1. Playing Well Together in the Sandbox: Collaborating to Build A Responsive Crisis System in Arizona

2. PRESENTERS Suzanne Rabideau, MA, LPC, MBA CEO, Crisis Response Network, Inc. and Crisis Response Network of Southern Arizona, Inc. Kate Lawson, MPA Criminal Justice Manager, Community Partnership of Arizona (CPSA) Larry Villano Senior Vice President, Terros Joseph Mucenski Vice President, Board of Directors, CIT International, Advocate and CRNSA Governance Council Sergeant Jim Kirk, CTR, CTSS Behavioral Sciences Unit, CIT Coordinator Tucson Police Department and CRNSA Governance Council Officer Nick Margiotta CIT Coordinator, Phoenix Police Department 2

3. IN THIS PRESENTATION… Overview of Arizona Elements of an Effective Crisis System Crisis Service Continuum Collaboration with System Partners Crisis Response Culture Hearing from System Partners Regarding Effective Crisis Response to Law Enforcement Thoughts About the Future 3

4. ARIZONA 4

5. ARIZONA DEMOGRAPHICS Serving All Individuals Maricopa County 4 million people Pinal County 400,000 people Pima County 1 million people 5

6. AN EFFECTIVE SYSTEM Comprehensive Crisis Services 6

7. AN EFFECTIVE CRISIS SYSTEM Continuum of Crisis Services Collaboration with System Partners Culture of Responsiveness 7

8. CRISIS SERVICES CONTINUUM 24-hour Crisis Lines Community Mobile Team Response Crisis Transportation Response to Emergency Rooms Response to Special Populations Walk-In Crisis Services Crisis Stabilization Peer Support Line 8

9. COLLABORATION BETWEEN THE CRISIS LINE AND MOBILE TEAMS – HOW IT WORKS IN MARICOPA COUNTY Video 9

10. URGENT PSYCHIATRIC CENTER HOW IT HELPS INDIVIDUALS, FAMILIES AND SYSTEM PARTNERS Video 10

11. CRISIS RESPONSE CULTURE Responsiveness to System Partner Needs Exchange of Information Research to Drive Practice Data Driven Decisions Peers and Family Involvement Accountable Care with Larger Healthcare and Social Systems Responsiveness to Payers Decision Support Tools 11

12. COLLABORATION WITH SYSYTEM PARTNERS Community-based Service Providers Healthcare Providers Hospital Emergency Rooms Child-serving Agencies Schools Law Enforcement Courts Social Services Fire Departments 12

13. LESSONS LEARNED FROM COLLABORATION We have learned the best responses to law enforcement are… “Yes” “No Problem” “We can do that” “How High” “How Fast” “Yes” 13

14. HOW WE MAKE THE COLLABORATION WORK It takes Organization and Network wide initiative Teach the CEO “Cop Culture” Skill Development for Front Line staff “Cop 101”training “Scared Straight” approach Accountability CIT Partnership and training of Crisis Providers Data Driven Information Routine Meetings with Law Enforcement 14

15. INTENTIONAL SYSTEM DESIGN FOR LAW ENFORCMENT From the initial design, Community Partnership of Arizona developed the Pima County system with law enforcement in mind….. Sally Port Ease of access Responsive Culture 15

16. LAW ENFORCEMENT PERSPECTIVE ON AN EFFECTIVE CRISIS SYSTEM Critical Elements Service & Accessibility – Based on “Customer Service” as defined by the needs of the Police Officers No Wrong Door Philosophy – Continuum of options including access to mobile teams and facility based services Expedient – Quick Turn Around at the Crisis Response Center and with Mobile Teams Reduction of “Out of service” time – Police Officers spend less time on crisis related calls Early inventions – Key to healthy communities, reducing suicide, reducing use jail, ER, and crime 16

17. LAW ENFORCEMENT PERSPECTIVE ON AN EFFECTIVE CRISIS SYSTEM CIT Training for Crisis Providers “Cop Culture 101” Training 911 initiative in Tucson Improved communication and customer services has led to improved access and utilization by law enforcement Countless reductions in incarceration Linkages to critical long-term treatment opportunities Criminal justice cost savings 17

18. WHAT DO YOU WANT TO ACCOMPLISH IN YOUR COMMUNITY Who will champion the relationship between system partners? Who can represent all first responders? Who is the Advocate, Spokesperson, and “Superhero” for crisis response? 18

19. Video CRISIS RESPONSE CENTER COMMUNITY IMPACT 19

20. Questions? 20

21. Suzanne Rabideau – suzanner@crisisnetwork.org suzanner@crisisnetwork.org Kate Lawson – Kate.lawson@cpsaarizona.org Kate.lawson@cpsaarizona.org Larry Villano – larryv@terros.org larryv@terros.org Joseph P. Mucenski – professors@comcast.net professors@comcast.net Sergeant Jim Kirk – James.kirk@tucsonaz.gov James.kirk@tucsonaz.gov Officer Nick Margiotta – Nick.margiotta@phoenix.gov Nick.margiotta@phoenix.gov CONTACTS 21

22. THANK YOU! 22 www.cpsaarizona.orgwww.crisisnetwork.orgwww.terros.org