Hello. Yeah. Okay. All right, guys. Good afternoon. Thank you so much for being here today. Our students left. They ran away. We have one student. Thank you for
staying. Um, well, we're going to be it's going to be very homey. We all know each other here. So, I do appreciate everybody taking the time from the busy schedule and driving out here uh, you know, in the afternoon. I know traffic is really bad. Um, the purpose of this is we're as mental health task force,
the chair and my task force members, William, who's here, say hello, and Maria right over here. Uh we try to set this up just so that we can provide resources and educate the community um on mental health resources for crisis intervention and just want to share with all the good things that the that Miami
Day County is doing and that they have out there. Um I'm going to go ahead and introduce uh my team from Baptist. They're going to talk about the new urgent care clinic that they have here in town. Emergency I'm sorry, emergency room. It's not urgent care. Sorry.
Sorry. emergency room here in the town and then um we'll take it from there. Then we're going to have Thriving Minds. We have Hosy over here who thank you so much the coalition team and we have Luciana from West Care as well. You
ready? All right. No, I I think Yeah. Yeah. I'm gonna let Blake do this. Right. Listen, if anyone comes to get a tour, Alex will tell I'm the guy to get the tours. So, I love talking and selling this product line. So, we're introduce ourselves. My name is Michael Celying. I'm the regional
director for emergency medicine for Bath Health Outpatient Services. So, about eight years ago, I was given the task to help bring this to fruition. So, I spent two long years in a room with a big binder looking at every statute, every rule, everything. And then I took all my
experience from emergency medicine. I've been with Baptist Health now 29 years. So most of it's been in emergency medicine or acute care. So I took all my experience of when I was a patient 11 years ago had a heart procedure. Never thought it would happen to me. I was one of five boys that got my dad's heart.
I'm the most healthiest. And so but the end of the day I was that patient. I'm like, "Oh my god, I was so scared because I know what the outcome could be." And I'm laying in this bed in the emergency room. I'm like, "Just leave the door open. Are you going to come back and tell me? I know it takes 30 minutes to get my labs back." So then I said to myself, well, how can I make
that experience for that person in a chaotic situation seem safe? So Blake and I sat down, we first met, he was our first manager at Country Oak location and we came up with philosophy that every patient deserves to be treated in a safe environment by knowledgeable staff providing quality care. And that's
what we have done. This one off-campus CD through the two, the three, the four, five, and there's three more than that. There's maybe eight all the way from Boca Raton all the way down to Homestead. So what we've done is and we opened up during COVID, we were seeing over 300 something patients a day. So we
don't know where these people would have gone because all the hospitals are overwhelmed and inidated. Now CO's over. We still average about 200 a day in our two busiest location. We just opened this beautiful site, the Mulake will give you the the pictures and everything else. Um this place is 22 beds,
stateofthe-art. Alex Sanchez can tell you it is amazing. Automated CPR machines, ventilators, bypass units, high flow oxygen, CT, ultrasound, vascular, x-ray. We actually delivered four or five babies. Our
youngest was 25 weeks and we saved the baby's life. So all of our nurses are trained not only as hospital ED nurses, our nurses are trained to be OB nurses to care for baby ones that's delivered. There's things we didn't know. I remember the first one, the neotologist says, "Look at the feet and tell me how many wrinkles." Now it'll tell you to do
test a baby breathing. Right? So the bottom line was now we bring those people out and they teach us. We have all these protocols in place. We have an ambulance outside 24/7 365 ready to transport you from here to your hospital bed. Now we are licensed at doctor's
hospital if you do not want to go that far south. But Dr. Hos is a wonderful facility. It's associated with orthopedics. We have every sports team in South Florida that goes there. But they do a lot more than just orthopedics. They have an amazing they actually opened up new wings knowing that we were going to bring in things and I took a tour of the new wings. It's
beautiful. So if you don't want to go there, we'll send you wherever. You want to go to Memorial, you want to go to Palmetto. Don't know why, but if you do, we'll take you there. Y no charge. We'll put you in the ambulance and you can go. Then you can come back to us and say, "Oh, I didn't like that experience." So,
and we'll do that for you guys. We also are again Miami Lakes or um Pimber Pines. We just broke ground in Pimber Pines. So that'll be our sixth one that'll be up and running. We broke ground be open and anyone who lives in the middle of the north. Um but this place right now we're averaging a little
under 40 patients a day. I thought it'd be more than that knowing that I actually was one of the first ones here 1993 all the way by Barbara Goldman for Barb. Um before was the city of Miami Lakes day county incorporated. So I lived in an apartment over there where I was building my house in Pepper Pines.
So but I love Miami Lakes. My kids went to school in Miami Lakes. Um, my daughter's kindergarten teacher is still best friends with her and she's a surgeon now. So, this is a small niche community that has given a lot to their people and we are so glad that Blake's going to show you what this place looks like. If you want a tour Monday through
Friday, 8 to 4, this man will be there. If you want me to give the tour, I have no problem coming. So, Blake, go ahead and take over. All right. Thank you. So, um, so my name is Blake Natino. I've been a registered nurse for 30 years. um been doing emergency nursing for about
over 20 years now. Um like what is like like what Mike said, we work really hard together. Our our goal is really to give the best care to the community because everyone deserve nobody wants to be in the ER, but you want to be in if you want to be in if you going to be in the ER, you have to at least feel at home
that people are you're you're part of the of our family as a as a health care professionals, right? Um so with that with with that said um this is our fourth um off-campus ED uh like Mike said we started this 2018 uh in um in
country walk and then the following site was in Coral Way. So last year just to give you um a rough number so last year between two sites we've seen 67,000 patients just for two sites. Um last month we uh last uh December last year
we opened Bokeh Raton and March 6 we opened the Miami Lakes uh site which is around your neighborhood right so see the wrong one oh sorry okay like Mike said you know it's
a it's a it's a very it's a state-of-the-art um facility of of there you go there you go all right so we are licensed under doctor's hospital for in the state of Florida for for we're called off-c campus ed because we are you know off campus of of the hospital
basically in Midwest you can sometimes hear it presenting ED stand alone it's the same right but for state of Florida we have to be licensed under a uh an umbrella of the of the hospital so we're located at 15200 Northwest 77 Court it's
um I try to uh I'm not very good with direction, but if you're driving down south of Opalro, it's going to be on your right hand side in 154 Street. Okay, there you go. Yeah, it's next to uh to res to fire
rescue uh uh across. Yeah, fire rescue department uh rescue 64 right across there. Okay, so it's um it's a he has a 22 beds um ER, but of those 22, we have an ultrasound suite for our female patient. We want to make sure we provide him with a with a with a great
experience and uh and privacy and we have a one consultation room in the event that our 20 beds are full and one triage room that is just an assessment area basically and you know triage is just a it's a process. It's not a room. It's not a a stage where you have to stop in a triage room. Maybe you can
hear that in a hospital ER they have to do triads in a room. A triage is just a process. You can do triads in in every patient's room. So we don't stop in the triads until we we're full inside basically. So we've opened March 6 2 months ago and we've seen over 2,000
patients and we've admitted directly to doctors about 150 admissions in two months in two months. So it's uh you know um and the numbers obviously are are are growing and uh with that said we Mike also mentioned that if if your cardiologist is in
Memorial you just have to let us know we have a transfer center that works throughout the net that networks around the around around the area to make sure that you you go to the right place where you wanted to. For us, we're not here to compete, but more so we want to collaborate and really partner with
