Round Rock Edition | May 2023

INTERVENTION What is the Crisis Response Unit? While the Crisis Response Unit mainly focuses on responding to calls for residents experiencing mental health or behavioral crises, it also offers other services in partnership with the Community Risk Reduction team. CRISIS

SEEKING CARE Round Rock residents who call the Crisis Response Unit for help can expect the following process:

Call the Round Rock Fire Department at 512-218-5590 if not an emergency

Call 911 if an emergency

What else do they do?

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A call taker will help determine what kind of assistance is needed. If it is not emergent, the call will be directed to the CRU .

Help residents find access to mental or behavioral care

with a patient waiting to get them into a mental health facility.” Hadley said she has seen the pro- gram achieve great success in the com- munity as a dedicated crisis unit also helps divert those in crisis from unnec- essary trips to the hospital or spending time in police custody. City priority Prior to the launch of the CRU, a divi- sion of Williamson County Emergency Medical Services served the Round Rock area. Hadley said the team pro- vided similar services to the new CRU but with variable response times and resources spread countywide. While Hadley said the main reason for the CRU centers on better serving residents experiencing mental health issues, fire Chief Shane Glaiser said the move is becoming more popular as discussions around police response to mental health crises continue. “How do we help take some of the workload off of [the police depart- ment] and develop a team that can put people out there trained in case man- agement and to communicate with somebody that’s in a mental behav- ioral crisis?” Glaiser said. The city recruited Program Direc- tor Annie Burwell, formerly of the Williamson County Mobile Outreach Team, the county’s version of the CRU that provides similar mental health and behavioral response, to lead the program, bringing some members such as CRU paramedic Daniel Sledge with her. Burwell said she is part of a team establishing a full spectrum of new services, including helping residents find care, crisis counseling, de-esca- lation and initial assessment of those experiencing mental health crises at

A CRU representative will ask for more detailed information and provide access to information if needed.

Provide case management for longterm needs Assist with de-escalation of mental health crises Offer free crisis counseling Provides free Narcan kits by request

If a caller needs counseling, they will be routed to a CRU clinician.

If a call is emergent, an appropriate crew will respond in person.

no cost in Round Rock. “It’s everything from, ‘Do you need a ramp installed in your home?’ Or, ‘Do you need to go to a psychiatric facility?’” Burwell said. Calls to the CRU have more than tripled since March 2022 from 49 call responses that month to 178 calls in February 2023, per city call data. Months before the unit launched, city officials allocated $2.03 million in American Rescue Plan Act grants to fund the program. That dipped to $1.07 million in fiscal year 2022-23 and is projected to drop further to $589,800 in FY 2023-24 with equip- ment already acquired. In September, U.S. Rep. John Carter, R-Round Rock, secured $1 million in federal funding for the program. When the grant funding runs out, the city will absorb the unit’s operation costs into the fire department’s budget and allo- cate additional funds for it, said Sara Bustilloz, Round Rock communica- Glaiser said the fire department has used its Community Risk Reduction initiative since 2021 to connect with residents who may not have consistent access to mental health care as well as other unmet needs that may contribute tions and marketing director. Redefining community care

to a behavioral health issue. “The vulnerable are not just the elderly,” Glaiser said. “It’s also those who are having issues coping with day- to-day life.” The CRU offers free phone coun- seling and can connect residents with nonprofits and other organizations providing assistance with mental health care, utility bills, rent and other sources of strain. After residents receive services from the unit, behavioral health specialists will follow up to see if there are any additional support needs, Burwell said. “It’s really different from being a therapist in an office,” Burwell said. “We might hear some of the same things that a therapist does, but we’re on the side of I-35, or we’re behind the 7-Eleven.” As the unit works to establish itself within the community and hone its existing services, staff members are combating the countywide rise in inci- dents involving fentanyl by carrying a medication that reverses an opioid overdose—Narcan, the brand name of naloxone—in emergency kits that are available to residents by request. Data regarding calls for fentanyl concerns was not available, but Sledge estimated the unit receives around one per day. The unit also works with those impacted by fentanyl use to coordinate access to long-term treatment. “Where there is higher risk, we want to target that Narcan,” Sledge said. “Narcan keeps somebody alive, but it’s not a treatment.” A majority of CRU calls center on mental health crises, Burwell said. Round Rock resident Renata Kreider said she received services for a mental health crisis in 2021 from the Round

The Crisis Response Unit is one of several entities in Round Rock that now offer Narcan kits for residents to have on hand in case of an emergency. Narcan is the brand name for naloxone, a drug that halts the effects of opioids such as fentanyl. Combating fentanyl

What is in the kit: Two doses of nasal Narcan Instructions for administration in both English and Spanish

SOURCE: CITY OF ROUND ROCK, CRISIS RESPONSE UNIT/COMMUNITY IMPACT

Rock Police Department’s Crisis Inter- vention Team. The CIT provides the same services as the new CRU, and she added that if she had to, she would choose the crisis intervention option again. Kreider said stigmas around those experiencing mental health crises and the representation of mental health crisis response on television may cause some people to not seek help. However, she said her experience with emergency responders was over- whelmingly positive. “It wasn’t scary, and they weren’t there to judge me,” Kreider said. “They were literally just there to lend an ear and provide safety if it was necessary. I’m thankful for that because I’m still here with my family.”

Program funding

$2.03M

2021-22

The Round Rock Crisis Response Unit is largely funded through the American Rescue Plan Act. Since its inception, money allocated to the program breaks down as follows:

$1.07M

2022-23

Projected $589,800

2023-24

NOTE: CITY OFFICIALS SAID THE COST TO RUN THE PROGRAM DROPS YEAR OVER YEAR BECAUSE NEEDED EQUIPMENT IS ALREADY ACQUIRED.

SOURCE: CITY OF ROUND ROCK, CRISIS RESPONSE UNIT/COMMUNITY IMPACT

ROUND ROCK EDITION • MAY 2023