The Douglas County Mental Health Initiative Changing the

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: Ø 1, 686 encounters with 831 unique individuals Ø 642 active 911 calls for service Ø 1, 044 follow-ups and referrals Ø 111 field medical clearances by Fire/EMS

CRT Results From May 2017 – August 2018: Ø 59% of 911 calls treated in place Ø 15% of 911 calls resulted in direct mental health placement Ø 246 Emergency Department & 107 Jail Diversions Ø 852 Patrol Officers released back into service Ø 165 Fire/Rescue employees & 85 fire vehicles released back into service

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.

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

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

• CRT Teams have 3 specific goals: What Makes Douglas County’s Mental Health Initiative Different? 1. ED diversion for mental health crisis unless medically necessary 2. Jail diversion when mental health is the primary issue 3. Facilitate connection to appropriate mental health resources • Focus on the entire mental health service delivery system in our county crisis and beyond

ØJulota Implementation – care coordination software system for CRT and partners – care àJulota Implementation In the Works… coordination software system for CRTFail” partners à “No Case Management Network and Specialized Case à“No Fail” Case Management Network and Specialized Case Management àAdditional Law Enforcement àAdditional Partners for. Law CRTEnforcement to cover Partners for CRT to cover County and all municipalities à àIntegrated. Mental Health Systemfor for. Douglas County – System Countycontract for system County program and funding model Education, Training and community awareness à Education, Training and initiatives community awareness initiatives

Questions? DCMHI@douglas. co. us