City Council and Concurrent Authorities
February 4, 2025

COMMUNITY WELL-BEING PROJECT UPDATESCity Council MeetingFebruary 4, 2025Agenda Item #15.1 COMMUNITY WELL-BEING INITIATIVESMobile Community Response Team (CMC)Mental and Behavioral Health Care Coordination (Care Solace)SUD Services at Existing Respite Center (CMC)

MOBILE COMMUNITY RESPONSE DATA February 4, 2025 Item #15.1

AGENDA
Calls over timeOrigin of callsDemographics of persons in needMCRT response to callsClinical resolutions and outcomes May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct NovInitial123 120 258 277 183 220 146 234 179 127 115 175 242 176 209 222 253 219 141Follow-up10 194 264 459 468 463 531 492 597 345 410 386 642 491 503 486 512 436 4050100200300400500600700Program Calls Over Time11,713 total calls since May 2023 Program Calls September – November 2024 •During this period:•613 initial calls•1,353 follow up calls•Of known reason for call:•68% for welfare/wellness checks•17% emotional disturbance•9% mild to moderate BH intervention•3% suicidal/homicidal Ideations•3%community concern253219141512436405Sep Oct NovInitialFollow-up Evolution of MCRT Data Collection: Variables AddedMay 2023• Data collection beganJune 2023• Race/EthnicityOctober 2023• Gender• Reason unable to respondJanuary 2023• Reason for callJuly 2024• Experiencing homelessness Origin of CallsSep ‘24 – Nov ‘24•494 of 613 initial calls had referral type data available•Over half of initial calls came from community membersCommunity Member 69%Police 12%Self 7%School 3% Call TimesSep ‘24 – Nov ‘24Call time available for 607 of 613 initial calls9am-5pm accounted for 83% of all callsVery few calls came in after 8pm153555486352585767712831555219 8 AM9 AM10 AM11 AM12 AM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PM12 PMAfter 1 AM Race/Ethnicity & AgeSep ‘24 – Nov ‘24Caller average age was 35 years old47% of initial calls came from patients under 3026%21%18%14%9%7%5%0 - 20 21 - 30 31 - 40 41 - 50 51 - 60 61 - 70 71+Asian, 7%Black, 16%White, 24%Hispanic, 53% GenderSep ‘24 – Nov ‘24Available for 587 of 613 initial calls the past 3 months42%36%22%38%36%25%September October NovemberFemaleMale Clinical ResolutionsSep ‘24 – Nov ‘24Engaged in Open and Supportive DialogueAssessed for SuicideValidation of Feelings/ConcernsRemain in communityAssessed for safety

NATIONAL OPIOID SETTLEMENT AGREEMENTSCity Council MeetingFebruary 4, 2025Agenda 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$2.7 Million distributed to Stockton since inception $43.3 Billion in National Opioid Settlement Funds
Source: California Department of Health Care ServicesAll funding distribution subject to availability from Opioid Settlements

FUNDING
Current Settlement Agreements DISTRIBUTION PERIODENTITY2022 - 2031Janssen2022 - 2038Distributors: •McKesson•Cardinal Health•Cencora (formerly Amerisource Bergen)2024 – 2029Allergan2024 – 2032CVS2024 - 2037Walgreens2024 - 2028Walmart2024 - 2035TevaPending Settlement AgreementBankruptcy Settlement KrogerMallinckrodt 2022-2023 How is the City utilizing funds from the National Opioid Settlement?TERM / FUNDINGPARTNERPROJECT3 years / Up to $4.5MCommunity Medical CentersI. Expand Existing SUD Treatment @ CMC Respite Center3 years / $855,000Care SolaceII. Behavioral and Mental Health Care Coordination Services USE OF OPIOID SETTLEMENT FUNDSCommunity Medical Centers (CMC)High Impact Abatement Activities(HIAA)Support core strategy to provide Medication-Assisted Treatment (MAT) and Other Opioid-Related Treatment.Evidence-based or evidence-informed programs and strategiesTreatment and recovery support servicesExpand core strategy of Warm Hand-off Programs and Recovery services.Expand warm hand-off servicesBroaden scope of recovery servicesComprehensive wraparound servicesSource: CA Department of Health Care Services, Exhibit A, Final Settlement Agreement: List of Opioid Remediation Uses City Council Meeting February 4, 2025Item #15.1
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•Group Counseling•Case Management•Medication Assisted Treatment (MAT) for opioids and alcohol•Monitored detox•Sobering•Connect to Primary Care Services (PC, Dental, Vision, etc.) •Serving individuals 18 and over•14-Day Transitional Respite Stay•24-hour monitoring•Life skills classes and activities•Community programs •Presentations•Transportation & Support for necessary outside appt. (probation, medical, placement) CMC Respite Residential Data
Program started with an enrollment rate of 52%, which rose to 82% in 2023. Overall rate is 68% Respite ResidentialPt. received 24 hrs. services:Case Management ServicesSUD Daily Programing 1-1/GroupsMonitored Detox (as needed)3 meals & Snacks/LaundryWrap Around Services –Med/BH Appt.Life Skills ProgramingAsst. to needed appt. (Court, PO, Treatment)Discharge Planning & PlacementSupport System Planning

Demographic Info.Sept. to Nov. 2024
Program started with an enrollment rate of 52%, which rose to 82% in 2023. Overall rate is 68% 36 Population Data90 % Male 10% Female
Treatment:44 % received MAT (Medication Asst. Treatment)50% Opioid & 50% Alcohol treatments59% received Detox Monitored ServicesMATPrep and/or Other Substance (illicit drugs).SUD 1-1 & Group Counseling utilizing evidence base curriculum along with CBT & Motivational Interviewing.

