsbadca.00v
El Cajon Police Department
Attn: Captain Royal Bates
• 100 Civic Center Way
El Cajon, CA 92020
[email protected]
City of Oceanside City of Escondido
Oceanside Police Department
Attn: Captain Sean Marchand
3855 Mission Avenue
Oceanside, CA 92054
SMarchandoceansideca.org
Escondido Police Department
Attn: Captain David Cramer
1163 N. Centre City Pkwy
Escondido, CA 92026
dcramerescondido.org
City of Chula Vista National City
Chula Vista Police Department
Attn: Captain Phil Collum
315 Fourth Avenue
Chula Vista, CA 91910
[email protected]
National City Police Department
Attn: Captain Graham Young
1200 National City Blvd
National City, CA 91941
GYouncanationalcityca.gov
City of Coronado
Coronado Police Department
Attn: Emily Schaeffer
700 Orange Avenue
Coronado, CA 92118
eschaeffercoronado.ca.us
Agr-keiimeAl 741/109.4,Crisis Response Team (MCRT)
HH8A4SHS-Wydllifilfi-Law Enforcement Jurisdictions Item #9 Pa ag2g 20 22
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2.Parties' Responsibilities: The Parties agree that each maintains its own existing lines of authority for activities and decisions that are distinctly its own. The Parties agree that neither will require nor demand operational modifications to activities that are rightfully the province of the other Party. The Parties also agree to the following:
2.1. County HHSA Behavioral Health Services intends to:
2.1.1. Engage and fund contractor(s) to operate an MCRT program in cooperation with LEA jurisdictions, consistent with program requirements.
2.1.2. Require contractor(s) to respond to calls that have been screened utilizing the agreed upon referral criteria for urgent and emergency (not requiring LEA to manage the call) calls via the Access and Crisis Line and/or participating law enforcement agencies in order for contractor(s) to provide mobile crisis interventions to individuals experiencing a behavioral health crisis and connect them to the most appropriate level of care.
2.1.3. Each team will consist of a Behavioral Health Clinician, Case Manager and/or Peer staff.
2.1.4. Wherever deemed practicable by the LEA and allowable under the law, provide LEA with requested de-identified data for reports related to MCRT and Behavioral Health calls and referrals.
2.2. LEAs intend to:
2.2.1. Refer appropriate calls for MCRT response operating in the LEA's jurisdiction to the identified county contractor in accordance with their defined roles and responsibilities for MCRT services, the agreed upon referral criteria for urgent and emergency (not requiring LEA response) calls, and all other program requirements.
2.2.2. Wherever deemed practicable by the LEA and allowable under the law, provide HHSA with requested de-identified data for reports related to MCRT and Behavioral Health calls and referrals.
2.2.3. Collaborate with HHSA and contractor(s) on the development of law enforcement referral criteria for MCRT deployment. See Exhibit B.
2.2.4. Utilize agreed upon referral criteria developed by law enforcement in collaboration with the County for MCRT deployment consistent with other law enforcement jurisdictions.
3.Liability: Each Party engaging in any assistance pursuant to this Agreement agrees that each Party will assume responsibility for the acts, omissions, or conduct of its employees, officers or agents.
Each Party shall immediately notify the other Parties of any civil, administrative, or criminal claim, complaint, discovery request, or other request for information of which the agency receives notice, concerning or arising from the collaboration under this Agreement.
4.Indemnity:
4.1. Claims Arising from Sole Acts or Omissions of a Party: Each Party to this Agreement hereby agrees to defend and indemnify the other Parties to this Agreement, their agents, officers and employees, from any claim, action or proceeding against the other parties, to the extent it is arising out of its own acts or omissions in the performance of this Agreement. At each Party's sole discretion, each Party may participate at its own expense in the defense of any claim, action or proceeding, but such participation shall not relieve any Party of any obligation imposed by this Agreement. The Parties shall notify each other promptly of any claim, action or proceeding and cooperate fully in the defense.