other healthcare, you know, in in in the area to make sure that the the seamless process, the seamless experience is given to the to the patient and and family. We actually for the month of April, we have actually transferred about seven patient with a full-blown heart attack at Palmetro and a couple of
them came back and thank our staff because we uh we we normally get them out in less than 30 minutes. All right, that's our location. All right. So, 22 beds, minor and major ailments, diagnostic imaging services, CT scan, ultrasound, X-ray, and I'm
going to elaborate that later. Also, we have an on-site laboratory services. We are capable also of giving blood products. We have an on egg blood, two units of on blood in the event that you're coming in, if you're bleeding, if you have a ruptured ectopic pregnancy, if you have a GI bleed or whatnot, we're able to give that to make sure that you
know we're we're able to correct. Yeah. No, you have to come and see this place. I call it my boat. Yeah. The thing, you know, so you have to see it. It's truly amazing. Two massive chemistry machines, hematology,
coagulations, point of care, of course. Um, so yeah, the machine now, if you're if we're going to test you having chest pain, usually take 45 minutes. That machine runs in a set. So again, we have invested the right machinery, the right people in the area to take care of
people quickly. Our average, I don't know if he's going to have it up here or not. Yeah, our average to stay is under two hours. Go to a hospital and see how long you're going to wait. Two hours by the time you say hi to say goodbye. Right now, seeing 38 patients
today, but even on our busier sites at 143 minutes, and they average 100 patients a day in the 24-hour period. So, we're still under that two and a half hour mark to where we say hello to you put in your car or put an ambulance going on to your bed. So, very, very quick. Right. We have also the pharmacy dispensing. It's like the same as the
urgent care. Um, you know, y stop by the the vending machine and get your medication. Well, we have a little bit of over over 40 formulary. So, if you're coming out if you're going to be discharged at 2 o'clock in the morning with UTI, non-complicated pneumonia, gastritis, um let's say a simple
cellulitis, also you're going home with your medication through that through that through that uh through that pharmacy uh dispensing. Um and also it's a it's cost less than regardless you're insured or not it's the same price which is another good thing for our you know for yeah eight bucks average. Yeah. And
also we receive patients via fire via fire rescue. We and Mike had mentioned we have a 24-hour ambulance. That's that's another thing that we invested in that way we have a seamless process to immediately transport a patient in the event that we need a critical transport. All right. So Mike had
mentioned average length of stay is 2 hours. That's always the lobby. Yeah, that's the lobby by the way. Yeah, that's the the green one with the RX now. That's our dispensing. Okay, that's on the left side of our lobby. Okay, so sometimes people ask, so what's the difference between urgent? Because
urgent kind of emergency, right? Urgent care versus emergency care. When you have this list of problem, never go to an urgent care. Right? If you have sever pain, it could be abdominal pain, chest pain, never go to an urgent care. Difficulty of breathing, if you have short soreness of breath, if your saturation is low 90s, below 90s, you
need to be in the ER. Signs of our attack obviously, right? Um, severe bleeding, again I mentioned about ruptured etopic pregnancy, if you have a GI bleed or whatnot. The uh loss of consciousness, if you have a fainting spell, you need to be in the ER also. Severe burns, we have different dressings for that. Head and spinal
injuries, sudden weakness or numbness could be a sign of stroke. Um, and I think the stroke is one of our we we really work hard on this to make sure that we give the safest care to our stroke patients. If if you are if you call fire rescue, they're never going to bring you into a site because they have
a protocol to follow. But if you walk in with any signs of stroke, we are even um able to give you a a trombolytics that we have too. We have a plot busters that we give in inside the cat scan if need be. And we have a tele medicine that our neurologist will come out and and and
collaborate with our ER team seeing the patient while in CAT scan and we'll decide right there and there if the patient needs a a TNK right or a trombolytics and our goal is within one hour to give that and from that if you need more if the neurologist will give farther order to give any more imaging
studies like perfusion if you have a large vessel occlusion or you have a big stroke in your in your brain or part of your art is really blocked we we do that as well and then we we basically collaborate with our transfer center and get you to Baptist main to get the to
get you to an interventional to remove that clot follow something like they have something called stroke ready we don't even go by that we meet the same standard so if you walk in to our off campus or you go to a fac immediately the doctor see within five minutes you're a cast within 10 minutes you have
an interpretation within 15 minutes the TNK he's talking about the clock buster has usually on within 30. We average about 32 minutes. The analyst is sitting outside waiting to put you on the stretcher to take you to Baptist Health. We did it. We timed it before we open with 7:00 traffic and 4:00 traffic.
Thank God for the express lane entry on 103. Yes, you couldn't get it. I mean, coming from north, you can't pick it up. But since then, dead traffic 28 minutes with lights and sirens. So actually Baptist Hospital is actually it's the same
distance as as Dr. now you stand on the pedal couple more exits and getting off and the team will be in the ER waiting on you to take you. So we've done stroke patients already. So he talks about we do a plane brain the neurologist comes on screen through tele medicine
communicates with the radiologist who's on the phone tells right there and they I'm not sure let's do a profusion study. We do the profusion study. Everything is done right there in the suite and then you just get on the ambulance and you go. So again, if you don't if you have those symptoms, please please don't try
to put one in the car because we just had a bad outcome at one of our locations. So the son was taking the father someplace and had the episode and he didn't make it. So yeah. So that's what 911's for, guys. Call 911. You know, if you have those type of
symptoms, right? Yep. He's here. talking. There you go. All right. So, those are the cases, right? In comparison to urgent care. So, this is our our registration area. When you walk in, we're going to be greeted by our personal over there and get you to our we have a pineapp registration
that you just if you have if you've been to the Baptist before, you scan and No, I don't think so. So, guys, anyone who's going to use our services, go to your app store and put Pine app in there. If you want to download it for about this, you can literally in your
car as you're driving, register, register. Yeah. You walk in, you scan a QR code, I'm here, your wristband prints out, I put it on, we take you back to your room. So, it helps us. I've been using urgent care forever. I go to urgent care. There's 20 people deep. I sit down. What are you doing? How about register? And they put the wristband.
Oh, I didn't know you could do that. We love it. Plus, when you go home, guess what's on your in your pineapp? All your medical records. Yep. I got my CT result before the doctor came back in the room. I'm like, "Jose, dude, what's took you so long? That merge off right here. Why am I not discharged yet?" So, your lab, everything hits it right away. And if you ever want them, your discharge
instructions will go there, too. Your doctor's notes will go there, too. So, if you go see your primary care, you can show them everything. So, please, please, please download the pineapp. Yeah. It will it will help facilitate. All right. This this is a picture of our treatment room. Okay. And registration
guide, we got rid of everyone that went in clinic. Yeah. Registration is done totally virtual. You walk in, any staff member can quick register under two minutes and then once the doctor sees you, we push a little button, person comes up on and we are this is the business. That's your
insurance. But if you don't have it, we're going to treat you no matter what. But after and if you're uninsured, we're going to refer you to There you go. Right. Right. Right. Right. Okay. All right. So, this is a trauma room. Okay. Uh, Mike had mentioned we we have a
automated CPR machine. We we have we have a state-of-the-art of state-of-the-art uh equipments that really can can help out and save lives. This is our X-ray. And besides this X-ray that is in the at the site, we also have a portable X-ray in the in the event that the patient's in a lot of
pain, then we're able to do an X-ray at the bedside. This is our CAT scan machine that can do your CAT scan for less than 10 seconds. City brain. These are our ultrasound suite. We do vascular studies upper, lower and also bloodots. Blood clots.
