Expand First Response and Crisis Intervention Teams - Revision history

K.castelo at 16:07, 4 October 2021

2021-10-04T16:07:45Z

K.castelo at 14:49, 3 September 2021

2021-09-03T14:49:24Z

K.castelo at 18:21, 23 August 2021

2021-08-23T18:21:38Z

K.castelo at 18:20, 23 August 2021

2021-08-23T18:20:14Z

K.castelo at 18:19, 23 August 2021

2021-08-23T18:19:10Z

K.castelo at 18:18, 23 August 2021

2021-08-23T18:18:36Z

K.castelo at 18:17, 23 August 2021

2021-08-23T18:17:16Z

K.castelo at 16:36, 23 August 2021

2021-08-23T16:36:18Z

K.castelo at 16:30, 23 August 2021

2021-08-23T16:30:50Z

K.castelo at 16:28, 23 August 2021

2021-08-23T16:28:36Z

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 Crisis Intervention Team (CIT) Methods for Using Data to Inform Practice: A Step-by-Step Guide<ref>https://www.opioidlibrary.org/document/crisis-intervention-team-cit-methods-for-using-data-to-inform-practice-a-step-by-step-guide/</ref>
-Working Across Systems for Better Results: City Efforts to address Mental Health, Substance Use and Homelessness Through Emergency Response and Crisis Stabilization<ref>https://www.opioidlibrary.org/wp-content/uploads/2020/01/YEF_MentalHealth_IssueBrief2_Final.pdf</ref>
+Working Across Systems for Better Results: City Efforts to address Mental Health, Substance Use and Homelessness Through Emergency Response and Crisis Stabilization<ref>https://www.opioidlibrary.org/wp-content/uploads/2020/01/YEF_MentalHealth_IssueBrief2_Final.pdf</ref><br/> <br/> Jail Diversion Programs in America<ref>https://centerforprisonreform.org/wp-content/uploads/2015/09/Jail-Diversion-Programs-in-America.pdf</ref>
 = Promising Practices =

@@ Line 64: / Line 64: @@
 <span style="background:white"><span style="background:white"><span style="color:black">Substance use Good Samaritan- Substance abuse Good Samaritan laws offer immunity from arrest, criminal charges, prosecution or conviction for limited, drug related offenses as an incentive for individuals to call for assistance for someone experiencing a suspected overdose.</span></span></span>
 </div>
-*<ul style="list-style-type:circle">
+&nbsp;
-</ul>  </ul>
 *<span style="font-size:11.0pt"><span style="font-family:">AZ Good Samaritan Law</span></span>
 *<span style="font-size:11.0pt"><span style="font-family:">IL Good Samaritan Law<ref>https://www.centerforhealthandjustice.org/chjweb/tertiary_page.aspx?id=84&title=SB-3023-Community-Law-Enforcement-Partnership-for-Deflection-and-Treatment#:~:text=Illinois%20Senate%20Bill%203023%2C%20signed,that%20%E2%80%9Cdeflect%E2%80%9D%20individuals%20who%20have</ref></span></span>

@@ Line 66: / Line 66: @@
 *<ul style="list-style-type:circle">
 </ul>  </ul>
-</ul>
+&nbsp;
 *<span style="font-size:11.0pt"><span style="font-family:">AZ Good Samaritan Law</span></span>
 *<span style="font-size:11.0pt"><span style="font-family:">IL Good Samaritan Law<ref>https://www.centerforhealthandjustice.org/chjweb/tertiary_page.aspx?id=84&title=SB-3023-Community-Law-Enforcement-Partnership-for-Deflection-and-Treatment#:~:text=Illinois%20Senate%20Bill%203023%2C%20signed,that%20%E2%80%9Cdeflect%E2%80%9D%20individuals%20who%20have</ref></span></span>