4.2. Claims Arising from Concurrent Acts or Omissions: The Parties hereby agree to defend themselves from any claim, action or proceeding arising out of the concurrent acts or omissions AgrqAment
HHVASFIS
.4,..prisis Response Team (MCRT)
6111-Law Enforcement Jurisdictions Item #9 Pe;geg 3_of 20 PaO§kii2A22
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of the parties. In such cases, the parties agree to retain their own legal counsel, bear their own defense costs, and waive their right to seek reimbursement of such costs, except as provided in paragraph 4.3 below.
4.3. Joint Defense and Reimbursement and Reallocation: Notwithstanding paragraph 4.2 above, in cases where the Parties agree in writing to a joint defense, the Parties may appoint joint defense counsel to defend the claim, action or proceeding arising out of the concurrent acts or omissions of Parties. Joint defense counsel shall be selected by mutual agreement of Parties.
The Parties agree to share the costs of such joint defense and any agreed settlement in equal amounts, except as follows: Parties further agree that no Party may bind another to a settlement agreement without the written consent of all Parties. Where a trial verdict or arbitration award, in a joint defense case, allocates or determines the comparative fault of the parties, Parties may seek reimbursement and/or reallocation of defense costs, judgments and awards, consistent with such comparative fault.
5.Insurance: Each Party must obtain at its own cost and expense, and keep in force and effect during the term of this Agreement, including all extensions, policies of insurance or programs of self- insurance with policy limits in sufficient amounts to cover any and all potential liability of such Party hereunder. Minimum policy limits maintained by any Party shall in no way limit the Party's indemnification obligations.
6.Conformance With Rules And Regulations: The Parties shall be in conformity with all applicable federal, State, County, and local laws, rules, and regulations, current and hereinafter enacted, includ- ing facility and professional licensing and/or certification laws and keep in effect any and all licenses, permits, notices, and certificates as are required. The Parties shall further comply with all laws ap- plicable to wages and hours of employment, occupational safety, and to fire safety, health, and sanitation.
7.Governing Law: This Agreement shall be governed, interpreted, construed, and enforced in accordance with the laws of the State of California.
8.Third Party Beneficiaries Excluded: This Agreement is intended solely for the benefit of County and the LEAs. Any benefit to any third party is incidental and does not confer on any third party to this Agreement any rights whatsoever regarding the performance of this Agreement. Any attempt to enforce provisions of this Agreement by third parties is specifically prohibited.
9.Amendments to Agreement: Any party may propose amendments to this Agreement by providing written notice of such amendments to the other party. This Agreement may only be amended by a written amendment signed by all of the Parties.
10.Severability: If any terms or provisions of this Agreement or the application thereof to any person or circumstance shall, to any extent, be held invalid or unenforceable, the remainder of this Agreement, or the application of such term and provision to persons or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected thereby and every other term and provision of this Agreement shall be valid and enforced to the maximum extent permitted by law.
11.Full Agreement: This Agreement represents the full and entire agreement between the Parties and supersedes any prior written or oral agreements that may have existed.
12.Scope of Agreement: This Agreement only applies to the program described herein and does not set forth any additional current or future obligations or agreements between the Parties, except that the Parties may by written amendment amend the scope of this Agreement.
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6-Law Enforcement Jurisdictions Item #9 Paglag4222°
LIVE WELL
13. Live Well San Diego Vision: The County of San Diego HHSA supports the Live Well San Diego vision of Building Better Health, Living Safely, and Thriving. Live Well San Diego, developed by the County, is a comprehensive, innovative regional vision that combines the efforts of partners and contractors inside and outside County government to help all residents be healthy, safe, and thriving.
All HHSA partners and contractors, to the extent feasible, are expected to advance this vision.
Building Better Health focuses on improving the health of residents and supporting healthy choices.
