M E M O R A N D U M TO: Mayor and Council Members THROUGH: Bruce Mills, Interim Assistant City Manager FROM: Robert Kingham, Court Administrator, Downtown Austin Community Court DATE: March 27, 2024 SUBJECT: Staff Response to Resolution No. 20230816-016 regarding Downtown Austin Community Court Mobile Court Pilot This memorandum provides a staff response regarding the Downtown Austin Community Court (DACC) Mobile Court Pilot, initiated in response to Resolution 20230816-016. Included as an attachment is a third-party analysis of the Pilot conducted by Sultan Justice Consulting Corp. The Report includes research on mobile court and community court models and a detailed account of the Pilot’s development, implementation, and outcomes. Additionally, the Report includes the following recommendations: 1. Implement a sustainable, fully-staffed, DACC Mobile Court Program. 2. Continue and expand upon stakeholder engagement to scale Mobile Court implementation. 3. Study the impact on existing requests for current DACC services with the addition of Mobile Court to inform further DACC staffing needs and growth. 4. Invest in Mobile Court transportation resources and technology. Mobile Court Pilot Development DACC consulted with the DACC Advisory Board regarding data collection and potential Pilot locations. DACC also engaged with the Austin Homelessness Advisory Council (AHAC) on data, locations, and how to build trust and encourage people to engage in services. Austin Municipal Court (AMC), the Homeless Strategy Office, and staff across DACC’s Court Services, Homeless Services, and Support Services units offered insights to inform program development. In line with direction in the resolution, DACC engaged other stakeholders with a goal of identifying locations for Pilot sites that were geographically dispersed and trusted locations where members of the community were already engaging in services. The Pilot was developed to bring the same level of services provided onsite at DACC directly to individuals in community-based locations. Throughout the Pilot, DACC provided individuals the opportunity to check for open cases and warrants with AMC and DACC, virtual access to a judge and prosecutor to resolve cases and clear warrants, as well as onsite access to a case manager to help with resource navigation and connection to services. When appropriate, individuals engaging in the Pilot were able to enroll in ongoing case management through DACC’s Clinical Diversion Program (CDP). Mobile Court Pilot Implementation Between October 18, 2023 and February 5, 2024, there were 18 dates where DACC provided Pilot services. The service location partners for the Pilot included …
DOWNTOWN AUSTIN COMMUNITY COURT Public Safety Commission April 1, 2024 Robert Kingham, Court Administrator Christopher Anderson, Court Operations Manager DOWNTOWN AUSTIN COMMUNITY COURT Established in 1999 • 1st Community Court in Texas • 7th Community Court in United States Mission Statement • Empowering people to thrive by providing impartial justice and compassionate community-based services Address root causes of justice involvement • Intensive and compassionate wrap around services OPERATIONAL AREAS Homeless Services Court Services Customer Service Walk-in Case Management Courtroom Support Intensive Case Management Case Flow Management Outreach Clinical Diversion Program Community Services Support Services Community Service Program Violet KeepSafe Storage Planning & Strategic Development Procurement & Contract Management Communication and Public Information PRIMARY AND EXPANDED JURISDICTION • Class C criminal offenses in Downtown, West Primary Jurisdiction Campus and East Austin Expanded Jurisdiction (Ord. No. 20231214-006) • Citywide jurisdiction for Prop. B & State camping band and DACC Top 10 offenses • Expansion provides more equitable access to resources • Data reflects violations included in expanded jurisdiction are the most likely for people to need access to the services available at DACC HOMELESS SERVICES DACC has helped connect 550+ clients to housing since 2015 through Intensive Case Management DACC has a waitlist of more than 300 individuals MOBILE COURT OVERVIEW DACC MOBILE COURT OVERVIEW How it began: • Previous site visits and best practice research by DACC • Judge Coffey asked