Houston s Multi-Faceted Specialized Strategies for Responding to the Mentally Ill

Transcription

1 Houston s Multi-Faceted Specialized Strategies for Responding to the Mentally Ill By Senior Police Officer Frank Webb, M. Ed. Houston Police Department Making a Difference 1

2 CIT Officer Priscilla Chillis talks suicidal man down from freeway overpass Our crisis intervention team is one of the shining stars in the police department and it s an example of doing the right thing in the right way and how that can make our city safer. - Mayor Annise Parker 2

3 This (CIT) is the essence of community policing - Chief Charles A. McClelland, Jr. 3

4 CIT Officer Jacques Bland saved a women who was running in traffic with a knife on 610 at I-45 4

5 Homeless To Housed Brenda Lived in Hermann Park and slept on a park bench for years. Was severely beaten and hospitalized at one point. Now safely and happily living in an apartment. 5

6 Bob War veteran who became a chronic alcoholic and homeless. In one twomonth period he was arrested 32 times for public intoxication. Received alcohol detox, reconciled with his wife and children, works, and has completed two half marathons. Sgt. Steve Wick, of the Homeless Outreach Team, talked a lady down from jumping off of a nine story parking garage. 6

7 CIT Officer Austin Huckabee saved a suicidal man s life by applying a tourniquet to his severed artery 7

8 Senior Officer Randy Crowder goes above and beyond. He routinely checks on consumers he has responded to, often on his own time. He helps educate consumers and family members about mental illness and connects them with NAMI. He truly cares about helping people. I want to thank you for taking the time to read through our 2013 Annual Report, showcasing a year which saw HPD set the standard in providing public safety services to those suffering with mental illness and improving our customer service to the more than two million citizens we serve. Message From Chief Charles A. McClelland, Jr Annual Report 8

9 Just a few examples making a difference Thank you to all of the CIT officers 9

10 Giving a little bit of themelves to individuals with mental illness You are 10

11 Saving Lives Policing: The Next Generation 11

12 Success Through Collaboration 12

13 Strategy #1: Crisis Intervention Training (CIT) Program Started in 1999 Started with Memphis Model First and foundational strategy Voluntary for veteran officers Mandatory for all cadets starting in March ,669 CIT officers as of August 2016 CIT Program Removed Team from name of program 13

14 Strategy #2: Crisis Intervention Response Team (CIRT) Started in 2008 Co-responder unit Officer and clinician ride together as partners 12 teams as of March

15 Impetus for CIRT It was believed a small number of highly trained officers with clinicians dedicated to responding to mental health calls full time could increase the percentage of CIT calls with a CIT officer on the scene These teams could respond to the most serious CIT calls CIRT s response now includes several specific situations in the city. Statistics 3461 calls for service (CFS) in CFS in CFS in CFS in CFS in 2013 (10 teams) 4805 CFS in 2014 (10 teams) 5340 CFS in 2015 (10 teams) 15

16 Strategy #3: Chronic Consumer Stabilization Initiative (CCSI) CCSI - Description Proactive, collaborative, community policing approach designed to identify, engage, and provide services to individuals who have been diagnosed with serious and persistent mental illness and who have had frequent encounters with police. Intensive case management by personnel from local mental health authority 16

17 CCSI Goals Reduce the number of police department responses to the most chronic mentally ill Link and coordinate consumers on the program with needed mental health treatment and psychosocial services Provide support and education to the individual and their family members CCSI Client Success Rates 2015 Activity Pre CCSI 1 Year NPC* detentions HCPC**Bed days PostCCSI 1 Year % % HPD incidents % Difference * NeuroPsyciatric Center ** Harris County Psychiatric Center 17

18 CCSI Client Cost Savings 2015 Activity Pre CCSI 1 Year NPC admissions HCPC admissions HPD incidents TOTAL SAVINGS Cost Post CCSI Months Cost Difference 156 $132,600* 10 $11,180 $121, $89,775** 3 $10,773 $79, $75,432*** 28 $4,704 $70,728 * Based on a cost of $ per day ** Based on a cost of $ per day *** Based on a cost of $ per incident/interaction $271,150 CCSI Case Study Ruth Ruth is a 54-year-old female with a diagnosis of schizoaffective disorder. Ruth was on the CCSI program from March 2009 through October During this time she was hospitalized approximately 30 times. She was placed back in the program in January Since being back on the program, she has only been hospitalized four times, the last hospitalization in April Currently she is going on two years with no hospitalizations and is compliant with her medications. Ruth sees a private doctor and is seen every three months. She lives alone and has been in her apartment for one year. Ruth is seen by her case manager every Thursday. 18