Living Safely seeks to ensure residents are protected from crime and abuse, neighborhoods are safe, and communities are resilient to disasters and emergencies. Thriving focuses on promoting a region in which residents can enjoy the highest quality of life. Information about the Live Well San Diego can be found on the County's website and a website dedicated to the vision:
• http://www.sdcounty.calov/hhsa/oroqrams/sd/live well san dieqo/index.html and • http://www.LiveWelISD.orq
14.Information Privacy and Security Provisions: Each Party to this Agreement will comply with all applicable statutes, regulations, rules, and/or policies and procedures pertaining to privacy and security including but not limited to Welfare and Institutions Code section 5328, Civil Code section
56.10 at seq., FBI Criminal Justice Information Services (CJIS) Security Policy, California Government Code section 6200 et seq., California Penal Code sections 11142 and 13303, California Vehicle Code section 1080.45, and the Health Insurance Portability and Accountability Act (HIPAA).
15.A Trauma-Informed System: The County of San Diego Health and Human Services Agency (HHSA) is committed to becoming a Trauma-Informed System as part of its effort to build a better service delivery system. All programs operated and supported by HHSA shall be part of a Trauma- Informed System, which includes providing trauma-informed services and maintaining a trauma- informed workforce. It is an approach for engaging individuals — staff, clients, partners, and the community — and recognizing that trauma and chronic stress influence coping strategies and behavior. Trauma-informed systems and services minimize the risk of re-traumatizing individuals and/or families, and promote safety, self-care, and resiliency. Trauma-Informed Principles include:
•Understanding trauma and its impact to individuals.
•Promoting safety.
•Awareness of cultural, historical, disability, and gender issues, and ensuring competence and responsiveness.
•Supporting consumer empowerment, control, choice, and independence. •Sharing power and governance (e.g. including clients and staff at all levels in the development and review of policies and procedures).
•Demonstrating trustworthiness and transparency.
•Integrating services along the continuum of care.
•Believing that establishing safe, authentic, and positive relationships can be healing. •Understanding that wellness is possible for everyone.
16.Term: This Agreement shall become effective on the date all of the Parties have signed this Agreement and be in force until July 1, 2026. This Agreement may be renewed for a term specified by one or more of the Parties upon the written agreement of those Parties.
17.Termination For Convenience: A Party may, by written notice stating the extent and effective date, terminate this Agreement for convenience in whole or in part, at any time. Should one jurisdiction terminate for convenience, the Agreement shall continue to be in effect for the remaining jurisdictions.
18.Counterparts: This Agreement may be executed in any number of separate counterparts, each of which shall be deemed an original but all of which when taken together shall constitute one and the same instrument.
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Approved as to Content
Dated: By:
NATHAN FLETCHER
Chair, Board of Supervisors
County of San Diego
County of San Diego
Dated: By:
Nick Macchione, Agency Director
Health and Human Services Agency
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Agreement — Mobile Crisis Response Team (MORT)
FIHNtaB4V-§ric?Ngti-Law Enforcement Jurisdictions Item #9 Page 7 of 20 PagtAgy22022
Dated:
KELLY MA EZ, Undersheriff, San Die o County
Sheriffs Department
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Agremptiti-AWIKCrisis Response Team (MCRT)
HHSA-BHS and Multi-Law Enforcement Jurisdictions
Item #9 PagelDPSti§Et 20
January 2022
Dated: ‘DA T, Chief, I f, San Diego Police Department -'42 (D'ISLEI
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Agrerwie.a—i lgoi9M9risis Response Team (MORT)
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Department
Dated: 4:2/40 9 41401.
