►
Description
Mike Hatch, Director of Crisis Services at the Mental Health Association of the Southern Tier (MHAST) and Sgt. Alex Legos-Williams, the City’s lead on Crisis Intervention Team training outline law enforcement programs that improve interactions between police and individuals experiencing mental health crises.
A
We
are
rolling
all
right
thanks
for
everyone
for
for
joining
us
today.
Today
we
have
mike
hatch
director
of
crisis
services
for
the
mental
health
association
of
the
southern
tier,
as
well
as
sergeant
alex
legos
williams,
who's,
the
cit
coordinator
for
the
city
of
binghamton-
and
this
is
kind
of
a
precursor
here
in
in
2020.
A
A
I
know
that
they'll
go
over
this
a
little
bit
more
in
detail
about
what
the
one
mind
campaign
is
and
the
existing
crisis
intervention
team
training
that
happens
in
the
city
of
binghamton,
but,
for
example,
100
of
sworn
officers
are
trained
and
certified
in
mental
health.
First
aid
and
more
than
20
percent
of
officers
are
trained
and
certified
in
crisis
intervention.
Team
training
mike
and
alex
work
together
to
improve
and
train
binghamton
police
officers,
and
with
that
I
will
give
them
the
floor.
B
Thanks
jared,
so,
as
the
deputy
mayor
said,
my
name
is
mike
hatch:
we're
wearing
our
masks
because
we're
not
able
to
social
distance
right
now,
but
I'm
the
director
of
crisis
services
for
the
mental
health
association
of
the
southern
tier,
where
I
oversee
the
crisis,
intervention,
team
coordination
and
training
for
broome
county.
C
B
And
I'll
also
add
that
I
am
a
retired
police,
lieutenant
from
the
johnson
city
police
department.
I
had
23
years
of
law
enforcement
experience
and
I
retired
in
2016
from
jc
to
take
the
position
that
I'm
in
now
so
so
we're
going
to
kind
of
go
over
some
of
the
things
that
we've
already
accomplished,
and
maybe
some
of
the
things
that
you
know
our
futuristic
ideas
that
we
have
to
maybe
enhance
crisis
response.
B
The
deputy
mayor
had
mentioned
that
a
lot
of
the
questions
that
that
the
committee
has
you
know
received
have
to
do
with
mental
health
response
and
mental
health
training,
and
things
like
that.
So
they
felt
that
it
was
important
to
you
know
kind
of
showcase,
some
of
the
things
that
they've
already
done
in
the
city
of
binghamton-
and
I
can
tell
you
from
you
know,
experiences
in
the
community,
the
city
of
binghamton
police
department.
B
B
B
The
second
goal
of
that
is
to
provide
the
police
and
the
first
responders
with
the
knowledge
and
the
tools
and
resources
to
assist
when
they
do
have
to
go
on
those
situations
and
help
try
to
de-escalate
it.
Divert
those
individuals
from
the
criminal
justice
field
is,
is
the
priority
we're
going
to
focus
primarily
on
transforming
the
crisis
response
system
and
showcase
some
of
the
trainings
and
things
that
we've
already
done.
B
This
process
started
way
back
in
2015,
with,
what's
called
sequential,
intercept,
mapping
where
we
had
consultants
come
in
and
they
kind
of
went
through
the
process
of
crisis
response
with
us
and
what
resources
we
have
and
what,
where
we
can
improve
on
some
of
those
resources.
B
Typically,
for
law
enforcement,
we
look
at
intercept,
zero
and
intercept
one,
that's
kind
of
where
everything
starts.
The
crisis
of
the
incident
happens.
The
crisis
lines
are
involved
at
intercept
zero
and
you
can
see
9-1-1
in
law
enforcement.
Kind
of
overlap
between
those
two
intercepts
and,
and
the
reason
is,
is
because
they
can
they
can
come
in
in
an
early
phase.
You
know
during
those
those
crisis,
one
of
the
focuses
or
the
biggest
focus
is
in
broome
county
was
that
we
looked
at.
B
B
And
then
is
there
an
opportunity
for
local
law
enforcement
to
divert
from
arrest
and
even
divert
from
hospitalization
and
revert
back
to
that
crisis?
Response
team
and
we've
been
very
successful
with
that,
particularly
in
the
city
of
binghamton,
the
current
state
of
the
mobile
crisis
team.
We
have
the
director
of
crisis
services.
Who's
is
my
position
that
oversees
these
programs
right
now
we
have
one
licensed
clinical
social
worker
and
we
do
have
a
vacant
position
for
a
second
one
to
put
on
a
second
shift.
B
We
also
utilize
certified
new
york
state
certified
peers,
as
case
managers
to
assist
those
those
clinicians,
and
we
have
a
vacant
position
open.
So
we're
looking
to
expand
the
program
which
is
already
funded,
that's
funded
through
pass-through
money
from
the
state
office
of
mental
health
to
broome,
county
mental
health,
and
they
provide
the
funding
to
the
mental
health
association
to
provide
these
services
for
the
community.
B
And
we,
you
know
we,
we
deliver
this
service
through
partnerships
with
broome
county
emergency
services
and
our
local
law
enforcement
are
our
key
partners
in
this,
and
that
service
provides
an
on-demand
service
to
try
to
de-escalate
situations
and
avoid
hospitalizations
and
diversions
from
jail
and
assist
the
police
officers
in
any
way
they
can.
B
B
You
know,
taken
in
a
police
car
to
the
hospital
which
can
be
very
traumatic
for
an
individual
to
have
to
interact
with
law
enforcement
in
that
way.
So
if
we
can
avoid
that,
we
make
every
effort
to
do
that
and,
as
you
can
see
by
our
numbers
in
in
2020,
we
were
very
successful
in
doing
that.