No arterial. There you go. And this is our clinical lab on site. How did you get the picture of the of the the massive one? No, no, I didn't. Yeah. Yeah. But we've learned so much from from the previous sites that we we have a lot of redundancy. So when one machine goes down, we have an extra one and to
make sure that we there's opportunity of of care always. So I think this is the last slide. I'm we're just grateful to be here to present to you. Um I mean we next one be thank you. There you go. So thank you guys for you know for for having us here. You have any question
we're we're here to whatsoever. We are not a Baker app receipt facility. But if you come into our facility we will do a medical screening exam on that patient. Um and then if the patient is not medically cleared then they get admitted to the hospital. If they are medicates
there, we work with a group we found who actually finds placement someplace throughout Day County and even in Brow County Brow County and get you placed. So we do this, we have a total process in place for mental health if they walk into our facilities and we want the patients to be safe and have the right
care. All right, thank you everyone. Any questions though? Are there any present any say on the east corridor you know around not as no we we haven't gone out we both tone is our furthest one and it's off on
441 and Glades road um really to your point no we try to build one over on river that pass for whatever reason uh but no as of right now no because we have salary hospital over there we have other facilities over there we try to build them at least 5 to seven miles.
The ones in lower day counties from the main hospital as well. But as you know, every my doctor's hospital is probably about 18 19 miles difference. So that's probably the longest drive that we have right now. So but no, to your point, nothing of course 99.95 as of yet. As of
yet. As of yet. Any other questions? Do you have people that walk in to be assessed for the faith? Yes. Every day you do. So down south we have a very again further down south we have the homeless population. I actually came out
one day sold a gentleman that looked homeless who was on a laptop trying to charge his laptop start having a whole conversation. He was in practice. So I got him to come inside. We got him the help that he needed. So I mean that's what we're here for. That's what we're here for. And that's for us. It's a one to one. It's a it's a high risk patient
for us. Very high risk. We have to stop what we're doing and care for that patient to make sure they're safe. So we have a whole process for that. Thank you for that. No. You're welcome. You're welcome. That's awesome. Any other questions? Oh, we're good. Please come and get a tour, please.
Thank you so much, guys. I appreciate it. I like that connection right there. You see how we can spread the resources. Um, next up, Miss Hopsy Kaba. Thank you so much for being here. She's going to talk to us about all the wonderful things you're doing with the CIT
Coalition. Let you Thank you. Thank you so much. Good afternoon. Good evening. Uh, I'm Hopsy Cababa. I'm a licensed marriage and family therapist. I work for the 11th judicial pause criminal
mental health project pause CIT program. I oversee our crisis intervention team program uh for Miami Dade County. Do you have Oh, she's working on it, I think. Yes. Thank you. Thank you. Thank you.
So, how many of you not my officers or or my mental health people, how many of you are familiar have heard of CIT? Okay, just a few of you, right? And that's why that's why we're here. Uh so,
crisis intervention team, let me tell you what that's about. Uh not only uh I also want to mention that uh along with uh directing our CIT program for Miami date county for the last 22 years, I've
been in the field for 30 uh 31 years. Uh I also am the clinical director for a for our multi- agency first responder peer support team. Uh does anyone know what that is? Not again not my people.
Yes. Yes. Yes. Right. So what is that? Yes. Just someone to talk to, right? Just have that support. Uh they're human and we forget that. We often forget that they too we we dehumanize law enforcement. And so part of CIT's
purpose and mission is also to uh ensure that uh law enforcement is well integrated into the community because they do a wonderful job of it on their own but uh we are part of that support and making sure that we're bringing
people together uh the whole community uh to better understand the role of most specifically a CIT officer or specifically now CIT deputies, right, with Miami Dade sheriffs. Uh, it's it's,
you know, let me just highlight a a few words here. CIT is a first responder model. Okay? It's policebased crisis intervention in the community, right? Uh also I want to
point out here that it's about the community. It's about behavioral health. It's about advocacy partnerships. It's not just about because CIT is very well known for its training which I'm going to mention to you, but it's really about
the partnerships. It's the collaboration. It's you and myself and law enforcement and mental health and people with what we refer to as lived experiences, right, of of uh behavioral health coming together and with the goal
of improving our crisis response system, right? Because truly crisis help, right, should not come in a police car, right? But when society can't manage something,
law enforcement will be there to make sure that we are all safe and taken care of. But we never supported law enforcement uh to to to do that, right? We we the system has been broken, mental health system has been broken uh for so
many years and now yes we see many improvements but initially when society when the government failed to really meet the needs of all of us right law enforcement had to step in and we didn't support them we didn't give them the
tools we didn't give them the education we didn't give them the resources but we and I speak in general as we society were very quick to point fingers at law enforcement and say, "No, no, we can't do it, but you're not you're not doing it." Right. Right. Pointing fingers and
and so I started I said I'm a licensed marriage and family therapist and really when I first started working with law enforcement, my I thought my mission was just to advocate for people with mental illnesses. Uh and I absolutely do that.
