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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:

  1. Assist individuals experiencing a mental health crisis in accessing the right services at the right time.
  2. Provide crisis support in a respectful and non-stigmatizing manner.
  3. Connect clients to appropriate follow-up services.
  4. Reduce psychiatric hospitalizations by offering a community-based alternative.
  5. 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

MeasureObjective
Reduction in repeat crisis stabilization presentations30% reduction
Reduction in emergency department presentations30% reduction
Client satisfaction (“good” or “excellent”)≥ 75%

Impact Objectives

MeasureObjective
Reduction in 5150 holds25% reduction
Reduction in non-admission 5150s30% 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

QuarterReporting PeriodDue Date
Q1Jul 1 – Sept 30Oct 31
Q2Oct 1 – Dec 31Jan 31
Q3Jan 1 – Mar 31Apr 30
Q4 / AnnualJul 1 – Jun 30Jul 31

Annual reporting must summarize achievement of deliverables and is used to set benchmarks for future years.


Additional Requirements

No additional program-specific requirements.