The
the
mobile
crisis,
which
at
the
time
was
a
mighty
team
of
the
one
person
you
see
on
here,
sandra
westgate,
responded
to
more
than
250
initial
crisis
calls
and
and
our
peer
response
did
170
follow-ups.
B
The
statistic
of
more
than
75
percent
of
those
250
calls
were
stabilized
in
the
field,
meaning
they
did
not
have
to
go
to
the
hospital
and
the
police
officers
could
stand
by
make
sure
that
sandra
and
our
peer
support
person
were
all
set,
and
then
they
could
clear
the
scene
and
then
the
call
was
passed
off
to
mobile
crisis.
It
was
it's
been
a
very
successful
model
and
we're
looking
to
expand
on
that
model
as
much
as
we
can.
B
B
All
of
this
all
these
collaborative
efforts
that
we're
talking
about
today
and
what
these
police
departments
do
is
they
actually
provide
binghamton
police
records
actually
keeps
a
separate
file
of
all
the
mental
health
complaints
that
come
into
the
city,
and
we
pick
those
reports
up
typically
two
or
three
times
a
week,
and
we
go
through
those
police
reports
and
the
mobile
crisis
team
are
assigned
to
follow
up
on
individuals
that,
after
reading
the
report
is
either
requested
by
the
police
officer
to
go
and
check
that
person
and
follow
up
and
provide
services
or
we'll
read
through
the
reports
and
say
geez.
B
B
We
collaborate
with
with
people
like
sergeant,
legos
williams
prior
to
him,
his
predecessor,
sergeant
tony
dials,
and
and
we
we
collaborate
to
provide
and
develop
trainings
for
our
police
partners
in
what
they
could
could
benefit
from
from
mental
health
training.
So
these
are.
These
are
just
some
of
the
examples
of
organizations
that
we've
trained
for
in
our
law
enforcement
community.
B
We
do
the
in-service
trainings
for
the
broome
county,
sheriff's
office,
the
binghamton
or
the
broome
county
police
academy,
the
police
supervisor
school.
We
do
that
for
corrections
and
road
patrol
and
for
the
binghamton
police
department.
B
As
jared
mentioned,
the
international
associations
of
chiefs
police
one
mind
campaign
is
where
police
agencies
take
a
pledge
to
train
at
least
20
percent
of
their
entire
sworn
police
police
members
in
the
40-hour,
cit
training
class
and
additionally,
they
agree
to
train
the
other
80
in
mental
health.
First
aid,
which
is
an
eight-hour
training
class,
and
I
can
say
that
you
know
the
city
of
binghamton
police
department
has
done
a
phenomenal
job
with
implement,
implementing
that
and
completing
that
in
about
a
nine
month.
B
Turnaround,
I
think,
is
the
time
that
we
actually
completed
that
entire
program
and
sergeant
the
sergeant,
and
I
actually
looked
at
the
numbers
right
before
this
and
I
think
we're
right
just
under
40
percent,
so
40
percent
of
the
entire
sworn
binghamton
police
department
has
been
trained
in
the
cit
40
hour
training
class,
which
is
a
phenomenal
number
for
for
the
city
of
binghamton
to
have
that
many
officers
trained
in
the
cit
training,
so
so
kudos
to
them
for
for
doing
that
so
and
additionally,
the
the
mental
health
first
aid
class,
all
of
the
other
officers
received
that
training,
which
was
delivered
by
a
core
group
of
instructors
right
here
in
our
in
our
community.
B
B
And
then
we
do
training
for
emergency
services.
9-1-1
dispatchers.
We
have
a
9-1-1
diversion
program
right
here
in
broome
county.
It's
the
first
of
its
kind
in
the
entire
state
of
new
york
and
it
is
being
replicated
across
the
country
and
is
even
listed
as
a
best
practices
model
in
the
cit
international
guide
for
cit
implementation.
B
Let's
see
provide
40
cit
training,
please
so
yeah,
so
the
the
cit
training
that
we've
done,
we've
done
it
for
police
corrections
and
we've
had
911
dispatchers,
actually
sit
through
that
entire
40-hour
training
course
as
well
and
mind
you.
This
is
over.
B
You
know
this
is
since
2016
we've
actually
been
doing
all
these
trainings
and
things,
and
we
continue
to
do
them
on
an
annual
basis
or
when
requested
so
that's
kind
of
like
where
we're
at
today
and
what
you
know
our
our
our
mindset
with
the
mental
health
association,
is
trying
to
enhance
the
crisis
response
system,
and
you
know
our
thoughts
of
doing
that
is,
is
working
off
our
current
911
diversion
model
where
our
911
dispatchers
have
a
risk
assessment
tool
that
they've
been
trained
on
and
we
provided
them
and
if
the
person
fits
the
criteria
that
call
can
be
transferred
to
the
crisis
call
center
at
cpap
or
the
comprehensive
psychiatric
emergency
program
that
is
at
binghamton
general
hospital.
B
So
our
hopes
are
that
you
know
we
can
find
ways
to
use
shared
services
and
maybe
work
together
with
some
organizations
like
the
city
of
binghamton
and
perhaps
the
county,
to
develop
a
co-responder
model
where
we
actually
have
a
trained
sworn
police
officer
that
is
assigned
to
one
of
our
existing
clinicians
and
they
can
actually
be
dispatched
directly
to
the
call
and
and
handle
that
crisis
call
and
and
completely.
You
know.
B
In
a
sense,
remove
the
the
police
officers
in
that
in
that
current
zone
or
sector
or
whatever
you
may
have
that
they
don't
have
to
respond
to
that
call,
because
it's
being
handled
by
a
crisis
response
unit,
they
can
provide
secondary
backup
if
it's
needed
or
things
like
that.