staff to develop a mobile court strategy • Created by Council Resolution 20230816-016 Overall purpose: • Community-based program - meeting people where they are already engaging in services • Connect individuals with solutions for resolving outstanding cases and warrants • Immediate connection to services through case manager DACC MOBILE COURT PROGRESS How it works: • Court case checks & education about DACC services • Virtual access to judge and prosecutor • Case manager onsite Service day frequency and locations: • Approximately 5 service days per month during Pilot period • Austin Public Health Neighborhood Centers, Austin Public Library, North Bridge Shelter, Pop-up Resource Clinics, Sunrise Homeless Navigation Center, The Charlie Center at Mosaic Church During the 18 events in the Pilot period of October 18, 2023 through February 5, 2024: 383 individuals had their court case status checked by DACC 125 individuals had one or more open AMC or DACC court cases 35 individuals participated in a DACC Mobile Court hearing 69 cases were …
RESOLUTION NO. 20230816-016 WHEREAS, the Downtown Austin Community Court (DACC) is a justice diversion program that provides an alternative to the traditional criminal process, targeting low-level offenses frequently associated with poverty, lack of housing, substance use, and mental illness; and WHEREAS, DACC's alternative adjudication options help prevent citations from becoming part of residents' criminal records, removing potential future barriers for housing and employment, and serves as a critical component of Austin's homelessness response system; and WHEREAS, DACC's case managers provide housing-focused case management and resource navigation services to sign up individuals for public benefits and connect them with existing resources in the community; and WHEREAS, one of the primary benefits of resolving court cases through DACC versus other courts is immediate access to services through DACC's Case Management staff; and WHEREAS, DACC has d 'safe harbor' or 'no arrest' policy allowing defendants with active warrants to come to court to address their case(s) and engage in services without being arrested; and WHEREAS, DACC's approach has resulted in financial savings to the City, from court resources to officer time, when people get connected to support, while reducing defaults and increasing the resolution of pending cases; and WHEREAS, City Council approved Resolution No. 20230608-044 which in part, directed initiation of City Code amendments to expand DACC's jurisdiction Page 1 of 4 citywide to include Section 48.05 of the Texas Penal Code (Prohibited Camping) and covering DACC's top 10 case types; and WHEREAS, it's anticipated that a City Code amendment to finalize the expansion of DACC's jurisdiction will be on a Council agenda in fall 2023; and WHEREAS, mobile court operations in other communities, such as Fort Worth, Arlington and Grapevine have proven successful models for increasing appearance and compliance rates and proactively connecting individuals to services; and WHEREAS, implementation of a DACC Mobile Court pilot (Pilot) would complement the forthcoming jurisdiction expansion by providing more geographically dispersed options for people to resolve their cases and have immediate access to services; and WHEREAS, a Pilot could prioritize City owned and/or operated service centers, and other programs that are already serving community members who may have cases to resolve and/or which are providing homeless services; and WHEREAS, by looking at existing resources and staffing across departments, while also exploring strategic partnerships with Travis County, Central Health, Integral Care, and other partners, a Pilot could be developed and implemented without additional funding allocation in Fiscal …