@@ Line 30: / Line 30: @@
 These programs are collaborative interventions connecting public safety (e.g., law enforcement, fire, and emergency medical services [EMS]) with public health systems to create community- based pathways to treatment and services for people who have SUD, mental health disorders (MHD), or co-occurring disorders. In partnership with SUD treatment providers, other service providers, peers, deflection specialists, and recovery personnel, these multidisciplinary programs help reduce overdoses through connection to community-based treatment and services. For law enforcement, deflection programs can enable individuals to receive referrals to services without fear of arrest if the individual does not accept deflection (in cases when law enforcement would have otherwise taken no action) or can serve in lieu of arrest when charges are present and an arrest would have otherwise occurred.
-<br/> Self-Referral: An individual voluntarily initiates contact with a first-responder agency (law enforcement, fire department, or EMS) for a treatment referral. If contact is initiated with a law enforcement agency, the individual makes that contact without fear of arrest. Individuals with SUDs are targeted population.<ref>https://www.cossapresources.org/Content/Documents/Articles/CHJ_Pathways_to_Diversion_Self-Referral.pdf</ref>
+&nbsp;
-Active Outreach: A first responder intentionally identifies or seeks out individuals with SUDs to refer them to, or engage them in, treatment; outreach is often done by a team consisting of a clinician and/or peer with lived experience. Individuals with SUDs are targeted population.
+*''Self-Referral'': An individual voluntarily initiates contact with a first-responder agency (law enforcement, fire department, or EMS) for a treatment referral. If contact is initiated with a law enforcement agency, the individual makes that contact without fear of arrest. Individuals with SUDs are targeted population.<ref>https://www.cossapresources.org/Content/Documents/Articles/CHJ_Pathways_to_Diversion_Self-Referral.pdf</ref>
+*''Active Outreach:'' A first responder intentionally identifies or seeks out individuals with SUDs to refer them to, or engage them in, treatment; outreach is often done by a team consisting of a clinician and/or peer with lived experience. Individuals with SUDs are targeted population.
-Naloxone Plus: A first responder and program partner (often a clinician or peer with lived experience) conducts outreach specifically to individuals who have experienced an overdose recently to engage them in and provide linkages to treatment. Individuals with opioid use disorder are the targeted population.
+*''Naloxone Plus'': A first responder and program partner (often a clinician or peer with lived experience) conducts outreach specifically to individuals who have experienced an overdose recently to engage them in and provide linkages to treatment. Individuals with opioid use disorder are the targeted population.
+*''First-Responder/OfficerPrevention'': During routine activities such as patrol or response to a service call, a first responder conducts engagement and provides treatment referrals. If a law enforcement officer is the first responder, no charges are filed or arrests made. The targeted population are persons in crisis, or with noncrisis mental health disorders and SUDs, or in situations involving homelessness or&nbsp; sex work.&nbsp;
-First-Responder/OfficerPrevention: During routine activities such as patrol or response to a service call, a first responder conducts engagement and provides treatment referrals. If a law enforcement officer is the first responder, no charges are filed or arrests made. The targeted population are persons in crisis, or with noncrisis mental health disorders and SUDs, or in situations involving homelessness or&nbsp; sex work.&nbsp;
+*''Officer Intervention:'' (applicable only for law enforcement) During routine activities such as patrol or response to a service call, a law enforcement officer engages an individual and provides treatment referrals or issues noncriminal citations for that individual to report to a program. Charges are held until treatment and/or a social service plan is successfully completed.&nbsp; The targeted population are persons in crisis, or with noncrisis mental health disorders and SUDs, or in situations involving homelessness or sex work.
+.
@@ Line 69: / Line 67: @@
 </ul>  </ul>
 </ul>
 *<span style="font-size:11.0pt"><span style="font-family:">AZ Good Samaritan Law</span></span>
 *<span style="font-size:11.0pt"><span style="font-family:">IL Good Samaritan Law<ref>https://www.centerforhealthandjustice.org/chjweb/tertiary_page.aspx?id=84&title=SB-3023-Community-Law-Enforcement-Partnership-for-Deflection-and-Treatment#:~:text=Illinois%20Senate%20Bill%203023%2C%20signed,that%20%E2%80%9Cdeflect%E2%80%9D%20individuals%20who%20have</ref></span></span>

