City Council and Concurrent Authorities
October 1, 2024

MOBILE COMMUNITY RESPONSE DATA
June 2024- August 2024 City Council Meeting
October 1, 2024
Item #15.2

Agenda
Program Goals &
Shared Objectives
 Calls over time
 Origin of calls
 Demographics of persons in need
 MCRT response to calls
 Clinical resolutions and outcomes
 Case studies
 Shared Objectives
 Atlanta
Program GoalTo develop and implement an efficient and sustainable model to mental health intervention based on known and documented best practices, which supports and enhances the well-being of Stockton residents.

Shared Objectives
Decrease
recidivism or
repeat callers
Increase follow-up
with wraparound
services
Decrease fear or
hesitancy to call
for police
Increase
community
trust
Decrease costs
related to
emergency calls
Divert individuals
from the criminal
justice system
Calls Over Time
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul AugInitial123 120 258 277 183 220 146 234 181 127 130 175 242 173 209 222Follow-up10 195 264 459 468 463 531 492 527 345 411 386 642 487 503 48601002003004005006007009,905 total calls since May 2023 Calls June – August 2024 1732092224875034860100200300400500600 Jun Jul AugInitialFollow-up
•During this period:•604 initial calls•1,476 follow-up calls•Of known reason for call:•76% for welfare/wellness checks•11% mild to moderate BH intervention•7% emotional disturbance Evolution of MCRT Data Collection: Variables Added
May 2023
• Data collection
began
June 2023
• Race/Ethnicity
October 2023
• Gender
• Reason unable
to respond
January 2023
• Reason for call
July 2024
• Experiencing
homelessness
Origin of CallsJune ‘24 – Aug ‘24•545 of 604 initial calls had referral type data available•Half of initial calls came from community membersCommunity Member 51%Police 28%Self 12% Call TimesJune ‘24 – Aug ‘24Call time available for 599 of 604 initial calls11am-1pm and 3pm-5pm accounted for around two-thirds of all callsVery few calls came in after 10pm1734546560544959616336271145 8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PM12 AMAfter 1AM Race/Ethnicity & AgeJune ‘24 – Aug ‘24Collection of race/ethnicity began in June 2023Data available for 525 initial callsCaller average age was 38 years old21%20%18%14%13%11%4%0 -20 21 - 30 31 - 40 41 - 50 51 - 60 61 - 70 71+American Indian or Alaska Native, 1%Asian, 7%Black, 20%Hispanic, 48%Native Hawaiian or Other Pacific Islander, 1%White, 23%Other, 1%AGE GenderJune ’24 – Aug ‘24MCRT began collecting patient gender in October 2023Available for 581 initial calls the past 3 months56%57%69%41%43%29% Jun Jul AugFemaleMale
MCRT Mobile Response by Zip CodeJune ‘24 – Aug ‘24PercentCountZip Code18%189520215%159520713%139520511%119520610%10952107%7952096%6952036%6952045%5952193%39521298 calls had a mobile team response.94 had available zip code information.9520795202952059520695210Number of Calls

MCRT Phone De-Escalation by Zip CodeJun ‘24 – Aug ‘24455 calls were deescalated over the phone.398 had available zip code information.9520795202952049520695205Number of Calls PercentCountZip Code13%609520710%44952069%40952058%36952027%34952046%26952105%21952094%19952033%15952193%1495215

Clinical ResolutionsMay ‘23 – Apr ‘24Engaged in Open and Supportive DialogueAssessed for SuicideValidation of Feelings/ConcernsRemain in CommunityAssessed for Safety

CBO Collaborative Efforts in Public Safety and Supportive Services Case Study 1MCRT arrived at the trailer of a community member after receiving a call from SJ Cares Sheriff's Deputies, who provided information about the situation.Community member was being displaced from her trailer as it was condemned.SJC Sheriffs called SJC Animal Services who agreed to transport their dogs to their new locationUpon arrival, Animal Services asked pt and her partner to move the dogs, pt began to break down. The team walked her to the MCRT van so that she could sit out of the heat and provided de-escalation techniques for pt to rest.Ultimately, the Animal Services removed all of the patient's dogs, there ended up being 37 dogs. LCSW helped process extreme hoarder of animals and Bipolar Schizophrenia and PTSD, exploring options and placed her in a motel for one night to find an opening at one of the shelters the following day.

Connecting to Substance Use Treatment Case Study 2
Community member called the MCR line after experiencing depression and wanting to talk to someone.Team went to his apartment, and he reported he is about to lose his place because he lost his temporary disability from work back in February and can't pay his rent anymore.As follow-up work continued, the community member disclosed self-harm to his wrists and a substance use problem and extreme fear in seeking treatment for meth. The process of working with him to get into substance use treatment at CMC’s Respite began immediately to not lose momentum and he was encouraged by the support and elected to call on HIS OWN to seek treatment! In the 30+ days of working with him, he was provided transportation, food stamps, linkage to SUD, follow-up and supportive service, connection to his TB test.There were 7 (1:1) BH in person and over the phone visits with a clinician and 8 additional contacts with other CMC supportive staff and services.

