CESSA - Region 9 Committee Meeting Approved Minutes 03/01/2023

Community Emergency Services and Support Act (CESSA) Region 9 Advisory Committee

Meeting Minutes -  March 1, 2023 - 2:00-3:30 via WebEx

Meeting Minutes - Approved by Members 03/20/2023

  • Call to Order/Introductions
    • Dr. Matthew Jordan called to order at 2:03pm
  • Approval of Minutes
    • Minutes from 01/09/2023 meetings were approved at 2:08pm. Motion to approve -Ariana Kitty; seconded by Ryan Lettieri.
    • Roll Call - Natalia Maye
    • Attendees: Matthew Jordan, David Gomel, Dalila Alegria, Frances Baker, Jennifer Brothers, Karen Bush, Rosa Gonzalez, Stephanie Hanson, Chris Harding, Jason Kern, Ariana Kitty, John Knebl, Andrew Kunstler, Ryan Lettieri, Matthew Mannino, LaToya Marz, Bernadette May, Richard Neumann, Anthony Rigano, Leonetta Rizzi, Daphne Sandouka, Joe Schelstreet, Amanda Teachout, Kimberly Mebane, Joseph Kreul, Aimee Knop, Jeremy Morris, Julissa Gonzalez, Linda Hein, Meghan Mumenthal, Mike Rothecker, Sam Johnson, Sue Blechschmidt, Tiki Schulte
  • Meeting Agenda
    • Welcome and Call to Order (Roll Call)
    • Open Meetings Act
    • Approval of the Minutes from previous meeting
    • Overview: The Continuum of Law Enforcement/Behavioral Health Responses
    • Committee task: Understanding local resources for alternative response
    • State Updates
    • Schedule Remaining RAC Meetings
    • Next Meeting Date: 3/20, 2023
    • Public Comment
    • Adjournment
  • A continuum of police and community response
    • The state envisions a continuum of responses based on the conditions and potential lethality of each crisis call.
    • CESSA does not prohibit Law Enforcement from participating in resolving certain situations and co-responder models and CIT training remain valuable assets in the continuum.
    • A diverse set of innovative law enforcement and behavioral health collaborative models are being tested and implemented across Illinois and nationwide.
  • Crisis Intervention Team Model
    • Partnerships with other first responder agencies, community providers, advocates, family members and persons with lived experience of SMI
    • Single point of entry to emergency psychiatric care
    • 40-hour CIT Training for specialist officers
  • What the evidence says about CIT
    • There is strong evidence that CIT training improves officer knowledge, attitudes, self efficacy, use of force preferences.
    • There is good evidence that CIT training/program implementation increases linkages to care.
    • Evidence related to use of force and arrest is unclear.
    • Availability of Mental Health resources matters.
    • There is indication that training of call takers/dispatchers and call coding is an important component of CIT.

*(Watson, Compton & Draine, 2017, Watson, Owens, Wood, Compton, 2021)

  • Co-Responder Teams
    • Pairing of clinicians and officers to provide response
      • Goals of Co-Responder Teams
        • Reduce arrests & increase safety
        • Reduce ED transports & hospitalization
        • Increase linkage to community care
      • Significant variation exists within the model
        • Ride together, arrive together, or telephone support
        • Hot calls vs. secondary response or follow-up
        • Often not 24/7
  • What does the evidence say about co-responder teams?
    • Two systematic reviews and quasi-experimental and descriptive research suggest versions of the model:
      • Are generally acceptable to stakeholders
      • Improve collaboration between police and mental health
      • In some communities, may reduce officer time on scene
      • May reduce ED transports but increase admission rate for those transported
      • May reduce repeat calls for service
      • May reduce immediate risk of arrest
      • Are preferred over police along approach by service users and family members
  • Mobile Crisis Response Teams
    • Teams of clinicians that can be accessed or deployed without any law enforcement involvement
    • Offer triage, screening, assessment, de-escalation, crisis resolution, peer support, coordination with behavioral health services, crisis planning and follow up
    • May respond at the request of crisis line or law enforcement
    • May request law enforcement assistance when safety issues are identifie
    • Typically not dispatched directly via 911 system
    • 66 MCRT providers in Illinois (funded by DMH Program 590), most with 501c3 designations
  • Understanding local resources: Conducting a landscape analysis of new or existing local law enforcement / behavioral health crisis responses
    • Why do we need know who is providing alternative responses in our region?
      • The CESSA legislation calls for regions to develop plans to coordinate emergency responses among PSAPs, 911, 988, law enforcement, EMS and mobile crisis response.
      • The intention is to provide options for response to mental health crisis incidents beyond a law enforcement - only response.
      • In order to provide an alternative response, PSAPs and other dispatchers in the crisis system must know where the alternatives are, where they operate, and when the are available.
      • To date, there is no standard or accessible data about alternative response in Illinois. That data needs to be collected and organized for access by system operators and providers.
  • Committee Discussion
    • What are the current examples in your region of programs where community mental health professionals and law enforcement agencies are working together to response to mental health crisis incidents?
    • Consider the three types of responder models we've discussed:
    • CIT
    • Co-Responder
    • Alternative Response with Mobile Crisis Response Teams
    • Are there other models or ways that police and community providers are responding together?
    • Who in the region would know more about this subject?
    • How can we get this information?
  • Data Collection
    • The UIC Crisis Hub is developing a toolkit to help you and your PSAPs do a quick survey of the different responses available in your region.
      • instructions for conducting the survey including definitions and background material regarding the purpose of the survey,
      • a standardized methodology for identifying alternative response models currently in use and their availability within each region, and
      • worksheets to assist RACS in organizing the information collected so that it can be used by PSAPS for dispatch decisions as well as by 988 lifeline centers.
      • guidance to RAC members to follow up with PSAPs
      • guidance for data analysis
      • a template to report findings regionally and to the state
  • Upcoming in March: the DRAFT Risk Assessment Matrix
    • The CESSA Standards and Protocols Subcommittee members have been researching and deliberating over a draft recommendation to the CESSA Statewide Advisory Committee.
    • At the last two Statewide Advisory Committees, they have deliberated on a statewide recommendation.
    • The DRAFT Risk Assessment Matrix will be provided to the RACs for conversation and discussion at their March meetings.
  • Next Meeting Date:
    • Next Meeting: March 20th, 2023 at 2:00pm
  • Meeting adjourned at 2:47 pm. Motion to adjourn-Bernadette May; seconded by Amanda Teachout.