CESSA Protocols & Standards Subcommittee Meeting 03/07/2024

CESSA Protocols & Standards Subcommittee Meeting March 07, 2024, 2:30 - 4:00 pm

Virtual meeting via Zoom

Meeting Minutes - Approved by Members 04/04/2024

Call to Order/Roll Call

• Meeting called to order by Dr. Lorrie Jones at 2:33pm (via Zoom)
• Lorrie motioned for approval of 2/1 meeting minutes, seconded by Rachel.
• Members Present: Rachel Ahart (present and approved), Blanca Campos (present and approved), Candace Coleman (designee Jessica Gimeno) (present and abstained), Lee Ann Reinert (present and approved), Shelley Dallas (present and approved)

State Updates (Lee Ann Reinert)

• The two legislative revisions have been merged into a single bill, HB 5377.
  • Scheduled for the Police and Fire committee, but there is some potential it may be moved to the mental health or behavioral health committees.

In-Person SAC (Dr. Lorrie Jones)

• The next in-person SAC meeting will take place May 13 in Springfield.
• We're still identifying location, so stay tuned.

Update on Work with Protocol Vendors (Dr. Mary Smith)

• Our subject matter experts have finalized and submitted protocol recommendations to PowerPhone. The ball is in their court, they will review internally and get back to us. The next step will be for the experts to meet with PowerPhone again soon to hear their feedback and questions about our recommendations.
  • Next steps are for the work group to meet with PowerPhone to obtain feedback on our recommendations, and to answer any questions that PowerPhone may have about recommended questions. Next will be to ensure that the protocol modifications that we've recommended and the dispatch dispositions align with the IRLM acuity level.
  • Once recommendations are approved, PowerPhone will actually work to develop a customized Illinois database, and that database will have all of the modifications that we've suggested.
• We've been making some progress with Priority Dispatch as well. I think the last time we met, we talked about the fact that we'd had a meeting with some of the principals there and they had some questions. Questions primarily revolved around definitions for certain terms and how to define the acuity levels. We've responded and we're waiting for them to get back to us.
• We had our first meeting with APCO, it went well. Did an initial review of protocols and are developing steps to move forward.
• Shelley: There's been a lot of work behind the scenes. Priority Dispatch will probably be the most in-depth protocol, their protocols are a lot more stringent. PowerPhone is more adjustable and adaptable. There's a lot more work to be done.
• Dr. Lorrie Jones: In addition to PSAP experts like Shelley and Alicia, and those that use these vendors, we've also got clinicians and a psychiatrist on board that's helping us with specific psychiatric input. Also have people with lived experience that are invaluable contributors.

Discussion on Call Transfer Strategy (Dr. Lorrie Jones)

• There's been work at the hub discussing what call transfers should look like, from 911 to 988. Already been some guidance written for 988 to 911. Focus of initial one is 911 to 988. We'll present the whole protocol and guidance to you when its completed, but still trying to work through some thing.
  • What is the technology that should be available in the 988 call systems as they are receiving calls from 911? And what are the staffing levels that that need to be there?
• Blanca: I think we have some folks potentially on here from who run a call center. I think it would be really helpful to actually pose these kinds of questions to the call centers directly and see what kind of feedback we get from them. I think that would be extremely valuable. They know obviously their staffing model, they've been doing this.
• Lori Carnahan: When you look at these staffing models for 988, you know similar to 911, it has to be staffed in a way that kind of like somebody's always there, not really doing much right because you have to have the ability for when the volume increases, people are there to kind of jump in and do that. So you know, I think overstaffing is always a really good thing, but really kind of making sure that you know, I think most call centers know their staffing volumes.
  • Dr. Mary Smith: We haven't done any major kind of study looking to see if folks are collecting the same data. We know that there is some information that's available and one thought is as we work through the the initial pilots, you know that Shelley will be part of and MJ and, you know, perhaps someone else's one thought might be to see what kind of data they can generate as part of the pilot so that we start to get an idea of the number of calls.
• Dr. Lorrie Jones: The Illinois Criminal Justice Information Authority is the repository for a lot of law enforcement data in the state, and even looking at their data and data nationally, it's very hard to get any concrete data on the percentage of calls that are behavioral health, let alone specific types of behavioral health. So this is this is the kind of challenge that we have -iIn working with PSAP data that, as you've probably heard before, that there's no standard or unifying uniform way of collecting data from the PSAPs.
  • Number one, you know, we've talked about these three different vendors, these vendors code things differently, right? So for example, for PowerPhone, protocol 25 I think, but it's different for Priority Dispatch.
  • And then then the, then the actual PSAPs themselves are different in terms of their sophistication and capacity to do any major analysis, they have to report some data up through Cindy, but it's not the kind of data that at and the level of detail that would interest us.
• Lori Carnahan: And I think maybe that's something too within the regional committees, the partnerships that that we have, even some anecdotal data.
• Shelley Dallas: As far as NENA standards, there are protocols out for the exchange from 988 to 911. When it comes to the exchange of information, have we made any momentum behind the scenes as far as obtaining location information from 988 when there's a transfer from 988 to 911?
  • Dr. Lorrie Jones: The particular guidance we're working on is 911 to 988, we're going to go back to review 988 to 911. When someone calls 988, there's no capability to identify where that call is coming from. As the system matures and more people are aware of 988, there's going to have to be some policy put in place that makes sense.
• Stephanie Frank: They send an ambulance right for someone who's overdosed or is overdosing or is publicly intoxicated they might send an ambulance. But there might be some conversation that's worth having about when a crisis team maybe should also respond or in situations of public intoxication, eventually we're going to have places to go, and that person can just go sit somewhere and not go to an emergency room. So I think it's worth having conversation about how we distinguish some of those crisis calls and how those get routed to 988 versus whether or which calls get an ambulance or do all calls get an ambulance and sometimes they get a crisis team or what does that look like?
  • Dr. Lorrie Jones: I think that's a that's a great point, Stephanie. Thank you for raising that. And we, we will have some follow up discussions along those lines. So great input guys. Thank you so much. Let me get to the next sticky point and I really would like to have some feedback particularly for those that are involved in in the call center. So again, we're talking Shelly will be looking at you and perhaps Lori, but this regards.
• Dr. Lorrie Jones: So thank you for your comments and we will continue to push forward on that. Stephanie Frank has agreed to do a presentation about the misdemeanors and how to deflect using an appropriate language and not divert but deflect because the rest hasn't occurred. Persons who could be in a who are possibly engaged in some criminal activity and allegedly engaged in some criminal activity to the mental health system as opposed to going farther during a trajectory into the criminal justice system. So that's the next horizon.

Next Meeting Date

• March 21st, 2024

Public Comment

• There was no public comment.

Adjournment

• Meeting adjourned by Dr. Lorrie Jones at 3:24pm.