1. Virginia CIT Assessment Sites
A state’s responsibility in promoting consumer recovery

2. Virginia Census 95 Counties 38 Independent Cities
Total Population: 8,411,8081
95 Counties
38 Independent Cities
40 Community Services Boards
Virginia Census
1 University of Virginia Weldon Cooper Center for Public Service estimates: July 1, 2016

3. CIT Program Coverage:
Approx. 8,155,623 (97%)

4. Virginia Emergency Custody
Virginia Code §
“…probable cause to believe that any person (i) has a mental illness and that there exists a substantial likelihood that, as a result of mental illness, the person will, in the near future, (a) cause serious physical harm to himself or others as evidenced by recent behavior causing, attempting, or threatening harm and other relevant information, if any, or (b) suffer serious harm due to his lack of capacity to protect himself from harm or to provide for his basic human needs, (ii) is in need of hospitalization or treatment, and (iii) is unwilling to volunteer or incapable of volunteering for hospitalization or treatment…”
Virginia Emergency Custody

5. Why are they necessary? A Complete CIT Program:
Provides a safe place for law enforcement to keep consumers out of criminal justice system
May also include the ability for law enforcement to return quickly to patrol duties
Why are they necessary?

6. Essential Components Training for All Critical Stakeholders
Collaborative Problem Solving
Access to Timely and Effective Crisis Care
Consumers, Families, Advocates
Essential Components

7. How do we get there? Requires:
Collaborative relationships that developed the CIT program
Constant re-evaluation
Training Program
Receiving center policies and procedures
How do we get there?

8. Considerations Program Needs Hours of need
Security Peer Specialists
Clinicians Transportation
Facilities
Hours of need
ECO Data
Different types of localities
Urban vs. Rural
Considerations

9. Geography
Map courtesy of College of William & Mary department of geology

10. Overview 33 Community Services Boards (CSB)
37 Assessment Site Locations
33 Community Services Boards (CSB)
Assessment Site Availability:
Approx. 7,741,958 (92%)
Overview

11. The first General Assembly CITAS programs (3)
FY’13
The first General Assembly CITAS programs (3)
FY13

12. Expansion doubles the number of programs (6)
FY’14
Expansion doubles the number of programs (6)
FY14

13. General Assembly again doubles sites (12)
FY’15
General Assembly again doubles sites (12)
FY15

14. Largest appropriation increase adding 20 (32)
FY’16
Largest appropriation increase adding (32)
FY16

15. FY’17
Additional five sites added (37)

16. How do you make it happen?
Challenges
MOU’s
Data
Personnel
Transportation
Ongoing Training
How do you make it happen?

17. Funding $10.5 million allocated by General Assembly for annual funding
About $285,000 average cost per site/year
Funding

18. How are we spending it? Law Enforcement/Security Clinicians
Peer Specialists
Cost of Space
Incidentals
Transportation*
How are we spending it?

19. Spending Breakdown

20. 11 Sites located in office environments (including CSBs)
23 Sites co-located in or adjacent to EDs
3 On medical or psychiatric hospital campus but not ED adjacent
What do Sites look like?

21. Under an Emergency Custody Order in Virginia, custody may be transferred to a facility:
If the level of security is sufficient for protection
in cases in which transportation is provided by a law-enforcement agency, has entered into an agreement or memorandum of understanding with the law-enforcement agency
Transfer of custody

22. Alternative Transportation
2015- Virginia DBHDS Alternative Transportation Pilot Program
Mount Rogers Community Services Board (Galax, Va.)
TDO transports were accomplished using alternative transportation during the project pilot
Very supportive feedback from partner agencies
Initial Trial Nov. ’15 - Nov.’16
38% of TDO transports by contract provider
Alternative Transportation

23. Program Status 5,438 assessments 9,245 assessments FY’15 FY’16 FY’17
About 9,200
end 2nd Qtr.
About 61% of assessments annually are resolved with involuntary hospitalization
Data collection process update
Program Status

24. The Future… Collaborative Outreach Teams
PEC /23 hour observation centers
The Future…

25. Questions?

26. Stephen Craver
CIT Assessment Site Coordinator/CIT Liaison
VA Department of Behavioral Health and Developmental Services
1220 Bank St. Richmond, VA