CATT
Program Information for the CATT Program
Contracted Services
Medi-Cal Requirements Apply
- Outreach & Engagement
- Outpatient Services, including:
- Mental Health Services
- Case Management / Brokerage
- Crisis Intervention
- Medication Support
Program Goals
CATT aims to:
- Assist individuals experiencing a mental health crisis in accessing the right services at the right time.
- Provide crisis support in a respectful and non-stigmatizing manner.
- Connect clients to appropriate follow-up services.
- Reduce psychiatric hospitalizations by offering a community-based alternative.
- Ensure clients receive care in the least restrictive setting that meets their psychosocial needs.
Target Population
Service Groups
Individuals experiencing a behavioral health crisis in Alameda County who are referred through:
- 9-1-1 dispatch system
- 9-8-8 Suicide & Crisis Lifeline
- Direct contact to Bonita House / CATT
Referral Process
CATT receives referrals from:
- 9-1-1
- 9-8-8
- Bonita House / CATT direct line
Eligibility
Clients must:
- Be located in Alameda County
- Be experiencing a behavioral health crisis
- Mental health
- And/or substance use disorder
Limitations of Service
- Safety protocols follow law enforcement and EMT (Falck) procedures.
- CATT clinicians + EMTs assess whether law enforcement response is required to secure a scene.
- Law enforcement may “clear” a scene or provide standby as needed.
Program Description
Program Design
CATT provides field-based crisis intervention through a clinician + EMT team model. Program elements include:
-
Continuous quality improvement; updating policies, procedures, and staff training
-
Collaboration with:
- ACBH Crisis System of Care
- Falck EMTs
- Local law enforcement
-
Co-response to crisis calls using Falck-provided vehicles
-
De-escalation and assessment of crisis situations
-
Linkage to ongoing behavioral health or community resources
-
Medication consultation via prescribing providers
-
Technology use including:
- County EHR
- Video conferencing
- Messaging
- Laptops/tablets
-
Use of evidence-based and culturally sensitive approaches:
- Robert’s Seven-Stage Crisis Intervention Model
- Motivational Interviewing
- Brief CBT
- Trauma-informed care
- Solution-Focused Therapy
- Integrated Dual Diagnosis Treatment
Follow-Up
CATT provides:
- Service linkage
- Brokerage
- Coordination with crisis systems
- Medication support as needed
Involuntary Holds
Only staff who are authorized and trained may complete 5150 applications.
Hours of Operation
- 24 hours per day, 7 days per week
Service Locations
Main Office
- 7200 Bancroft Ave, Suite 267, Oakland, CA 94605
Field-Based Locations (Deployment Hubs)
- 325 Fallon Street, Oakland, CA 94607
- 28333 Industrial Blvd, Hayward, CA 94545
- 13939 E. 14th St, Suite 190, San Leandro, CA 94578
- 35000 Easton Court, Union City, CA 94587
- 283 East Airway Blvd, Livermore, CA 94551
Staffing Requirements
Minimum Direct Service Staffing:
- 16.5 FTE Clinicians (Licensed or unlicensed LPHA / Trainee / Intern)
- 1.0 FTE Peer Support Specialist
Additional Requirements:
- Must maintain staffing levels necessary for full program operation
- All new hires must receive 80+ hours of training before deployment
Contract Deliverables
Process Objectives
CATT must track and report:
- Number of dispatches (by zip code)
- Unduplicated clients transported to Crisis Stabilization Units
- Clients diverted from Crisis Stabilization Units
- Average response times
- Average time to resolution
- Disposition of calls (transport to PES, Cherry Hill, Wellness Centers, etc.)
- Unduplicated clients served
- Total hours of service provided
Quality Objectives
| Measure | Objective |
|---|---|
| Reduction in repeat crisis stabilization presentations | 30% reduction |
| Reduction in emergency department presentations | 30% reduction |
| Client satisfaction (“good” or “excellent”) | ≥ 75% |
Impact Objectives
| Measure | Objective |
|---|---|
| Reduction in 5150 holds | 25% reduction |
| Reduction in non-admission 5150s | 30% reduction |
Reporting Requirements
Quarterly reports include:
- Provider data (dispatch counts, transport destinations, response times, etc.)
- SmartCare data (unique clients & service hours)
- Documentation of staff training hours
Submission Schedule
| Quarter | Reporting Period | Due Date |
|---|---|---|
| Q1 | Jul 1 – Sept 30 | Oct 31 |
| Q2 | Oct 1 – Dec 31 | Jan 31 |
| Q3 | Jan 1 – Mar 31 | Apr 30 |
| Q4 / Annual | Jul 1 – Jun 30 | Jul 31 |
Annual reporting must summarize achievement of deliverables and is used to set benchmarks for future years.
Additional Requirements
No additional program-specific requirements.