MOBILE CRISIS TEAM Department of Behavioral Health Performance Summary FY 2019/2020 **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. PROGRAM DESCRIPTION: The Mobile Crisis Team collaborates with law enforcement to provide crisis-related outreach and engagement, as well as respond to 911 requests regarding possible psychiatric or emotional crisis in the community. The Mobile Crisis Team operates with the goal of reducing the use of involuntary psychiatric hospitalization by providing consultation, crisis assessment, and engagement of the individual in need. They seek alternative treatment resources, when appropriate, including referrals to voluntary psychiatric services as available. The Mobile Crisis Team is comprised of formally trained counselors and peer advocates that partner together on calls and connect with individuals in crisis on both a therapeutic and personal level. Peer advocates also provide follow up calls to consumers after a crisis to assist in providing resources and support with follow through and engagement with services. MHSA OUTCOMES: 1. Reduce the number of 5150s written by co-responding with law enforcement resulting in role-modeling and educating law enforcement about effective ways to de-escalate interactions with community members who have a mental illness, measured annually. 2. Increase number of engagements with community members to provide resources and support. 3. Increase number of engagement with community members to provide transportation to services. 4. Decrease usage of 911 for non-emergency users and emergency room (ER) visits. 5. Increase community members’ satisfaction with services. MHSA MEASUREMENTS: 1. Police and Sheriff changes in attitudes, knowledge, and/or behavior related to mental illness that are applicable to the specific program: a. Pre/Post Survey every 6 months, which will address understanding of mental health resources, general feelings of engaging with community members with mental illness, and increasing compassion for community members with mental illness. * b. Increase the number of 5150s written by law enforcement that are upheld. c. Decrease the overall number of 5150s written by law enforcement. 2. Number of community members who received engagement and total engagements. 3. Number of community members who received transportation to services and total transports. 4. Use of crisis units post-intervention (911, ER, etc.). Measurements will be derived from:** a. Surveys conducted by Peer Advocates post-intervention.** b. CS Client Tracker form in electronic health record system.** 5. Peer advocate will conduct surveys with community members post-engagement to assess for:** a. Satisfaction with services.** b. Ability to relate to BCDBH staff.** FINDINGS FOR FY19/20: 1. 2. 3. 4. There was a 33.2% decrease in 5150s written by law enforcement compared to the last fiscal year. There was an overall 2.2% increase in 5150s written by law enforcement that were upheld compared to the last fiscal year. Community members who received engagement increased by 2.7% compared to the last fiscal year. There was a 47.4% decrease in the number of transports provided compared to the last fiscal year. **Surveys collected by peer advocates are in development. MOBILE CRISIS TEAM **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. Department of Behavioral Health Performance Summary FY 2019/2020 OUTCOME 1A: PRE/POST SURVEY TO CHANGE ATTITUDES, KNOWLEDGE AND/OR BEHAVIOR OF POLICE WHAT BEST DESCRIBES YOUR POSITION? WHAT UNIT DO YOU WORK WITH? 60 60 Pre-Survey (54) Post-Survey (39) 39 24 Post-Survey (39) 40 31 COUNTS COUNTS 40 Pre-Survey (54) 41 20 20 13 10 13 5 2 1 2 2 1 - 2 0 0 Deputy or Officer Chico Police Dept Butte County Sheriffs Decline to Answer HOW MANY YEARS HAVE YOU WORKED IN LAW ENFORCEMENT? 