But
but
our
hopes
are
to
try
to
take
this
model
and
really
go
to
the
next
level
with
it
and
really
provide
a
true
diversion
model
with
a
true
response
to
meet
people
where
they're
at.
B
There's
some
costs
involved,
of
course,
and
you
know
a
lot
of
a
lot
of
these
costs
are
already
you
know,
paid
for
through
the
funding
that
we
have
from
crisis.
B
So
if
you
did
something
like
that,
it
probably
it
cuts
the
cost,
nearly
in
half
so
you're,
looking
at
either
120
000,
to
do
something
like
this
through
the
da's
office
or
a
special
deputy
or
something
along
those
lines
or
special
police
officer.
If
it's
even
allowed
versus
180
000
to
actually
fund
and
implement
something
like
this,
the
benefits
of
doing
something
like
this
medicaid
is
a
huge
cost
for
all
of
us
in
the
state
of
new
york.
B
These
are
these
are
just
numbers
that
we
looked
at
initially.
So
if
somebody
goes
to
the
hospital
and
they're
a
medicaid
recipient,
you
have
a
bill
for
medicaid
for
the
comprehensive
psychiatric
emergency
program.
It's
a
thousand
ninety
five
dollars,
and
then
you
may
have
ancillary
costs
on
top
of
that.
So
you're,
looking
at
around
twenty
one
hundred
dollars
in
a
bill
for
somebody
that
has
to
go
to
a
hospital
and
we
kind
of
broke
those
numbers
down
by
agency.
B
The
city
of
bampton
police
department
responds
to
40
percent
of
all
the
mental
health
calls
in
broome
county
and
across
the
board.
That's
just
over
2
000
calls
a
year.
Forty
percent
of
those
happen
right
in
the
city
of
binghamton.
So
if
you
average,
those
out
binghamton
police
responds
to
about
72
calls
a
month
that
are
labeled
as
mental
health
alex,
and
I
will
will
agree
that
we
believe
the
numbers
are
much
higher
than
that
on
what
mental
health
calls
are.
These
are
just
the
ones
that
get
labeled
as
mental
health
calls
in
the
system.
B
So
if
you,
if
you
do
the
math
on
that,
where
you
have
a
specific
unit
that
responds
to
just
25
of
those
calls,
and
then
you
do
further,
you
break
that
down
further
and
say,
let's
say
they're
successful
68
of
the
time
as
opposed
to
75,
which
our
numbers
actually
are.
So
we
just
we,
we
lowered
the
number
a
little
bit
and
said,
let's
say
they're
successful,
68
percent
of
the
time
the
medicaid
cost
savings
is
25
000
a
month
on
on
something
along
those
lines.
B
Now
I
I
get
it
and
acknowledge
that
you
know
the
county
has
a
cap
on
medicaid,
but
if
you
look
at
the
big
picture
across
the
state
and
federal
savings
and
everything
else,
you
would
hope
at
some
point.
You
know
there
would
be
some
sort
of
benefit
or
return
on
on
that.
You
know
because
you're
looking
at
savings
across
the
board,
not
just
looking
at
county
medicaid
savings
once
that
cap's
met,
the
county
doesn't
have
to
pay
anymore.
B
So
that's
just
one
of
the
examples
of
the
potential
cost
savings,
let
alone
the
the
the
opportunity
to
provide
somebody
a
service
and
and
and
potentially
provide
less
trauma
to
that
individual.
That
may
be,
you
know
going
through
that
crisis
and
that's
kind
of
it.
You
know
the
the
road
is
really
just
refined.
The
road
map
figure
out.
You
know
what
the
best
you
know.
B
The
best
options
are
for
us,
you
know
and
and
maybe
look
at
some
shared
services
through
either
the
county
and
the
binghamton
and
the
city
of
binghamton
in
a
collaborative
partnership
and
then
just
improve
that
mental
health
response
system.
B
So
that's
our
that's
our
shtick
and
you
know
we'll.
You
know
certainly
be
glad
to
answer
any
questions
or
you
know
yeah.
E
E
Mike
thank
you
for
that.
This
is
megan
brackett
from
mayor
david's
office
jared
just
stepped
out.
I
believe
he
had
another
meeting.
He
should
be
back,
but
if
it's
okay
with
you
and
the
sergeant,
if
we
could
just
open
it
up
to
questions
for
members
of
the
steering
committee,
if
anyone
has
them.
G
G
You
may
have
asked
you
may
have
answered
this
question
already,
I'm
not
really
sure,
but
when
there's
a
call
made
to
dispatch
the
the
police
force
and
the
cert
team,
who
makes
the
determination
that
there's
a
crisis
there
for
if
it's
mental
health
or
if
it's
a
crime,
because
there
were
some
concerns
in
the
community
about
certain
individuals
being
arrested,
they
were
having
a
crisis
of,
and
they
felt
that
intervention
should
have
been
done
by
the
mental
health
team.
G
However,
there's
a
debate
about
the
role
of
the
police
officers
responding
and
taking
the
situation
getting
the
situation
under
control
first
and
then
making
that
determination.
So
I
guess
my
question
is
when
a
call
comes
in
who
makes
a
determination
that
it's
a
crisis,
a
mental
health
crisis?
Sometimes
you
get
a
call
and
the
parents
are
requesting
the
police
officers
to
come
out.
So
that's
my
question.
I
guess.
C
Okay,
sir,
any
time
that
the
police
or
9-1-1
gets
a
phone
call
about
a
mental
health
issue,
the
9-1-1
dispatchers
take
that
call
they
assess
what
the
threat
level
is
and
where
it's
located
and
then
they'll
usually
send
out
the
police
department
first
to
determine
if
any
kind
of
crime
did
take
place
and
what
is
occurring
if
they
determine
that
it's
a
mental
health
issue
they'll
determine
if
the
person
is
a
threat
to
themselves
or
others.