Public Safety Commission - Questions & Answers February 5, 2024 Item 4. Policing and Disabilities – Austin Police Department - Data Would like additional information from the planning and research department on data that is available around interactions with our disabled community and the police. APD continues to evaluate the recommendations made by the OPO in the Town Hall report on People with Disabilities and Policing. Currently, we do not actively collect any data regarding a person’s disability status. It is critical to us that any steps we take moving forward are carefully thought out and done with respect to every member of our community. Our concern on collecting this type of data, which in many cases may be sensitive or private health information, is that the information is not always known to APD as we interact with the community. In order to get the data, we would have to ask questions which may not be relevant to the call for service we are there for in the first place. In order to further evaluate the feasibility of collecting this data for the purposes of this initiative, we elicited input from our in house subject matter experts on mental, physical, and intellectual disabilities. Although the spirit of the recommendation is well-intended, it was the overwhelming professional opinion that we should NOT make a practice of asking these questions unless there is a legitimate law enforcement purpose for doing so which is related to the current call for service we are responding to. In addition to our in house subject matter experts, we also reached out to the OPO to discuss possible steps forward. The OPO was understanding of our concern, and our discussions continue. Item 3. Overview of Downtown Austin Community Court and Mobile Court Pilot Program April 1, 2024 1. ECHO data to justify a budget increase. 2. DACC Advisory Board budget recommendation See Exhibit A See Exhibit B EXHIBIT A 2016 Social Innovation Fund Pay for Success Feasibility Report: ECHO Austin/Travis County Local Austin/Travis County supportive housing initiatives have observed results similar to those detailed from the national research summarized above. Supportive housing targeted to similar populations in Austin/Travis County demonstrated1213: • • • • • 70% or more reductions in emergency room visits, EMS transports and inpatient and psychiatric hospitalizations after six months in the program; 50% reductions in jail bookings in the year following entry into …
Public Safety Commission Meeting Minutes Monday, April 1, 2024 PUBLIC SAFETY COMMISSION REGULAR CALLED MEETING MINUTES Monday, April 1, 2024 The Public Safety Commission convened in a regular called meeting on Monday, April 1, 2024, at City Hall Building, Boards and Commissions Room, 301 W 2nd Street in Austin, Texas. Chair Ramírez called the Public Safety Commission Meeting to order at 4:02 p.m. Commissioners in Attendance: Nelly Paulina Ramírez, Chair Rebecca Bernhardt, Vice-Chair Cory Hall-Martin Paul Hermesmeyer David Holmes Pierre Nguyễn Angelica Reyes Timothy Ruttan Commissioners in Attendance Remotely: Yasmine Smith PUBLIC COMMUNICATION: GENERAL None. APPROVAL OF MINUTES 1. Approve the minutes of the Public Safety Commission regular meeting on March 4, 2024. The minutes from the meeting of 03/04/2024, were approved on Commissioner Holmes’ motion, Commissioner Nguyễn’s second on a 7-0 vote. Commissioners Bernhardt and Ruttan were off the dais. Commissioner Orr was absent. DISCUSSION ITEMS 2. Public Safety Quarterly Report, Austin Police Department Presentation was given by Jeff Greenwalt, Assistant Chief, Austin Police Department. 1 Public Safety Commission Meeting Minutes Monday, April 1, 2024 3. Overview of Downtown Austin Community Court and Mobile Court Pilot Program from Robert Kingham, Court Administrator and Christopher Anderson, Court Operations Manager. Presentations were given by Robert Kingham, Court Administrator, and Christopher Anderson, Court Operations Manager, Downtown Austin Community Court. Commissioner Ruttan requested data to justify a budget increase to fund positions and increase service hours at the DACC. Robert Kingham will work on providing data from ECHO. Chair Ramírez asked for the budget recommendation from the DACC Advisory Board be shared with the Public Safety Commission. 4. Update on the Biannual Wildfire Readiness provided by Division Chief Carrie Stewart and Wildfire Mitigation Officer Justice Jones of the Austin Fire Department. Presentations were given by Jeff Kennedy, Assistant Chief, and Justice Jones, Wildfire Mitigation Officer, Austin Fire Department. DISCUSSION AND ACTION ITEMS 5. Conduct officer elections for the Chair and Vice Chair. The motion to approve Commissioner Ruttan as Vice Chair was made by Commissioner Nguyễn and seconded by Commissioner Bernhardt, approved on a 9-0 vote. Commissioner Orr was absent. The motion to approve Commissioner Ramírez as Chair was made by Commissioner Ramírez and seconded by Commissioner Hall-Martin, approved on a 9-0 vote. Commissioner Orr was absent. 6. CSCRM Joint Working Group update on Commission for Women's recommendation and WORKING GROUP UPDATES status. Chair Ramírez provided an update. FUTURE AGENDA ITEMS 2 Monday, …