60 - 60 Sergeant Lieutenant Other Decline to Answer DOES ANYONE IN YOUR FAMILY SUFFER FROM MENTAL ILLNESS? Pre-Survey (54) Post-Survey (39) Pre-Survey (54) Post-Survey (39) 40 24 20 16 20 2 4 25 20 13 6 4 COUNTS COUNTS 40 2 19 17 13 10 5 2 2 2 0 0 Under 2 years 2-5 years 5-10 years 10+ years Yes Decline to Answer No Decline to Answer Skipped HAVE YOU BEEN PRESENT FOR A CO-RESPONSE WITH STAFF FROM THE MOBILE CRISIS RESPONSE TEAM? 40 34 34 30 COUNTS Pre-Survey (54) Post-Survey (39) 20 20 10 4 1 0 Yes No I don't know *Parts of this survey instrument was adapted from the following source: Madianos, M., Economou, M. et al. Measuring public attitudes to sever mental illness in Greece: Development of a new scale. The European Journal of Psychiatry, 26(1), 55-67. Source: SurveyMonkey “Mobile Crisis Program Feedback” MOBILE CRISIS TEAM **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. Department of Behavioral Health Performance Summary FY 2019/2020 WERE YOU ABLE TO AVOID WRITING A 5150 DUE TO HAVING THE MOBILE CRISIS TEAM CORESPOND WITH YOU? 30 27 26 Pre-Survey (54) Post-Survey (39) COUNTS 20 12 10 10 8 5 2 2 1 - 0 No Yes, at least once Yes, more than once I have not been on a coresponse with the Mobile Crisis Team Declined to Answer *Parts of this survey instrument was adapted from the following source: Madianos, M., Economou, M. et al. Measuring public attitudes to sever mental illness in Greece: Development of a new scale. The European Journal of Psychiatry, 26(1), 55-67. Source: SurveyMonkey “Mobile Crisis Program Feedback” IF SOMEONE HAS EXPERIENCED MENTAL ILLNESS, HE/SHE WILL SUFFER FOR THE REST OF THEIR LIFE. 7.4% 5.1% Strongly Agree Neutral Post-Survey (39) 12.8% 12.8% Declined or Unknown 25% 50% 75% 100% IN SPITE OF ANY EFFORTS THEY ARE MAKING, PEOPLE WITH MENTAL ILLNESS WILL NEVER BE LIKE OTHER PEOPLE. Strongly Agree Neutral 1.9% 2.6% Post-Survey (39) 16.7% 12.8% 5.6% 5.1% 38.9% 23.1% 53.7% 66.7% 1.9% 5.1% 25% - 2.6% Declined or Unknown 25.0% 50.0% 75.0% 100.0% 100% Post-Survey (39) 2.6% Strongly Disagree 3.7% 5.1% 75% Pre-Survey (54) 16.7% Agree Disagree 42.6% 41.0% 50% PEOPLE WITH MENTAL ILLNESS HAVE TO TAKE MEDICATION FOR THE REST OF THEIR LIVES. Neutral 35.2% 38.5% Strongly Disagree 0.0% Post-Survey (39) Pre-Survey (54) Disagree Declined or Unknown Pre-Survey (54) 0% Strongly Agree - Agree - Strongly Disagree 3.7% 0% Agree Disagree 24.1% Declined or Unknown - Neutral 25.9% 35.9% Disagree Strongly Disagree Strongly Agree Pre-Survey (54) 14.8% 10.3% 24.1% 23.1% Agree PEOPLE WITH MENTAL ILLNESS ARE FAILURES. 