The Douglas County Mental Health Initiative Changing the way Mental Health Services are delivered in Douglas County

The Douglas County Mental Health Initiative was formed in June 2014 in response to several tragic events in our community and, to address unmet mental health needs of county residents. Today, the Initiative has 40 organizational members and continues to develop strategies to build an integrated mental health system for county residents including implementation of the Community Response Teams (CRT) and the Mental Health Navigator Program.

Community Response Teams (CRT) Law Enforcement and Mental Health Clinician Teams Fire/EMS and Case Management Support

Community Response Teams Beginning May 8, 2017: 1,686 encounters with 831 unique individuals 642 active 911 calls for service 1,044 follow-ups and referrals 111 field medical clearances by Fire/EMS

CRT Results From May 2017 – August 2018: 59% of 911 calls treated in place 15% of 911 calls resulted in direct mental health placement 246 Emergency Department & 107 Jail Diversions 852 Patrol Officers released back into service 165 Fire/Rescue employees & 85 fire vehicles released back into service “Treated in Place” : Crisis evaluation, safety planning, resource brokering, de-escalation “Direct Mental Health Placement”: AHN WIC, Bridge House, Children’s Hospital, AUMH WIC, Denver Springs, FRP, Highlands BH, Jefferson Hills, Porter

The Mental Health Navigator (MHN) Provides short-term intensive navigation of the Mental Health System for individuals and families referred to the Office of the County Attorney (OCA) for possible in-patient and out-patient mental health and substance abuse involuntary treatment holds. Strategic coordination and community care plans (case staffing) with representation from County Attorney, CRT, Human Services, Colorado Access, care providers, etc. Fill gaps such as – coordinating first outpatient MH tx after hospital discharge, transport to tx, follow-up to ensure engagement with services/fit of services Operate as part of the community system of support Explore various resources Provide referrals and resource direction Client advocacy, networking and support to family members Support clients in their accessing of appropriate clinical interventions and community support resources

The Mental Health Navigator Operates as part of the community system of support; Explores various resources; Provides referrals and resource direction; Provides client advocacy, networking and support to family members, Supports clients in their accessing of appropriate clinical interventions and community support resources Currently working with 10 adults – 7 carried over from the previous MHN who began work in January 2017. 5/7 the current MHN continues to work with intensively. 2/7 were connected to community based services and closed. Fills gaps, for example, coordinating first outpatient MH tx after hospital discharge, transport to tx, follow-up to ensure engagement with services/fit of services Strategic community plans – client staffings with community partners involved in coordinating client care.

What Makes Douglas County’s Mental Health Initiative Different? Supported by the Board of County Commissioners, County Management, local law enforcement and fire/EMS, mental health treatment providers and many other partners Co-responder teams are unique in including fire/EMS, in-depth follow-up, and case management as critical to the CRT model Supported by the Board of County Commissioners, County Management, local law enforcement, fire/EMS, human services, mental health treatment providers and many other partners Co-responder teams are unique in including fire/EMS, in-depth follow-up, and case management as critical elements of the CRT model What Makes Douglas County’s Mental Health Initiative Different?

What Makes Douglas County’s Mental Health Initiative Different? CRT Teams have 3 specific goals: ED diversion for mental health crisis unless medically necessary Jail diversion when mental health is the primary issue Facilitate connection to appropriate mental health resources Focus on the entire mental health service delivery system in our county - crisis and beyond

Julota Implementation – care coordination software system for CRT and partners “No Fail” Case Management Network and Specialized Case Management Additional Law Enforcement Partners for CRT to cover County and all municipalities Integrated Mental Health System for Douglas County – County contract for system program and funding model Education, Training and community awareness initiatives Julota Implementation – care coordination software system for CRT partners “No Fail” Case Management Network and Specialized Case Management Additional Law Enforcement Partners for CRT to cover County and all municipalities Integrated Mental Health System for Douglas County – County contract for system model Education, Training and community awareness initiatives In the Works…

Questions? DCMHI@douglas.co.us