Safety Center & Safety Patrol WWW.MUNI.ORG/HEALTH Presenters - - PowerPoint PPT Presentation

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Safety Center & Safety Patrol WWW.MUNI.ORG/HEALTH Presenters - - PowerPoint PPT Presentation

Dec 29, 2022 42 likes •432 views

Safety Center & Safety Patrol WWW.MUNI.ORG/HEALTH Presenters Nicole Lebo , Anchorage Health Department Human Services Division Manager Jason Cates , Account & Operations Manager for Securitas USA Kai Carlson , Site

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Safety Center & Safety Patrol

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Presenters

  • Nicole Lebo, Anchorage

Health Department Human Services Division Manager

  • Jason Cates, Account &

Operations Manager for Securitas USA

  • Kai Carlson, Site Supervisor

Securitas USA

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Public Health: working for all

  • f us all of the time!

WWW.MUNI.ORG/HEALTH

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CDC 10 Essential Public Health Services

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  • AHD has managed Securitas since

2016 with contracts ranging from $1.9—$2.1 million

  • Provided primary services of Safety Center

& Safety Patrol, as well as warming station and emergency shelter

  • Governed by State and Municipal Code,

most notably Title 47

ASP is a Municipal Service

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  • Policy
  • Budget
  • Contracts

Director of AHD, Natasha Pineda, natasha.pineda@anchorageak.gov

Further information requests

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Anchorage Safety Patrol & Safety Center

Operated by Securitas Security Services USA

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  • Anchorage Safety Patrol (ASP)
  • a van and transport service
  • Anchorage Safety Center (ASC)
  • a municipal protective custody facility

located adjacent to the Anchorage Jail that operates 24/7 to monitor clients during the sobering process

Who We Are and How We Do It

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Provides:

  • safe transport to the Safety Center
  • shelter and ongoing monitoring

throughout the sobering process

  • basic wound care

(cleaning and re-bandaging)

  • donated clothing when

necessary and available

Who We Are and How We Do It

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Who We Are and How We Do It

Basic wound care (cleaning and re-bandaging)

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A gateway to accessing additional services by connecting clients to:

  • RurAL CAP Coordinators
  • Homelessness Resource Coordinators
  • Veterans Resources

Who We Are and How We Do It

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Staffing:

  • Operations Manager and Site Supervisor
  • Station shifts consist of 1 EMT and

2 support staff 08:00 to 16:00 / 16:00 to midnight / midnight to 08:00

  • When necessary, additional staff

added to maintain ratio

Who We Are and How We Do It

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Who We Are and How We Do It

Our staff comes from all walks of life. We have individuals that have come to us from the Military, Fire Service, Active Alaska Army Guard and more. This brings a wide range of skills and experiences to our facility. ASP is also a racially diverse workplace including African-Americans, Caucasians, Asians, Alaska Natives, Native Americans, Hispanic and Eastern Europeans. We pride ourselves not only in our diversity, but also having a family atmosphere.

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Who We Are and How We Do It

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  • CPR training
  • Annual procedural training
  • De-escalation training
  • Continuing EMT Education
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Authority to Operate

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ASP (and AFD) operates under Standing Orders written by Michael Levy M.D. which:

  • authorize designated ASP staff to

complete certain clinical tasks without having to first obtain a physical order

  • use outlined treatments for certain

conditions for routine issues that require immediate treatment

Authority to Operate

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  • Title 47 protective custody is a maximum

12 hours hold. For those incapacitated beyond 12 hours, medical services are requested.

  • The facility capacity is for 50 individuals

maintaining a 10 to 1 ratio, making for a safe working environment and safe atmosphere for our clients.

Authority to Operate

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  • Most clients are substance dependent,

have a medical conditions requiring care, have mental health issues, and are prominently homeless

  • Under Authority of Alaska Statute Title 47,

the ASP and ASC protect and provide services for intoxicated and/or incapacitated individuals by placing them in protective custody

Authority to Operate

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47.37.270(14)

  • “Intoxicated person” means a person

whose metal or physical functioning is substantially impaired as a result of the use of alcohol or drugs

Authority to Operate

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  • 47.37.270(11)
  • “incapacitated by drugs or alcohol”

means a person who is unconscious or whose judgement is otherwise so impaired that the person is incapable of caring for their own basic safety needs and of making rational decision as to necessary treatment

Authority to Operate

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Some observable behaviors:

  • Noticeable clumsiness
  • impairment of peripheral vision
  • decreased reaction time/motor performance
  • staggering
  • slurred speech
  • blurred vision
  • loss of judgement
  • impaired intellectual functioning

Authority to Operate

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Assessment of Title 47 Criteria

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Arrive on Scene Perform Field Assessment to include BrAC. If at anytime during the assessment the client becomes Combative, APD will be requested;

  • r client becomes Unstable, AFD with be requested.

