San Francisco: Street Crisis Response Team (SCRT)

Location

• City: San Francisco, CA
• Population Size: 881,549
• Jurisdiction Size: 46.87 sq miles

Intercept

• 0 – SCRT

CIT (Crisis Intervention Training) Requirements

• Have a CIT program/training- but not all officers are CIT trained

Model Components

• Staffing Structure
  • For SCRT- All ride in the same vehicle – 1 clinician + community paramedic from FD + peer
• Staff Training/Qualifications
  • Masters level or above but not all licensed clinicians need to be able to initiate involuntary holds
  • Hired an outside trainer to specifically design training-focus on team building, institutional racism, health equity through this program
• Dispatch Structure
  • Respond to 911 calls + police can refer to the team

Operating Structure

• • Operations
    • First team in 2020, currently 7 teams
    • 12-hour shift 7 days a week- staggered so there is 24-hour coverage
    • Respond to lower-level priority calls (not A level) no weapon/violent calls
    • Works collaboratively with other crisis teams
  • Funding Mechanisms
    • Started with funding for an entire city-wide team, but staggered ramp up
    • A proposition is bringing in money for homelessness + legislation that allocates funding
    • RWJF funding for evaluation
  • MOUs/Contracting
    • Unknown
  • Management Structure
    • Co-owned by FD and DPH
    • Community based organizations staff clinician and peer on team
  • Supplies/Equipment
    • Van
    • Must call ambulance if transport is needed to hospital

Data Systems & Collection

• Data Systems:
  • Avatar EHR, Epic EHR, CAD System, Encounter log      
• Data Collection:
  • Full scale evaluation – external team is contracted
  • Robust data collection – tracking call origin, the calls team accepts vs rejects, service utilization, call date, etc.
  • Tracking BH data
• Highlighted Statistics/Outcomes:
  • 60% of pilot calls were handled safely and the individual remained in the community without any transport (others included ambulance to emergency or team taking them to a service provider)

Key Takeaways

• Focus on institutional racism, health equity through this program