But as soon as I started working with law enforcement, I realized that uh I too needed to advocate for for law enforcement and and bring people together. Uh and that's what CIT is all about. We want to improve the crisis
system. We work towards identifying uh the gaps and the barriers and then troubleshooting and then streamlining that system. And that takes a community, right? That takes um uh every leadership
of of every community and and every entity as well. CIT is all about safer responses to the community. We want to ensure of course you know the experts are law enforcement when it comes to
safety and we want to support them in that. We also the word here least intrusive that when a community member uh has a crisis. Wouldn't it be wouldn't it be ideal if we could send the
appropriate response? What if it's a homeless elderly person who is not displaying uh you know any threat any risk? There's probably there's even a let's say a
medical uh condition there, possibly an emergency. He may be out of touch from reality. He can really, you know, uh uh you know, even lift his arm, right, to strike anyone if if if that's what, you
know, he intended to do. Um, you know, we think about the importance of sending the most appropriate uh response there and and that may be the homeless outreach. That would definitely be fire rescue. Uh that could be a nurse. Um
that could be a clinician, right? But not always does law should law enforcement have to respond to every call, right? And so what an ideal world it would be if we could uh assess the risk, right? And to be able to send the
appropriate uh response to to you, to me, to our children, to our parents, right? Who do you want to respond? God forbid there's a medical emergency, like you know, signs of symptoms of a heart
attack. We want fire rescue there fast, right? Who do we want to respond if there's, you know, danger or threat or I don't feel safe? Law enforcement, right? It would be it would be ideal if we could send the the most appropriate
response and the least intrusive response for any one of us, you know, that could be in crisis. And that includes law enforcement, too, right? They they are human. CIT uh keeps people safer. Law enforcement has done an
exceptional job and you're going to see some numbers uh uh with uh with diversions to treatment instead of to jail because truly we've you know we've criminalized many people with mental
illnesses because at one point you know law enforcement wasn't aware of choices of resources of alternatives. again, they were out there doing it on their own. And thankfully, when CIT uh, you know, began, it brought
the community together to be able to assist law enforcement and take it off of their shoulders because, you know, they've been the lone responders for way too many too many years now. Oops. So
when you look at this here, I ideally it's so important to have community services and treatment and and support, you know, in the community. Now, we have many. You're going to have Maria Guardo talking to you today about the wonderful resources that we have in this
community. And when officers come to class, our 40-hour class for law enforcement, something that is so consistent on the feedback is that they say, "I didn't realize how many resources we had." Yeah. Because we weren't telling you about all these
resources. We weren't connecting you to, you know, all of these resources. And when and when we provided and shared and connected them to these all these resources, it gave them now alternatives. It wasn't anymore just an
arrest or a Baker act. Right now, officers uh not only had alternatives, but they had education and knowledge uh and a better understanding of crisis and and how to respond to it in the in the
most safest uh safest way. But here's the thing, the community doesn't know about all the resources that uh we have here in Miami date county. How many of you are familiar with 988? Okay, you see, so every hand should
be going up right now, right? 988 is that national crisis line, 247 suicide hotline, national. It was a 10-digit uh uh number. And who can remember a 10-digit number, especially now with
with with smartphones and then in a crisis? So two years ago uh the number changed to 988. Everyone should have that number uh available to them. We shouldn't wait till something gets so out of control that now we have to call
police and then they are placed in a in a situation uh you know that perhaps could have been avoided had the the community right and the leaders of a community uh provided the community with those resources. There
should be advertising everywhere. It should be on billboards. Do we even have billboards anymore? Social media. It should be in government centers um by bus, you know, uh what do we call them? Bus stands, depots, whatever we refer to
them as. I may be dating myself. Uh in bathroom stalls, in parking lots. And I've seen I've I've seen more and more numbers like 988, right? 988 is the um the emergency number, the 911 of mental
health, right? And if people became more aware of it earlier on, perhaps it wouldn't become an emergency where they have to call 911. So what is Miami Lakes doing, right, to educate this beautiful comm community, which I felt when I
drove into to to to Miami Lakes, I I like took deep breaths like dees it deescalated me to be here. Just everything is calmer. It's friendly. It's a beautiful environment. How are you uh you know protecting your community even more so by educating them
and providing them these resources so it doesn't become an emergency. And we want to ensure that people are aware of our crisis stabilization hospitals uh facilities as well. We have mobile crisis uh mobile response team here tonight as well.
Luciana will be speaking. Uh, and we're very fortunate that in Florida we have mobile response teams, you know, throughout the state. So, does your community know about mobile response team? And then thankfully, we now have CIT trained officers for the last 24
years. We have over 9,500 officers from MDSO and all law enforcement municipalities that have gone through the 40hour training of CIT, which prepares them to better understand
what mental health looks like, how to identify the signs and symptoms, how to deescalate, how to uh really do a more thorough assessment and have alternatives, right? to divert to treatment when appropriate, right? When
uh appropriate. And then you see here now that we have co-responder models, which we have our beautiful crisis response uh unit here today, which they're going to speak as well. So, we are so fortunate to have so many
resources in our community that one of our sergeants was telling me that we had uh Oregon visitors, law enforcement, and they were so impressed by what uh Miami Dade Sheriff's Office is doing. We are doing so much and you know, they really
deserve that that recognition. Here in in Miami Date County, we have a CIT program. We have over 3,500 CIT programs in the United States and then we have more in other countries. Just two years ago, um I was
very involved in the implementation of CIT in Spain. So CIT Spain now has CIT. We have two training sites. uh one is under the 11th judicial uh circuit and and we also have uh Miami date sheriff's
office who now has a CIT training school and uh and detective Terrell is here today as well as the CIT department coordinator. So he's you know you're going to meet everyone in a moment. I'm going to I'm going to speed it up here because I want them to you know have
enough time here. So, we have partnerships with all 36 law enforcement agencies, with uh the behavioral health, all of our providers, uh with all of our stakeholders like NAMI and so many other
wonderful uh associations and organizations. And uh as I mentioned, we offer a 40hour training that's designed specifically for law enforcement. Uh the only uh other professionals that may
attend a 40-hour training are instructors uh and of course, for example, our mobile response team. We want clinicians and those that are out there working with law enforcement, with CIT officers to come through the CIT uh
training uh as well. We also go over legal aspects. We spend 8 to 10 hours on deescalation and we also very importantly have uh a a a first responder wellness uh segment, right?
Because how can we ask uh deputies to take care of others mental health, right? If we're not helping them and showing them how to better take care of their own mental health. It starts with them. How are we taking care of our our deputies? That's a question that you
know I want you to think about. Uh and also now we have uh Miami Dade I put Miami but it's Miami Dade Fire Rescue who is now coming to CIT and you know when the county does something really truly the rest follow right when Miami date sheriff's office does something
then the other police municipalities you know eventually follow right and so uh I want to make sure that you are familiar and you'll have my information at the end that We also we
have CIT coordinators in every police department. So here in your district you have uh coordinators. You have Deputy Amador who is here today. Where are you? There you are. Yes. a very critical
important uh role uh because he is the face of of Miami uh Miami Lakes District and he represents CIT and he is there to really lead uh the the CIT initiatives
and to ensure that anyone in your community uh uh that needs anything any resources wants to learn more about CIT better understand how to also support and partner. You know, you have your own
CIT coordinator in Miami Lakes. And we also um we have a CIT collaboration meeting. How can you get involved? We have a quarterly ACIT collaboration meeting where we average a 100 people in
our meeting. So we have um we have uh all of law enforcement, all the coordinators, we have all of the providers, the hospitals, Baptist uh uh joins us as well. You don't have to have a Baker Act receiving facility. You are part of the community. You just said
that you have people walking in that need assessment, right? So we are all on the same path. We just need to know who we are so we can walk together, right? towards the same goals and the same mission. So it's very important that you
become familiar with with the partnership. So you can network. We do so much networking and we know so many people because of this one meeting that we have quarterly where as I mentioned like a hundred people show up. These are
just uh some of the trainings that are offered by CIT for officers. They not only need the 40 hours but they need refreshers. We want to make sure that your deputies are well trained and have, you know, the cuttingedge information
and initiatives and the best approaches and models, right? Very important to do that. And so here's where the numbers come and then uh I'll be I'll be done and I'm going to uh pass it on to uh Jose and to um Detective Terrell. Let me
be let me be formal. and the wonderful lieutenant uh of the crisis response unit. Miami PD has a crisis response team. So it's similar to to this but different but I always have to think is
it CRU or CIT. So I mean no you see there's too many acronyms here but yes they are CRU. So look at these numbers here for a moment. On average, CIT officers, deputies, respond to 20,000 mental health crisis calls each year
here in Miami Date County by Miami Date Sheriff's Office and the city of Miami. We're only talking about two agencies because they are our largest agencies. So, we've been we've asked them to uh track numbers. Data is very important
for uh really since 2004, but here we have it starting 2010. So, in 2024, a Miami date sheriff's office in the city of Miami responded to over 11,000 crisis calls, which resulted in nearly 9,000
individuals being transported to crisis facilities in one year, right? Uh over 1,500 were diverted, right? Where and that means they they could have been
charged, right? say with loitering with a nonviolent right crime, but they were also meeting Baker at criteria. And the statute states that law enforcement shall divert to treatment instead of to
jail with nonviolent misdemeanors. It's really important for them to know that, right? So there were that many diversions. They could have been arrested, but the CIT deputy, trained deputy, right, realized, recognize, assess through through his or her
training that this person needs psychiatric stabilization. There could be charges later, but most likely there won't be, but what they need right now is help. There were, look at this, out of
11,215 crisis calls, there were only 119 arrests, right? I mean, that's just very, very impressive. Since 2010, these agencies have responded to a total of 169
169,564 calls, which led to almost 115,000 diversions, 67.7% and only 635 arrests since 2010, which is only 4%, which averages
to less than 45 jail bookings. annually. That's just, you know, truly unheard of. And other states are so impressed, you know, law enforcement communities and mental health communities are so impressed, you know, with these
numbers. Um, so due in part, I'm just going to read it in case you can't, right? Due in in in large part to CIT, the average daily census in the county jail system has dropped from 7,200 to 4,400 inmates.
