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therapists, and psychologists all have the ability to write mental health holds thereby accomplishing the stated goal of reducing law enforcement involvement in crisis response. The term clinician will be used interchangeably to refer to both licensed clinicians and licensed therapists. The juvenile specialist will primarily respond to Pleasanton Unified School District sites and within the community as needed for mental health calls for those under 18 years of age. A mental health clinician specializing in providing treatment to children, teens and families will respond to these situations. Given the complexity of interacting with children and families in crisis, a specialist with experience in this area is recommended. Based on the workgroup's understanding of the issues, more in-depth evaluations by a mental health professional who specializes in youth crisis should be a priority to deter unnecessary involuntary psychiatric hospitalizations. Table 4: Pleasanton Unified Schools 5150 Calls for Service School Type 2017 2018 2019 2020 Total High Schools 50 51 38 7 146 Middle Schools 12 26 17 2 57 Elementary Schools 2 7 4 0 13 Total 64 84 59 9 216 The second clinician will specialize in adult mental health and substance abuse. The clinician will collaborate with outside mental health services that oversee adult case management and with the homeless liaison officers which would allow the MHRP to better serve the unhoused living in a chronic state of mental health crisis. The MHRP is the initial touchpoint for the person in crisis who will then be referred to other mental health service providers for case management. Referrals will be made directly to the Mental Health Urgent Care Clinic through Axis Community Health where any individual in need of urgent mental health or substance abuse treatment may be seen. This referral model will then remove the responsibility of the MHRP to oversee case management. Another important aspect of the role of the clinicians will be to provide in-house training and consultation to Pleasanton police officers and other appropriate City staff. The expectation is these roles will be heavily utilized given the demand for these services in the community. The clinicians will also be available to respond to in -progress critical incidents and, from a position of safety, provide dynamic advice to responding officers. Page 8 of 11