@@ Line 56: / Line 56: @@
 <span style="background:white"><span style="background:white"><span style="color:black">R Street Statewide Policies report reviews all fifty states relating to Pre-arrest diversion and crisis response including legal status and legislative actions. </span><ref>https://www.opioidlibrary.org/wp-content/uploads/2019/12/R_Street_Statewide_Policies_Relating_to_PAD_Crisis_Repsonse.pdf</ref></span></span>
-'''<span style="background:white"><span style="background:white"><span style="color:black">STATEWIDE POLICIES RELATING</span>]]<span style="font-size:8.0pt"><span style="color:black">&nbsp;</span></span><span style="color:black">TO PRE-ARREST DIVERSION AND CRISIS RESPONSE:</span></span></span>'''
+'''<span style="background:white"><span style="background:white"><span style="color:black">STATEWIDE POLICIES RELATING</span>&nbsp;<span style="color:black">TO PRE-ARREST DIVERSION AND CRISIS RESPONSE:</span></span></span>'''
 <span style="background:white"><span style="background:white"><span style="color:black">Emergency Mental Health Hold- Emergency mental health hold laws authorize certain first responders to take an individual experiencing a mental health crisis into a form of civil custody in order for them to be evaluated by appropriate mental health or medical personnel.</span></span></span>
@@ Line 68: / Line 68: @@
 *<ul style="list-style-type:circle">
 </ul>  </ul>
+</ul>
 *<span style="font-size:11.0pt"><span style="font-family:">AZ Good Samaritan Law</span></span>
 *<span style="font-size:11.0pt"><span style="font-family:">IL Good Samaritan Law<ref>https://www.centerforhealthandjustice.org/chjweb/tertiary_page.aspx?id=84&title=SB-3023-Community-Law-Enforcement-Partnership-for-Deflection-and-Treatment#:~:text=Illinois%20Senate%20Bill%203023%2C%20signed,that%20%E2%80%9Cdeflect%E2%80%9D%20individuals%20who%20have</ref></span></span>

@@ Line 56: / Line 56: @@
 <span style="background:white"><span style="background:white"><span style="color:black">R Street Statewide Policies report reviews all fifty states relating to Pre-arrest diversion and crisis response including legal status and legislative actions. </span><ref>https://www.opioidlibrary.org/wp-content/uploads/2019/12/R_Street_Statewide_Policies_Relating_to_PAD_Crisis_Repsonse.pdf</ref></span></span>
-'''<span style="background:white"><span style="background:white">[[|<span style="color:black">STATEWIDE POLICIES RELATING</span>]]<span style="font-size:8.0pt"><span style="color:black">&nbsp;</span></span><span style="color:black">TO PRE-ARREST DIVERSION AND CRISIS RESPONSE:</span></span></span>'''
+'''<span style="background:white"><span style="background:white"><span style="color:black">STATEWIDE POLICIES RELATING</span>]]<span style="font-size:8.0pt"><span style="color:black">&nbsp;</span></span><span style="color:black">TO PRE-ARREST DIVERSION AND CRISIS RESPONSE:</span></span></span>'''
 <span style="background:white"><span style="background:white"><span style="color:black">Emergency Mental Health Hold- Emergency mental health hold laws authorize certain first responders to take an individual experiencing a mental health crisis into a form of civil custody in order for them to be evaluated by appropriate mental health or medical personnel.</span></span></span>
@@ Line 67: / Line 67: @@
 </div>
 *<ul style="list-style-type:circle">
 </ul>  </ul>
 <div style="border-bottom:solid #a2a9b1 1.0pt; padding:0in 0in 10.0pt 0in">
 <span style="background:white"><span style="background:white"><span style="color:black">Ambulance Transport Destination- Ambulance transport laws and regulations can influence where emergency medical services may take an individual experiencing a crisis, potentially by requiring transport to a hospital emergency department or otherwise discouraging the use of alternative destinations.<ref>https://www.tasc.org/tascweb/article.aspx?id=529&title=Criminal-Justice-Reform:-Non-Law-Enforcement-1st-Responders%E2%80%94EMS-and-Fire%E2%80%94Eligible-to-Lead-Deflection-Programs-&date=Jan-25-2021</ref></span></span></span>
 </div> <div>
 ----
-<div><div class="msocomtxt" id="_com_1" language="JavaScript">
+<div><div class="msocomtxt" id="_com_1">
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 </div> </div> </div>