C
And
if
the
mobile
crisis
team
is
available,
we
will
call
them
and
have
them
respond
with
us,
and
then
they
will
make
that
determination.
We'll
kind
of
stand
by
is
just
just
for
safety
purposes
and
nothing
other
than
that.
F
So
mike,
I
just
wanted
to
jump
in
real,
quick
and
thank
you
for
the
presentation.
Emhas
has
been
a
great
partner
for
the
city
of
binghamton.
F
As
you
know,
we
entered
into
an
agreement
much
earlier
this
year
to
expand
services
and
support
provided
by
the
binghamton
police
department
and
with
the
support
of
city
council.
We
recently
allocated
an
additional
fifty
thousand
dollars
just
as
a
starting
point
and
are
willing
and
interested
in
expanding
that
to
try
to
figure
out
ways
where
we
can
expand
coverage.
F
As
you
indicated
in
the
very
beginning,
you
had
a
vacancy
on
one
of
your
your
shift
and
shifts
and
we're
obviously
very
interested
in
looking
at
this
from
a
more
holistic
standpoint.
As
far
as
you
know,
weekdays
weekends,
daytime
nighttime,
where
the
you
know
the
the
volume
of
calls
seem
to
be.
Are
they
equally
distributed?
Are
they
occurring
more
on
weekends
versus
weekdays,
night
time
etc
and
are
are
certainly
interested
in
working
with
with
mhest
to
expand
the
range
of
services
that
we
have?
F
And
I
just
think
it's
important
to
note
that
you
know
long
before
this
executive
order
came
from
the
governor.
We
were
having
these
conversations
and-
and
I
think
it's
important
for
the
the
panel
and
the
community
to
know
that
part
of
the
the
annual
reflection
that
the
police
department
does
and
how
to
increase
their
level
of
service.
This
was
an
area
that
was
focused
on
and
continues
to
be
focused
on
as
a
result
of
just
evaluating
the
data
on
the
types
of
calls
on
an
annual
basis.
F
F
Obviously,
as
you
indicated
in
your
presentation,
a
high
percentage
of
these
calls
come
from
the
city
of
binghamton,
and
you
know
with
the
closure
of
some
of
the
the
you
know,
the
state
facilities
that
focus
on
you
know:
mental
health.
A
lot
of
these
services
fall
on
the
shoulders
of
teachers
and
police
officers
and
other
sorts
of
public
servants
in
our
community
pastors
etc,
and
so
it's
not
just
about
you,
know
additional
training,
which
is
very
important.
F
Obviously,
a
training
is
central
and
critical,
but
also
enlisting
the
support,
whether
it's
through
hiring
individuals
directly
or
partnering,
with
organizations
like
m
has
directly
who
have
the
personnel
who
specialize
in
this
are
trained
in
this
to
partner
in
a
company.
You
know
officers
on
call
and
and
that's
something
that
we
want
to
look
to
continue
to
expand
on
in
the
future.
So
I
just
wanted
to.
You
know
highlight
that
you
and
your
team
came
to
city
hall.
F
I
think
it
was
over
the
summer
now,
where
we
highlighted
that
partnership
and
the
expansion
of
that
money,
and
I
know
that
we're
finalizing
that
plan
as
we
speak,
and
if
we
need
to
invest
additional
resources
in
that
area.
I
just
I
want
everybody
to
know
that
the
city
is
more
than
willing
to
do
that,
but
we
need
to
have
a
starting
point
somewhere
and
work
on
a
plan
that
that's
well,
and
I
know
that
city
council
supported
that
that
allocation
of
funding
as
well.
B
I
appreciate
that
mayor
and
you
know
I'll
add
that
you
know
through
you
know
the
mental
health
first
aid
trainings
for
adults
in
public
safety,
that
we've
done
just
over
the
past
few
years
with
grant
funding
and
no
cost
to
taxpayers.
We've
trained
over
450
members
of
our
community
and
first
responders
and
people
from
churches
that
are
are
interested
in
this
because,
as
you
said,
some
of
it.
Some
of
this
falls
on
our
faith.
B
Face
faith-based
folks
like
mario,
and
you
know,
we've
had
a
lot
of
our
our
church
committees
come
through
some
of
our
mental
health.
First
aid
classes.
So
you
know
it's
it's
we're.
You
know
we're
on
board.
B
We're
we're
here
in
the
community
and
and
we're
here
to
you,
know,
assist
through
this
process
and
and
as
you've
mentioned,
you
know,
we've
been
the
transforming
the
crisis
response
system
has
been
on
our
radar
for
at
least
the
past
six
years,
and
we've
been
working
on
it
and
progressively
working
towards
you
know
where
we're
at
today
and
where
is
tomorrow,
going
to
lead
us
to
so.
G
B
Don't
I
don't
have
a
specific
number
for
you
on
that
and
I'm
just
even
off
the
top
of
my
head.
I
wouldn't
even
want
to
give
you
a
number,
but
I
can
certainly
make
sure
that
you
have
the
contact
information
with
the
right
people,
mario
after
this
meeting,
and
I
can
hook
you
up
with
the
people
that
set
those
trainings
up.
I
mean
they've
they've
kind
of
stalled
during
covid
right
now,
but
you
know
post
covid
once
we're
you
know
past
this
next
hurdle
there.
H
I
did
thank
you.
I
missed
the
very
beginning
of
the
meeting.
I
was
on
another
zoom
meeting
with
work.
I
just
I
had
a
question
because
you
mentioned
you
currently
have
one
counselor.
H
What
would
be
or
could
be
the
solution
for
the
odd
hours
or
is
there
one?
