City Council and Concurrent Authorities
March 12, 2024

MOBILE COMMUNITY RESPONSE PROGRAM UPDATE
August 2023‐ January 2024
Stockton City Council Meeting
March 12, 2024
Agenda Item #15.1
AGENDA
 Incoming and Follow‐up calls over time
 Origin of Calls
 Demographics of Persons in Need
 MCRT Response to Calls
 Clinical Resolutions and Outcomes
 Case Studies
Calls Over Time
Aug ‘ 23 –J a n ‘24
 4,250 total calls
 Average of 2‐3 follow‐up
calls to each initial call
each month.

Aug Sept Oct Nov Dec Jan
Initial 277 183 220 146 234 181
Follow Up 458 468 463 531 492 527
0 100
200
300
400
500
600
Origin of Calls
Aug ‘23 –J a n ‘24
• 1,074 of 1,241 initial
calls had referral type
data available
• A third of initial calls
came from
community members.

Call Times
August ‘ 23 – January ‘24
 Call time information available for
1,210 of 1,241 initial calls
 1,150 out of 1,210 initial incoming
calls occurred from 8am‐7pm
(95%)
 Very few calls came in after 8pm
53 74
102
130
104
114
133
126
111
84 77
42 17
16 13
0 14
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8PM
9 PM
10 PM
11 PM
After 12 AM
Race/Ethnicity
& Age
Aug ‘23 –J a n ‘24
 Race/ethnicity info
available for 955 of 1,241
initial calls
 DOB available for 1,021
of 1,241 initial calls
16%
22%
14% 14%
11%
14%
8%
0 ‐20 21  ‐ 30 31  ‐ 40 41  ‐ 50 51  ‐ 60 61  ‐ 70 71+
American Indian or
Alaskan Native
1%
Asian
8%
Black
20%
Hispanic
35%
White
35%
Gender
Oct ‘23 –J a n ‘24
 CMC began collecting
gender info October 2023
 Available for 657 initial
calls
Oct Nov Dec Jan
Female 92 93 97 81
Male 44 44 115 89
0 20
40 60
80 100
120
140
MCRT Mobile
Response by
Zip Code
Aug ‘23 –J a n ‘24
PercentCountZip Code
23%7695207
16%5495202
9%3195203
9%3095206
7%2395204
6%2095205
6%1995210
5%1895209
5%1695212
3%1095219
3%995231
2%895215
3%595213
1%495240
 407 calls had a mobile
team response.
 332 had available zip
code information.
95207
95202
95203
95206
95204
MCRT Phone
De‐Escalation
by Zip Code
Aug ‘23 –J a n ‘24
PercentCountZip Code
23%16995207
16%11695202
9%6795206
9%6695203
8%5795205
7%5095209
5%4095204
5%4095210
3%2295212
3%2095215
3%1995219
3%1995377
2%1395240
1%1095336
<1%695231
 915 calls were
deescalated over the
phone.
 745 had available zip
code information.

Number of
Calls
95207
95202
95203
95206
95204
Clinical
Resolutions
Aug ‘23 –J a n ‘24
Assessed for Suicide
Validation of Feelings/Concerns
Engaged in Open and Supportive Dialogue
Linked to Services for MH/BH/SUD/Psych
Remain in Community

Examples of
MCRT Making a
Difference
Case Study 1
 MCRT conducted a welfare check at the request of a concerned family member
 Team transported patient to men’s shelter
 Through assessment and conversation, identified patient was involved with Valley Mountain Regional Center and in process of being placed at an Adult Day Living Facility
 MCRT followed up with family member who initially called in for support, connected them with additional behavioral health support
 Great collaboration between MCRT and VMRC systems

Examples of
MCRT Making a
Difference
Case Study 2
 MCRT called to a school to assist school clinician with a LGBTQIA youth who was recently experiencing homelessness and re‐enter public school
 Youth had threatened harm against himself
 MCRT, school clinician, and family came together to transport youth to BHS for further evaluation
 Family of youth have been receiving services from MCRT, including therapy, assistance with laundry, and assistance with gas

Examples of
MCRT Making a
Difference
Case Study 3
 MCRT responded to a call regarding male who was observed talking to himself and fighting the air
 MCRT team visited the individual at his home and identified both behavioral needs and basic needs not being met
 Team accompanied individual to social security office to resolve existing and ongoing SSI issue
 Patient and family were confused about how to proceed with the case/appeal
 MCRT assisted and helped family formally establish a case

