Crisis Assistance Response and Engagement (CARE) Dashboard

CRISIS ASSISTANCE RESPONSE & ENGAGEMENT PROGRAM (CARE)

Chicago’s Crisis Assistance Response and Engagement (CARE) team seeks to ensure that individuals experiencing a mental health crisis and substance use overdose are assisted by teams of behavioral health professionals, with resources to address their unmet health and social needs. The CARE team responds to 911 calls with a mental health component Monday-Friday 10:30am-4:00pm in 11 pilot areas. When the CARE team responds to an individual in crisis they offer de-escalation, mental health assessment, referrals to community services, and transport to community-based destinations as appropriate. The CARE team conducts follow up at 1, 7, and 30 days with all individuals that they encounter.

Alternate Response Teams

icon - Alternate Response - briefcase

Staffing: CFD Community Paramedic + CDPH Mental Health Crisis Clinician

Services: Respond to low-risk 911 calls with a mental health component.

Launched: June 2022 in West Elsdon, West Lawn, Chicago Lawn, Gage Park, West Englewood and March 2023 in Loop, Near South

Opioid Response Teams

icon - Alternate Response - briefcase

Staffing: CFD Community Paramedic + Certified Peer Recovery Specialist

Services: Conduct 24-72 hour follow up in person with individuals who have experienced a non-fatal opioid overdose.

Launched: January 2023 in East Garfield Park, West Garfield Park, Humboldt Park

Multidisciplinary Response Teams

icon - Alternate Response - 3 hand triangle

Staffing: CFD Community Paramedic + CDPH Mental Health Clinician + CPD Crisis Intervention Team Officer

Services: Respond to low and moderate risk 911 calls with a mental health component.

Launched: September 2021 in Uptown, Lakeview, North Center, Auburn Gresham, Chatham


CRISIS ASSISTANCE RESPONSE & ENGAGEMENT PROGRAM MAP

The CARE Program is an initiative co-led by the Chicago Mayor’s Office, Chicago Fire Department, Chicago Department of Public Health, Chicago Police Department, Office of Emergency Management and Communications, and Illinois Department of Public Health Region 11 Emergency Medical System. The Program is working with an external evaluator to understand the effectiveness of each response model.

For more information on the CARE Program, please contact: CAREProgram@cityofchicago.org 


CARE in the Community

All names and genders in the stories here have been changed to
protect the privacy of individuals served by the CARE Team.



CARE Dashboard

Service Outcomes:

  • No contact with individual in crisis - CARE team arrives on scene and cannot locate the individual in crisis
  • Refused services - the individual in crisis refuses CARE services
  • CARE services and transport - the individual in crisis receives CARE services and is transported by the CARE team to a community-based destination like a crisis stabilization facility or shelter
  • CARE services and transfer - the individual in crisis receives CARE services and is then transferred to Fire or Police for transport to a hospital ED
  • CARE Services - the individual receives CARE services in the community, without transfer to another destination
  • Resolved by Other Unit Prior to Arrival - another first responder unit resolved the 911 call on scene before the CARE team arrived

 

Using the Dashboard:

This dashboard is designed with viewer interaction in mind. The dashboard can be adjusted to address the interests of the viewer by changing the Display Settings. 
Under Display Settings, the viewer can adjust whether the dashboard displays data by individual community area or for the whole program using the Neighborhood drop-down menu. Additionally, the viewer can adjust the timeframe displayed by changing the Start Date and End Date drop-down menus. The dashboard is updated weekly with a one-week lag. 

 

Use of Force Events:

"Use of force" is defined under CPD policy as any physical contact by a Department member, either directly or through the use of equipment, to compel a person's compliance.  Under CPD policy, an officer is justified in using force that is objectively reasonable, necessary, and proportional to ensure the safety of an officer or third person, to stop an attack, to make an arrest, to control a subject, or to prevent an escape.  

To date, in the CARE program, less than 5 reportable use of force events have occurred.  Any use of force events that have occurred in the CARE program would be categorized as  "Level 1."   A level 1 use of force includes force that is reasonably expected to cause pain or injury but does not result in injury or complaint of injury.  

In the context of the CARE program a level 1 use of force would be an instance in which CARE team CIT officers use holds in order to de-escalate situations and ensure that the individual does not present a harm to themselves or others as they are safely transported to a hospital.  An example of this would be when the CARE team comes to the scene and finds a client who is physically aggressive due to substance intoxication.  Due to the client's acute intoxication, the CARE team is unable to verbally gain compliance.  The CIT officer then engages in a level 1 use of force to de-escalate the situation and ensure the individual's safety as well as the safety of the team as they are transported to a hospital.  


Program Spotlight: The Opioid Response Team

In 2021 there were 1,428 opioid overdose fatalities in Chicago, the highest number ever recorded in the city.* In response, the CARE Opioid Response Team (ORT) was established. The ORT seeks to support individuals with resources and care in the vulnerable 24-72 hours after an overdose. Through incorporating peer recovery support in its program model, the ORT builds rapport with high-risk communities while strengthening linkages to harm reduction resources and trauma-informed, evidence-based care for those in need. When not conducting post-overdose follow-up, the ORT also conducts proactive outreach to community members, linking them to local food banks, mental health providers, and other community resources and services.

The ORT is staffed by a CFD Community Paramedic and a Certified Peer Recovery Specialist from the University of Illinois Chicago (UIC) Community Outreach Intervention Projects. The team operates in Humboldt Park, East Garfield Park, and West Garfield Park – communities identified to be among those most heavily impacted by the opioid overdose crisis in Chicago. Data from 2022 indicates that there are between 6-7 opioid-related EMS responses each day in these three community areas. By providing post-overdose follow-up services in our most vulnerable communities, the ORT aims to reduce the number of fatal and non-fatal overdoses in the city. 

Click here https://overcomeopioids.org/free-resources for more information on community areas most impacted by the opioid overdose crisis in Chicago.

*Data from the Cook County Medical Examiner. Number is preliminary and subject to change. Visit ​ https://datacatalog.cookcountyil.gov/Public-Safety/Medical-Examiner-Case-Archive/cjeq-bs86/data to view Cook County Medical Examiner public data reporting.


ORT Dashboard

Variable Definitions:

  • Post-Overdose Outreach Attempts - engagement attempts made to identify individuals who have overdosed in the past 24-72 hours.
  • Individuals Located- individuals who were successfully located by the ORT after a recent opioid overdose. This number does not include secondary contacts (family, friends, community, social network contacts) who the ORT engages with.
      

CARE Program data is provided by Chicago Fire Department EMS and Chicago Police Department. Dashboard has been created with data analyzed by Chicago Department of Public Health. Individual persons are not identifiable using this dashboard and no attempt should be made to do so. The dashboard is intended for public information purposes only. CDPH presents this data as provisional and makes no guarantee about its accuracy or currency. Modifying any information presented on this dashboard is prohibited.

A Look Inside the Opioid Response Model

      
      


Inside Chicago Examines the CARE Program

Inside Chicago is a content series that explores the City’s strategy to curbing violence in our hardest-hit communities