Examples of MCRT Making a DifferenceCase Study 3
On the evening of National Night Out MCR received a referral from our partners at OVP .A 2-year-old child had been critically injured from a Gunshot Wound (GSW), due to a loaded gun being accessible and subsequently being shot by another child in the home .MCR was able to be with the family during the extreme level of chaos and trauma erupting in the home and confusion over the many next steps for this child as he was rushed to UC Davis for life-threatening injuries and many surgeries ahead. MCR provided 10 days of hotel stay and meal for the Mother and Aunt who were sleeping in their car across from the hospital without any money to pay for both rent at home and this new cost. Clinically, MCR checked in with Mom and family as often as they needed and provided over five 1:1 visits to support while this was taking place. The family had just lost another member of the immediate family due to gun violence weeks prior, and the connection between OVP and CMC to provide quality BH interventions and supportive services is critical when working with complex trauma cases.

Partnering to Create a911 Alternative for theCity of Stockton NACHC 2024 CHI & EXPO | August 24, 2024CMC spoke in Atlanta, GA on behalf of the collaborative work being done in our city and we received so much interest in this type of work!

Questions?ALFONSO APUChief Behavioral Health [email protected] LÓPEZCare Link Program [email protected]

City Council Meeting
October 1, 2024
Item #15.2
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

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 Managers/ CHWPatient 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% Report on Bed Occupancy for Respite Residential Bed DaysPt. received 24-hour services:Case Management ServicesSUD Daily Programing 1-1/GroupsMonitored Detox (as needed)Wrap Around Services –Med/BH Appt.Life Skills Programming3 Meals & Snacks/Laundry

After Care DataJune to Aug 2024
Program started with an enrollment rate of 52%, which rose to 82% in 2023. Overall rate is 68% 36 ALL Clients offered to be Connected with After Care :Case Management/Wrap Around Services –appt. w/SUD, BH & Medical (MAT)Transportation Next Level of Care transitionResources 1 Out pt. Services30
Case Management30
MAT (Medical Asst. Treatment)13
Long Term Recovery Program5
Transportation2130 301352105101520253035After Care Services •Audra Crocker - Peer Counselor Connection: One of Community Medical Center Respite clients AC, who successfully completed our program, came in with personal and family challenges. He only knew how to cope by using alcohol and methamphetamine. After his successful completion at Respite, I was able to refer him to a sponsor with many years of sobriety. His sponsor meets with him weekly, and they talk or text daily. They work together with recovery workbooks and attend meetings together. He recently was hired as a Bakery Sous Chef locally and loves his job. He has over 4 months of sobriety. He had this to say about Respite: "My stay at Respite was a discovering time that I will be grateful for the rest of my life. At respite I was guided towards new ways of thinking and behaving. With the help of the wonderful staff, I was able to begin seeing the possibilities of a life without substances. With over 4 months of sobriety, I continue to work on a positive, happier future which all began inside the walls of Respite. " - AC Connections can Change Lives!

•Araceli Andrade- Case Manager Connection -Patient connected to service due to Alcohol and Opioid use. Pt was referred to Case Management, SUD counseling and Behavioral Health. Patient has abstained from all substances for over 2 years now. Patient had a stroke several months ago and was unable to work. Due to being on a fixed income and no longer able to work, patient got behind on her rent and we were able to assist her for two months to allow her to get back on track. Patient is now doing great and continues to connect with all SUD services. Patient is grateful for all CMC Respite has done for her and her family.•Lavern Langford- SUD Counselor Connection-This young lady was homeless at the time and would make sure shehad a way to her appointments because she stated" I want to get better“ . I told her just keep coming to see me andrest of the team so you can get balanced out and stay clean. She would go on to see Psych NP , Behavioral Health &Case Management to help her find housing. Moving forward she is now still being seen by myself and the team. Shehas her own apartment, and she is also now active in NA, and the Wellness Center. This is what she wanted to share"it's because your team never gave up on me" . This young lady is very active in the community. She is two and a halfyears clean from all substance and thriving.Laverne Langford “ I must say this Community Medical Centers- Substance Use Program is where the "Phoenix risesfrom the ashes!" I’m so grateful to be part of miracles that happen every day within Community Medical Centers, allof our clinics strive to go the extra mile for our clients. ” Connections can Change Lives!
Community Collaboration
Networking PartnershipsCVLICHCatholic CharitiesGospel Rescue MissionEl ConcilioSt. Mary’s ShelterHospital EDManaged Care Plan (HPSJ)CBHSUSDCounty Collaborative CourtsLilly PadSalvation ArmyCircle of FriendsRecovery HouseMedmarkAegisFood BankShower of LoveBread of Life THANK YOULeiHua (Lei) McMiller, LMFTDirector of SUD [email protected]