Secondary Responder Work SessionCopyrighted
March 18, 2024
City of Dubuque Work Session - Top # 01.
City Council Meeting
ITEM TITLE: 5:45 PM -Secondary Responder Work Session
SUMMARY: Chief of Police Jeremy Jensen is providing information for the
Secondary Responder Work Session.
SUGGESTED
DISPOSITION:
ATTACHMENTS:
Description
MVM Memo
Staff Memo
Type
City Manager Memo
Staff Memo
THE C
DUjIBQTE
Masterpiece on the Mississippi
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Secondary Responder Work Session
DATE: March 11, 2024
Dubuque
WAWca 914
ii
2007-2012.2013
2017*2019
Chief of Police Jeremy Jensen is providing information for the March 18, 2024, at 5:45
p.m. Secondary Responder Work Session.
Prior to the meeting from 5:15 pm to 5:45 pm, the new Community Oriented Policing,
School Resource Officer, and Critical Incident Team Offices located on the second floor
of the Historic Federal Building will be open for viewing.
v
Mic ael C. Van Milligen
MCVM:sv
Attachment
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Jeremy Jensen, Chief of Police
THE CITY OF
E
Masterpiece on the Mississippi
Dubuque
All•Ameriea Cily
Mk1V)N,V CJVX-I1NELF
II 11. I
2007-2012.2013
2017*2019
TO: Mike Van Milligen, City Manager
FROM: Jeremy Jensen, Chief of Police
SUBJECT: Secondary Responder Work Session
DATE: March 8, 2024
On March 18, 2024 at 5:45 pm, City of Dubuque Staff will provide an update on the
Dubuque Secondary Responder model. Prior to the meeting from 5:15 pm to 5:45 pm,
the new Community Oriented Policing, School Resource Officer, and Critical Incident
Team Offices located on the second floor of the Historic Federal Building will be open
for viewing.
CITY Ol
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Chief Jeremy Jensen
Captain Steve Radloff
Lieutenant Mike McTague
Police
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Secondary Responders
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Health
Housing
Community
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Public Health
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Animal Control
Case Worker
Community
Parternships
RNAL WOR ,±+ OUP :
• Formed in 1995 by the City Manager's Office
• Primarily composed of City departments with an inspection and/or enforcement role,
but some in a support role as well
• Re -Structured in 2023 -jointly chaired by Housing and Police (COP Division)
• We now meet every other week
• Main focus - common issues/problems with properties and/or people
• Notable success - opening the communication channels between City departments
• Our biggest challenges - brain health issues; gaps in City Ordinance
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• Homelessness/Unhoused is very complex - brain health; substance abuse; strained
family relations; legal troubles; financial stress; work absence
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2023 CAMP
• 113 sites investigated
• 36 notices posted/issued (up from 28 in 2022; 4 in 2021)
• 19 site clean-ups with Public Works and Iowa DOT
• 24 referrals made
• 6 referrals refused
• 0 citations, arrests, or MI's issued in 2023!
2024 CAMP
• 11 sites investigated (1 in January; 3 in February; 7 in March)
• 10 notices posted/issued
• 11 site clean-ups with Public Works or Iowa DOT
• 3 referrals refused
• 0 citations, arrests, or MI's issued this year
UNHOUSED/ HOMELESS ASSISTANCE
• We offer services/resources to everyone, during every interaction
• Can't be helped / won't be helped / where do they go?
• Housing isn't the end all - cases have shown that many need long-term assistance
(medical, psychiatric, medicine access, financial support, counselling, employment
opportunities, vocational training, etc)
• Lack of long-term care and ongoing guidance (in -patient, long-term caseworkers)
• Key Partners -East Central Intergovenrmental Agency (ECIA), Dubuque Rescue
Mission, Hillcrest Family Services, Area Shelters
CRISIS INTERVENTION
TEAM
Lt. Michael McTague, Cpl. Joel Cross
Ofc. Brendan Nugent & Liaison Katelyn Doyle
• Started in early 2020 to focus on helping people during COVID.
• September 2020 - Part time team was formed with patrol officers.
• August 2023 - Full time team was formed - 2 officers - Fully
staffed
• August 2023 - Added Katelyn Doyle - Foundation 2 Liaison
• Present - Still have part time team to assist patrol/community
when full time team is not on duty.
900
Roo
700
600
Soo
490
300
200
wo
0
Yearly MHR Totals
2016-2020 2021 2022
Avg
2023
Count of CIT Activity Type
SPOKE TO SUBJECT
ASSISTED PATROL
SUPERVISORY ACTION
EMAILED M.H.R. GROUP...
SPOKE TO FAMILY
DOCUMENTED AN ISSUE (IR OR FI)
REFERRED TO SERVICE PROVIDER...
BRAIN HEALTH BULLETIN
CONTACTED BY PROVIDER FOR...