19 Awards International Association of Chief of Police (IACP) Community Policing Award (2010) Herman Goldstein Award for Excellence in Problem- Oriented Policing Finalist (2010) IACP Michael Shanahan Award for outstanding achievement in the development and implementation of public/private cooperation in public safety (2015) Strategy #4: Homeless Outreach Team (HOT) 19

20 Started in 2011 Goal to house the homeless 1 sergeant, four officers, three case managers Approach Goal is to intervene and change lives The team assists homeless in transitioning back into the community Individual strategies for ending a person s homelessness are employed using special relationships with stakeholders, case management, and establishing contacts and relationships with the homeless. 20

21 Statistics consumer contacts referrals 1684 homeless outreaches 26 emergency detentions 301 people housed Statistics Societal cost of a homeless person $40,051 Cost of servicing and housing a homeless person $25,529 Difference $14,522 Individuals housed by HOT in Estimated savings $4,371,122 21

22 Awards International Association of Chief of Police (IACP) Community Policing Award (2015) Strategy #5: Boarding Homes Enforcement Detail 22

23 Boarding Homes Enforcement Started in 2013 Point of contact for citizens to report unsatisfactory living conditions Two officers Over 800 boarding homes examined Statistics boarding homes in Houston 124 boarding registered 444 site visits 298 inspections 571 citations issued 222 warnings issued 23

24 Strategy #6: Crisis Call Diversion Program Crisis Call Diversion Pilot program started in March 2015 Program brings crisis helpline personnel from local mental health authority into Houston Emergency Center (dispatch center) Goal is to handle a percentage of CIT calls over the phone via helpline personnel 24

25 Examples of calls diverted Mom called distressed because her son would not get up and go to school. Angelica was able to talk with mom and provide some community referrals for counseling rather than sending the police. Elderly woman calling because she was concerned her children were missing. Laura was able to trace the call to a senior living home and ask the security guard to come check on the caller. Laura was also able to get the number to the caller s daughter who lived locally who is going to come back and check on her as well. 25

26 Examples of calls diverted Mom calling due to disturbance with her adult son with Autism. Son was calm at the moment. Angelica brainstormed some de-escalation techniques with Mom. Son is a current client at The Harris Center, COC was sent. Parents calling because teenage son with Asperger s was refusing to go to school. Dad wanted police to come to the scene to scare the kids into getting ready. Laura was able to work with the family to provide some basic education on Asperger s. Son de-escalated and family was able to take him to school. Local resources were provided as well. Examples of calls diverted Mom called because daughter ran away after fighting about going to school. Angelica spoke with Mom about options for service once the daughter got back home. Mom calling because teenage daughter was refusing to take her medication due to concerns about side effects. Karen was able to talk with Mom while daughter de-escalated and took her medication. Family will follow-up with psychiatrist at next appt. 26

27 Strategy #7: Senior Justice Assessment Center Senior Justice Assessment Center Program in development A multidisciplinary team of professionals including: HPD, HCSO, Harris County Health, Medical Examiner s Office, APS, Dept. of Aging and Disabilities Services, MHMRA, UT Medical Branch, Harris County DA s Office 27

28 Senior Justice Assessment Center Will provide expert and comprehensive case examination, documentation, consultation, and prosecution of elder and dependent adult cases of abuse Based on programs in Los Angeles County, San Francisco, and Orange County (CA) Senior Justice Assessment Center According to the Los Angeles County Program: 93% of elder abuse is never reported 47% of people with dementia are mistreated by caregivers 57% of cases reported to CA APS during FY were cases of self-neglect 28

29 Senior Justice Assessment Center Elder and adult abuse may include the following: Neglect Self-neglect Physical abuse Sexual abuse Emotional or verbal abuse Financial abuse United States Council of State Governments Learning Site 29

30 One of six police departments nationally Learning site for specialized programs for responding to the mentally ill Provide information and training to agencies across the state and nation Host visitors from across the nation Learning Site Mental Health Division 30

31 Mental Health Division Implemented in 2013 Oversees the department s multi-faceted response strategies Comprised of 35 classified personnel and 39 behavioral health professionals Only police department in the state to have a division and one of a few nationally CIT Calls for Service

32 Total Arrested/Charged 32

33 Jail Diversions Thank You Senior Police Officer Frank Webb, M. Ed. 33