Safety Center & Safety Patrol WWW.MUNI.ORG/HEALTH
Presenters • Nicole Lebo , Anchorage Health Department Human Services Division Manager • Jason Cates , Account & Operations Manager for Securitas USA • Kai Carlson , Site Supervisor Securitas USA WWW.MUNI.ORG/HEALTH
Public Health: working for all of us all of the time! WWW.MUNI.ORG/HEALTH
CDC 10 Essential Public Health Services WWW.MUNI.ORG/HEALTH
ASP is a Municipal Service • AHD has managed Securitas since 2016 with contracts ranging from $1.9 — $2.1 million • Provided primary services of Safety Center & Safety Patrol, as well as warming station and emergency shelter • Governed by State and Municipal Code, most notably Title 47 WWW.MUNI.ORG/HEALTH
Further information requests • Policy • Budget • Contracts Director of AHD, Natasha Pineda, natasha.pineda@anchorageak.gov WWW.MUNI.ORG/HEALTH
Anchorage Safety Patrol & Safety Center Operated by Securitas Security Services USA
Who We Are and How We Do It • Anchorage Safety Patrol (ASP) • a van and transport service • Anchorage Safety Center (ASC) • a municipal protective custody facility located adjacent to the Anchorage Jail that operates 24/7 to monitor clients during the sobering process WWW.MUNI.ORG/HEALTH
Who We Are and How We Do It Provides: • safe transport to the Safety Center • shelter and ongoing monitoring throughout the sobering process • basic wound care (cleaning and re-bandaging) • donated clothing when necessary and available WWW.MUNI.ORG/HEALTH
Who We Are and How We Do It Basic wound care (cleaning and re-bandaging) 10 WWW.MUNI.ORG/HEALTH
Who We Are and How We Do It A gateway to accessing additional services by connecting clients to: • RurAL CAP Coordinators • Homelessness Resource Coordinators • Veterans Resources WWW.MUNI.ORG/HEALTH
Who We Are and How We Do It Staffing: • Operations Manager and Site Supervisor • Station shifts consist of 1 EMT and 2 support staff 08:00 to 16:00 / 16:00 to midnight / midnight to 08:00 • When necessary, additional staff added to maintain ratio WWW.MUNI.ORG/HEALTH
Who We Are and How We Do It Our staff comes from all walks of life. We have individuals that have come to us from the Military, Fire Service, Active Alaska Army Guard and more. This brings a wide range of skills and experiences to our facility. ASP is also a racially diverse workplace including African-Americans, Caucasians, Asians, Alaska Natives, Native Americans, Hispanic and Eastern Europeans. We pride ourselves not only in our diversity, but also having a family atmosphere. 13 WWW.MUNI.ORG/HEALTH
Who We Are and How We Do It • CPR training • Annual procedural training • De-escalation training • Continuing EMT Education 14 WWW.MUNI.ORG/HEALTH
Authority to Operate
Authority to Operate ASP (and AFD) operates under Standing Orders written by Michael Levy M.D. which: • authorize designated ASP staff to complete certain clinical tasks without having to first obtain a physical order • use outlined treatments for certain conditions for routine issues that require immediate treatment WWW.MUNI.ORG/HEALTH
Authority to Operate • Title 47 protective custody is a maximum 12 hours hold. For those incapacitated beyond 12 hours, medical services are requested. • The facility capacity is for 50 individuals maintaining a 10 to 1 ratio, making for a safe working environment and safe atmosphere for our clients. WWW.MUNI.ORG/HEALTH
Authority to Operate • Most clients are substance dependent, have a medical conditions requiring care, have mental health issues, and are prominently homeless • Under Authority of Alaska Statute Title 47 , the ASP and ASC protect and provide services for intoxicated and/or incapacitated individuals by placing them in protective custody WWW.MUNI.ORG/HEALTH
Authority to Operate 47.37.270(14) • “Intoxicated person” means a person whose metal or physical functioning is substantially impaired as a result of the use of alcohol or drugs WWW.MUNI.ORG/HEALTH
Authority to Operate • 47.37.270(11) • “incapacitated by drugs or alcohol” means a person who is unconscious or whose judgement is otherwise so impaired that the person is incapable of caring for their own basic safety needs and of making rational decision as to necessary treatment WWW.MUNI.ORG/HEALTH
Authority to Operate Some observable behaviors: • Noticeable clumsiness • impairment of peripheral vision • decreased reaction time/motor performance • staggering • slurred speech • blurred vision • loss of judgement • impaired intellectual functioning WWW.MUNI.ORG/HEALTH