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Agreement — Mobile Crisis Response Team (MCRT) Page 10 of 20 FIHME*514Funati-Law Enforcement Jurisdictions Item #9 PageataLar?/022
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Dated: 3' I"22_ J2 1
MICKEY WILLIAMS, thief, Carlsbad Police Department
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ROXA A KENNEDY, hief, Chula Vist Police Department
HSA
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Dated:
APPROVED AS TO FORM
'
Carol Trujillo, Deputy City Attorney
City of Chula Vista
Agremtati-Als:02Zrisis Response Team (MCRT)
HHSA-BHS and Multi-Law Enforcement Jurisdictions January 2022 Item #9 Pabig.61Sf aMO
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Dated: YE, Chief, do Police Department
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RAY SWEENEY, ,b,ief-,-ta-11716-i›Olice Department
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Agreement — Mobile Crisis Response Team (MCRT) Page 15 of 20 HHSMA-1-11114,111(60-1.aw Enforcement Jurisdictions Item #9 Palgleifist34232
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Dated: 10-3/0//rge:
JOSE TEL ational City Police Department
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Agreement — Mobile Crisis Response Team (MCRT) Page 17 of 20 1-1Haki3tf$Mtlatiai-Law Enforcement Jurisdictions It em #9 P a geMtibefy2Z022
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GRAHAM MITCHELL, City Manager, City of El Cajon Dated: FeL •20 7, 7-
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Exhibit A
PARTICIPATING LAW ENFORCEMENT AGENCIES
I.Carlsbad Police Department
2560 Orion Way
Carlsbad, CA 92010
II.Chula Vista Police Department
315 Fourth Avenue
Chula Vista, CA 91910
III.Coronado Police Department
700 Orange Avenue
Coronado, CA 92118
IV.El Cajon Police Department
100 Civic Center Way
El Cajon, CA 92020
V.Escondido Police Department
1163 Centre City Parkway
Escondido, CA 92026
VI.La Mesa Police Department
8085 University Ave
La Mesa, CA 91942
VII.National City Police Department
1200 National City Blvd.
National City, CA 91950
VIII.Oceanside Police Department
3855 Mission Avenue
Oceanside, CA 92054
IX.San Diego County Sheriff Department
9621 Ridgehaven Court
San Diego, CA 92123
X.San Diego District Attorney
330 W. Broadway
San Diego, CA 92101
XI.San Diego Harbor Police Department
3380 N. Harbor Dr.
San Diego, CA 92101
XII.San Diego Police Department
1401 Broadway
San Diego, CA 92101
Agrmaat 7plopCrisis Response Team (MCRT)
•bfidiVI6Ifi-Law Enforcement Jurisdictions Item #9 Paco' 19_of 20 PaggaRAV022
Exhibit B
MOBILE CRISIS RESPONSE TEAM (MCRT) LAW ENFORCEMENT REFERRAL CRITERIA •No injuries to any person that would require a medical response. •No deadly weapons involved in the incident or known to be in the possession of the person in crisis.
•The person is not suspected or involved in serious criminal activity related to this call, which would warrant immediate law enforcement action.
•The involved person is not known to be wanted in connection with an ongoing law enforcement investigation. All agencies will adhere to pertinent laws and their own agency policies and procedures when querying individuals via California Justice Information System (CM)/ California Law Enforcement Telecommunications System (CLETS). •No threat of immediate violence, reasonable potential for immediate violence, or use of violence against any person, including the person in crisis, MCRT members, or any other person. (This includes threats of immediate self-inflicted violence by the patient, such as a threat of a violent suicide.)
•Law enforcement not specifically requested.
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Introducing the
Mobile Crisis Response Team
Ryan Opeka, Police Lieutenant
Megan Patrick-Thompson, PhD, Exodus Recovery, Inc.
March 15, 2022
TODAY’S PRESENTATION
•Snapshot of Mental Health Calls
•Role of the Police Department
•Collaboration with Community Partners
•Overview of MCRT
•Questions
SNAPSHOT OF MENTAL HEALTH CALLS IN CARLSBAD
.2021 Total
Crisis Related Calls for Service 4,902
Crisis Related CFS without Arrest 4,320
THE POLICE DEPARTMENT
RESPONSE TO CRISIS EVENTS
-“Base” level of training is elevated at Carlsbad P.D
-Psychiatric Emergency Response Team (PERT)
-Trained (Welfare Car)
-Each shift (4) deploys a unit dedicated to crisis related calls for service and follow-up
-PERT Team –Officer paired with mental health clinician -County program contracted with Community Research
Foundation
-Collaboration with community partners
-PERT Round table
-Exodus CSU
-HOT partnership
-MCRT
OVERVIEW OF MCRT
Megan Patrick-Thompson, Ph.D.
Program Director
Exodus Recovery, Inc.
What is a Mobile Crisis Response Team (MCRT)?
•Exodus and Telecare have partnered with San Diego
County Behavioral Health Services to expand crisis
intervention services across all regions of the county. •MCRT will bring rapid crisis support to people
experiencing mental health or substance use crises in
the community.
