Western NY Successes in CIT Care Management Kristin Adduci, LMHC, M.A. Sgt. Stephen Boily Kimberly Butler, LCSW, M.S.

Objectives History of CIT in Monroe County (NY) and Erie County (NY) Varied models of CIT care management used Benefits of local CIT program development and implementation Strengths of collaborating with other area CIT programs/ coordinators

History of CIT in Erie County (NY) Police Mental Health Coordination Project 2013- Crisis Services partners with the Cheektowaga Police Department and holds first CIT Training 2014- receives funding from Erie County Department of Mental Health for CIT Crisis Case Management Position 2018- 17 Departments have CIT Trained Officers Available, 9 Departments have access to CIT Crisis Case Management 2018- 3 CIT Crisis Case Management Positions and 1 CIT Peer Position 2018- Rewarded SAMSHA Grant to enhance CIT Crisis Case Management

Expressed need for increased collaboration 2013- increased numbers of individuals involuntarily transported to hospital by police Need to collaborate with local agencies in order to focus on diversion Need to increase collaboration between Mobile Outreach Team and Police Need to increase collaboration through training

CIT Crisis Case Management Referrals from CIT Departments Focus on individuals with multiple police contacts CIT Crisis Case Managers and CIT Officers visit clients in community that are referred to program Focus on Hospital Diversion and Jail Diversion Mobile Outreach

Outcomes 2015-2018 (JAN-JULY) YEAR REFERRALS SUCCESSFULLY LINKED TO TREATMENT JAIL DIVERSION HOSPITAL DIVERSION 2015 193 72% 96% 90% 2016 269 83% 95% 80% 2017 393 79% 91% 87% 2018 (JAN-JULY) 278 59% 93% 85%

History of CIT in Monroe County (NY) 2004- Rochester Police Department develops the first CIT program in NYS 2007- Formed Multi-Jurisdictional Task Force, with representation from all departments Yearly in-service 2018- CIT Interest growing, with 3 schools in 2018 2018- Introduced monthly MHFA courses 2018- Introduced Forensic Intervention Team

Expressed need for increased collaboration Police Chiefs expressed need for increased collaboration/ intervention prior to point of crisis July 2016 I started meeting with officers for joint or follow-up visits in a more proactive fashion Tactics used Response from clients Each positive outcome leads officers to new or restored belief that the system can help, which leads to more calls Data: 7/16-8/17 328 clients seen over 368 contacts 273 assessed as needing MH treatment/ services 89% connected to providers

Creation of Forensic Intervention Team (FIT) Letter of support from Monroe County Association of Chiefs of Police Support from NYS OMH Funding used to hire three (new) clinical OMH positions

Function of FIT Team initiated 9/11/17 GOAL- To increase connectedness and utilization of outpatient services and decrease utilization of and need for emergency and crisis response Three clinical staff directly partnered with law enforcement Referrals from: Law enforcement Directly from OMH- repeat 9.41s Assess, refer, link, transfer Length of intervention varies

Outcomes 9/11/17-7/31/18 1705 Clients over 2982 Contacts

Lessons learned Helpful to see other programs that are up and running, finding out from them what they learned along the way. Definitely would hold to the requirements for education and clinical/ forensic experience for staff. Having easily identifiable clothing has been helpful. Biggest stumbling block has been car utilization.

Benefits to local program development and implementation No one knows local issues or strengths like local folks Better ability to be responsive in training to respond to needs or requests

Strength in collaborating with area CIT programs/ coordinators Assistance with known clients Learning from other’s experiences Building the local program through collaboration Sharing ideas

Kimberly Butler, LCSW, M.S. Contact information Kristin Adduci, LMHC kadduci@crisisservices.org Sgt. Stephen Boily Stephen.Boily@CityofRochester.gov Kimberly Butler, LCSW, M.S. kbutler@monroecounty.gov