Crisis Assistance Lifeline

Agenda

• Civilian First-Responders
• CAHOOTS
• CALL Stockton
• Stats and Budgets
• Survey
• Next Steps

Civilian First Responders

Civilian First Responders

Roughly one in four fatal police shootings involve someone with a mental illness

Increased mental health training for officers, dedicated officer mental health or homeless outreach units, or being paired with a social worker can all still lead to escalated situations with armed officers.

Handling violent crime accounts for as little as 4% of an officer's time at work

The idea of delegating other crises, such as mental health or addiction, to non-law enforcement is gaining traction.

68% of voters support a "non-police first responder agency"

Data for Progress found bipartisan support (76% Democratic & 62% Republican) and also support across racial demographics.

CAHOOTS

Crisis Assistance Helping Out On The Street�Eugene and Springfield, Oregon

CAHOOTS

• Mental health crisis intervention program in Eugene and Springfield, Oregon
• Formed as a collaboration between the Eugene Police Department and White Bird Clinic
• Staffed and managed by White Bird Clinic
• In operation for 31 years; established in 1989
• Strive to provide all folks with unconditional positive support, free of judgement or discrimination

CAHOOTS mobile crisis response is nationally recognized as an important and innovative public/private partnership delivering community health first response effectively and at significant cost savings.

CALL Stockton will replicate and implement a public model of CAHOOTS.

CAHOOTS is being replicated across the country

CAHOOTS

• Mental health crisis intervention program in Eugene and Springfield, Oregon
• Formed as a collaboration between the Eugene Police Department and White Bird Clinic
• Staffed and managed by White Bird Clinic
• In operation for 31 years; established in 1989
• Strive to provide all folks with unconditional positive support, free of judgement or discrimination

CAHOOTS mobile crisis response is nationally recognized as an important and innovative public/private partnership delivering community health first response effectively and at significant cost savings.

CALL Stockton will replicate and implement a public model of CAHOOTS.

The People’s Solution To Reimagining Public Safety

Crisis Assistance Lifeline

Stockton, CA

Who is on the CALL Response team?

A Crisis Worker and a Nurse/EMT

Crisis Worker

Medics: Nurse or EMT

Training Process

• A combination of education and experience
• Experienced in working with crisis intervention and de-escalation
• An ability to interact diplomatically with partner agencies

• Licensed in California; Paramedic or RN
• Experienced in delivering service in non-traditional environments
• An ability to interact diplomatically with partner agencies

• Cohort training model
• Minimum 500 hours of in-field training
• Up to 40 hours of class time
• Mentor-guided process

What services will CALL provide?

Medics: Nurse or EMT

CALL will be directly integrated into Stockton's public safety system

• Crisis intervention & counseling services
• Mediation
• Transportation to social services
• First aid and basic-level emergency medical care

• CALL will not be designed to respond to violent situations or life-threatening medical emergencies
• Teams will not be trained to be police and they will not have the same powers as police; teams will be unarmed
• The CALL team will always respect the right of their clients to refuse their services and will not force help upon those who do not want it and will not detain anyone against their will
• Teams will not ask for identification; during a call, they will only ask for enough information to identify the individual who needs help

CALL Stockton

& Dispatch

Workflow

CALL services may include, but are not limited to, the following:

All services will be free, voluntary, and confidential for community members

• Crisis Counseling
• Suicide Prevention
• Conflict Resolution and Medication
• Grief and Loss
• Welfare Checks
• Substance Abuse
• Housing Crisis
• Harm Reduction
• First Aid and Non-Emergency Medical Care
• Resource Connection and Referrals
• Transportation to Services
• Intimate Partner Violence and Family Disputes

Emergency Room Diversions

CALL teams will be able to divert a number of medical calls for service from Fire/EMS and/or the Emergency Room, transporting or treating according to need versus fear of liability

• Primary Assessment
• Wound Care
• Medication Management
• Substance Use Disorders
• Suicidal Thoughts / Risk Assessment
• Failure to Thrive
• Isolation and Loneliness
• Lift Assists
• Chronic Utilizers / Frequent Fliers

Jail Diversion

CALL services can divert patients from the criminal justice system by responding to many call types which may otherwise result in contact with law enforcement

• Public Intoxication
• Disorderly Behavior
• In Traffic / Roadway
• Dispute and Medication
• Trespassing
• Secure Sobering

Possible Community Partnerships

• Sexual Assault Support Services
• Sobering and Detox
• Community Crisis Centers
• Basic Needs Services
• Housing Assistance
• Drug and Alcohol Recovery Programs
• Rapid Access Center
• Needle Exchange and Harm Reduction
• Hospital Emergency Rooms and Urgent Care
• County Behavioral Health
• Intimate Partner and Family Violence Support

Data from CAHOOTS

What might CALL look like in Stockton?

Common Crisis Factors

The percentage of calls for each factor reflects the frequency of that factor being at least one of the motivations for calling CAHOOTS, out of total CAHOOTS calls (2019).

Transportation Calls

Transportation breakdown of CAHOOTS responses in 2019.

Eugene & Springfield, OR

Stockton, CA

• Population: ~234,000
• Police Department Budget: $90 million
• CAHOOTS Budget: $2.1 million
• Estimated Savings Annually: $8.5 million

​

The CAHOOTS program saved roughly $14 million in emergency medical system costs, including ambulance transport and emergency room services.

• Population: ~311,000
• Police Department Budget: $143 million
• CALL Budget: ~$3 - 4.5 million for 3 vans

​

Next Steps

Survey & Endorsements

CALL Stockton Survey

Take this survey and let us know how you feel about CALL and other police reforms.��CallStockton.com/survey

Endorse CALL Stockton

Believe in CALL Stockton? Endorse and join the community organizations, community leaders, and Stockton residents who want to reimagine public safety.�

CallStockton.com/endorse