•This model delivers safe, accessible, compassionate
support to residents of all ages in San Diego County.
•Our goal is to help people get the support they need by responding with a team of behavioral health clinicians
and peer support specialists who can stabilize and link individuals to behavioral health services as needed.
Telecare Corporation | Respect. Recovery. Results. | www.telecarecorp.com Exodus Recovery Inc. | The pathway to freedom begins with you. | www.exodusrecovery.com
MCRT Services & Overview (continued)
•If needed, clients will be connected to behavioral health services such as a Crisis Stabilization Unit (CSU) or a Crisis Walk-in Center. The team will provide a warm hand-off and transportation to treatment if appropriate. •The Case Managers & Peer Support Specialists provide care coordination up to 30 days from first contact as needed. •Teams respond in vehicles equipped with safety features to support 5150s and a host of other resources and supplies to assist those served. •MCRT has a Call Center staffed 24/7 by clinicians trained to screen and identify the best response. •The MCRT Call Center will take calls from both 9-1-1 and the Access & Crisis Line (ACL).
Telecare Corporation | Respect. Recovery. Results. | www.telecarecorp.com Exodus Recovery Inc. | The pathway to freedom begins with you. | www.exodusrecovery.com
When to Call MCRT
Call if the behavior is escalating secondary to a behavioral health issue and the person has not physically harmed or tried to harm themselves or anyone else during this incident. For example:
•Threatening suicide but no immediate risk to harm self •Severely depressed (i.e., hopeless, sad, not eating, not getting out of bed) •Verbally threatening or “posturing” but not “violent”. (i.e., loud, yelling, responding to voices, pacing, anxious, etc.)
•Threatening to run away
•Could become a danger to themselves or others
•If not sure what to do, call ACL for consult
Telecare Corporation | Respect. Recovery. Results. | www.telecarecorp.com Exodus Recovery Inc. | The pathway to freedom begins with you. | www.exodusrecovery.com
MCRT Referral Criteria
Telecare Corporation | Respect. Recovery. Results. | www.telecarecorp.com Exodus Recovery Inc. | The pathway to freedom begins with you. | www.exodusrecovery.com No injuries requiring a
medical response.
No weapons involved or
known to be in possession
of person.
The person is not involved in serious criminal activity, related to this call, that
warrants law enforcement.
Person is not known to be
wanted in connection with
an ongoing LE investigation.
No threat of immediate
violence or reasonable
potential for immediate
violence or use of violence
toward others or self.
Law enforcement was not
specifically requested.
Candidates for referral must meet the Safety Criteria below to be accepted to MCRT:
MCRT Hours
of Operation
•MCRT is currently available for in-person
response from 7:00 AM –9:00 PM.
•Eventually Mobile Response will be available 24/7.
•MCRT has phone triage through their Call
Center on a 24/7 basis.
To make an
MCRT Referral:
•To access services with MCRT,
contact San Diego County’s Access and Crisis Line (ACL):
(888) 724-7240
•MCRT clinicians are available 24
hours, 7 days a week
Telecare Corporation | Respect. Recovery. Results. | www.telecarecorp.com Exodus Recovery Inc. | The pathway to freedom begins with you. | www.exodusrecovery.com
MOBILE CRISIS RESPONSE TEAM
COMMUNICATION CAMPAIGN
PHASE 1 CREATIVE: BILLBOARD AD
MOBILE CRISIS RESPONSE TEAM
COMMUNICATION CAMPAIGN
PHASE 1 CREATIVE: BILLBOARD AD
COLLABORATION WITH POLICE DEPARTMENT
MOBILE TEAMS IN ACTION
-MCRT IS OPERATIONAL WITH LEA
-PLANS TO EXPAND
FIELD REFERRAL SERVICES
-TRAINING OF OFFICERS
-HAND-OFF WITH MCRT
DISPATCH REFERRALS
-DISPATCH FULLY TRAINED
-AWAITING MOA SIGNATURES
EMERGENCY RESPONSE
QUESTIONS
Mobile Crisis Response Team