I
know
this
is
no
easy
fix,
but
I
just
think
that
this
question
will
probably
come
up.
B
I
think
the
plan
is
I,
I
think
the
plan
is
15
hours
a
day
and
it's
it's
probably
going
to
be
just
to
start
and
pilot
it
monday,
through
friday,
15
hours
a
day,
so
we'd
have
the
day
shift
and
the
afternoon
shift
covered.
I
I
have
studied
the
crisis
numbers
inside
outside
left
and
right
and
up
and
down,
and
there's
no
rhyme
or
reason
to
them
at
all.
I
I
you
know
just
looking
at
the
numbers.
B
The
the
one
thing
I
learned
from
that
is
that
crisis
has
no
calendar
and
there's
really
no
specific
day
of
the
week
that
you
can
point
to
that
says
you
should
have
maximum
coverage
on
saturdays
because
of
this.
It
just
doesn't
work
that
way.
So
that's
the
one
thing
that
I
learned
is
that
crisis
doesn't
follow
a
calendar
and
it's
kind
of
it's
unpredictable,
because
you
know
what
what
causes
me
to
have
a
crisis
may
not
cause
somebody
else
to
have
that
same
issue,
so
it
just
it's
really
unpredictable.
B
So
so
our
hopes
are
that
we
had
an
afternoon
shift
pre-covered,
and
you
know
that
typically
was
our
busiest
time
was
during
those
afternoon
hours,
so
we're
hoping
that
covering
the
daytime
where
a
lot
of
the
community-based
organizations
are
open
and
we
can
get
in
the
door
and
get
referrals
to
and
then
enhance
that
by
offering
those
afternoon
hours
at
least
starting
five
days
a
week.
I
I
really
think
that
it's
a
it's
a
program
that
needs
to
be
built
on
and
it
has
measured
success
with.
B
You
know:
75
percent
of
the
people
they
see
stabilized,
where
they're
at
is
so
important
and
to
to
be
able
to
relieve
the
police
officers
of
actually
having
to
go
on
those
and
there's
a
lot
of
myth
around
mental
health
response
and
mental
health
calls
a
person
in
the
you
know.
A
person
with
a
mental
illness
is
more
likely
to
be
a
victim
of
a
crime
as
they
are
to
be
violent.
So
there's
a
lot
of
myth
around.
You
know
mental
health
response.
B
When
you
talk
about
that
in
broome
county,
we
had
over
2000
mental
health
calls,
and
you
probably
you
know
you
might
have
heard
of
a
handful
of
them
in
the
news
media
and
things
like
that.
But
you
know
think
just
to
put
that
into
perspective.
You
know
they're
and
I
would
never
say
that
there's
there's
never
a
level
of
dangerousness
because
there
always
is,
and
we
want
to
make
sure
everybody's
safe
and
protected
as
best
as
we
can.
D
Good
thank.
D
D
B
That
it's
not
actually
we're
we're.
Not
so
you
have
to
be
designated
by
the
state
office
of
mental
health
to
provide
these
services
and
emhast
has
the
crisis.
The
crisis
continuum
designation
in
in
broome
county
is
is
through
m
has
to
provide
these
services.
B
The
cost
savings
comes
in
where
mhast
has
the
ability
to
bill
only
managed
medicaid
organizations
for
that
service
and
and
the
cost
that
we
bill
is
much
less
than
what
the
hospital
bills.
So,
if
you
go
to
the
hospital
and
I'll
take
just
that
component
of
a
bill
for
the
comprehensive
psychiatric
emergency
program,
so
if
a
person
goes
to
cpap
the
medicaid
bill,
for
that
is
a
thousand
ninety
five
dollars,
the
mental
health
association
bills
only
community
or
only
managed
medicaid,
so
they
have
to
be
signed
up
for
with
managed
medicaid.
B
We
cannot
build
private
insurance
or
any
of
that,
and
we
don't
bill
people
that
don't
have
insurance,
so
only
manage
medicaid,
and
we
build
that
at
109
per
unit,
which
is
a
unit,
is
15
minutes.
So
you're
talking
about
a
significant,
you
know
a
less.
You
know
less
cost
for
somebody
to
respond
from
a
community-based
organization
that
has
the
designation
to
provide
the
service,
as
opposed
to.
D
B
Yeah
I
mean
you
would
only
you
would
only
I
mean
you'd
have
to
talk
to
your
finance
people
about
medicaid
and,
and
you
know
how
much
the
city
you
know,
and
that
might
be
a
question
for
the
mayor
or
jared
even
but
you
know
how
much
the
city
has
to
pay
towards
medicaid.
I
don't
know
those
numbers,
I'm
not
sure
I
mean.
I
know
those
numbers
are
capped
for
the
county,
so
you
know,
as
far
as
you
know,
actual
you
know
savings
to
the
city.
D
B
B
So
from
the
from
the
perspective
of
a
mental
health
clinician,
it's
very
difficult
for
them
to
say
this
is
either
a
substance
induced
or
this
is
an
actual
mental
mental
illness
situation.
B
So
the
the
one
thing
that
and
we've
actually
had
discussions
with
the
state
office
of
mental
health
about
this
is
it's
very
number
one.
It's
difficult
to
find
licensed
clinicians
that
are
interested
in
this
type
of
work
and
want
to
do
this
work,
but
the
the
reality
is
is
finding
somebody
to
do
those
after
hours.
B
11A
to
7p
can
be
very
challenging
to
to
do
that,
and
the
fact
that
you
know,
typically
with
those
substances
on
board,
it's
very
difficult
for
a
mental
health
clinician
to
actually
hash
that
out-
and
you
know,
make
a
determination
whether
it's
mental
health
or
substance
induced.