Assessment of Title 47 Criteria Arrive on Scene Perform Field Assessment to include BrAC. If at anytime during the assessment the client becomes Combative, APD will be requested; or client becomes Unstable, AFD with be requested. Alert and Oriented x4 Determine Level of Alertness Client Client Person, Place, Time, Event Combative Unstable Check Speech Coherent/Incoherent Request AFD Request APD Test Gait Steady/Unsteady If No Issues are found If Issues are found Client is Client is Not Title 47 Title 47 Upon arrival at ASC Client will be assessed by Station EMT 22 WWW.MUNI.ORG/HEALTH
Assessment of Title 47 Criteria BrAC • A client can not be deemed Title 47 based solely on the number they BrAC • Used as a diagnostic tool to determine if client has alcohol on board • If there is alcohol on board, used to determine if the client is trending up or down Level of Alertness (Alert and Oriented x4) • Person: Is the individual aware of who they are • Place: Is the individual aware of where they are • Time: Is the individual aware of what is happening around them • Event: Is the individual aware of what is happening around them Check Speech • Is the individual’s speech slurred • Is what the individual saying making sense • Is the individual using appropriate volume Test Gait • Is the individual able to walk normally disregarding and disabilities • Is the individual able to maintain situational awareness while walking • Does the individual have proper spatial awareness Client Combative • Is the client actively fighting • Is the client resisting going to ASC • Is the client threating staff • Does the client have a weapon/or suspected of having a weapon • Is the client refusing to cooperate with staff Client unstable • Is the client too altered to walk with minimal assistance • Is the client breathing inadequately • Is the client severely injured • Can we treat the clients at our level 23 WWW.MUNI.ORG/HEALTH
Operations
2019 Numbers Anchorage Safety Patrol & Safety Center: 2019 Totals All How Arrived? % Intakes ASP VAN 10,394 78% APD 1,614 12% Walk-In / Self 1,294 10% Taxi, Citizen, Other 30 0% Total Arrivals 13,332 100% 25 WWW.MUNI.ORG/HEALTH
2019 Numbers 26 WWW.MUNI.ORG/HEALTH
Service Area 27 WWW.MUNI.ORG/HEALTH
Service Area 15 th Avenue to 36 th Avenue Midtown accounts for 24.5% or 5,165 out of the 21,120 responses to calls in 2019 28 WWW.MUNI.ORG/HEALTH
Partners Bill Tyra Battalion Chief Anchorage Fire Department 100 E. 4th Avenue, Anchorage, AK 99501 Work 907-256-4973 Work William.tyra@anchorageak.gov “I have been working with ASP as the Dispatch Battalion Chief for the past two years. Our role is to screen calls and dispatch ASP as appropriate. I would describe our working relationship synergic teamwork that continually gets the job done. We are in constant contact working issues to assure our citizens get the best service we can provide.” 29 WWW.MUNI.ORG/HEALTH
Partners 30 WWW.MUNI.ORG/HEALTH
A Strong Team for a Hard Job
Challenging Situations Clients that: • are resistant to help and/or combative • have weapons (i.e. knives, guns, or improvised weapons) • have drugs and paraphernalia (i.e. needles hidden in clothing) Confiscated weapons Transferring confiscated Confiscated drugs gun to APD and paraphernalia WWW.MUNI.ORG/HEALTH
Challenging Situations Daily encounters with: • clients that are verbally abusive towards staff • mentally and emotionally unstable clients • blood borne pathogens and infectious diseases • noxious odors and substances WWW.MUNI.ORG/HEALTH
Challenging Situations • Responding to areas that has a chronic history of being unsafe for ASP Personnel • Daily close interaction with clients infested with bed bugs and body lice • Staff continually sick because of daily interaction with the chronically ill WWW.MUNI.ORG/HEALTH
Challenging Situations WWW.MUNI.ORG/HEALTH
Challenging Situations Responding to deaths in the field: • Approximately 30 of our clients passed away in 2019 • Clients were well known by staff Daily, extended, and unrelenting emotional toll all leads to staff turnover WWW.MUNI.ORG/HEALTH
Strengthening the Team: 2019 Volunteer Work • Great Alaska Sportsman Show • Anchorage Fur Rondy (EMS) • Black Diamond Block Party • Trick or Treat Street • Trunk or Treat (EMS/Crowd Management) • Officiating a wedding for two clients • City-Wide cleanup • Teaching Public CPR Classes • Teaching Public CPR Classes 37 WWW.MUNI.ORG/HEALTH
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