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 These programs are collaborative interventions connecting public safety (e.g., law enforcement, fire, and emergency medical services [EMS]) with public health systems to create community- based pathways to treatment and services for people who have SUD, mental health disorders (MHD), or co-occurring disorders. In partnership with SUD treatment providers, other service providers, peers, deflection specialists, and recovery personnel, these multidisciplinary programs help reduce overdoses through connection to community-based treatment and services. For law enforcement, deflection programs can enable individuals to receive referrals to services without fear of arrest if the individual does not accept deflection (in cases when law enforcement would have otherwise taken no action) or can serve in lieu of arrest when charges are present and an arrest would have otherwise occurred.
-<br/> Self-Referral: An individual voluntarily initiates contact with a first-responder agency (law enforcement, fire department, or EMS) for a treatment referral. If contact is initiated with a law enforcement agency, the individual makes that contact without fear of arrest. Individuals with SUDs are targeted population.
+<br/> Self-Referral: An individual voluntarily initiates contact with a first-responder agency (law enforcement, fire department, or EMS) for a treatment referral. If contact is initiated with a law enforcement agency, the individual makes that contact without fear of arrest. Individuals with SUDs are targeted population.<ref>https://www.cossapresources.org/Content/Documents/Articles/CHJ_Pathways_to_Diversion_Self-Referral.pdf</ref>
 Active Outreach: A first responder intentionally identifies or seeks out individuals with SUDs to refer them to, or engage them in, treatment; outreach is often done by a team consisting of a clinician and/or peer with lived experience. Individuals with SUDs are targeted population.
@@ Line 44: / Line 44: @@
 = Relevant Research =
-In this section, please capture any recent findings, reports, or data on the topic. Please also highlight any gaps or existing disparities. Please include references and links to the information so that we may add a footnote for the reader to find further information. Do we have any available research about discriminatory practices? Is there information about the value of access to educational opportunities?
+<span style="background:white"><span style="background:white"><span lang="EN" style=""><span style="font-style: normal;">PTACC Key Findings<ref>https://secureservercdn.net/198.71.233.33/lpo.969.myftpupload.com/wp-content/uploads/2020/06/PTACC_Key_Research_FINAL.pdf</ref></span></span></span></span>
-= Impactful Federal, State, and Local Policies =
+<span style="background:white"><span style="background:white"><span style="color:black">Strategies are often locally designed and implemented, they do not operate in a legal or political vacuum. Communities are subject to state laws and regulations that directly impact their ability to institute pre-arrest diversion and other crisis response strategies.</span></span></span>
-Please list any federal, state, or local laws, policies, or regulations that support this topic or ones that could be a possible barrier. Are there laws or policies other states should know about and replicate for success?
+<span style="background:white"><span style="background:white"><span style="color:black">Citation Authority- Citation authority statutes permit or require law enforcement officers to issue a citation to individuals alleged to have committed certain specified offenses, instead of placing them under arrest, booking or detaining them.</span></span></span>
 = Available Tools and Resources =
-Oftentimes, there are already great resources in the field that have been developed, but they are not housed in a single place. Please use this section to share information about those resources and drive the reader to that resource. It may be a worksheet, toolkit, fact sheet, framework/model, infographic, new technology, etc. I suggest no more than 5 really good links and a corresponding description for the reader. We also can use this section to highlight some of the great resources and programs at SAFE Project.
+Crisis Intervention Team (CIT) Programs: A Best Practice Guide for Transforming Community Responses to Mental Health Crises<ref>https://www.opioidlibrary.org/wp-content/uploads/2019/10/CIT-guide-desktop-printing-2019_08_16-1.pdf</ref>
 = Promising Practices =
-Please link to any best practice models or case studies that highlight creative/innovative or successful efforts in support of this strategy. Is there a community that does a really good job in this area that other communities should replicate? Please write a brief description and provide a link.
+</ref></span></span></span>
 = Sources =