1. 2. REGULAR CALLED MEETING of the PUBLIC SAFETY COMMISSION March 4, 2024 at 4:00 PM AUSTIN CITY HALL BOARDS AND COMMISSIONS ROOM #1101 301 WEST 2ND STREET AUSTIN, TEXAS Some members of the Public Safety Commission may be participating by videoconference. The meeting may be viewed online at: http://www.austintexas.gov/page/watch-atxn-live Public comment will be allowed in-person or remotely via telephone. Speakers may only register to speak on an item once either in-person or remotely and will be allowed up to three minutes to provide their comments. Registration no later than noon the day before the meeting is required for remote participation by telephone. To register to speak remotely, call or email Christi Vitela, 512- 974-2792, christi.vitela@austintexas.gov. Pierre Nguyễn Kristy Orr Angelica Reyes Timothy Ruttan Yasmine Smith CURRENT COMMISSIONERS: Nelly Paulina Ramírez, Chair Rebecca Bernhardt, Vice Chair Cory Hall-Martin Paul Hermesmeyer David Holmes CALL TO ORDER PUBLIC COMMUNICATION: GENERAL AGENDA The first three speakers signed up prior to the meeting being called to order will each be allowed a three-minute allotment to address their concerns regarding items not posted on the agenda. APPROVAL OF MINUTES Approve the minutes of the Public Safety Commission regular meeting on February 5, 2024. DISCUSSION ITEMS Presentation by Teresa Gardner, Austin Travis County Emergency Medical Services (ATCEMS) Chief of Staff regarding the Austin Travis County EMS Quarterly Report. 3. 4. 5. 6. 7. Presentations by Chief of Staff Jeff Greenwalt, Austin Police Department; Chief of Staff Teresa Gardner, Austin Travis County Emergency Medical Services; and Chief of Staff Rob Vire, Austin Fire Department; Texas Harm Reduction Alliance and Vocal Texas on opioid use hot spots, prevention, and education efforts. Presentations by Chief of Staff Jeff Greenwalt, Austin Police Department; Chief of Staff Teresa Gardner, Austin Travis County Emergency Medical Services; and Chief of Staff Rob Vire, Austin Fire Department regarding electronic payroll system rollout. DISCUSSION AND ACTION ITEMS Approve a Recommendation for the Fiscal Year 2024-2025 Budget. WORKING GROUP UPDATES Collective Sex Crimes Response Model (CSCRM) Working Group update on project status and Fiscal Year 2024-2025 Unmet Needs budget requests. Public Safety Wellness Center Working Group update on a tour of the facility. FUTURE AGENDA ITEMS ADJOURNMENT The City of Austin is committed to compliance with the American with Disabilities Act. Reasonable modifications and equal access to communications will be provided upon request. Meeting locations are planned with wheelchair access. If requiring Sign Language Interpreters or …
1. 3. PUBLIC SAFETY COMMISSION REGULAR CALLED MEETING MINUTES Monday, February 5, 2024 The Public Safety Commission convened in a regular called meeting on Monday, February 5, 2024, at City Hall Building, Boards and Commissions Room, 301 W 2nd Street in Austin, Texas. Chair Ramírez called the Public Safety Commission Meeting to order at 4:02 p.m. Commissioners in Attendance: Nelly Paulina Ramírez, Chair Cory Hall-Martin Bernard Hermesmeyer David Holmes Lauren Peña Timothy Ruttan Commissioners in Attendance Remotely: Pierre Nguyễn Yasmine Smith PUBLIC COMMUNICATION: GENERAL No speakers. APPROVAL OF MINUTES Approve the minutes of the PUBLIC SAFETY COMMISSION REGULAR MEETING on January 8, 2024. The minutes from the meeting of 01/08/2024, were approved on Commissioner Peña’s motion, Commissioner Hermesmeyer’s second on a 7-0 vote. Commissioner Nguyễn was off the dais. Commissioners Bernhardt and Orr were absent. DISCUSSION ITEMS 2. 