CESSA Protocols and Standards Subcommittee Meeting - Approved Minutes 11/17/2022

CESSA Protocols and Standards Subcommittee Meeting November 17, 2022, 2:30 - 4:00 pm via Zoom

Meeting Minutes - Approved by Members 12/01/2022

This meeting was recorded

• Meeting called to order at 2:33 p.m. by Cindy Barbera-Brelle
• Attendees:
  • Mark Giuliano, Mike Hatch, Leslee Stein-Spencer, Cindy Barbera-Brelle, Matt Wells, Lee Ann Reinert, Alice Kay, Ben Feinzimer, Brandon Blayney, Brent Reynolds, Cassie Delaney, Blanco Campos, Christopher Huff, Diana Knaebe, Sharronne Ward, Drew Hansen, Dennis Duke, Eddie Markel, Christine Bound, Amanda Riva, Joseph Kreul, Emily Legner, Frank Kolsly, Jen W., Lori Carnahan, Lorrie Jones, A. Lynette, Matt Fishback, Natalie Mayer, Matt Johnston, Sam Johnson, Shelley Dallas, Monica Farquhar, Robert Franciere, Stephanie Frank
• Approval of Minutes from October 20, 2022
  • Motion made to approve the minutes as written.
  • Motion seconded. Meeting accepted into record
• Presentation by Project Alliance - Westchester New York
  • Speakers: Mike Hatch (founder/CEO Crisis Response Consulting) and Mark Giuliano, WCDCM
  • "How does a crisis unfold?" "Not every crisis requires an emergency response!"
  • Westchester County has a five-prong approach to Police Reform/Reimagining:
    1. 911 Diversion
    2. Enhances Behavioral Health Crisis Lines
    3. EMS Behavior Health Response
    4. Crisis Intervention Teams
    5. 8 Mobile Crisis Response Teams (co-located with police departments within specific catchment areas)
  • Responder time within 15 minutes
  • Diversion Training for 911
    1. How to identify an emotionally distressed caller
    2. How to provide information to communicate on a personal level on the mental health issue
    3. How to enhance crisis communication skills
    4. How to promote wellness for the communicator
    5. How to use risk assessment tools
    6. How to use risk/needs responsivity protocols
  • The use of Empathic Statements
  • Crisis Network Teams - very proscriptive and attentional with special duty arrangements as a hand-off to the next level professional; not having to take a person out of their home to alleviate the crisis
  • Diversion dispatch options:
    • Level 0 (Green) - Someone to talk to
    • Level 1 (Yellow) - Suicidal ideation, no plan - can be resolved with CNT
    • Level 2 (Mustard) - Eyes needed on the person, decision to deploy, may or may not be accompanied by law enforcement
    • Level 3 (Orange) - Public Safety necessitates Law Enforcement co-responder model; MCRT and CIT office
    • Level 4 (Red) - Public Safety - do not send MCRT
  • Data Collection & Performance Improvement (want to make sure that we are doing it right and well).
  • Coordinate Care Service in:
    1. Collecting data
    2. Aiding in Performance
    3. System Improvements
  • Cindy indicated that the committee has a lot of things to think about - what other models should the state look at, i.e., the LA model, State of Virginia
    • What elements of risk matrices resonate?
    • What do you think will or will not work for Illinois?
    • What elements should be in Illinois' risk matrix?
    • Should the risk matrix be applied statewide, and what are the pros/cons?
  • Discussion:
    • What elements are needed in a toolkit for the Regions?
  1. Do we lay out step-by-step processes for assigning codes for risk categories?
  2. Do we suggest types of coding to be assigned for certain risks?

  • Comment:
    • Look at the timeline that it took Westchester County to develop a refined system. Illinois should be in a process, not a marathon, to develop improvements.

Next meeting: December 1, 2022 @ 2:30 p.m.