@@ Line 16: / Line 16: @@
 = Key Information =
-&nbsp;
+<br/> There are two approaches used by first responders-&nbsp;&nbsp;“deflection” and “pre-arrest diversion.” Deflection and pre-arrest diversion are&nbsp;complementary practices of a systems approach at the intersection of first responders, SUD and MHD treatment, recovery support, and community. These two practices, always taken together as a single coin, are simply referred to as the “field of deflection.”&nbsp;
-There are five pathways for first responders highlighted below. Each of which has the goal of providing a structured response that diverts a person exhibiting&nbsp;behaviors due to substance use, mental health disorder, or other treatable condition to an appropriate medical or treatment agency. For each of the pathways, the targeted population or circumstance appropriate for the pathway is elaborated.
+'''Deflection''' is the practice by which law enforcement or other first responders (i.e., fire and EMS) connect individuals to community-based treatment and/or services when arrest would not have been necessary or permitted, or in lieu of taking no action when issues of addiction, mental health, and/or other need are present. Deflection is performed without fear by the individual that if they do not “accept the deflection” they will subsequently be arrested.
 <br/> In 2014, Treatment Alternatives for Safe Communities (TASC), Center for Health and Justice (CHJ) developed the first iteration of the Five Pathways to Treatment, which offered different pathways for deflection that first responders could use to move someone from the justice system at the point of contact with law enforcement to community-based treatment. Each pathway has unique characteristics that make it appropriate to address particular problems such as SUD, OUD, MHD, homelessness, and other issues. Identifying and naming these pathways created a common language for practitioners to use in the new, emerging field of deflection.<ref>https://www.cossapresources.org/Content/Documents/Articles/CHJ-TASC_Nation_Survey_Report.pdf</ref>

← Older revision	Revision as of 16:28, 23 August 2021
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	+	Return to ...
	+
	+	----
	+
	+	Brief Description
	+
	+	= Introductory Paragraph =
	+
	+	Law enforcement officers and other first responders, such as emergency medical technicians, firefighters, and paramedics, are on the front lines of the illicit substance use epidemic, frequently responding to drug overdoses and calls for services involving individuals with substance use and co-occurring disorders. In response, a variety of law enforcement-led diversion and fire/emergency medical services (EMS)-led responses have emerged across the country. In partnership with substance use disorder (SUD) treatment providers, peers, and recovery personnel, these multidisciplinary programs are helping to reduce overdoses by connecting individuals to community-based treatment.
	+
	+	<br/>  Law enforcement and first-responder diversion program models represent a pivotal opportunity to redirect individuals with SUDs, mental health disorders (MHDs), and co-occurring disorders away from jails or emergency departments and toward community-based treatment for substance use, mental health services, recovery support, housing, and social services.<ref>https://www.cossapresources.org/Content/Documents/Articles/CHJ_Pathways_to_Diversion_Self-Referral.pdf</ref><br/> <br/> .
	+