2024 meeting. Discussion on edit to APD’s Virtual Magistration Pilot Program presented at January 8, Chair Ramírez explained that Chief Greenwalt updated the APD Virtual Magistration Pilot Program slide deck on page 3 to reflect a correction on Travis County’s proposal for the new annual Interlocal Agreement to read $10.9 million. Public Safety Quarterly Report, Austin Fire Department 1 6. Presentation was made by Chief Rob Vires, Austin Fire Department. Commissioner Ruttan asked for clarification on AFD Recruiting’s demographic numbers on slide 19. Discussion of policing and disabilities with the Office of Police Oversight, Austin Police 4. Department. Presentation was made by Lindsay Southard, Community Engagement Specialist and Sara Peralta, Public Information and Marketing Manager, Office of Police Oversight, and Brienz Edwards, Training Specialist, APD Training Academy. Chair Ramírez requested data on police encounters. Commissioner Holmes seconded request for data specifically around the percentage of individuals experiencing force who were perceived to be mentally impaired. DISCUSSION AND ACTION ITEMS 5. Discussion of Public Safety Wellness Center and potential formation of working group. (Sponsors: Commissioners Nguyễn & Peña) Presentation was made by Heather Arispe, Public Safety Wellness Administrator, Department. The motion to approve the formation of a working group to establish the needs of the Public Safety Wellness Center and potentially form recommendations was approved on Commissioner Nguyễn’s motion, Commissioner Peña’s second on an 8-0 vote. Commissioners Bernhardt and Orr were absent. Commissioners Nguyễn, Peña, Holmes and Ruttan volunteered to join the working group with Chair Ramírez’s approval. Discussion and potential formation of Budget Recommendations Working Group. (Sponsors: Commissioners Ruttan and Peña) The …
RESOLUTION NO. 20220616-053 WHEREAS, the use of opioids, such as hydrocodone, oxycodone, Fentanyl, carfentanil, tramadol, methadone, and heroin can be fatal or cause severe side effects; and WHEREAS, from April 2020 to April 2021 the U.S. Centers for Disease Control and Prevention reported 100,000 Americans have died from drug overdoses, resulting in a 28 percent increase from the year before; and WHEREAS, Travis County has experienced an upward trend of drug overdose deaths, particularly those resulting from opioids and in March of this year overdoses in Austin doubled from 60, the base average, to 120; and WHEREAS, Travis County ranked fourth among Texas counties for accidental opioid fatalities in 2019 and a report from the Texas Harm Reduction Alliance revealed 262 people died of a drug overdose in Travis County the following year, a 36 percent increase; and WHEREAS, this year the Travis County Medical Examiner released the "Travis County Medical Examiner Annual Report 2021," which shows that drug toxicity is now the number one cause of accidental deaths in Travis County, ahead ofboth falls and motor vehicle fatalities; and WHEREAS, the 2021 Report shows that overdose deaths in which Fentanyl was detected rose by 237 percent -from 35 in 2020 to 118 in 2021; and WHEREAS, drugs, including but not limited to, heroin, cocaine, opioids, and Xanax are being laced with Fentanyl, and while pharmaceutical Fentanyl is 50- 100 times more potent than morphine, illicitly manufactured Fentanyl can contain even higher concentrations, increasing the danger of overdose, with two out of every five pills laced with Fentanyl containing a potentially lethal dose; and Page 1 of 9 WHEREAS, since 2019, the increase of counterfeit pills containing Fentanyl seized by the DEA has increased by 430 percent; and WHEREAS, in 2018, Texas paid $20 billion for non-fatal overdose care in emergency rooms and intensive care units; and WHEREAS, previous studies indicate that it is possible to effectively reduce the impact of opioid use disorder through various approaches, including improved syndromic and disease surveillance, community-based outreach and linguistically accessible public education, expanded access to medically assisted treatment, prescription drug take-back and disposal, use of Fentanyl testing strips, and the increased availability and training on the use of Naloxone; and WHEREAS, harm reduction is a proactive and evidence-based approach to reduce overdoses and overdose deaths, and the harms associated with drug use at both the individual and community levels; and WHEREAS, lack …
