Community Triage Center: Preliminary Baseline Data August 22, 2017 suzanne.smith@augie.edu
INTERCEPT 0 COMMUNITY SERVICES
Intercept 0: Community Services • Helpline* • Human services providers • Carroll Institute* • Southeastern Behavioral Health • Healthcare providers
Helpline Calls National Suicide Prevention Lifeline: 1,538 calls 2016 Identified Needs for Mental Health & Addictions (Summary) Triage Services 756 Substance Abuse 1,128 Mental Health 537 Other (counseling, support groups, etc.) 1,666 Suicide Prevention 2,056 Talklines/Warmlines 3,005 Grand Total 9,148
Carroll Institute Clients served annually: 2,000
The Arch 87 beds: 24 female + 63 male Male waitlist: December Female waitlist: End of September Average length of stay: 60 days Total discharges: 429 (FY16), 551 (FY17)
The Arch Referral Sources, FY2017 0% 0% 0% 0% 3% 5% 5% 4% Alcohol/Drug Provider Community Hospital Court/Criminal Justice Department of Social Services Family/Self/Friend Human Services Center Indian Health Services Other Other Social Services 83%
The Arch Discharges, FY16 and FY17 45.00% 41.72% 40.00% 35.00% 31.76% 30.00% 27.51% 26.34% 26.32% 25.00% 20.00% 15.00% 10.89% 9.26% 10.00% 7.62% 5.08% 4.36% 5.00% 2.54% 1.63% 1.27% 0.70% 0.54% 0.47% 0.47% 0.47% 0.36% 0.23% 0.00% 0.00% 0.23% 0.23% 0.00% FY16 FY17
New Horizons 2015 2016 Total Admissions 145 63 Average Length of Stay 11.3 9.8 Average Daily Census 6.9 2.4
New Horizons 2015 2016 To Inpatient 51 13 To Slip Slot 27 16 To Outpatient 45 16 IVC Dropped 6 1 Terminated 20 20 Total Discharges 149 66
INTERCEPT 1 LAW ENFORCEMENT
Intercept 1: Law Enforcement • Calls for Service* • Mobile Crisis Team* • Arrests and Charges* • Detox and Sobering Center*
Calls for Service Total calls in 2016: 127,547 Incident Type Calls % of All Calls Disorderly Subjects 12,462 9.77 Accident 8,988 7.05 Larceny 4,594 3.60 Family Dispute 4,416 3.46 24/7 Violation 4,048 3.17 Check Wellbeing 3,946 3.09 Narcotics Violation 3,738 2.93 Intoxicated Subject 2,769 2.17 Prisoner Transport 2,611 2.05 Vandalism 2,537 1.99 Abandoned Vehicles 2,466 1.93 Assault 2,419 1.90
Calls for Service Most calls are resolved on scene. Selected Call Outcomes, 2016 140,000 127,547 120,000 100,000 79,114 80,000 60,000 40,000 15,145 20,000 9,734 1,326 98 - Total calls Necessary Arrest / Lodged Citation Lodged at Detox Lodged at Action Taken at Jail McKennan
Mobile Crisis Team In 2016, MCT’s diversion rate was 94.7%. Calls Received 572 Calls Declined 85 Calls Taken 487 Remained Home 417 85.6% Voluntary Admission to Avera Behavioral Health 30 6.2% Detox / Other Placement 14 2.9% Involuntary Hold 26 5.3%
Which calls result in arrest? Calls % of Incident % of All Calls Resulting Type Resulting Resulting in Incident Type in Arrest in Arrest Arrest 24/7 Violation 2,272 56.13% 15.00% Narcotics Violation 2,014 53.88% 13.30% Disorderly Subjects 1,545 12.40% 10.20% Warrant Service 1,352 59.09% 8.93% Assault 922 38.11% 6.09% Shoplifting 848 44.40% 5.60% DWI 842 61.59% 5.56% Runaway 517 31.51% 3.41% Family Dispute 472 10.69% 3.12% Non Hazardous Moving Violations 371 36.92% 2.45% Traffic 337 47.13% 2.23% Intoxicated Subject 293 10.58% 1.93%
Which calls result in arrest? Calls and Arrests by Call Type, 2016 14,000 12,462 12,000 10,000 8,988 8,000 6,000 4,594 4,416 4,048 3,946 3,738 4,000 2,769 2,611 2,537 2,272 2,014 1,545 2,000 472 293 260 116 62 69 28 0 Disorderly Accident Larceny Family 24/7 Check Narcotics Intoxicated Prisoner Vandalism Subjects Dispute Violation Wellbeing Violation Subject Transport Calls Arrests
Arrests and Charges Total arrests in 2016: 11,993 SFPD and Sheriff's Office Arrests, 2016 (Selected Charges) 3500 3000 608 2500 2000 1500 886 2314 1000 108 799 500 986 859 492 77 474 341 160 0 Drug/Narcotic Disorderly DUI Shoplifting Liquor Law Trespassing Conduct Violations Alone Plus Other Charges
Detox Clients: 241 (165 IVCs) Bed days: 1,552 Average daily census: 4.25
Sobering Center Total bookings: 2,621 Bookings per day: 7.18 Average length of stay: 9.7 hours
INTERCEPTS 2 AND 3 INITIAL DETENTION AND JAIL
Intercepts 2 and 3: Jail • Bookings* • Mental health and substance abuse*
Bookings All Bookings (2016) 24% MH or SUD Neither MH nor SUD 76%