0.0% 22.2% 23.1% 27.8% 43.6% 22.2% 15.4% 11.1% 12.8% 25.0% 50.0% 75.0% 100.0% MOBILE CRISIS TEAM **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. Department of Behavioral Health Performance Summary FY 2019/2020 PEOPLE WITH MENTAL ILLNESS ARE NOT LIKE ANY OTHER PEOPLE. MENTAL ILLNESS MAKES SOMEONE LOOK ILL. Strongly Agree 1.9% - Pre-Survey (54) 1.9% 2.6% Agree Post-Survey (39) 13.0% 12.8% Neutral Strongly Agree Disagree Strongly Disagree 40.7% 41.0% Strongly Disagree 1.9% 5.1% 50% 75% - 33.3% 33.3% Post-Survey (39) 10.3% 1.9% 5.1% 25% 50% 75% 100% PEOPLE WITH MENTAL ILLNESS ARE NOT ABLE TO ACQUIRE NEW SKILLS. Pre-Survey (54) 1.9% Agree 44.4% 46.2% 0% 100% MENTAL ILLNESS IS EASILY RECOGNIZABLE. Strongly Agree 14.8% 15.4% Declined or Unknown 25% Post-Survey (39) - Neutral 40.7% 38.5% 0% Pre-Survey (54) 5.6% Agree Disagree Declined or Unknown - Strongly Agree - Agree - Pre-Survey (54) Post-Survey (39) 24.1% Neutral 2.6% 48.1% 46.2% Disagree Strongly Disagree Strongly Disagree 1.9% 25% 50% 75% 100% PEOPLE WITH MENTAL ILLNESS ARE DANGEROUS. Strongly Agree 3.7% 5.1% 0% Post-Survey (39) 50.0% Neutral 31.5% 23.1% 7.4% 5.1% Strongly Disagree Declined or Unknown 3.7% 7.7% Declined or Unknown 25% 33.3% 30.8% Disagree Strongly Disagree 0% 50% 75% 100% 100% Post-Survey (39) Neutral 25.9% 25.6% 75% Pre-Survey (54) 1.9% 2.6% Agree 46.2% Disagree 50% - Pre-Survey (54) 11.1% 12.8% 25% PSYCHIATRIC MEDICATION CAUSES ADDICTION. Strongly Agree 1.9% 2.6% Agree 51.9% 48.7% Declined or Unknown 5.1% 0% 37.0% 43.6% Disagree 24.1% 25.6% Declined or Unknown 7.4% Neutral 12.8% 11.1% 17.9% 22.2% 25.6% 0% 25% 50% 75% 100% MOBILE CRISIS TEAM **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. Department of Behavioral Health Performance Summary FY 2019/2020 A PERSON WITH MENTAL ILLNESS IS ABLE TO WORK. Strongly Agree 24.1% 23.1% Strongly Agree 57.4% Agree A PERSON WITH MENTAL ILLNESS CAN BE TRAINED IN AN OCCUPATION. 64.1% 24.1% 25.6% 61.1% 66.7% Agree 13.0% Neutral Disagree - Strongly Disagree - 2.6% Pre-Survey (54) Post-Survey (39) Declined or Unknown Disagree - Strongly Disagree - Declined or Unknown 5.6% 5.1% 0% 11.1% Neutral 7.7% 25% 50% 75% 100% Pre-Survey (54) Post-Survey (39) 3.7% 5.1% 0% 25% 50% 75% 100% PEOPLE WITH MENTAL ILLNESS CAN COPE WITH LIFE DIFFICULTIES. PEOPLE SUFFERING FROM MENTAL ILLNESS FEEL THAT THEY CAUSE BURDEN ON THEIR FAMILIES. Strongly Agree Strongly Agree 16.7% 7.7% 46.3% Agree 29.6% 20.5% Disagree - Strongly Disagree - 1.9% Disagree Post-Survey (39) - Strongly Disagree Pre-Survey (54) - Post-Survey (39) Declined or Unknown 7.4% 7.7% 25% 50% 75% 100% PEOPLE WITH MENTAL ILLNESS USUALLY FEEL INFERIOR. - Strongly Agree 48.1% 25.6% Pre-Survey (54) 0% 48.7% Neutral 2.6% Declined or Unknown 27.8% Agree 61.5% Neutral 3.7% 5.1% 5.1% 0% 25% 25.6% Pre-Survey (54) Strongly Disagree 1.9% Post-Survey (39) - Declined or Unknown 15.4% 25% 12.8% 9.3% 15.4% Disagree Strongly Disagree 50% 75% 100% Pre-Survey (54) Post-Survey (39) 1.9% - Declined or Unknown 22.2% 0% 24.1% Neutral 5.6% 7.7% 100% 55.6% 59.0% 53.7% 46.2% 75% 3.7% 7.7% Agree Neutral Disagree 50% IT IS DIFFICULT FOR OTHER PEOPLE TO UNDERSTAND A PERSON SUFFERING FROM MENTAL ILLNESS. Strongly Agree 16.7% Agree 18.5% 20.5% 5.6% 5.1% 0% 25% 50% 75% 100% MOBILE CRISIS TEAM **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. Department of Behavioral Health Performance Summary FY 2019/2020 TO BE TAKING PSYCHIATRIC MEDICATION DOES NOT MAKE AN INDIVIDUAL DIFFERENT FROM OTHERS. Strongly Agree Strongly Agree 9.3% 7.7% 51.9% Agree 5.6% 7.7% 33.3% 41.0% Agree 71.8% 18.5% Neutral PEOPLE WITH MENTAL ILLNESS CAN RECOVER NOWADAYS. 