D
B
C
Yep,
that's
what
we're
trained
to
do.
We,
you
know
we
assess
how
much
they're
in
need
of
that
asset
and
then,
if
they
are
in
need,
then
we
take
them
right.
I
Can
I
follow
up
on
councilman
burns
question?
Yes,
okay!
Thank
you
very
much.
First
of
all,
I
think
the
presentation
was
very
helpful
and,
as
councilman
burns
said,
the
public
is
not
aware
of
the
training
that
the
police
have
had
in
this
regard,
and
I
think
it's
important
for
us
to
educate
them
in
that
regard.
I
B
So,
typically,
when
you
have
a
situation
in
the
field,
a
a
police
officer
makes
a
determination
of
danger
to
sell
for
others
and
appears
to
have
a
mental
illness.
Those
are
the
two
two
criteria
for
mental
health
law
941,
so
that
criteria
the
threshold
to
take
somebody
and
and
and
take
them
or
transport
them
to
the
hospital
is,
is
is
low
and
it's
set
that
way.
B
For
that
reason,
once
they
get
to
the
hospital,
the
hospital
has
to
determine
that
the
person,
the
level
of
threat
dangers
to
sell
for
others
and
has
a
mental
illness,
and
it's
a
current.
It's
currently
acute
where
it's
actually
happening
now.
Now
one
thing
that
we
find-
and
I
found
as
a
police
officer-
and
I'm
sure
the
sergeant
can
agree-
is
that
sometimes
when
a
person
goes
to
the
hospital,
the
wait
time
may
be,
you
know
five,
six,
seven
ten
hours
waiting
at
a
hospital
to
be
you
know
evaluated.
B
What
happens
over
time
is
that
crisis
de-escalates
and
the
person
may
not
be
in
the
same
mindset
that
they
came
in
as
they
are
in
that
wait
time
so
crisis
de-escalates
over
time,
and
when
you
know
the
hospital
does
their
evaluation
on
them
at
the
you
know
the
end
of
the
weight
whatever
that
may
be.
The
answers
to
the
questions
are
certainly
not
the
same
as
when
they
came
in
you
know
I
was
angry.
I
was
mad.
B
I
said
I
wanted
to
kill
myself
because
of
this
this
and
this,
and
I
don't
feel
that
way
anymore,
so
they
leave
the
hospital
they
get
signed
out.
So
that's
you
know
kind
of
where
you
know
where
it's
at
with
hospitalization
the
percentage
of
people
that
actually
get
hospitalized.
I
don't
have
an
actual
number,
but
I
can
I
can
I
can.
I
can
guess
that
it's
it's
low
as
actual
people
that
were
admitted
from
being
taken
by
law
enforcement
to
the
hospital,
and
that's
probably
a
number
that
I
could.
B
I
could
reach
out
to
some
contacts
and
get,
but
I
would
guess
that
that
number
significantly
low
on
a
low
percentage,
the
numbers
where
our
clinicians
take
them
to
the
hospital
is
much
higher
because
they
have
that
licensure
and
the
clinicians
have
to
determine
the
the
clinicians
have
to
have
the
same
criteria
as
the
hospital
does
in
order
to
write
a
piece
of
paper
called
the
945
where
the
police
can
take
them
to
the
hospital
based
on
the
observations
of
that
clinician,
so
that
threshold
is
much
higher
than
the
police
threshold,
but
numbers
you
know,
and
that's
where
a
lot
of
the
frustration
comes
where
an
individual
is
taken
to
the
hospital
and
sometimes
before
the
patient
admitted
they're
walking
out
and
that's
because
the
crisis
has
changed
and
it's
no
longer
acute.
B
B
Earlier
yeah,
once
they
leave
cpep,
they
leave
there
with
an
appointment
to
a
mental
health
clinic
or
they
leave
there
with
the
opportunity
to
get
an
appointment
within
five
days
of
leaving
hospital.
B
Those
new
york
state
certified
peers
actually
attach
themselves
to
that
person
in
crisis
and
they
can
stay
with
them
and
follow
follow
up
with
them
for
15
days
after
that
initial
crisis.
Okay,
so
our
and
and
we're
able
to
provide
that
service
and
then,
if
they
have
another
crisis,
then
that
clock
starts
over
and
they
can,
they
can
be
seen
for
another
15
days,
so
we
typically
utilize
the
peer
supports
to
reach
out
to
them.
B
You
know:
go
over
a
needs
assessment
with
them,
maybe
what
they
need.
What
can
you
know
what
caused
you
to
get
into
that
crisis?
What
can
we
do
to
prevent
that
from
happening
again?
What
services
do
you
need
that
we
can
help
you
get
set
up
within
the
community?
Sometimes
transportation
is
a
barrier.
B
Our
peer
support
people
will
transport
them
to
go,
get
their
medications,
they'll,
take
them
to
the
hospitals
or
doctors,
appointments
or
whatever
they
may
need,
or
they
may
even
rise
to
the
level
of
needing
to
stay
at
our
crisis,
respite
house
and
we'll
actually
transport
them
over
there,
and
they
can
stay
there
for
an
extended
period
of
time
now
for
to
provide
further
peer
support
person,
services
24
hours
a
day
seven
days
a
week.
D
I
have
one
more
question:
if
you
don't
mind-
and
I
don't
mean
to
put
you
on
the
spot
or
or
anything
like
that
anyway,
anything
close
to
that,
but
the
the
people
that
I
talk
to
you
know
they're
upset
about
these
things
that
they
see
on
the
national
news
and
the
two
that
come
to
mind.
Are
that
happen
in
rochester,
the
one
where
the
man
was
having
a
breakdown
he
would
have.
