MACRO
IMPACT
DECEMBER
2022
932 Total Contacts
SOURCE OF CALL
December 2022
Source of Incident/Call Sept
2022
Oct
2022
Nov
2022
Dec
2022
Month over
Month
Change
On-View (self dispatch) 466 789 1,056 861 -18%
911 Dispatch 10 39 48 28 -42%
Community Referral 26 25 27 43 +59%
Total 502 853 1,131 932 -18%
*10 Incidents did not include geographical data to be included in this map.
*
Preventing Arrest, Releasing PD, and
Redirecting to Resources
December 13, 2022
MACRO responded to a 911 dispatched call from Oakland Police (OPD) needing assistance at a local grocery store. OPD reported that they had an individual who was coming in and out of the Safeway and possibly stealing food. OPD report to MACRO that if they went into the store one more time, they were going to arrest the individual for trespassing. After MACRO received information from OPD, MACRO personnel made contact with the individual who agreed to relocate. MACRO initiated a transport and released OPD from the incident. MACRO transported the individual to a local housing shelter, where the individual began to feel overwhelmed. MACRO then transported the individual to social services. The individual was grateful and shared positive sentiments towards the MACRO team. They asked the MACRO team to help them get in touch with their mom, and MACRO responded they would try their best to assist. The individual was given two blankets and declined help with any other resources. Individual did not need any medical attention; Macro Call Complete.
INCIDENT TYPES
DECEMBER 2022
Check Well Being,
70% Sleeper, 22%
Panhandling,
1%
Behavioral
Concern,
7%
Check Well Being Sleeper Other Panhandling Behavioral Concern Public Indecency Indecent Exposure Incident Type August
2022
Sept
2022
Oct
2022
Nov
2022
Dec
2022
% change from
August
Check Well Being 809 435 563 850 673 -23%
Sleeper 215 154 252 207 198 -4%
Panhandling 12 10 5 13 8 -38%
Behavioral Concern 61 39 36 57 68 +19%
Public Indecency 3 6 8 4 2 -50%
Total 1,097 644 864 1,131 932 -18%
INCIDENT TYPES
DECEMBER 2022
INCIDENT RESOLUTIONS
DECEMBER 2022
MNL - MACRO
not located,,
2%
MCC - MACRO Call
Completed
97%
MPD - MACRO
transferred to law
enforcement 0%
MEM - MACRO
transferred to
emergency medical 1%
INCIDENT RESOLUTIONS
DECEMBER 2022
Call Resolution Aug
2022
Sept
2022
Oct
2022
Nov
2022
Dec
2022
Change
from last
Month
Call Completed (MCC) 1,006 654 833 1,110 902 -19%
Not Located (MNL) 10 9 17 16 21 +31%
Transferred to PD (MPD) 1 1 4 1 4 +3
Transferred to Emergency
Medical (MEM) 8 1 10 4 5 +25%
Total 1,025 665 864 1,131 932 -18%
Avoiding Arrest & Transferring to Detox Facility
12/5/2022
MACRO dispatched by PD for a sleeper obstructing entrance to a local business. MACRO made contact with the reporting party (RP) who was extremely frustrated with individual. RP reported individual on site 2 weeks prior and began relocating around premises even after being engaged by PD several times. RP was unaware of MACRO program; MACRO explained program scope and possible outcomes. RP reported that due to proximity of children and apparent drug use they were insistent that MACRO create standing resolution and if the individual was not removed from premises, RP would continue to engage PD regarding the issue.
MACRO woke up individual who appeared to be cooperative. Recipient reported substance use of fentanyl, cocaine and meth and unhoused status. Individual expressed interest in detox at local facilities and shared several behavioral and medical prescriptions had been stolen. MACRO made several calls to various clinics and services to determine most appropriate facilities for the individual. MACRO was on standby for ~1 hour while arrangements were made with connecting parties. MACRO attempted to resolve all recipient issues at behavioral services at a local hospital under the assumption that they could transport and provide for medical, substance use, and prescription needs. MACRO tried several times to connect with behavioral health facility and help individual with intake, though individual had multiple outbursts during the waiting process. MACRO connected with Substance Use Navigator and doctor (MD) who, despite a concerted effort, were unable deliver on recipient care in an appropriately sustainable manner. MD advised MACRO that the individual’s current state due to substance use might be impeding their capacity to render service to the recipient. MD then advised that a substance abuse facility would be only real appropriate option for short term care and detox. MACRO CIS made arrangements for local detox facility who approved of a bed for recipient. MACRO obtained approval from supervisor to transport recipient to detox facility where they were checked in for detox. MACRO call complete.
LOCAL SERVICE REFERRALS
DECEMBER 2022
Referrals
Sept
2022
Oct
2022
Nov
2022
Dec
2022
% change from
prior month
CARES Navigation / La Familia 67 67 41 22 -46%
West Oakland Health Clinic 34 56 13 12 +8%
Lifelong Mobile Clinic 11 6 15 8 -47%
ACHCH (Alameda County Healthcare for the Homeless) 1 0 2 1 -50% Dignity on Wheels 4 8 65 75 +15%
HEPPAC (HIV Education and Prevention Project of Alameda County) 0 1 0 3 +3 BACS (Bay Area Community Services) 1 1 6 4 -33%
Amber House 0 0 5 0 -5
Bridge Housing 2 3 1 1 0%
ROOTS Community Clinic 2 6 12 19 +58%
St Mary's Center 7 15 58 19 -67%
St Vincent DePaul 7 25 64 28 -56%
Total 136 188 282 192 -32%
The MACRO Program referred 21% of its total calls in December to local services to meet the specialized needs of individuals seeking care.
Approximately 6 individuals per day expressed desire and were referred by MACRO responders to local service providers for more targeted support in November 2022.
LOCAL SERVICE REFERRALS
DECEMBER 2022
Accommodating Unsheltered Individual’s Belongings
& Securing Life Saving Medical Care
12/7/2022
MACRO provided service per community request for known recipient living out of vehicle. Recipient health known to be in deteriorating condition made worse by living environment in vehicle. Recipient reported having a dysfunctional colostomy bag. Colostomy bag reportedly is result of two gunshot wounds from a prior situation.
Previous attempts to transport the individual by ambulance were unsuccessful as patient had Alert and Oriented assessment and had right to refuse care even against medical advice per Alameda County protocol.
Individual reported trouble breathing and body pain. Talking was noticeably difficult for recipients.
Individual was unwilling to leave vehicular living situation pending a solution around their motor bike. Individual was very agitated from repeatedly having to explain themselves to MACRO day to day and adamant that their belongings were all they had and that parting with them was a significant personal pain point. MACRO CIS investigated a lead regarding a third party who would accommodate the storage of the individual’s personal effects. MACRO made contact with third party who agreed to helping the recipient while the recipient received necessary medical care. MACRO facilitated the transition of personal items into benevolent party’s custody.
Recipient was satisfied with storage of items and agreed to medical transport.
MACRO requested code 3 Advanced Life Support (ALS) transport for breathing problem. Response conducted by Oakland Fire Engine 23 and Falck paramedic unit. Recipient was removed from vehicle and transported to hospital. Several neighbors witness scene and thanked MACRO for helping individual. MACRO Emergency Medical. Call complete.
MACRO Service Recipient Racial
Demographics
Black individuals make
up 62% of people
receiving MACRO
services while making
up only 23% of
Oakland’s population.
As MACRO was
designated to do, over
84% of its service
recipients are BIPOC.