51.9% Neutral 28.2% 7.7% 16.7% Disagree 7.7% Strongly Disagree Pre-Survey (54) - Declined or Unknown Post-Survey (39) 0% 25% 50% 75% 100% MOST PEOPLE WITH MENTAL ILLNESS ARE MENTALLY ILL DUE TO DRUG USE. 1.9% 2.6% Pre-Survey (54) 1.9% Agree Strongly Disagree Post-Survey (39) 15.4% 38.9% Neutral Pre-Survey (54) - Post-Survey (39) 7.4% Declined or Unknown 3.7% 5.1% Strongly Agree 1.9% 5.1% Disagree 17.9% 0% 25% Strongly Agree - 46.3% 3.7% 5.1% Agree 13.0% 23.1% Strongly Disagree Declined or Unknown 3.7% 7.7% Declined or Unknown 50% 75% 100% I UNDERSTAND THE CRITERIA TO WRITE A 5150. 14.8% 17.9% 5.6% 7.7% 0% 25% 40.7% 100% 24.1% 28.2% Agree 35.9% 3.7% Neutral 75% 5.6% 7.7% Strongly Agree 59.0% Agree 50% I KNOW HOW TO NAVIGATE THE MENTAL HEALTH SYSTEM. 51.9% Strongly Agree 63.0% 46.2% 7.4% 7.7% 25% Post-Survey (39) Disagree Strongly Disagree 0% 100% Pre-Survey (54) Neutral 35.9% 75% EVEN IF SOMEONE IN CRISIS IS ASKING FOR HELP, I NEED TO PUT THEM ON A 5150. 30.8% Disagree 50% 48.1% Neutral - 41.0% Disagree - Strongly Disagree - Declined or Unknown Pre-Survey (54) Post-Survey (39) Strongly Disagree 25% 50% 75% 100% Pre-Survey (54) 3.7% 2.6% Post-Survey (39) 3.7% 10.3% Declined or Unknown 3.7% 5.1% 0% 14.8% 10.3% Disagree 0% 25% 50% 75% 100% MOBILE CRISIS TEAM **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. Department of Behavioral Health Performance Summary FY 2019/2020 I FEEL COMFORTABLE CALLING BEHAVIORAL HEALTH FOR ADVICE OR TO CONSULT. I FEEL LIKE BEHAVIORAL HEALTH IS HELPFUL WITH PEOPLE WHO HAVE A MENTAL ILLNESS. 9.3% Strongly Agree 11.1% Strongly Agree 25.6% 23.1% 40.7% Agree 27.8% Neutral 9.3% Pre-Survey (54) 3.7% 7.7% Declined or Unknown 9.3% 5.1% 0% 10.3% 5.6% 5.1% 5.6% 10.3% Disagree 5.1% Strongly Disagree 33.3% Neutral 7.7% Disagree 38.9% 43.6% Agree 48.7% Strongly Disagree Post-Survey (39) 50% 75% 100% Post-Survey (39) 5.6% 7.7% Declined or Unknown 25% Pre-Survey (54) 0% 25% 50% 75% 100% I FEEL COMFORTABLE INTERACTING WITH PEOPLE WITH MENTAL ILLNESS. Strongly Agree 18.5% 15.4% 53.7% 64.1% Agree 20.4% Neutral 12.8% 1.9% 2.6% Disagree Strongly Disagree Pre-Survey (54) Post-Survey (39) 1.9% - Declined or Unknown 3.7% 5.1% 0% 25% 50% 75% 100% OUTCOME 1B: INCREASE THE NUMBER OF 5150S WRITTEN BY LA W ENFORCEMENT THAT ARE UPHELD 5150 WRITTEN BY: Chico PD Oroville PD Paradise PD* Gridley PD Butte County Sheriff Other Agencies** Totals FY17/18 UPHELD FY17/18 % UPHELD FY18/19 UPHELD FY18/19 % UPHELD FY19/20 UPHELD FY19/20 % UPHELD 43.2% 34.5% 33.3% 31.3% 38.0% % CHANGE IN OVERALL UPHELD FY17/18 TO FY18/19 1.3% Increase 2.1% Decrease 9.3% Decrease 6.8% Decrease 0.2% Decrease 78 43 1 8 57 37.3% 39.8% 9.1% 53.3% 38.3% % CHANGE IN OVERALL UPHELD FY18/19 TO FY19/20 5.9% Decrease 5.3% Increase 24.2% Decrease 22.1% Increase .3% Increase 167 62 58 16 112 41.9% 36.7% 42.6% 38.1% 38.2% 130 57 19 10 87 99 514 83.2% 44.4% 140 443 78.7% 46.0% 4.5% Decrease 1.7% Increase 123 310 81.5% 48.2% 2.8% Increase 2.2% Increase MOBILE CRISIS TEAM Department of Behavioral Health Performance Summary FY 2019/2020 **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. OUTCOME 1C: DECREASE THE OVERALL NUMBER OF 5150S WRITTEN BY LAW ENFORCEMENT 5150 WRITTEN BY: FY17/18 FY18/19 Chico PD Oroville PD Paradise PD* Gridley PD Butte County Sheriff Other Agencies** Totals 399 169 136 42 293 119 1158 301 165 57 32 229 178 962 FY17/18 TO FY18/19 % CHANGE 24.6% Decrease 2.4% Decrease 58.1% Decrease 23.8% Decrease 21.8% Decrease 49.6% Increase 16.9% Decrease FY19/20 209 108 11 15 149 151 643 FY18/19 TO FY19/20 % CHANGE 30.6% Decrease 34.6% Decrease 80.7% Decrease 53.1% Decrease 