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The proposed recommendation and implementation model from staff allows the City to take a more conservative approach and recommend two clinicians and a program assistant to partner with our existing Homeless Outreach Team and temporarily reassigning a sergeant for initial leadership of the program. The clinicians could be direct hire as City of Pleasanton employees or as part of a third -party contract. DISCUSSION _National and Regional Mental Health Response Reimagining the police response to mental health incidents has been an ongoing topic across the United States. As such, some police departments have strengthened their response to mental health incidents by creating specialized programs. Extensive research was conducted which evaluated existing models surrounding mental health response. Several agencies and their existing programs were explored including, but not limited to, Australia Police PACER (Police and Clinical Early Response), San Jose Police Department MCRT (Mobile Crisis Response Team), Chico Police Department mobile crisis team, Sacramento County mobile crisis support team, City of Los Angeles Police Department HOME (Homeless Outreach/Mental Evaluation), Fremont Police Department MET (Mobile Evaluation Team), Anaheim Police Department PERT (Psychiatric Emergency Response Team), Washoe County MOST (Mobile Outreach Safety Team), Houston CIRT (Crisis Intervention Response Team), and Long Beach Police Department MET (Mental Evaluation Team). An example of a long-standing regional program is Crisis Assistance Helping Out on the Streets (CAHOOTS) originating in Eugene, Oregon. CAHOOTS employs a clinician and an emergency medical technician to respond to mental health crises. The program began as a pilot and grew significantly in later years, ultimately being overseen by an outside organization working in conjunction with the police department. Another example of a successful alternative response model is conducted by the City of San Diego: the San Diego Police Department Psychiatric Emergency Response Team (PERT). PERT pairs a clinician with a police officer to respond to calls for service for those experiencing a mental health crisis. In this model, the officer and clinician drive an unmarked vehicle and the officer is generally not in uniform, although the officer has the full complement of safety equipment on their person if needed. Santa Clara County is currently undergoing a pilot of this program in different parts of the county. The City of Roseville has also developed a program through Placer County Health and Human Services. Roseville Police Department has a unique program, which includes a Mobile Crisis Team (MCT) that provides services to adults and has an additional program called the Family Mobile Team (FMT) which provides services to juveniles. A third program is embedded in the police department via its Social Services Unit. The Family Mobile Team and the Mobile Crisis Team respond to calls in Placer County but are stationed at Roseville Police Department. Police officers do not deploy with the Page 3 of 11