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
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- 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
- Operations
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