34.9% Decrease 15.2 Decrease 33.2% Decrease *Due to the Camp Fire on 11/8/2018, Paradise PD saw a significant decrease likely due to the change in population in Paradise. **Includes CA Highway Patrol, Butte College PD, CSU Chico PD, Oroville Hospital, Butte County Jail, etc. OUTCOME 2: NUMBER OF DISTINCT COMMUNITY MEMBERS THAT RECEIVE ENGAGEMENT Number of Engagements Number of Community Members FY 17/18* FY 18/19 107 86 629 437 % CHANGE FY17/18 TO FY18/19 487.9% Increase 408.1% Increase FY19/20 612 449 % CHANGE FY18/19 TO FY19/20 2.8% Decrease 2.7% Increase *Program implementation and data collection began April 2018. OUTCOME 3: NUMBER OF COMMUNITY MEMBERS THAT RECEIVED TRANSPORTATION Number of Transports Number of Community Members FY17/18* FY18/19 25 22 192 172 % CHANGE FY17/18 TO FY18/19 668.0% Increase 681.8% Increase FY19/20 101 96 % CHANGE FY18/19 TO FY19/20 47.4% Decrease 44.2% Decrease *Program implementation and data collection began April 2018. TRANSPORTS PROVIDED DURING MOBILE CRISIS INTERACTIONS N=318 1 FY 17/18 6 18 13 FY 18/19 57 122 10 FY 19/20 27 64 0 20 40 60 80 100 NUMBER OF TRANSPORTS Paramedics Law Enforcement BCDBH 120 140 MOBILE CRISIS TEAM **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. Department of Behavioral Health Performance Summary FY 2019/2020 DEMOGRAPHICS OF DISTINCT CONSUMERS IN MOBILE CRISIS PROGRAM FY19/20 Number Served: 321 All Demographics reported are based on MHSA regulations. PRIMARY LANGUAGE English Spanish Other Declined Or Unknown Distinct Consumers COUNTS 301 1 19 321 EMPLOYMENT STATUS N=321 75% 60.5% 50% Declined or Unknown 14.6% LIVING SITUATION 100% 25% 19.0% 10.9% 9.0% Unemployed 0.6% 31.8% 0% Student 24.3% Seeking Employment 12.8% Retired 5.6% 6.2% Employed Part Time N=321 Employed Full Time 4.7% 0% 25% 50% 75% House or Apartment Homeless SNF/Supportive Living* Foster Family Home Declined or Unknown *INCLUDES: ADULT RESIDENTIAL FACILITY, BOARD AND CARE, COMMUNITY TREATMENT FACILITY, GROUP HOME, REQUIRING DAILY SUPPORT, JUSTICE-RELATED (JUVENILE HALL, CYA HOME, ETC.), RESIDENTIAL TREATMENT CENTER, SKILLED NURSING FACILITY VETERAN STATUS Yes No Declined Or Unknown Distinct Consumers COUNTS 16 259 46 321 100% DISABILITY TYPES DISABILITY 14.9% 24.0% Communication - Difficulty Seeing No 39.3% 11.1% Communication - Difficulty Hearing Mental - Learning Disability Yes 60.7% Physical/Mobility 26.6% N=321 23.4% Chronic Health Condition (i.e., Chronic Pain) Consumers may select multiple disabilities. MOBILE CRISIS TEAM **Data is from 7/1/2019 to 6/5/2020 and does not include the entire Fiscal Year. Department of Behavioral Health Performance Summary FY 2019/2020 ETHNICITY RACE 100% N=321 Declined or Unknown 69.5% 75% 50% 17.4% Other 25% 68.0% 17.4% 6.2% 5.0% Puerto Rican 1.9% 0.3% 0% African-American/Black Asian/Hmong Declined or Unknown American Indian White Mexican/ MexicanAmerican /Chicano 14.0% AGE GROUP N=321 21.2% 15.0% Caribbean 0% 0-15 16-25 N=321 0.3% 25% 50% 75% 100% SEXUAL ORIENTATION 26-59 13.7% 60+ 50.1% 100% N=321 GENDER N=321 75% 1.6% 100% 41.4% 75% 50.2% 50% 49.8% 25% 3.1% 53.3% 25% 43.0% 2.5% 50% 1.9% 8.4% 9.3% 0% 8.1% 4.7% 22.7% 0% Gender Current Another Gender Identity (3.1%) Questioning or Unsure (2.5%) Male Gender at Birth Declined or Unknown Female Transgender (1.6%) Gay or Lesbian Bisexual Another Sexual Orientation Heterosexual or Straight Questioning or Unsure Declined or Unknown