Who’s Problem Is It? Society/Social...
Transcript of Who’s Problem Is It? Society/Social...
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Who’s Problem Is It?
Society/Social Issues- Alcohol/Drug Treatment Programs? Mental Health Programs?
Criminal Justice Issues- Drunk in Public, Disorderly Conduct, Vandalism, Fighting, Breaking the Law?
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Not Working Together Who’s Problem Is It?
Yours, Ours…… The Revolving Door System Continues
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Serial Inebriate Program
Intervention - a collaborative approach ! Courts- Criminal
! Alcohol & Drug Services- Social
Opportunity for change Drug Court as a model
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SIP Partners San Diego Police Department
San Diego Sheriff’s Department
County Health & Human Services- ADS
San Diego Housing Commission
Public Defender
City Attorney
Mental Health Systems
San Diego Emergency Medical Services
St. Vincent De Paul
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SIP Program Goals
! Stop or slow the revolving door ! Provide treatment to this population ! Increase quality of life
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Acceptance v. length of sentence
20%
38% 40%
50%55%
60%
0%
10%
20%
30%
40%
50%
60%
70%
0-30 31-60 61-90 91-120 121-150 151-180
Sentence (days)
acce
ptan
ce
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Program Strategy
! Provide Treatment in lieu of Custody ! If Defendant accepts Treatment:
– Defendant assessed in custody < 48 hours – Transported by SDPD to Treatment – Geographical Probation – Ordered not to drink/possess alcohol in
public ! If Defendant fails to complete program,
warrant is issued, and probation is revoked
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Mental Health Systems, Inc. (County treatment provider)
! Intensive case management ! Housing / sober living ! Education ! Job training ! Counseling
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What is success?
! Police arrests down ! EMS/hospital visits reduced ! Community quality of life improved ! Population accessing ADS
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James Dunford, MD City of San Diego Medical Director (EMS) Professor, Dept. of Emergency Medicine
University of California, San Diego
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Friday, 5PM
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Friday, 10PM
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Friday, 11PM
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Saturday, 5PM
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Sunday, 5PM
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Monday, 5PM
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Impact Of the San Diego Serial Inebriate Program on Use of
Emergency Medical Resources
Dunford JV*, Vilke GM*, Chan TC*, Castillo EM**, Lindsay S**
UCSD Department of Emergency Medicine* Institute for Public Health, San Diego State University**
Annals of Emergency Medicine 2006;47:328-336
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Methods
n Retrospective review of EMS, ED and in-patient records
n Jan. 2000 – Dec. 2003 n 2 urban hospitals n Impact of SIP on
utilization of medical resources