That's 39% of people with mental illnesses. And the county has clo we closed an entire jail at a cost savings of taxpayers of 12 million per year. across law enforcement in the county. It is estimated that CIT results
approximately uh 3,757 fewer jail bookings of people with serious mental illnesses, schizophrenia, bipolar, depression. And this last one here, with an average length of stay of uh nearly 30 days per booking at a cost
of $265 per bed, right, per day. This reduction in jail admissions results in 109,74 fewer inmate jail days. That's
300 years. And a annual cost avoidance of $29 million per year. That's what you know, state officials, county officials, you know, it ends with the right. It ends with the dollar. And and this is
proof of all the great work that law enforcement, mental health, working together, the community to to reduce uh uh decriminalization of people with mental illnesses. And so as I segue uh to uh
our wonderful law enforcement uh team here, I just want you to know that now throughout the nation for many years now actually, but we saw a big uh increase of co-responder models in the state of
Florida. It really spiked uh um after COVID and we saw so many communities in Florida just start you know um uh develop initiating crisis response units crisis response teams co-responder
models alternative responses nonline enforcement responses so a community should have options and choices I should be able to I just need an assessment. I I I feel fine, but I'm but I just, you
know, uh I have a mental illness and uh I've been struggling. I haven't found the right doctor and today I'm not feeling great, right? But I'm okay. I have I'm I'm I'm making decisions. My judgment isn't impaired. I know that I should I should get an assessment. And I
hear about mobile response team and they come and they assess me and they'll tell you all about what they do. But that's non law enforcement, right? Or wait a minute, you're telling me that I could call police and they have a unit where
these officers have, you know, all the training that is out there. They are superior in their knowledge of mental health. They are specialized in responding to to someone like me in crisis. Now, I feel a lot better about
dialing 911, right? and uh they'll explain everything about what they do. But what we're doing now in our community is providing choices for our community. Keeping our deputies safer, keeping our community safer, our crisis uh people in
crisis safer because that's all what that's what we want in the end, right? That's the same goal. We all have the same goal. We just we want to be safe and we want to be well taken care of. So, I couldn't be uh more proud of our community because today, of course, we
have Miami Dade Sheriff's Office and you you will be very impressed by them. But, you know, we also have other departments that are moving towards new initiatives uh with mental health and we're going to see this growing much more in the coming
years. Uh so um I want to thank you for giving me your attention, for giving me your your time and this is uh the QR code that can take you to our website, but you also have my contact information
there. Uh but I would like to invite the lieutenant to come on up. Yes. Thank you. You got it. I don't want to and specializ. We are being more
effective situation. My name is long time ago about years ago or so and that I am
very offic official kind of But right away, And like people that we made on the get out to the
hospital. So what this program does come out First off, we don't call firefighters and they work with us. They have the
doctors background in medication in all kinds of mental health. So what they do first with the family members concerned make sure that they're okay.
at the hospital. several times people going So if you were to compare out there. [Music] years that we've been
around. We have not had to hurt anybody. We have not No, nothing like that. that we do speaking with resources like I have here or scenarios what you're doing
right Um But we don't want to talk about It's really my guys they go out there now. something we started off north
We started south and now we've expanded southwest uniform. And one of the main things they'll come out today more There was a call individual for whatever reason.
different people at the patient most say hey got some facility work well that try to
make my possible So we'll have people call 911. A lot of time they know they're not correct. They actually see us and they'll come down. So it's definitely working.
Yeah. If you have something that's out of an immediate emergency, right? call, hey check up that you can call our office number, right? And they could take down the information. But if you call just regular 911
emergency call number the thing is also we're not we're not 247 which we have based on that is the busiest time you know it's kind of hard to say because people have different times but in the logistics like looking
at everything. So if you have something by all means so after six. So we do have to run details um c days until we work till 8
p.m. and we see the number that we can move around. However, there was an times for mental health and for some reason you have email
address. Um, one thing that we didn't bring up is there's a huge home county And so we also are the road whereas me issue
immediately late at night and I know security and feel home every night that obviously they're having [Music] problems and
know how to handle because you have patients that are there that they have security guards the other night so out of his mind that's the other problem that I've
over whether it's meal issue road is so many of them big effort to contain them because they don't feel pain, you know, it takes a lot to bring them
down and obviously we had overnight that that's a problem that's happening now and obviously going to continue to happen for a long
We have somebody covering nighttime every day. final. It seems like the numbers speak for themselves over
small issue resources that why program small I find the trend is not only here but around Florida and other cities that they're understaffed apartments have not enough office and not enough manpower to
do this and a lot of clinicians uh you know they they just get paid very poorly and they go for you know other jobs as well. part of the issue. But what I've also seen is that everyone starts out with a
pilot and you said obviously this we just had a transition over so things are you have to get used to it right some years so that's a problem too right now once we get back into it I kind of
see it going back we just have to popularated really the more they hear about us or hey why don't we get more we need to educate politicians I thought we were going to have commissioners We have a commissioner. I want to thank
you. Where's our commissioner? They're the ones that need to hear it. And you know, that's where so many times we get stuck that, you know, the decision makers are, you know, don't have all the information. But I know that Sheriff Rosie, that's one of
pillars of mental health. So, it's a priority for her. So, I think we're very and I I work for her and I'm going to tell you I feel very fortunate that Thank you so much for that. That was super informative. And just to uh touch base on that, we did invite the town
council to come to this event today and we did share that with everybody, you know, but unfortunately, I guess May is kind of a conflicting month and there's a lot going on. So, we did try to get them out here because it's so important for them to to hear this. Um, up next, Maria from Thriving Minds. Thank you so
much. And I'll let you introduce your program. Thank you. Thank you very much. Thank you for having me here uh to represent uh Thriving Mind. See if she has a I know she's going to put it up. So,
um there we go. I'm thriving. Um Maria Gohard. I'm the vice president of behavioral health at at Thriving Mind South Florida. We are the managing entity for Miami Data Monroe counties. Um we have been tasked with making sure there safe we are the safety net agency
for mental health and substance use treatment. What that means is the department of children and families uh gives us funding and we in turn contract with about right now with about 48 providers of mental health and substance use treatment. Um we partner with the
the CRU and um one of their clinicians that follows up works with them. We fund the mobile response team um who will speak next in Miami date county. So we are a funer of services um for anybody
who is uninsured or underinsured. So if an individual has no insurance, you're able to link them through either Thriving Mind to our providers or unin underinsured. So if a person does have insurance, but for example, substance
use treatment is usually not covered by insurance, you can connect to one of our providers that, you know, they may have insurance, but they're underinsured because they don't have um coverage. see if it'll click. Um, there's seven managing entities throughout our state
and that's important because sometimes you'll see individuals, patients, whoever that are moving throughout the state. You can connect them to another sister agency of ours and they h they're tasked with the same exact thing. They have funding for mental health and
substance use treatment. Um, we contract with community mental health centers like Banyan, their CRU, I mean CSU, um, Citrus Health Network, CHI down south, Jackson Community Mental Health Center. Um, all those community mental health
centers receive funding um, through thriving mind. We don't provide direct service, but we do provide care coordination in the sense that when you reach out to us, we connect you to the program, the facility, whatever is most appropriate
for that individual. We serve everybody in the community, youth, children, adolescents, adults, anybody in the community um that is in need of services. We have prevention services who are ma those are mainly done in um
school settings and coalitions. Um and it it targeted towards raising awareness and fostering collaboration and making sure that you know there's um the view on using
substances and supporting mental health is um prevalent for our students mainly for students. Um, a lot of our prevention work is geared towards students and we work closely with Miami Day County Public Schools um to prevent
use of substances and mental health. We fund crisis services. We uh work closely with um crisis stabilization units with the mobile response team and 988 through 988 is administered for our county through
Jewish community services. Um, and so, uh, we fund those services and collaborate with those agencies and try and spread the word as much as we can. So, I I was kind of taken back when you said, "I don't know 988." I said, "Oh my gosh, we need to really do a better job
of spreading the word that that's it's such a invaluable resource. I know Hopsy went into that." Um, but it's it it's really very very helpful. Um we also partner with child welfare agencies. So
any family who's had a DCF call um we connect that parent to treatment. So when the call comes in and a parent's using substance and that child is in danger, we are the the bridge between the family and treatment and making sure
that family receives treatment and those children are safe because of it. And treatment is usually for the parent and for the children, not just for the children. Uh we fund outpatient services throughout our network of providers.
