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0 <br />medical support. We urge that you recommend San Mateo County BHRS consider the <br />same. Based on the resources currently available in San Mateo County, the San Mateo <br />Assessment and Referral Team (SMART) should be expanded to include a BHRS <br />clinician and have mental health crisis calls directed to this team rather than law <br />enforcement when safety concerns are ruled out. When safety cannot be ruled out, they <br />should consider dispatching both law enforcement and SMART together. For reference, <br />the 2019 CAHOOTS Program Analysis Report reveals that law enforcement was <br />dispatched with CAHOOTS 10.7% of the time. <br />If you move forward with the proposed pilot program outlined in the MOU, we <br />recommend the addition of the following to the MOU: <br />a. <br />Data Collection: <br />ii. <br />iv. <br />V. <br />vi. <br />The pilot program will gather and analyze data with the purpose of <br />developing a workflow in which a non -law enforcement team is the primary <br />responder for mental health crisis calls when safety is ruled out. <br />The Parties will retrospectively analyze service calls to determine which <br />calls could have been managed by 1) a BHRS clinician on the phone <br />without an in-person response 2) a non -law enforcement team in person (no <br />safety concerns) 3) a co -responder team in person including law <br />enforcement (safety concerns). <br />The pilot program will track and collect adequate data on interactions with <br />clients, types of calls, call responses, types of referrals and outcomes. <br />The pilot program will track client race, so that issues surrounding racial <br />equity can be assessed. <br />The pilot program will track potential client -clinician language barriers to <br />assess the impact on the service. <br />To ensure that the analysis team is able to conduct proper assessment given <br />