Contra Costa Health Services
Richmond City Council
May 24, 2022
A3 Crisis Response:
anyone, anywhere, anytime
Behavioral Health: 4th Arm of Emergency Response
Law Enforcement
Medical
Fire Behavioral Health
Providing timely,
appropriate behavioral
health crisis services to
anyone,
anywhere at
anytime
in Contra Costa County.
Nov. 2020
Value Stream
Mapping
April 2021
Rapid
Improvement
Event #1
April 2021
Rapid
Improvement
Event #2
June 2021
Rapid
Improvement
Event #3
August 2021
Mayors
Conference
January 2022
Community
Event
Sept. 2020
Mayors Conference
cchealth.org/a3
Where We Stand Today
• A3 Miles Hall Crisis Call Center open
Monday – Friday, 8 a.m. – 6:30 p.m.
• Building out the A3 Miles Hall Crisis Call Center
• Increase staffing
• Technology enhancements
• Refining triage process
• A3 campus construction project
• Collaborating on training
Over 66%
referred by family
members or law
enforcement
Over 70%
of callers have
psychiatric need
1 in 5
need a mobile
response
Estimated Timeline & Goals
May 2022
Happening Now
Jun – Sept
2022
Oct – Dec
2022
Jan – Apr
2023
May – Aug
2023
Sept – Dec
2023
Goals by December 2023: 34 Response Teams, enhanced technology, and A3 campus open A3 Miles Hall
Crisis Call Center open
Workflow enhancements
& training with law
enforcement
Workflow, training & tech
enhancements
30% of patrol officers &
dispatchers trained
A3 campus construction
50% of patrol officers &
dispatchers trained
A3 campus construction
75% of patrol officers &
dispatchers trained
A3 campus open
100% of patrol officers &
dispatchers trained
Hours of operation:
Mon – Fri,
8 a.m. – 6:30 p.m.
Expand hours:
Saturday (8 hours)
Expand hours:
Sunday (8 hours)
Expand hours:
weekdays: 8 – 12 a.m.
weekends: + 8 hours
Expand hours:
weekends + 4 hours Operating 24/7
Averaging
250 calls / month
Estimated demand:
300 calls / month
Estimated demand:
350 calls / month
Estimated demand:
600 calls / month
Estimated demand:
800 calls / month
Estimated demand:
1,000–1,250 calls / month
3 response teams 8 response teams 16 response teams 23 response teams 30 response teams 34 response teams Average response
time for field visits:
60> minutes
Average response
time for field visits:
50 minutes
Average response
time for field visits:
40 minutes
Average response
time for field visits:
30 minutes
Average response
time for field visits:
20 minutes
Average response
time for field visits:
10 minutes
A3 Campus Construction
• Facility renovation – 1034 Oak Grove Road, Concord
• Anticipated opening by winter 2023
• A3 Services:
• Miles Hall Crisis Call Center
• Alternative destinations
• Peer Respite
• Sobering Center
• Urgent Care
A3 Funding
• Measure X half-cent sales tax
• $5 million one-time funds for infrastructure
and technology
• $20 million on-going for A3 program beginning
July 2023
• Federal funding
• $1 million to add two crisis response teams
• $1 million to renovate the A3 Campus
• Contra Costa Regional Health
Foundation
• Financial support for process
Workstreams Specialty groups tasked with employing their expertise to move specific A3 tasks forward.
Ongoing
Input from &
Outreach to
Community
A3 Governance & Team Structure
Joint
Governance
Group
Provides foresight, oversight & insight.
Responsible for setting direction, allocating resources, evaluating success & ensuring integrity of vision.
Integration
Group
Responsible for chartering & coordinating all A3
activities with an eye to the effective management
of resources & efforts to deliver on A3 mission.
Ongoing
Coaching
Training &
Guidance from
Process Leaders
Join the A3 Team
Learn More & Apply:
cchealth.org/a3
or scan the QR code
Providing timely, appropriate
behavioral health crisis services
to anyone, anywhere at anytime
in Contra Costa County.
Providing hope…
QUESTIONS?
If you or someone you know is
experiencing a behavioral health
crisis, call the