Examples of
MCRT Making a
Difference
Case Study 4
 In January, MCRT responded to CMC Respite site for an individual acting aggressively
 Team documented: disorganized thoughts and speech, auditory hallucinations
 Patient was on probation, but while experiencing homelessness, could not continue his medication program
 MCRT assisted patient in accessing medication, make connections to Gospel and provided appointment availability at CMC
 Patient declined appointment, but retained MCRT card for future needs

Opioid Settlement Agreement UpdateCity Council MeetingMarch 12, 2024Agenda Item #15.1 NationalOpioid SettlementCalifornia Opioid SettlementCity of Stockton Allocations$3.875 Billion to California•15% to State•85% to Local Jurisdictions0.3256176%Stockton’s weighted allocation percentage of local jurisdiction portion~$10.7 Million to Stockton over distribution period $43.3 Billion in National Opioid Settlement Funds
Source: California Department of Health Care ServicesAll funding distribution subject to availability from Opioid Settlements

OPIOID SETTLEMENT FUNDING DISTRIBUTION
Current Settlement Agreements ($2.05B CA)Janssen Pharmaceuticals“Big Three Distributors” – McKesson, AmerisourceBergen, Cardinal HealthBankruptcy SettlementsMallinckrodt Pharmaceuticals ($14.7M CA) Endo PharmaceuticalsPurdue Pharmaceuticals L.P .PENDING Settlement Agreements ($1.8B CA)“Pharmacies” – CVS, Walgreens, WalmartAllergan PharmaceuticalTeva Pharmaceutical Industries Ltd.

USE OF OPIOID SETTLEMENT FUNDSHigh Impact Abatement Activities(HIAA)Expansion of Medication-Assisted Treatment (MAT) Distribution and other Opioid-Related TreatmentExpansion of Warm Hand-Off Programs and Recovery ServicesExpansion of Comprehensive Wraparound Services, including Aftercare Direct ServicesConnection with local partners, such as San Joaquin County Opioid Safety Coalition, to leverage programs and resources, and develop a coordinated and transparent process.Source: CA Department of Health Care Services, Exhibit E, Final Settlement Agreement CMC Respite Team + Services C O U N S E L I N GBH Clinician (LCSW)Counselor (SUD Certified)M E D I C A LX- Waiver Provider (MD/NP/PA)Medical Assistant (MA)Nurse (RN/LVN)S U P P O R TCase ManagersPatient Health NavigatorsPeer Counselors •1-1 Behavioral and Substance Use Counseling•Case Management•Medication Assisted Treatment (MAT) for opioids and alcohol •Group Counseling•Sobering (6 chairs—Stockton only)•14-Day Transitional Respite Stay•Monitored Detox •1-1 Behavioral and Substance Use Counseling•Group Counseling•Case Management•Medication Assisted Treatment (MAT) for opioids and alcohol•Monitored detox•Sobering •Serving individuals 18 and over•14-Day Transitional Respite Stay•24-hour monitoring•Life skills classes and activities•Community programs •Presentations CMC Respite Residential Bed Days Data
Program started with an enrollment rate of 52%, which rose to 82% in 2023. Overall rate is 68% Nov. 21, 2023 to Jan. 31, 2024Total of 332 Bed Days
Report on Bed Occupancy for Respite Residential Total of 332 Bed Days from: Nov. 21, 2023 to Jan. 31, 2024 Pt. received 24 hrs. services:Case Management ServicesSUD Daily Programing 1-1/GroupsMonitored Detox (as needed)Wrap Around Services –Med/BH Appt.Life Skills Programing3 meals & Snacks/Laundry Common Areas

SITTING AREAGROUP MEETING SPACECOVERED PATIO
Dormitory Style
Cafeteria
Respite Residential
MEN’S DORM - 8 BEDSWOMEN’S DORM - 5 BEDSSPECIAL NEEDS – 1 ROOMGROUP DINING AREAKITCHEN FACILITYLAUNDRY After Care Data
Program started with an enrollment rate of 52%, which rose to 82% in 2023. Overall rate is 68% 36 36 Individuals received Respite Services- 24 Men & 12 WomenALL 36 Connected with After Care :Case Management/Wrap Around Services –appt. w/SUD, BH & Medical (MAT)Transportation Next Level of Care transitionResources CMC Respite Center201 N. Stanislaus Street, Stockton(across the street from CMC Channel Clinic/Pharmacy)Open 24 hours per day,7 days a weekR E S I D E N T I A L 2 4 / 7Monday–Friday, 8am–5pmM E D I C A L C L I N I C THANK YOULeiHua (Lei) McMiller, LMFTDirector of SUD [email protected]