Anything from case management, therapy, group therapy, family therapy, medication. Um we do medication assisted treatment. We do work with Miami date fire rescue. Um, so when they go on a call where there's been an overdose, um,
they have they work with hospitals, they have a hospital bridge program, um, and continue to follow the person for up to 90 days to make sure that they're receiving appropriate treatment. We do, um, fund residential services like I had
mentioned for both mental health and substance use. And we have different types of programs. We have um programs for um pregnant mothers or mothers with small children, a mommy and me program for substance use. So the mom can still parent and learn how to parent while
she's getting um treatment for herself. Um we fund different types of support services. We have a living room model um at New Horizon's Community Mental Health Center. The living room model is a person who feels like they're going to undergo some type of crisis instead of
going to a crisis. unit. They can go into the living room. They can sit there up to 23 hours, be deescalated, feel supported, um be connected to resources. Um so we opened that up about a year ago. Um and
it's diversion from crisis um admissions. We also connect to life coaches, mentors, and peers. We have a large network of peers of individuals with lived experience. A lot of our programs um have a peer embedded in
them. The living room model has a peer. Most of our programs have peers. We went from having a handful of peers to 84 right now that are embedded in different programs um in the hospital. So when somebody comes, for example, with MA
Miami Day Fire Rescue, a peer will follow that individual and and support them through their process of recovery. Um I love that we have that. It's one of the biggest assets that we have. It's that person who's been through what you've been through and will help
support you. It's not therapeutic, it's supportive. And um we all need support. And you know, our communities are so important because communities are that support. And within our system, peers are what create that support. We have recovery community organizations for
individuals with substance use um that need that support. So much like the living room model is uh geared towards mental health recovery, community organizations are a place you can go for the day and receive support and other
assistance. Um, dropin centers, um, is another place where an individual can go and, um, receive support. And it's, you know, I recently heard a presentation of one of our drop-in centers for New Hope Core down in South Dane and they said,
you know, something as simple as an individual coming to charge their phone, right? Just get them in through the door to charge their phone instead of staying out in the street and then you start to engage them. So all of these places um that we have in the community are really
building that support and preventing um individuals from going into a crisis stabilization unit. Um because like they the officers mention you take them into the crisis stabilization unit and then what happens they come out and then you take them again. When they go to these places they find the support that that
they really need and just keeps them stable. Um 211 is another resource as in NAMI the National Alliance for Mental Illness and they have so many support groups and they have parent education and they have parent peers and they have wonderful um things that they do within
our community. NAMI also has which is wonderful at FIU and at other colleges they have um young adults right that um have chapters of NAMI. And this is my contact information and our website. Our website has all of
this information. Please utilize our website. It's very up to-date. Um it has all the services, all the agencies. Anything that I spoke about and things that I may have missed. Um on the website, you can always reach out to us.
We have a link where you can leave a message and we respond the next um business day. There's numbers. We also have a hotline or a warm line that you can call and leave a message and a peer will call you back. Um, so I encourage
you to use our website and and utilize those resources. So now I guess I let me any questions before I I'm going to turn it over to our mobile response team. Yes, Hobsy.
[Laughter] call them and say, "Hey, you know, officer with the on situations." They're on it. So, they are my goto substance abuse, for mental
health resources. There's no They're there lovely, lovely, lovely people working there and I've been working with you, you know, since your inception. So, I really, really, really recommend that you need anything when it comes to children, adults, you know, it's the
it's the leading agency. So, thank you so much. Thank you, Hobsy. So, I'd like to introduce you to our wonderful mobile response team who's available in our community 24 hours a day, seven days a week, and they do a
magnificent job. Luciana, thank you. Well, hi. Hi everyone. I'm Luciana Beltran and I am the program director of the mobile response team and we have a new program manager which is Katherine Ortega. She's not here. She just joined us recently.