D
He
was
naked,
they
put
a
bag
on
his
head
and
they
lay
him
down
and
in
the
snow
and
it's
snowing
and
nobody's
covering
him
up
and
the
other
one
is
the
little
girl
who
was
handcuffed
and
was
pepper,
sprayed
the
training
that
we
have
in
binghamton.
Could
I
can't
say,
could
it
happen?
But
what
would
our
training
be?
That
might
be
different
than
what
occurred
in
those
instances.
C
Well,
we're
doing
the
training
right
now,
it's
it's
more,
mostly
in
recognizing
that
there
is
a
mental
health
episode
and
then
getting
that
mental
health
treatment
as
soon
as
possible
and
as
humanely
as
possible,
because
we
obviously
know
that
that
something
like
that
shouldn't
happen
and
we're
taking
steps
in
order
to
stop
that
from
happening.
Just
telling
guys
hey.
This
is
a
mental
health
episode.
This
person
needs
mental
health
treatment
as
quick
as
possible,
and
they
need
an
ambulance
at
that
point.
C
Is
is
a
huge
factor
and
we're
all
getting
that
training.
We
get
it
yearly
in
the
in
service
and
I'm
reaching
out
to
get
more
training
for
more
officers.
B
Yeah
one
and
one
of
the
one
of
the
things
to
highlight
too,
is
that
through
one
of
our
one
of
our
partners,
which
is
an
organization
called
care
compass
network
in
the
mental
health
association
and
the
binghamton
police
department
actually
collaborated
together
to
and
our
officers
in,
binghamton
are
actually
going
through
this
training
right
now,
binghamton
johnson
city
together
is
a
trauma,
informed
response
training.
B
B
When
you
walk
into
a
a
call
or
an
incident
and
having
you
know
just
having
a
good
understanding
that
you
don't
know
this
person's
story,
it's
likely
that
there's
some
sort
of
trauma
that
happened
to
them
to
get
them
to
where
they
are
today
in
this
crisis
and
we're
providing
that
training
right
now
through
through
the
end
of
march,
for
all
of
the
police
officers
in
the
city
of
binghamton
and
johnson
city
are
receiving
that
training
right
now.
That's
great!
That's
great.
Thank
you.
G
B
I
mean
I
would,
I
would
say
that
you
know
I
don't
have
the
exact
numbers,
I
think
that's
you
know,
probably
something
in
the
in
the
in
the
chief's
office
that
you
could
probably
get
in
access,
but
I
can
say
that
of
the
2000
mental
health
calls
40
of
those
happen
in
the
city
of
binghamton.
So,
but
I
I
would
I
would
you
know
I
would
take
an
educated
guess
and
say
that
you
know
checking
the
numbers
with
the
chief's
office
would
probably
say
your
crime.
G
Yeah
the
person,
the
the
reason
for
that
comment.
There
was
I
wanted
to
see
if
the
burden
of
the
mental
health
crisis
was
shifted
over
to
the
binghamton
police
department,
or
is
it
working
with
the
intervention
team?
Since
you
developed
an
intervention
team,
it's
really
kind
of
reduced
some
of
that
burden
off
of
the
police
department.
B
B
Could
almost
you
know,
allow
those
patrols
in
those
certain
areas
to
continue
to
provide
the
community
service
and
protection
for
the
city
of
binghamton,
while
those
mental
health
calls
are
being
diverted
and
handled
by
a
specialized
unit,
and
I
really
think
that
you
know
this:
is
you
know
the
the
councilman
mentioned?
You
know
the
rochester
incidents
is
this?
Is
you
know,
god
forbid
anything
like
that
ever
happened
in
our
community?
B
There's,
there's
always
you
know,
stuff
happens
and,
and
god
forbid,
that
ever
happens
in
our
community,
but
I
think
there's
you
know,
I
think
we're
ahead
of
the
curve
as
far
as
the
training
and
the
programs
that
we
have,
but
I
also
think
that
there's
an
opportunity
to
enhance
those
and
grow
and
and
potentially
prevent
something
like
that
from
you
know,
put
put
things
in
place
now
that
even
further
prevent
something
like
that
from
happening
here.
B
B
As
as
we
know,
you
know
and
you're
seeing
it
in
rochester
now,
you
know
we
tend
to
have
knee
jerk
reactions
to
horrible
situations,
and
you
know
I
I
think
that
they're,
you
know
there
may
be
an
opportunity
to
you
know,
put
some
put
some
some
further
preventative
things
in
place
now
in
in
our
system.
B
In
our
program
I
mean
you
know,
we're
I'm
not
saying
that
broome
county
and
binghamton,
and
the
system
that
we
have
right
now
is
perfect,
but
I
will
say
that
it's
better
than
a
lot
of
the
things
I've
seen
in
other
communities,
and
I
will
say
that
you
know
I
feel,
like
our
leadership
in
our
communities
are,
are
very
progressive
when
it
comes
to
thinking
ahead
and
and
designing
systems
in
the
system.
You
know
the
system
that
we
have
right
now
isn't
perfect,
but
for
whatever
reason
it's
being
modeled
across
the
country.
G
The
last
thing
for
me
is:
what
are
you
doing
in
regards
to
getting
that
message
out,
because
I
think
that's.
What
some
of
the
community's
concerns
are
is
that
of
the
the
work
that
you
all
are
doing
and
what's
working
for
us
and
being
a
model
and
all
it's
not
information
that
disseminated
to
the
rest
of
the
public
or
to
the
people.
G
So
maybe
there's
something
more
that
you
call
you
all
can
do
as
far
as
psa
or
something
like
that
to
get
the
information
out
to
try
to
divert
some
of
their
negative
feelings
about
how
the
police
are
handling,
because
I
I
really
I'm
really
proud
of
the
the
police
force
here,
the
administrative
that
we're
under
right.
