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

2. 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

3. 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
Departments have CIT Trained Officers Available, 9 Departments have access to CIT Crisis Case Management
CIT Crisis Case Management Positions and 1 CIT Peer Position
2018- Rewarded SAMSHA Grant to enhance CIT Crisis Case Management

4. 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

5. 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

6. 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%

7. 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

8. 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

9. 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

10. 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

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

12. 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.

13. 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

14. 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

15. Kimberly Butler, LCSW, M.S.
Contact information
Kristin Adduci, LMHC
Sgt. Stephen Boily
Kimberly Butler, LCSW, M.S.