Um, is anyone familiar besides Hapsi's family? Anyone fi anyone familiar with MRT? Have you ever heard about it? No. Not okay. So, okay. No. Yes. Okay. So, the mobile response team, it's we are a
group of clinicians um 11 13 counting me, licensed clinicians, mental health counselors, social workers, different um social services, clinicians with a license going out to the community to do an assessment when someone is experiencing any sort of mental health
crisis, substance abuse, or both. Um we operate 247, right? and we cover Miami Day County, the entire county. Um there's MRTs in different parts of Florida and every every part of the country actually, but we serve Miami
date and we don't have a limit when it comes to age. So we can uh actually we go we are required to go to the schools Miami date public schools is required to call MRT for an assessment. even if they have a student who has the criteria and they have enough to do a baker act or
not, they call MRT for us to do the assessment. Um, which keep us a little bit busy during the school year. Um, but yeah, we do have a high volume of of calls for minors. Um, we serve all days like I said and we have right now three
offices. We're supposed to have four but we have three. Um, one is in the north actually close to Jackson North. one is in the central area close to the airport Blue Lagoon and the south office is close to the zoo and the reason for for the locations is the response time right
uh we just well we don't drive we have a BHT who's going to drive the clinician depending on where the call is where the the crisis is happening and it's a BHT in a regular vehicle so we don't have like the fancy lights or anything like that so we have to make it within 60 minutes ideally so far we've been able
to do it right now it's not 45 minutes hour. It's a little bit higher 51 minutes, but so far we've been able to meet our uh the requirement of the 60 minutes. So, this is a little bit of the stuffing, right? How how does it look like? Um someone calling the line. I'm
going to give the number at the end. Uh you're going to have a dispatcher, which is a master's level clinician. So, they're going to do a screening. They're going to ask uh the basics, right? the name of the person. And just so you guys know, only 7% of the calls that we have are
self-refering that the calls are coming from employers, parents, neighbors, anyone can place a call. So, and this is a voluntary service which makes it a little bit tricky because the person most of the time doesn't know we're going or doesn't agree with the assessment, right? But we still have to
try uh to assess. So, the uh the the dispatcher is going to do a screening. Actually, one of the my dispatchers is here, Leslie. I have six dispatchers working 24/7. Um, and they ask a lot of things. A little bit annoying sometimes, but they have to, right? Are there weapons
in the home? Are there pets? Um, how many? Um, and things like that because we don't know what we're going to find and we don't have any sort of like safety if we want to call it like that other than our clinical skills and I guess like trusting that everything is going to be fine, right? And also the
training that um we have joined u with HAPSY the CAT training all the clinicians have been have participated um but we don't respond with law enforcement. It's just a clinician and a BHD unless we find a need because we can hear the person you know over the phone
yelling destroying the home or whatever is going on. So we might have to go with law enforcement. Um and the BHTs are basically assisting. I want to say that they do more than definitely more than driving. They do driving, which is fantastic. I wish I had one for my
personal life. Um, but that's not only what they do, right? They also uh help calling the ambulance. They they talk with a with a school if there's like a bunch of people talking, the referral source. They do a lot of things and they sometimes they connect with the client in a way that we don't the clinician,
right? So, behavioral health technician. You don't know. I know. I know. I know. I know. I know. Okay. Behavioral health technician. feel free to ask. Um, and the certified peer specialist. So, this is what happened, right? The goal of MRT
is not to bake act just to like my dear friends from Cir were saying. The goal of MRT is to decrease the amount of hospitalizations in Miami date. Why? Because there's less beds right in Miami every year. Another facility closes. And also because nobody want to be bakered,
I think. I don't know. Just my thinking. Um, so with that said, the goal of MRT is to deescalate. In an ideal world, you don't go to the hospital. I just want to give like a little bit of like numbers. I'm not a number person, but I'm going to say it. We have an average of 310
calls a month. Um, and our rate of Baker Act is 25%. Um, so we assess uh if we are going to Baker Act, I'm going to talk about transportation in a second, but we either baker Act or not, we have the
peers that are doing the followup after. And to me, the peers I'm going to say it sorry clinician Louis but they do the best part. They do this Louis is one of my clinicians but they do such an amazing job and I always tell them when it's happening in the moment because you have like a parent that is upset you
corrected my 12-year-old he's not going to kill anyone even he has like a PowerPoint of all the people he's going to kill in the school but you know he's good why did you No, you will be surprised. No, you will be surprised. Um and they're super upset and then you have this peer. Hey, my name is you know
Juan. I'm just calling to see how are you feeling today? how's your son and they're super upset, but then the peers keep calling, keep calling, keep calling to the person is like, okay, maybe you guys are not that terrible. So, and not only that, right, they also have to to link the family to um provide resources
because we all know that in an ideal world, you're going to discharge from the hospital with an appointment and you're going to go to your appointment and you're going to be fine and you're going to be in crisis again. We know it's not that ideal. So the peers make sure to get the appointment, treatment, whatever it's needed and they follow up
and they can technically they're supposed to follow up 24 hours, 48 and 72. Uh but they keep cases open up to a month sometimes just to ensure that the person is connected to some sort of resource and that they go to their appointment and if they need transportation or whatever they need.
They do an amazing job and driving mind help. I mean you guys have an amazing relationship right now with them. Well, they do have a relationship with you guys which is really nice. They don't even talk to me about it. They just do it and I'm like, "Yeah." So, how was it? Okay. So, well, Hapsy
and and Maria already touched this topic. So, and this is something that I we also like to mention. U some of the peer specialists like to join the calls, which I think it's fantastic. So, when the BHT is going out with the clinician and and the peer joins, they as well connect in a way that we don't, right?
Many times clinications we are full of like I don't know laws and regulations and things we can say or we can move like this or that. So but the peers can right they can they can be themselves fully. So and also they have the lift experience either they've been in a baker facility or um they have like they
are in recovery or both. So they connect with with them in a way that again we might not. I I think again is the strongest part of the team. Sorry clinician again. Um I have to say the peers have changed everything and this is just I mean a little bit of theory right well so
just so we don't assess only are you suicidal homicidal no okay peace out by no we have to see what's going on right a crisis can be a lot of things a crisis can be someone who's just suddenly your behavior has changed right I mean you were I don't know like doing exercise
you were going out with your friends and there's a a change in the behavior the family notices is and they can place a call and we just we're just going to go have a conversation, see what's going on. Um can well depression, anxiety, hallucination, psychosis, you name it, right? But what everyone can identify as
mental health crisis, but it's not only I want to die or I want to kill someone. It's way more than that. It's way more complex. Uh that's the phone number which is a long number right. I wish we had a 98 but one we don't. So 1800 help you.
There's signs like everywhere but they really don't represent it in my opinion because there's a lady very sad and says life demands. Just saying. So but that's the number. It's true though. Um yeah it's a it says life demands and people call for I don't know food stamps. So, that doesn't really apply to us. We do
mental health assessments and that's a phone number. Law enforcement has their own number, but I don't have it here. Uh, this is for the community. And what we need is again basic basic information. Even if you have someone that you know or the friend of your friend or anyone that might need help, we need if you don't have the name,
that's okay, too. But any information and a location. Ideally, we know their name, the date of birth, uh psychiatric history, what's going on, the reason of the call. Is the person aggressive, the pets, the weapons, right? Um, and that's and then we will advise that there's a
60-minute response. In case a person is an emergency or they already like try to hurt themselves or they have like a weapon or it's an emergency, we'll call police to to go first and then we'll also join them at the location. Oh, yeah. We've been to
Walgreens. Hi, Maria. It's getting it's getting fun. Okay, so transportation. So, in the past, I've been doing this for eight years and we didn't have transportation. I mean, we had, right? But it was law enforcement, which we love law enforcement, and he knows that
I love to work with law enforcement. Um, however, for a human being to go to a hospital, it's nicer to go in an ambulance, I think, right? We can agree. So, we have MCT Express and 80% of the baker acts that we do are transported via MCT Express. I don't know how. Luis,
maybe you can tell me how because to me that's magic. Like to have someone who is absolutely like, "No, I'm fine. I'm not going to go. I'm not going to go. I'm not going to go." I don't know what they do out there, but they end up putting the person in the ambulance. It's true. I have to say it. That's on them. Um, so the And also we have uh we
can choose the facility where they want to go. So we're in Homestead they have their provider in Monsani we'll send you there. If it's a minor they want to go to Nicholas wherever they want to go they can go to the provider or the facility of choice which again I think like our friends from CRU mentioned the
