Playing Well Together in the Sandbox:
Collaborating to
Build A Responsive Crisis System
in Arizona
PRESENTERS
Suzanne Rabideau, MA, LPC, MBA
CEO, Crisis Response Network, Inc. and Crisis Response Network of Southern Arizona, Inc.
Kate Lawson, MPA
Criminal Justice Manager, Community Partnership of Arizona (CPSA)
Larry Villano
Senior Vice President, Terros
Joseph Mucenski
Vice President, Board of Directors, CIT International, Advocate and CRNSA Governance Council
Sergeant Jim Kirk, CTR, CTSS
Behavioral Sciences Unit, CIT Coordinator Tucson Police Department and CRNSA Governance
Council
Officer Nick Margiotta
CIT Coordinator, Phoenix Police Department
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IN THIS PRESENTATION…
Overview of Arizona
Elements of an Effective Crisis System
• Crisis Service Continuum
• Collaboration with System Partners
• Crisis Response Culture
Hearing from System Partners Regarding
Effective Crisis Response to Law Enforcement
Thoughts About the Future
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ARIZONA
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ARIZONA DEMOGRAPHICS
Serving All
Individuals
Maricopa County
4 million people
Pinal County
400,000 people
Pima County
1 million people
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Comprehensive Crisis Services
AN EFFECTIVE SYSTEM
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AN EFFECTIVE CRISIS SYSTEM
• Continuum of Crisis Services
• Collaboration with System Partners
• Culture of Responsiveness
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CRISIS SERVICES CONTINUUM
• 24-hour Crisis Lines
• Community Mobile Team Response
• Crisis Transportation
• Response to Emergency Rooms
• Response to Special Populations
• Walk-In Crisis Services
• Crisis Stabilization
• Peer Support Line
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COLLABORATION BETWEEN THE CRISIS
LINE AND MOBILE TEAMS – HOW IT
WORKS IN MARICOPA COUNTY
Video
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URGENT PSYCHIATRIC CENTER
HOW IT HELPS INDIVIDUALS,
FAMILIES AND SYSTEM PARTNERS
Video
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CRISIS RESPONSE CULTURE
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Responsiveness to System Partner Needs
Exchange of Information
Research to Drive Practice
Data Driven Decisions
Peers and Family Involvement
Accountable Care with Larger Healthcare and
Social Systems
• Responsiveness to Payers
• Decision Support Tools
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COLLABORATION WITH
SYSYTEM PARTNERS
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Community-based Service Providers
Healthcare Providers
Hospital Emergency Rooms
Child-serving Agencies
Schools
Law Enforcement
Courts
Social Services
Fire Departments
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LESSONS LEARNED FROM
COLLABORATION
• We have learned the best responses to law enforcement are…
“Yes”
“No Problem”
“We can do that”
“How High”
“How Fast”
“Yes”
“Yes”
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HOW WE MAKE THE
COLLABORATION WORK
It takes Organization and Network wide initiative
 Teach the CEO “Cop Culture”
 Skill Development for Front Line staff
 “Cop 101”training
 “Scared Straight” approach
 Accountability
 CIT Partnership and training of Crisis Providers
 Data Driven Information
 Routine Meetings with Law Enforcement
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INTENTIONAL SYSTEM DESIGN
FOR LAW ENFORCMENT
From the initial design, Community Partnership of Arizona
developed the Pima County system with law enforcement in
mind…..
 Sally Port
 Ease of access
 Responsive Culture
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LAW ENFORCEMENT PERSPECTIVE
ON AN EFFECTIVE CRISIS SYSTEM
Critical Elements
 Service & Accessibility – Based on
“Customer Service” as defined by the needs of
the Police Officers
 No Wrong Door Philosophy – Continuum of
options including access to mobile teams and
facility based services
 Expedient – Quick Turn Around at the Crisis Response
Center and with Mobile Teams
 Reduction of “Out of service” time – Police Officers spend less time on crisis
related calls
 Early inventions – Key to healthy communities, reducing suicide, reducing use jail,
ER, and crime
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LAW ENFORCEMENT PERSPECTIVE
ON AN EFFECTIVE CRISIS SYSTEM
• CIT Training for Crisis Providers
• “Cop Culture 101” Training
• 911 initiative in Tucson
•Improved communication and customer services
has led to improved access and utilization by law
enforcement
 Countless reductions in incarceration
 Linkages to critical long-term treatment
opportunities
 Criminal justice cost savings
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WHAT DO YOU WANT TO ACCOMPLISH
IN YOUR COMMUNITY
Who will champion the relationship
between system partners?
Who can represent all first responders?
Who is the Advocate, Spokesperson,
and “Superhero” for crisis response?
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CRISIS RESPONSE CENTER
COMMUNITY IMPACT
Video
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Questions?
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CONTACTS
• Suzanne Rabideau
– suzanner@crisisnetwork.org
• Kate Lawson
– Kate.lawson@cpsaarizona.org
• Larry Villano
– larryv@terros.org
• Joseph P. Mucenski
– professors@comcast.net
• Sergeant Jim Kirk
– James.kirk@tucsonaz.gov
• Officer Nick Margiotta
– Nick.margiotta@phoenix.gov
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THANK YOU!
www.cpsaarizona.org
www.crisisnetwork.org
www.terros.org
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