BOARD/COMMISSION RECOMMENDATION Public Safety Commission Recommenda>on Number: 20240304-005: Recommenda>on for FY24-25 Budget Cycle WHEREAS, the Public Safety Commission has discussed topics with the Aus>n Fire Department, the Aus>n Police Department, Aus>n-Travis County EMS, addi>onal city departments, and community organiza>ons that coordinate with our public safety departments; and WHEREAS, throughout the course of those discussions various departments have expressed programma>c and departmental needs. NOW, THEREFORE, BE IT RESOLVED that the Public Safety Commission encourages the Aus>n Fire Department, the Aus>n Police Department, Aus>n Travis County EMS, and Aus>n City Council to allocate funds and explore all available means to incorporate the following priori>es into the FY24-25 Budget: • • • • • Public Safety Wellness Center - funding for Electronic Medical Records and market salary adjustments to address physician shortage Sobering Center - adjustment of base opera>onal budget alloZed to con>nue 24/7 opera>ons and for expanded use of pop-ups in entertainment districts across the city Language & Interpreta>on Services - budget assessment and addi>onal dollars to expand s>pends for fluency in mul>ple languages, expand wriZen materials to include more languages (including ASL and Braille), and con>nuing educa>on opportuni>es for both sworn and unsworn staff • Opioid use mi>ga>on and educa>on efforts - funding for any needed expansion of self-serve narcan kit sta>ons throughout the city, staffing, and supplies Community Health Paramedics - funding for addi>onal FTEs and/or market salary adjustments to expand and beZer leverage our community health paramedic program Extreme Weather Preparedness - budget assessment of any outstanding unmet needs for public safety departments response and readiness in frequent extreme weather responses • Wildfire - assessment of funds needed to increase outreach in Eastern Crescent and grow educa>on efforts in underserved areas of urban wildfire landscape Date of Approval: _____________________________ Record of the vote: (Unanimous on a 7-0 vote, 4-3 vote with names of those vo>ng no listed) AZest: _____________________________________________ (Staff or board member can sign)
Collective Sex Crimes Response Model (CSCRM) Project Austin Police Department CSCRM Status Update Q1 2024 2 Dashboard Status – Feb 2024 Summary: • Complete = 10% (12 Items) • In Progress = 75% (89 Items) • Not Started = 15% (18 Items) *Note: • Q1 2024 Items listed as “Not Started” have not yet been assessed by the multi-disciplinary Workgroup, however improvements may have already been initiated and/or implemented by APD independently. See Slide 4 for a detailed break-down of “In Progress” status toward “Complete”. • 3 In Progress Break-Down Below is a break-down of where the ‘In Progress’ work resides in its progression toward ‘Complete’... Workgroup 1. Solution Recommendation 2. Documentation 3. Training 4. Communications 5. Metrics 6. Ownership Policy Training Response & Investigations Data & Metrics Outreach & Partnerships Total 15 22 23 5 9 74 12* - 1 - 1 14* - - - - - - *6 Items are pending SOP approval. 4 Items are pending General Orders approval. 1 - - - - 1 - - - - - - - - - - - - Q1 2024 Total 27 22 25 5 10 89 7. Steering Committee Approval - - - - - - 4 CSCRM Funding Requests Q1 2024 5 FY2025 Unmet Needs Funding Requests Q1 2024 6 FY2025 Unmet Needs Funding Requests Q1 2024 7 Issues, Risks, and Additional Funding Considerations Q1 2024 8 APD Academy & Recruitment • Law enforcement staffing shortages and hiring challenges are being felt nation-wide. APD is not immune to this reality, and significant financial support and innovative approaches need to be considered to survive and overcome it. • CSCRM is requesting/recommending 56 hours of Academy/Cadet level training for Sexual Assault (40 hr. classroom, 16 hr. simulations). This request/recommendation is unlikely to be met without additional investment and innovation: • Cadet training classes need to be extended to incorporate Kroll recommendations and CSCRM requests. • Financial incentives and wages need to be drastically increased to recruit and retain new Cadets. New approaches such as housing stipends need to be considered given the current housing market in Austin. Investments in the Academy do not make sense if we cannot recruit and keep quality Cadets. • An increase in Civilian roles need to be considered whenever and wherever possible keeping Sworn personnel fulfilling their vital positions. Q1 2024 9 SAFE’s Forensic Nursing Program • SAFE’s forensic nursing program is …
