⚠️ Aviso de traducción: Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings and Recommendations 8 findings
F1
Only about 20% of all law enforcement officers in San Mateo County are CIT-trained. There are significant barriers to enrolling officers. Beyond the training itself, CIT is an important forum where all who deal with children in crisis—EMTs, SMART staff, schools, police—can learn from each other.
Related Recommendations (1)
R1
The Sheriff’s Office should devise a plan by year-end 2016 to expand CIT training to include school representatives and those from other public agencies that deal with children in crisis. Additional CIT training sessions should be added if necessary so that law enforcement agencies can continue to encourage attendance by their officers. The plan should: (a) include ways to encourage those in leadership positions at police departments, schools, and other public agencies to attend; and (b) include refresher courses.
F2
F3. The SMART car program is unique and highly effective at managing mental health emergencies in a sensitive manner, keeping adults and adolescents out of emergency rooms whenever possible.
Related Recommendations (1)
R2
Planners for CIT training—the Sheriff’s Office and Behavioral Health and Recovery Services—should amend the curriculum to include techniques for dealing with situations unique to schools and other public agencies working in the area of youth mental health.
F3
The SMART car program is unique and highly effective at managing mental health emergencies in a sensitive manner, keeping adults and adolescents out of emergency rooms whenever possible. The respondent agrees with the finding.
Related Recommendations (1)
R3
Behavioral Health and Recovery Services should extend as soon as possible the two-car SMART program by at least one hour so that the high-volume time between 3:00 p.m. and 8:00 p.m. is fully staffed by both SMART cars.
F4
SMART can provide temporary post-crisis services, sometimes including in-person follow-up. BHRS provides on-going case-management services only to children who qualify for Medi-Cal.
Related Recommendations (1)
R4
The Board of Supervisors should direct the County’s Health System to institute an improved system of data collection and analysis regarding SMART response rates and adolescent PES admissions at Mills-Peninsula Medical Center, with such collection to start no later than October 1, 2016.
F5
Behavioral Health and Recovery Services provides adult residents with crisis-stabilization services, in-home follow-up, and a specialized mental health respite center as an alternative to Psychiatric Emergency Services hospitalization. No such programs exist for teens, even though 90% are discharged from the hospital within 24 hours.
Related Recommendations (1)
R5
The Board of Supervisors and Behavioral Health and Recovery Services should use the data obtained as a result of R4 to determine by the beginning of the 2017-2018 school year whether to expand the non-emergency aspects of the SMART program significantly and/or augment it with other services such as a respite center and in-home services regardless of insurance status.
F6
Data collection by the County on SMART program response rates and PES adolescent admissions at Mills-Peninsula Medical Center is not comprehensive or consistent.
Related Recommendations (1)
R6
The Board of Supervisors should direct the County’s Office of Public Safety Communications to devise a comprehensive plan to educate and collaborate with County entities and the public on the best way to call for help in a psychiatric emergency. The plan should be completed by year-end 2016.
F7
Schools and other public agencies are often reluctant to use the 911-dispatch system because of the detrimental effects on adolescents when first responders arrive on the scene with lights and sirens activated.
No recommendations for this finding
F8
The County’s Office of Public Safety Communications does not have a systematic outreach program to the public and to County entities that deal with adolescents on the best way to call 911 when a no-lights no-sirens response is appropriate.
No recommendations for this finding
No Responses Found 3
Government entities assigned to respond to this report. No response documents have been linked in our database.
County of San Mateo
Agency
San Mateo County Board of Supervisors
Elected County Office
San Mateo County Sheriff
Elected County Office