After Care ServicesAfter Care Services:•Case Manager Services•Followed -After D/C 30+ Days•Assisted w/Placement•Connected to Outpatient*SUD*MAT*BH*PCP•Transportation- Lyft/Bus Passes•Resources •Community Partnership ConnectResidential Stories:•Successes•Challenges•Lessons Learned

Community CollaborationNetworking PartnershipsCVLIHCCatholic CharitiesGospel Rescue MissionEl ConcilioSt. Mary’s ShelterHospital EDManage Care Plan (HPSJ)CBHSUSDCounty Collaborative CourtsLily PadSalvation ArmyCircle of FriendsRecovery HouseMedMarkAegisFood BankShower of LoveBread of Life

THANK YOULeiHua (Lei) McMiller, LMFTDirector of SUD [email protected] USE OF OPIOID SETTLEMENT FUNDSCare SolaceHigh Impact Abatement Activities(HIAA)Support centralized call centers that provide information and connections to appropriate services and supports for persons with Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder/Mental Health (SUD/MH) conditions.Purchase automated versions of Screening, Brief Intervention, and Referral to Treatment (SBIRT) services, and support ongoing costs of the technology.Expand warm hand-off services to transition to recovery.Source: CA Department of Health Care Services, Exhibit A, Final Settlement Agreement: List of Opioid Remediation Uses February 4, 2025Agenda Item #15.1
Calming the Chaos of Mental Health Care Together
Care Solace is the hubto all mental and social health supports for communities connecting agencies, departments, services, and residentsto the support they need and navigate the associated chaos of eligibility and availability.

Care Solace is providing care coordination to all city departments, agencies and social services.•All city departments•Mayor and City Council•Employees and HR•County resources•Community Medical Centers Unhoused
Employees

2,718 Services ProvidedCalls, emails, text messages8 days to booking16 days to appointment 845 Service requestsURL, QR, phone3 daysTime to match
Data Overview: October through DecemberGender Age
Demographics Served: Ethnicity & Language
Examples of Outreach Strategies•AFRICAN AMERICAN CHURCHES•CHAMBER •RESIDENTS•NAACP•URBAN LEAGUE Demographics Served: Ethnicity & Language
70251111
Examples: Flyers and Signage
Insurance Types

0.1%2.4%16%27.2% 54.3%
Mental Health Categories Observations by Age
Mental Health Category by AgeGen XMillennial
Gen Alpha & Gen Z
Youth/Adolescents
Mental Health Category by EthnicityWhite Hispanic
Mental Health Category by EthnicityAfrican American Asian Total Treatment TypesIndividual Therapy: 269 + 290 teletherapy Assessment: 25 Intensive Outpatient: 8 Psychiatry: 73 Inpatient Care: 8 Partial Hospitalization: 2 Hospitalization: 1 Interventionists: 4 Applied Behavioral Analysis: 92 Medical Detox: 41 Suicidal ideation/self-harm: 67 Example cases45-year-old femaleCity residentCaucasianZip code: 95207Anxiety, Trauma & StressAetna InsuranceLiving in difficult situation with emotional abuse. Long term trauma and stress because of the relationship. Tried finding therapist on her own, (57 calls) but was unsuccessful. Care Solace matched her with 12 available providers. Appointment was booked within 7 days. 37-year-old femaleCity residentHispanicZip code: 95210Alcohol Abuse, Anxiety, DepressionBlue CrossClient experiencing anxiety, stress, and was in search of assistance with substance abuse. Care Solace matched resident with therapy and a treatment center. Client booked appointment on her own. 54-year-old maleCity residentNative AmericanZip code: 95207Depression, Trauma & StressNo insuranceClient experiencing depression, trauma and stress. Lost his job. Didn’t think it was possible to obtain care without insurance. Care Solace matched him same day with therapist willing to assist with sliding scale. Appointment was booked 8 days later.

Share the partnership on all platforms. Use flyers, videos and social media resources provided.Care Solace will host a series of webinars and make them available to everyone via social media and employers.

Promote Care SolaceCare Solace is working with the city on community outreach. Care Solace has contacted nonprofits and agencies to make them aware of the services. Grassroots outreach is ongoing. Care Solace is delivering QR cards and flyers to community organizations, chambers and churches.

Community Outreach
Continue to Maximize Our PartnershipData SupportThe data can be mined for trends over time. Special requests can be fulfilled at the request of the city. Training Training is complete for first responders. City departments are scheduled.

Thank you!
Anita [email protected]