Alert and Oriented x4 Determine Level of Alertness Person, Place, Time, Event If No Issues are found Client is Not Title 47 If Issues are found Client is Title 47 Client Combative Client Unstable Request APD Request AFD Check Speech Coherent/Incoherent Test Gait Steady/Unsteady

Upon arrival at ASC Client will be assessed by Station EMT

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Assessment of Title 47 Criteria

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BrAC

  • A client can not be deemed Title 47 based solely on the number they BrAC
  • Used as a diagnostic tool to determine if client has alcohol on board
  • If there is alcohol on board, used to determine if the client is trending up or down

Level of Alertness (Alert and Oriented x4)

  • Person: Is the individual aware of who they are
  • Place: Is the individual aware of where they are
  • Time: Is the individual aware of what is happening around them
  • Event: Is the individual aware of what is happening around them

Check Speech

  • Is the individual’s speech slurred
  • Is what the individual saying making sense
  • Is the individual using appropriate volume

Test Gait

  • Is the individual able to walk normally disregarding and disabilities
  • Is the individual able to maintain situational awareness while walking
  • Does the individual have proper spatial awareness

Client Combative

  • Is the client actively fighting
  • Is the client resisting going to ASC
  • Is the client threating staff
  • Does the client have a weapon/or suspected of having a weapon
  • Is the client refusing to cooperate with staff

Client unstable

  • Is the client too altered to walk with minimal assistance
  • Is the client breathing inadequately
  • Is the client severely injured
  • Can we treat the clients at our level
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Operations

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2019 Numbers

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Anchorage Safety Patrol & Safety Center: 2019 Totals How Arrived? All Intakes % ASP VAN 10,394 78% APD 1,614 12% Walk-In / Self 1,294 10% Taxi, Citizen, Other 30 0% Total Arrivals 13,332 100%

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2019 Numbers

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Service Area

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Service Area

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Midtown accounts for 24.5%

  • r 5,165 out of the

21,120 responses to calls in 2019

15th Avenue to 36th Avenue

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Partners

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“I have been working with ASP as the Dispatch Battalion Chief for the past two years. Our role is to screen calls and dispatch ASP as appropriate. I would describe our working relationship synergic teamwork that continually gets the job done. We are in constant contact working issues to assure

  • ur citizens get the best service we can provide.”

Bill Tyra Battalion Chief Anchorage Fire Department 100 E. 4th Avenue, Anchorage, AK 99501 Work 907-256-4973 Work William.tyra@anchorageak.gov

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Partners

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A Strong Team for a Hard Job

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Clients that:

  • are resistant to help and/or combative
  • have weapons (i.e. knives, guns, or improvised

weapons)

  • have drugs and paraphernalia

(i.e. needles hidden in clothing)

Challenging Situations

Transferring confiscated gun to APD Confiscated weapons Confiscated drugs and paraphernalia

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Daily encounters with:

  • clients that are verbally abusive towards staff
  • mentally and emotionally unstable clients
  • blood borne pathogens and infectious diseases
  • noxious odors and substances

Challenging Situations

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  • Responding to areas that has a chronic

history of being unsafe for ASP Personnel

  • Daily close interaction with clients infested

with bed bugs and body lice

  • Staff continually sick because of daily

interaction with the chronically ill

Challenging Situations

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Challenging Situations

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Responding to deaths in the field:

  • Approximately 30 of our clients

passed away in 2019

  • Clients were well known by staff

Daily, extended, and unrelenting emotional toll all leads to staff turnover

Challenging Situations

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Strengthening the Team: 2019 Volunteer Work

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  • Great Alaska Sportsman Show
  • Black Diamond Block Party

(EMS/Crowd Management)

  • Officiating a wedding for two clients
  • Teaching Public CPR Classes
  • Anchorage Fur Rondy (EMS)
  • Trick or Treat Street
  • Trunk or Treat
  • City-Wide cleanup
  • Teaching Public CPR Classes
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Strengthening the Team: Team Building

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  • Camping
  • Boating
  • Hiking
  • Skiing/snowboarding
  • Gaming
  • Hockey
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Questions?