Bookings Bookings % of all bookings MH or SUD 4,201 24.1% SUD alone 1,942 11.1% MH alone 1,465 8.4% Co-occurring 794 4.5% Neither MH nor SUD 13,256 75.9% All bookings 17,454
Bookings Bookings by Legal Status 16,000 14,000 12,000 3,139 10,000 8,000 6,000 10,308 4,000 2,000 468 240 1,428 354 1,039 478 0 Unsentenced (Minnehaha Sentenced (Minnehaha Contract / Other County All others County) County) Neither MH nor SUD MH or SUD
Bookings Selected Characteristics 14,000 12,000 2,811 10,000 8,000 6,000 10,455 4,000 1,390 2,000 560 2,798 1,556 274 419 0 Misdemeanor Felony Violent Probation violation Neither MH nor SUD MH or SUD
Length of Stay Average Length of Stay (hours) 500 450 434 400 353 350 331 300 247 250 216 200 180 150 100 50 0 MH or SUD SUD MH Co-occurring Neither MH nor All bookings SUD
Length of Stay Average Length of Stay by Legal Status 1400 1200 1,147 1000 757 800 600 400 342 279 264 263 177 200 119 0 Unsentenced (Minnehaha Sentenced (Minnehaha Contract / Other County All others County) County) Neither MH nor SUD MH or SUD
Intercepts 2 and 3: Jail • Next steps: – Improve data quality with universal mental health screening at intake – Data matching to identify at booking people known to community-based behavioral health providers – Criminogenic risk assessment tool
SUPER UTILIZERS
Super Utilizers Super Utilizers (All Bookings) 70.0% 62.1% 60.0% 50.0% Top 1% 40.0% Top 5% 102 people 490 people 14.0% of bookings 29.4% 30.0% 28.3% of bookings 17.9% 20.0% 16.9% 14.0% 11.6% 8.2% 7.9% 10.0% 6.0% 4.2% 4.0% 3.5% 2.6% 2.5% 2.2% 1.4% 1.1% 1.1% 1.1% 1.0% 0.7% 0.5% 0.2% 0.2% 0.0% 1 2 3 4 5 6 7 8 9 10 11 12+ Number of Bookings in 2016 People (%) Bookings (%) n=9,533 n=20,169
Super Utilizers Super Utilizers (Detox and Sobering Center) 80.0% 70.0% 66.9% Top 5% 60.0% 20 people 48.4% 50.0% 48.4% of bookings 40.0% 30.0% 19.3% 20.0% 12.7% 10.0% 7.3% 5.5% 5.1% 4.8% 3.7% 3.0% 2.6% 2.2% 2.1% 1.7% 1.9% 1.7% 1.3% 1.3% 1.2% 1.2% 1.0% 0.6% 0.9% 0.7% 0.9% 0.4% 0.5% 0.4% 0.3% 0.3% 0.1% 0.3% 0.0% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Number of Bookings in 2016 People (%) Bookings (%) n=782 n=2,708
Super Utilizers Super Utilizers (Jail Bookings) 70.00% 62.6% 60.00% 50.00% Top 1% 123 people 40.00% Top 5% 33.0% 8.0% of bookings 638 people 30.00% 25.6% of bookings 18.8% 17.9% 20.00% 13.1% 8.9% 8.3% 8.0% 10.00% 6.7% 4.2% 4.5% 3.6% 2.8% 2.5% 1.4% 1.3% 1.0% 0.7% 0.00% 1 2 3 4 5 6 7 8 9+ Number of Bookings in 2016 People (%) Bookings (%) n=9,203 n=17,461
Super Utilizers Self-reported SUD and MH Disorders by Number of Bookings 80.00% 69.91% 70.00% 60.00% 54.87% 46.93% 50.00% 40.00% 34.95% 29.94% 29.31% 30.00% 21.70% 20.00% 19.49% 18.32% 20.00% 15.38% 13.80% 13.01% 13.07% 12.16% 10.66% 8.88% 8.15% 6.52% 10.00% 2.91% 0.00% 1 2 3 4 5+ Number of Bookings in 2016 SUD or MH SUD alone MH alone Co-occurring
Super Utilizers Compared to those who don’t report problems, people who self-report behavioral health problems are: • 2.14 times as likely to have multiple bookings • 5.74 times as likely to have 5+ bookings n=9,203 Multiple (2+) RR 95% conf. 5+ bookings RR 95% conf. interval bookings RR interval RR SUD or MH 2.14 2.03 to 2.25 SUD or MH 5.74 4.88 to 6.76 SUD 1.87 1.77 to 1.97 SUD 3.28 2.80 to 3.84 MH 1.26 1.17 to 1.36 MH 1.04 0.82 to 1.33 COOC 2.18 2.07 to 2.30 COOC 5.43 4.68 to 6.31
COSTS AND CAPACITY
Super Utilizers Top 1% • 123 people with 9+ bookings in 2016 • 69 total days in jail per person, on average • 8,500 bed days annually • 23 beds per day • $807,492 annually
Super Utilizers Top 1% and self-reported behavioral health problems • 106 people with 5+ bookings in 2016 • 71 total days in jail per person, on average • 7,510 bed days annually • 21 beds per day • $713,427 annually
Super Utilizers Top 5% • 638 people with 5+ bookings in 2016 • 58 total days in jail per person, on average • 36,781 bed days annually • 101 beds per day • $3,494,270 annually
Super Utilizers Top 5% and self-reported behavioral health problems • 446 people with 5+ bookings in 2016 • 62 total days in jail per person, on average • 27,710 bed days annually • 76 beds per day • $2,632,518 annually
Recommend
More recommend