Now
we
took
a
proactive
approach.
I
think
we
still
have
a
lot
of
issues
to
work
on
as
far
as
cultural
diversity,
you
know
dynamics.
G
Our
community
has
changed
now
with
more
people
coming
in
to
our
community
and
stuff,
and
I
think
that's
something
that
with
training
and
educating
people
in
the
community
will
kind
of
release
some
of
the
tension
and
restore
some
of
the
trust
in
in
the
police
department
and
not
so
much
what
was
just
taking
place
on
a
national
level.
It's
good
that
we
had
to
look
into
this
and
do
this.
G
It
was
inevitable,
but
I
think
that,
like
you
said
we're
way
ahead
of
the
eight
ball
and
in
this
perspective
and
things
like
that,
we
have
a
long
ways
to
go.
So
I
just
I'm
just
glad
to
be
a
part
of
this
committee,
and
I
want
to
commend
you
all
for
the
great
work
that
you
all
are
doing,
but
I
think
in
some
way
it
needs
to
get
out
to
the
community
that
this
is
what's
working.
I've
been
really
educated
through
coming
to
these
meetings
and
learned
a
lot.
B
Yeah
we
appreciate
that
mario
and
you
know
it's
it's
one
of
those
things
that
you
learn
about
it
if
you're
interested
and-
and
you
know
that's
a
hard
thing
for
sometimes
in
the
community.
B
I
you
know
that
I
know
you
know
the
mayor
match
in
the
press
conference
that
we
had
over
the
summer
to
talk
about
the
great
things
that
we've
done
here
in
our
community
and
and
showcase
those-
and
you
know
to
the
point
where
the
you
know
the
city
is,
you
know
you
know
been
generous
with
providing
additional
funding
to
enhance
those
services.
But
it's
one
of
those
things
that
it's
it's
hard
to.
You
know
advertise
and
showcase
those
things
they're.
B
As
far
as
the
services
that
the
mental
health
association
provides
for
our
community,
it's
one
of
those
things
that
you
really
don't
learn
about
until
you
need
it
or
you
want
to
educate
yourself
and
that's
sometimes
really
hard
to
to
to
do
for
you
know
from
the
community
perspective.
But
you
know
the
mayor's
office
has
done
a
good
job
with
enhancing
this.
The
city
of
binghamton
police
department
has
done
a
great
job
with
making
sure
their
officers
have
the
education,
and
I
can
say
from
my
my
own
personal
experience
as
a
retired
police
officer.
B
A
So
so,
mike
in
in
alex
we're
closing
in
on
about
an
hour,
I
wanted
to
present
a
question
to
you.
I
think
a
lot
of
the
discussion
regarding
a
diversion
of
9-1-1
calls
et
cetera
and
utilizing.
You
know
utilizing
mental
health
professionals.
Can
you
speak
to
or
provide
a
little
bit
of
a
context
with
that?
Even
if
there
is
a
mental
health
professional
on
a
call
to
what
degree
does
you
still
need
of
a
police
officer
involved,
whether
it's
for
the
safety
of
the
individual,
for
the
mental
health,
professional
etc?
B
Yeah
and
very
good
question
jared,
and
I
think
the
best
answer
to
that
is
not
always
it
depends,
is
really
the
kind
of
the
key
answer
in
the
situation.
Our
mobile
crisis
team
responds
without
police
officers
numerous
times
throughout
the
day,
where
they'll
get
a
call
from
an
individual
who's
in
crisis
themselves
or
they'll
get
a
call
from
a
family
member
who
wishes
that
the
welfare
of
their
family
member
be
checked.
So
our
our
clinician
actually
does
that
completely
on
our
own
without
involving
law
enforcement.
B
Now
it
really
depends
on
the
the
the
the
level
of
risk
and
when
you
know
right
so
right
now,
the
system
that
we
have
in
place
is
9-1-1.
B
Does
this
risk
assessment
if
it's
a
low
risk
where
the
person
may
have
suicidal
ideation,
but
they
don't
have
a
plan
and
they
haven't
gained
the
means
they
can
still
transfer
that
call
to
a
crisis,
call
and
call
center
and
the
police
don't
even
respond
on
those
calls,
because
the
clinician
on
the
or
the
the
the
professional
on
the
the
mental
health
professional
on
the
end
of
that
call
can
assess
that
person
further
and
perhaps
over
time
either
de-escalated
or
put
a
safety
plan
in
place
for
that
person
over
the
phone
and
as
as
I
mentioned
earlier,
you
know
the
the
the
a
person
in
a
a
person
with
a
mental
illness
is
more
likely
to
be
a
victim
of
a
crime
as
opposed
to
commit
the
crime
themselves.
B
So
you
know
that
is
you
know.
One
of
the
myths
that
we
talk
about
with
levels
of
dangerousness
is
that
out
of
the
2000
calls.
You
know
you
may
hear
of
just
a
very,
very
small
few.
You
know
throughout
any
given
year
and
imagine
multiplying
that
by.
However,
big
the
city
of
rochester
is
how
many
mental
health
calls
they
get
and
we're
discussing
two.
So
you
know-
and
you
know
not
commenting
either
way
on
the
response
or
the
actions
of
that.
B
A
As
I
stated,
this
will
be
recorded
and
available
on
the
youtube
channel
from
the
city
of
binghamton.
This
will
be
a
great
educational
tool.
Thanks
to
the
members
of
the
steering
committee
councilman
burns,
you
have
a
question.
D
Yes,
can
I
get
a,
can
we
get
a
copy
of
the
slideshow,
a
link
to
it
or
something
like
that.
A
Yep
it'll
be
linked
to
the
to
the
youtube
on
on
youtube,
so
what
they
presented
will
be
shared
on
the
screen.