same. I think it's essential and very important for for the person and especially for minors. All our baker acts for children are transported via MCT express. We had only two last month that we require law enforcement. Um yeah, we call enforcement if the
person is aggressive or there's any any risk that they can get aggressive and hurt someone or run away. Uh this is just honestly a map. So I didn't do this. This is just some zip codes that we serve but we serve old county and
this is also from last year but we are everywhere. I want to say that we get very busy in the south like Homestead and Louis can testify for this. We had 19 calls on Tuesday in the in the area. So, Homestead for the city keep us very busy. Um, and then the central area too,
Miami Gardens is another another spot for us. Um, but it's kind of unpredictable. I want to say that Wednesday, someone mentioned that day Wednesday as a day that it tends to be busy. It's busy for us to I don't know why it's we've been busy. I don't know what's in the I don't know what's in the air on Wednesdays. Maybe we can plan
something, but we also No. Just saying. You said Wednesday. I look at them Wednesday, right? Yes. So anyways, I wonder what it is, right? It has to be something. Uh, wait, hold on. No, let me put my information and then we'll go to the questions. Did you see I didn't do this. So that's my information and
that's information. Katherine is the the new the new manager. That's my email, my phone number. Feel free to call for mostly for feedback and for questions, right? I always say this in the trainings like many times the experience is not perhaps what you expect to be. People want what they want. People call
you have to take my brother to the host. have to do it and right and so on. So feedback good or bad um questions you know is I don't know if this is appropriate or not. I don't know if you guys can help me with this. I think everyone knows here in this room that
I'm available for the most part all the time. U and that's a law enforcement number by the way. So now we can go back to the Anyone has any questions? I feel I talk like very fast. Okay now now we finish. Any
questions? Anyone? No. Yes. [Music] Law enforcement and they say check. I'm not really sure it meets the severity of law. I'll call you first and then you make that decision based on the interview or what you where do you fit
in with one person? Are you you operate by yourselves and then we do. Uh so what happened what tends to happen is like if we like if we have someone who's aggressive or there's like you know there's a history of the person can get violent we're going to reach out to 911
and as al and also we get calls from officers for a second opinion. They go they assess they don't have the criteria and we go and assess. So that's how we work together. It's like a partnership that we have. So for example have somebody that's talking to
themselves. We get a lot of those for a family member and you have somebody that's acting off and they say, "Geez, I don't know if this somebody should be calling to the hospital or mental health. I don't know the resources." Now, you know, calling
I'm really worried about this person. What should I do to them? Yeah, that's that's what Yeah. Right. And it's 247. It's a free service. uh even the ambulance. Uh so and I say this because a lot of people are scared of calling like what how much is this going to be right? Are you going
to send me the bill? No. So far nothing is is being charged. No, it's not going to be u it's a free service for the community and like I said like it can be used by anyone. You would be surprised the call that we get like every time we leave a presentation like you have someone like reaching after hey I was in this presentation I have this family
member. We actually respond to a lot of um employ you know employees from different places and we just I mean they place a call and we go to their home a lot of people are working remote these days so and they said right since co they that's that's how it that's that's what happened and it never changed so
we've seen a lot of those uh we go to we go everywhere universities um well the schools I can even mention we go to church deliver not parks mm Mm-m. So what happens with 98 is that if they transfer calls to us often um
when they cannot deescalate over the phone and they need an assessment in person because we go in person. They they take the call over the phone. They try to deescalate over the phone but sometimes they we need to you know go out and respond and assess and baker act or not but they need a human being
present and they will transfer. Yes. Thank you. So we have a couple chair people that are here in their question. I'm sorry. Oh, you know each other. Fine.
having family mental issues and most of us not being doctors or whatever. We have to decide is this person a danger to himself or others or
whatever. And to some degree while we're detaining them, they're getting more and more at. So what starts out as a simple call, not one, you need help, whatever, it can escalate just because
you continue that. So by calling that 988 number, I would imagine that would shorten the process a bit. know everything. Um, so just to make it clear, right, 988 it's uh you can have a
conversation over the phone with someone, but nobody's going to respond. Let me put the What the heck? My That's our number. That's the number you guys need to uh for to have a clinician go into the home and do or whatever the
person is to do an assessment is 1-8004357968 if you guys want to take a picture. I don't have flyers here. Um but that's the number to have someone in person showing up. 98 is to have someone over the phone trying to deescalate. Yeah. And that's correct.
Yes. And we respond within 60 minutes. So some people call can you come tomorrow? We we try we don't schedule uh crisis calls because a lot of things can happen right is that national number 247 someone could be talking to someone to anyone
including a counselor that can uh provide resources deescalate the person but it's national our local number is this one for mobile response team. It's non law enforcement
clear that 911 call It even happened like um Leslie is one of our dispatchers uh for MRT and when you get the call like the person is one person when the clinician gets there different human being after the call when the peers are following up they don't even know who you are so it
changes so much right it's so interesting we go over the calls all the time just to see the quality of the call and so many things right and also for educational purpose And it's amazing. I think everyone should go over those calls. The clinicians, the peers, the VHTs, my boss, everyone. It it is a good
experience there. The peer specialist. The peer specialist they the difference with a clinician well they don't have a degree. Uh meaning they have a lift experience, right? meaning they are in recovery or they have a
mental health diagnosis and they are in treatment. So they are in a place where they can serve other people if that makes sense. Um so they and again like Maria was saying most of the programs right in in the county has have peers which they they are very they are very
good at at connecting with the clients at least for crisis right so because they've been there they know the experience so as far as MRT what they do is if they are present in the during the assessment they can intervene they can share the clinician is leading the assessment but they are more than
welcome to jump in as well as a PhD but their main role when it comes to the programmed the MRTS to follow up after with the family with the client with a receiving facility if they have to go to a meeting to meet them you know the ana meeting okay I'll meet you there at 7 um
you don't have car I'll take you to you don't have a computer I'll take my my whatever iPad to do a tellah health appointment those type of things get their appointment u make sure that they went to the to the appointment that they had so again it's kind of like to prevent that this person falls back in
crisis it's not always successful but at least they I think they do an amazing Mhm. Right. Mhm. Thank you. And that's a wrap. Thank you guys so much for coming. I just want to emphasize that we are a fairly new task
force. the town of Miami Lakes just start we just started this in 2020. Took us a while to get up. It's kind of the inception of our little program here and raising awareness for mental health. And as much as I wanted to have all the council here and the mayor, we have a
new mayor now. Um I hope that this is a little seed that will eventually grow into something much larger. And I really appreciate your time and being here. Honestly, a thousand. You have no idea. I'm going to get emotional here just because Go ahead.
Oh, no. It's okay. I appreciate that. specific but I didn't know and so many providers don't know that. Yeah. So many people don't know it. Go ahead Frank. you
know there it's funny because my son committed suicide and then soon after 988 came into I wanted to point out somebody most people don't know anything
about 988 didn't know that radio station and problem. Problem without I thank you guys. I'm going to cry because it's just like to hear
that ones that are advocating it, right? You know, I know Lizzy does everything she can to put things together. I guess we just have to keep fighting good fight because uh the suicide
numbers are not increasing. you know, everybody thought and you know, all that it had to stop and most people have listened like to hear about things like that. But it's happening more now than
ever and we need all the resources that we have now, but we just need to get out there and get more people involved. Don't talk about it. something you whisper amongst yourselves
and bring this out of ahead. Thank you. Um Lindsay said, "Everyone knows the chair task force. Um we had a fall." Yeah. And it
was really we had our first one last year and it was very well. We make it fun for the kids. big fun show and a lot of folks don't know about your program. So on behalf of Lindsay, I'm
giving you invitation set up at no cost at no cost. At no cost so that way you get your information out. It's a lot of fun. We have pumpkin pads. We give away free
pumpkins. We have face paintings. I did face paintings. and the kids have a good time. So, uh we'll get you more information because the way you get the outreach out is to make it fun and then that way.
Thank you guys so much. Appreciate that. All right. Thank you so much. Enjoy your Thursday. Enjoy your weekend.