Public Safety Commission Backup Regular Meeting March 4, 2024 Austin Public Health Opioid Overdose Dashboard URL https://www.arcgis.com/apps/dashboards/04b4f5dae5814d29aef47036e848ec73
ATCEMS Community Health Paramedic O P I O I D U S E D I S O R D E R S U P P O R T A N D B U P R E N O R P H I N E B R I D G E P R O G R A M S N A R C A N R E S C U E K I T D I S T R I B U T I O N B R E AT H N O W N A R C A N T R A I N I N G Responding to the Opioid Crisis What has Changed? 2 Opiate Overdose Deaths per 100,000 State of Texas 3 At the Port of Laredo Texas, over 300M fatal doses of Fentanyl are seized per month 30% of Opioid users who die of an overdose, interact with EMS in the 12 months prior to their death Opiates kill more people nationwide than gun violence and car crashes1 • Annual mortality rate for untreated Opioid User is more than twice that of the frontline soldier in Vietnam Why Emergency Medical Services? Identifying a Gap in Available Care Few patients receive anything more than comfort care in the ER or after discharge • ERs only treat opioid withdrawal symptoms superficially – Tylenol, fluids, Zofran for vomiting • As few as 16.6% of opioid overdose patients receive any treatment within 90 days of hospitalization for overdose5 Once a patient was ready to enter treatment, they had to wait as much as a week or more to start a MAT (Medication-Assisted Treatment) program • 7-14 more chances to overdose and potentially die Austin Travis County EMS was seeing patients' overdose, and in some cases die, while waiting for their intake at a MAT clinic Addressing Opioid Use in The City of Austin/Travis County The Opioid Use Disorder Support Program and its sub- program, the Buprenorphine Bridge Program were created by and are components of the Community Health Paramedic Team at ATCEMS Mission – to reduce morbidity and mortality associated with opioid use disorder and help bring support and recovery resources to people with opioid use disorder Acknowledgements • Withdrawal from opioids, while not potentially lethal as with alcohol, is a wretched condition that few people can tolerate • Successful treatments for Opioid Use Disorder exist, but many patients are …
A F D U K G P r o j e c t S t a t u s Objective: To implement new COA UKG system in AFD in sustainable manner that increases accuracy, accountability and transparency for Timekeeping and Scheduling of UKG Dimensions and UKG Telestaff personnel using Current Status: After an initial start of August 29, 2011, AFD was green lit to start in earnest fall of 2022. AFD, UKG and COA worked together to begin Parallel phase December 31, 2023. We are utilizing this phase to train the workforce, and identify unexpected configuration issues. Major Challenges: • We have continued configuration anomalies involving Pay Period start and end dates that are contributing to high discrepancy rates. • Timesheet displays for 24/48 schedules are challenging to read for a number of reasons, including our practice of AVE Next Steps: Known configuration issues must be resolved this week in order for AFD to cease Parallel Processes on March 23rd and transition to Go Live April 7th 2024. 1
Austin Police Department UKG Update • Dedicated APD Lt on project • Ongoing train the trainer, resulting in 100+ trainers department wide • Parallel testing late March, results will dictate go live date • Go live on target for June
Emergency Medical Services Incident and Response Data FY24 Q1 Terésa Gardner, Chief of Staff 1 Incidents, Patient Contacts, Transports January 2021– January 2024 Incidents | Patient Contacts | Patient Transports January 2021 - January 2024 14000 12000 10000 8000 6000 4000 2000 0 1 2 - n a J 1 2 - b e F 1 2 - r a M 1 2 - r p A 1 2 - y a M 1 2 - n u J 1 2 - l u J 1 2 - g u A 1 2 - p e S 1 2 - t c O 1 2 - v o N 1 2 - c e D 2 2 - n a J 2 2 - b e F 2 2 - r a M 2 2 - r p A 2 2 - y a M 2 2 - n u J 2 2 - l u J 2 2 - g u A 2 2 - p e S 2 2 - t c O 2 2 - v o N 2 2 - c e D 3 2 - n a J 3 2 - b e F 3 2 - r a M 3 2 - r p A 3 2 - y a M 3 2 - n u J 3 2 - l u J 3 2 - g u A 3 2 - p e S 3 2 - t c