	+
	+	= Key Information =
	+
	+	Deflection programs
	+
	+	here are five pathways for first responders highlighted below. Each of which has the goal of providing a structured response that diverts a person exhibiting behaviors due to substance use, mental health disorder, or other treatable condition to an appropriate medical or treatment agency. For each of the pathways, the targeted population or circumstance appropriate for the pathway is elaborated.
	+
	+	<br/> In 2014, Treatment Alternatives for Safe Communities (TASC), Center for Health and Justice (CHJ) developed the first iteration of the Five Pathways to Treatment, which offered different pathways for deflection that first responders could use to move someone from the justice system at the point of contact with law enforcement to community-based treatment. Each pathway has unique characteristics that make it appropriate to address particular problems such as SUD, OUD, MHD, homelessness, and other issues. Identifying and naming these pathways created a common language for practitioners to use in the new, emerging field of deflection.
	+
	+	<br/> These programs are collaborative interventions connecting public safety (e.g., law enforcement, fire, and emergency medical services [EMS]) with public health systems to create community- based pathways to treatment and services for people who have SUD, mental health disorders (MHD), or co-occurring disorders. In partnership with SUD treatment providers, other service providers, peers, deflection specialists, and recovery personnel, these multidisciplinary programs help reduce overdoses through connection to community-based treatment and services. For law enforcement, deflection programs can enable individuals to receive referrals to services without fear of arrest if the individual does not accept deflection (in cases when law enforcement would have otherwise taken no action) or can serve in lieu of arrest when charges are present and an arrest would have otherwise occurred.
	+
	+	<br/> Self-Referral: An individual voluntarily initiates contact with a first-responder agency (law enforcement, fire department, or EMS) for a treatment referral. If contact is initiated with a law enforcement agency, the individual makes that contact without fear of arrest. Individuals with SUDs are targeted population.<br/>  Active Outreach: A first responder intentionally identifies or seeks out individuals with SUDs to refer them to, or engage them in, treatment; outreach is often done by a team consisting of a clinician and/or peer with lived experience. Individuals with SUDs are targeted population.
	+
	+	<br/> Naloxone Plus: A first responder and program partner (often a clinician or peer with lived experience) conducts outreach specifically to individuals who have experienced an overdose recently to engage them in and provide linkages to treatment. Individuals with opioid use disorder are the targeted population.<br/> First-Responder/OfficerPrevention: During routine activities such as patrol or response to a service call, a first responder conducts engagement and provides treatment referrals. If a law enforcement officer is the first responder, no charges are filed or arrests made. The targeted population are persons in crisis, or with noncrisis mental health disorders and SUDs, or in situations involving homelessness or  sex work.
	+
	+	<br/> Officer Intervention: (applicable only for law enforcement) During routine activities such as patrol or response to a service call, a law enforcement officer engages an individual and provides treatment referrals or issues noncriminal citations for that individual to report to a program. Charges are held until treatment and/or a social service plan is successfully completed.  The targeted population are persons in crisis, or with noncrisis mental health disorders and SUDs, or in situations involving homelessness or sex work.
	+
	+	.
	+
	+	= Relevant Research =
	+
	+	In this section, please capture any recent findings, reports, or data on the topic. Please also highlight any gaps or existing disparities. Please include references and links to the information so that we may add a footnote for the reader to find further information. Do we have any available research about discriminatory practices? Is there information about the value of access to educational opportunities?
	+
	+	= Impactful Federal, State, and Local Policies =
	+
	+	Please list any federal, state, or local laws, policies, or regulations that support this topic or ones that could be a possible barrier. Are there laws or policies other states should know about and replicate for success?
	+
	+	= Available Tools and Resources =
	+
	+	Oftentimes, there are already great resources in the field that have been developed, but they are not housed in a single place. Please use this section to share information about those resources and drive the reader to that resource. It may be a worksheet, toolkit, fact sheet, framework/model, infographic, new technology, etc. I suggest no more than 5 really good links and a corresponding description for the reader. We also can use this section to highlight some of the great resources and programs at SAFE Project.
	+
	+	= Promising Practices =
	+
	+	Please link to any best practice models or case studies that highlight creative/innovative or successful efforts in support of this strategy. Is there a community that does a really good job in this area that other communities should replicate? Please write a brief description and provide a link.
	+
	+	= Sources =