LEAD SF Policy Committee Meeting #5 January 22, 2017 LEAD SF
Welcome & Opening Remarks 2
Agenda 1 Welcome & Opening Remarks 2 Agenda Review 3 Project Implementation Updates 4 Program Progress 5 Evaluation Plan 6 Closing & Next Steps 3
Project Implementation Updates 4
Grant Funded Staff Introductions Department of Public Health Nicole Brooks, Behavioral Health Clinician Robin Candler, Program Manager Public Defender s Office Tal Klement, LEAD Public Defender Jeanette Good, Paralegal District Attorney s Office Tiffany Sutton, Assistant District Attorney Felton (Case Manager) Clarence Hardy Alejandra Boyer Cuspinera Jared Walker Glide (Case Managers) Danny Balzer Frank Castro Jason Norelli Joseph Williams 5
Media Plan Review 6
Training Plan Progress Training Plan in progress: o Completed Harm Reduction Training, LEAD Orientations, Trauma Informed Care, Motivational Interviewing, Behavioral Health 101 o Upcoming Implicit Bias 2 nd Seattle Site Visit (focused on Law Enforcement) 1/16 through 1/18 7
Program Progress 8
Update on pilot expansion OW members unanimously agreed on full expansion from initial launch hotspot areas to the full pilot districts of Tenderloin and Mission as identified in the grant. 9
Update on pre-booking/social contact referrals Total of 37 referrals and 29 active participants as of 1/12/18: Pre-booking Referrals Social Contact Referrals 12 (32%) 25 (68%) Number (Percent) History of Contact with SF Jail System 9 (75%) 17 (68%) OW members discussed that pre-booking referrals are the priority of the program, per grant and Policy Committee, in order to provide an alternative to jail for individuals with low level drug offenses. 10
Update on demographics Tenderloin District Mission District Neighborhood 23 (62%) 14 (38%) Number (Percent) Male Female Sex 20 (69%) 9 (31%) American Indian/ Alaskan Native White Black Latino/a Asian Race 12 (41%) 8 (28%) 5 (17%) 3 (10%) 1 (3%) 11
Analysis of December 2017 arrests and bookings for LEAD eligible offenses
Prebooking LEAD eligibility: Misdemeanors: Sex-worker related offenses Simple possession of narcotics Under influence of narcotic Felony drug cases: Narcotics Sales Possession for sales Must be <5 grams No sales to minors or school zones Co-occurring cases: 1170(h) and cooccurring LEAD eligible offense No prior strike w/in 8yrs No open violence/weapons case Provide for subsistence living Obtain other drugs for consumption
Tenderloin district: 30 potential LEAD referrals based on charge alone, December 2017.
Eligibility breakdown - type of charge, TL
Mission district: 18 potential LEAD referrals based on charge alone, December 2017.
Eligibility breakdown - type of charge, Mission Misdo. (loitering): 7 bookings Simple possession: 2 bookings Sales-related: 10 bookings 1170(h) with co-occurring: 0 bookings
Case examples of LEAD eligible cases not referred: #1 12/14/2017 1 Jones 17018416 11351 HS/F Discharged #2 12/6/2017 7 th and Market 17017985 11377 (a) HS/M Charged #3 12/22/2017 GG/Hyde 17018885 11351 HS/F Discharged #4 12/21/2017 16 th Mission 17018817 11352(a) HS/F Charged 11350 #5 12/21/2017 1950 Mission 17018831 11352(a) HS/F Charged #6 12/29/2017 16 th St/Julian Ave. 17019189 11379(a) HS/F Charged
We will not meet pre-booking goal at current rate. Currently 11 pre-booking referrals in 3 months: 9 Tenderloin, 2 Mission. Goal is 200 pre-booking referrals in 26 months.
Referrals and service connections Referral agency SFPD BART Police SFSD 22 (59%) 15 (41%) 0 Connected to LEAD services Glide Felton (of 29 active participants) 17 (59%) 12 (41%) 20
Successes Client Level Linking individuals to medical services, MAT, and ICM for the first time. Several clients have gotten into Navigation Centers and all clients have been entered into the Coordinated Entry System. Quick enrollment into Medi-Cal due to services at the CASC. Clients have expressed that no one before LEAD really cared and individuals on the street are asking for LEAD by name. Positive feedback from law enforcement about participant presentation. 21
Successes LEAD Staff and Partners Great collaboration with CASC, HOT, Street Medicine, and collaborative court staff. LEAD partners have been trained on important topics (e.g., Motivational Interviewing and Trauma Informed Systems). Case Managers built trust with individuals who have not been previously open to services. Communication amongst case manager, Public Defender, and District Attorney have led to positive client outcomes. Intake clinician's willingness to perform mobile screenings. 22
Challenges Ensuring a warm handoff to providers. Multiple arrests for participants. Law enforcement reports that processing drug cases take a prohibitive amount of time. 23
Evaluation Plan 24
State LEAD Evaluation 2 sites SF LA 3 Phases Process Evaluation Outcome Evaluation Cost-Benefit Analysis Dynamic 25
State LEAD Evaluation 26
State LEAD Evaluation Questions/Input: Aili Malm aili.malm@csulb.edu 27
BSCC Reporting Schedule Reporting Period Data to HTA Quarterly Report to BSCC Q2: Jul Sept 2017 Oct 13, 2017 Nov 15, 2017 Q3: Oct Dec 2017 Jan 12, 2018 Feb 15, 2018 Q4: Jan Mar 2018 Apr 13, 2018 May 15, 2018 Q5: Apr Jun 2018 Jul 13, 2018 June 15, 2018 Q6: Jul Sept 2018 Oct 12, 2018 Nov 15, 2018 Q7: Oct Dec 2018 Jan 11, 2019 Feb 15, 2019 Q8: Jan Mar 2019 Apr 12, 2019 May 15, 2019 Q9: Apr Jun 2019 Jul 12, 2019 June 15, 2019 No-cost extension (NCE): Oct 11, 2019 Nov 15, 2019 Jul Sept 2019 NCE: Oct Dec 2019 Jan 10, 2020 Feb 15, 2020 28
Closing & Next Steps 2018 Policy Committee Meetings: 4 th Mondays Quarterly Schedule Monday, April 23 Monday, July 23 Monday, October 23 Time: 1-2:30pm Location: 25 Van Ness, Room 330A 29
Information Sharing & Engagement Dedicated page on DPH website and email: www.sfdph.org/dph/comupg/knowlcol/leadsf/law- Enforcement-Assisted-Diversion-SF.asp leadsf@sfdph.org Public postings of agenda & minutes Posting of relevant LEAD materials 30