O 3 2 - v o N 3 2 - c e D 4 2 - n a J Incidents Patient Contacts Patient Transports 2 P1 Compliance by District FY24 Q1 Priority 1 Compliance by District FY24 Q1 71.92% 72.60% 72.26% 72.57% 68.81% 72.41% 69.33% 69.14% 85.96% 56.70% 1 2 3 4 5 6 7 8 9 10 % Goal Met 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 3 P1 Response Interval by District FY24 Q1 Priority 1 Response Interval by District FY24 Q1 12.30 13.03 12.47 12.90 13.03 12.25 13.78 11.92 11.97 10.88 7.46% 7.44% 9.24% 8.35% 7.94% 8.68% 8.37% 6.52% 8.33% 6.15% 1 2 3 4 5 6 7 8 9 10 90th Percentile (Minutes) % of Total for District 16 14 12 10 8 6 4 2 0 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 4 Priority Percentage By District FY24 Q1 Priority …
POP UP RESOURCE CLINICS A U S T I N - T R AV I S C O U N T Y E M S I N T E G R AT E D S E R V I C E S S E R V I N G T H E U N D E R S E R V E D 1 Innovative Service, Care & Navigation Connect clients with resources Complete interventions on site Reduce costs and overlap in services On Site Resources Overcoming Barriers to Care Healthcare Funding • Can be approved within 10 minutes—Receive physical card • Approved for services at Seton Hospitals, Community Care Clinics and prescription services at HEB with no co-pay Substance Use Harm Reduction • All necessary agencies on site to connect to treatment • Assist with placement, funding, transportation and support Medical Care and Testing • Physicians and medical teams on site to provide care • Medical Testing—HIV, Hep B & C, All STDs • If positive – Client will be connected to ongoing resources/care teams Pink PURC • Resources and care specifically focused for females • Provides safe environment for females who have experienced trauma • All staff and volunteers are female PURC Data FY2023 FY2023 vs Q1 FY2024 Q1 FY2024 1000 West Rundberg Lane, 78758 1030 Norwood Park Boulevard, 78753 1300 Lavaca Street, 78701 1807 Ferguson Lane, 78754 6900 East Ben White Boulevard, 78741 710 West Cesar Chavez Street, 78701 889 Wilks Avenue, 78752 PURC Locations Q1 FY2024 Questions? 7
BOARD/COMMISSION RECOMMENDATION Public Safety Commission Recommenda>on Number: 20240304-005: Recommenda>on for FY24-25 Budget Cycle WHEREAS, the Public Safety Commission has discussed topics with the Aus>n Fire Department, the Aus>n Police Department, Aus>n-Travis County EMS, addi>onal city departments, and community organiza>ons that coordinate with our public safety departments; and WHEREAS, throughout the course of those discussions various departments have expressed programma>c and departmental needs. NOW, THEREFORE, BE IT RESOLVED that the Public Safety Commission encourages the Aus>n Fire Department, the Aus>n Police Department, Aus>n Travis County EMS, and Aus>n City Council to allocate funds and explore all available means to incorporate the following priori>es into the FY24-25 Budget: • • • • • Public Safety Wellness Center - funding for Electronic Medical Records and market salary adjustments to address physician shortage Sobering Center - adjustment of base opera>onal budget alloZed to con>nue 24/7 opera>ons and for expanded use of pop-ups in entertainment districts across the city Language & Interpreta>on Services - budget assessment and addi>onal dollars to expand s>pends for fluency in mul>ple languages, expand wriZen materials to include more languages (including ASL and Braille), and con>nuing educa>on opportuni>es for both sworn and unsworn staff • Opioid use mi>ga>on and educa>on efforts - funding for any needed expansion of self-serve narcan kit sta>ons throughout the city, staffing, and supplies Community Health Paramedics - funding for addi>onal FTEs and/or market salary adjustments to expand and beZer leverage our community health paramedic program Extreme Weather Preparedness - budget assessment of any outstanding unmet needs for public safety departments response and readiness in frequent extreme weather responses • Wildfire - assessment of funds needed to increase outreach in Eastern Crescent and grow educa>on efforts in underserved areas of urban wildfire landscape Date of Approval: March 4, 2024 Record of the vote: Unanimous on an 8-0 vote, Commissioners Hall-Martin and Hermesmeyer were absent. AZest: _____________________________________________ Christi Vitela (Staff or board member can sign)