SHARED INFO WITH PROVIDER
OTHER
❑ 20 40 60 S❑ 100 120
A
Monthly Count of CIT Actions
UW FEB MAR APR MAY JUN JUL AUG SEP OCF NOV DEC
MHRs vs Team Actions
III HRs Actions
140
120
100
go
60
40
20
JAN FEB MAR APR MAY JuH JUL AUG SEP OCf NOV DBE
2023 MHRs vs Actions
250
200
150
250
150
100
100
50
50
0
JAN
IC
FEB
04 MHRs vs Actions
131
JAN
—0-mMHRs Actions I mmG—MHRs Actions
FEB
COMMUNITY
PARTNERS
• Dubuque Rescue Mission - Full time
team Liaison
• Visiting Nurses Association
• Local Colleges
• Crescent Community Health Center
• Local Hospitals
• DOC -Jail Diversion
• Hillcrest Family Services
• Salvation Army
• Foundation 2 - LEL Doyle
SUCCESS
• Was an alcoholic, was found passed out in
parks, or in hotel rooms laying in urine and
feces. CIT called numerous places for
treatment, but no one would take her due to
her level of intox. Through communication
with a judge/CA's/Jail Diversion, was held in
jail for 2 weeks to get sober, then she was
able to complete an intake referral. Was
accepted to treatment that CIT located and
has been well ever since. This occurred 2
years ago.
• Example how CIT is proactive - Not Reactive
SUCCESS
• Suffered from delusions. Was living at the mission
and had infected open sores on his feet that were
leaking fluid, soaking through layers of
newspaper. Was refusing medical attention/help
the Mission offered. CIT filed committal forms
and he was forced to the hospital where the
Doctor said if the infection was left untreated for
another day, he would have lost his legs to sepsis
or died. 2 years later, while still at the mission, the
foot infection happened again with him refusing
medical attention. CIT walked staff through the
committal process and he was again taken to
mercy where he was treated for severe infection.
At the committal hearing he was appointed a
social worker and placed in Assisted Living.
SUCCESS
• Elderly individual who lives alone and
hears voices. One point was trying to
clean feces from the carpet with a Swiffer.
Patrol referred her to CIT team. CIT met
with her and built a rapport. Made several
referral attempts, one being to Hillcrest
ACT team. ACT now does weekly home
visits and connected her to a payee.
Person still calls to check in and to chat
with the CIT team.
• Example how CIT team is again proactive.
Outside the box thinking still in contact
with the individual.
SUCCESS
• Subject out of nowhere goes into full blown crisis
at a local hotel. Very violent individual. Gets
arrested. CIT works with Jail Diversion/Social
worker in the jail on a plan for the individual.
Couple of commitments occur and the subject has
another break. Subject gets arrested again. CIT
again works the same avenue. Social worker gets
subject set up with services for an injection for the
subjects medications. CIT checks in every other
week. CIT followed up with subject to get shot.
• Out of the box thinking. Subject does well if they
stay on medications. No contact since last release
from jail. Over 3 months.
CHALLENGES
• Recently highlighted in a news report
from Channel 9. Spent 1000 of the last
1600 days in jail for crimes like
disorderly and assault. No facility will
take her due to her behavior, so she
ends up in jail. Her case highlights the
needs for more inpatient facilities like
MHI in Independence.
• We have exhausted all local resources.
• Subject is non compliant/refuses help.
CHALLENGES
• When medicated he is as respectful as can be.
However, he refuses to stay on medication and quickly
devolves into a delusional, aggressive, and violent
person. Civil committals do not help, there are no state
facilities to handle people like him, so criminal charges
were used to put him in jail. His attorney requested a
mental evaluation, which all evals are done through the
department of corrections in Oakdale. They have a
backlog of 8 months. So now he is in jail on simple
misdemeanors for over 8 months when the max
sentence for a simple misdemeanor is 30 days.
Accountability in following thought with court orders
after commitment.
Long wait times for evals, both state and local.
COMMON
BARRIERS
Facilities who say they can take someone or help someone,
but it does not work out due to some exception resulting in
the person creating calls for service.
Intake barriers (ex. Actively intoxicated, health history,
etc.).
Lack of inpatient services. (State beds) .
• No resources when an individual suffers from both brain
health and substance abuse. Typically, will only treat one at
a time.
Lack of a universal communication and release of
information. AKA HIPPA barriers.
A. (If someone goes from Hillcrest after 10 years to Crescent,
without a release, Crescent has to start all over)
• Lack of staff for assessments when needed. Wait times are
increasing and only getting worse.
WHAT IS ON THE HORIZON?
• Very complex
• Longterm solutions
• Finding better solutions
• Finding partners to fill the broken or missing cogs
QUESTIONS/ DISCUSSION