Mobile Crisis Services Inc.
24-Hour Crisis Intervention Program
STATISTICAL REPORT
2007 - 2008

After each crisis intervention call, Mobile Crisis Workers collect a number of statistics related to the disposition of that particular case. This assists us in evaluating the program and to identify service demands and issues on an ongoing basis. The following is a summary of service related data for the period of April 1, 2007 to March 31, 2008.

During the 2007 - 2008 fiscal year, the agency responded to 16,900 requests for service.

Overall, our requests for service correlates with the program's ability to respond. As an example, when Crisis Workers are all out on mobile-response calls, clients requesting service receive the answering service. In many of these instances, callers may choose not to leave a message, which leaves them to deal with their crisis on their own or to seek out other resources.

IDENTIFIED PROBLEMS

Reports are written after each client contact. These reports are narrative and outline the details of the case including the presenting problems identified, the intervention provided, and a summary of observations and recommendations. A statistical report is completed on each service request as well. Many client contacts reveal multiple issues to be addressed and the Crisis Worker must assess and prioritize each issue the client presents.
Crisis Workers were able to identify a second problem in 57% of all client contacts they had. In 9% of all contacts Crisis Workers were able to identify a third problem.

The Chart below details the services MCS provides to the community and the percentages of calls received in each service area.

SERVICE AREA PERCENTAGE OF CONTACTS
Emergency Child Protection 30%
Emergency Financial Assistance 27%
Mental Health 21%
Problem Gambling 5%
Emotional Crisis 4%
Family Violence 4%
Miscellaneous Problem 1.6%
Substance Abuse 3%
Physical Health Problem 2%
Elder Issues 0.8%
Homelessness 0.8%
Sexual Assault 0.1%
Emergency ResponseWith Police, Fire, Ambulance 0.1%
Prostitution 0.1%

CHILD PROTECTION

Child Protection work comprised approximately 30% (5,100 contacts) of all client contacts for MCS. Situations involving child neglect account for 26% (1,335) of child protection cases the agency is involved in.
124 Child Protection cases resulted in the apprehension of children under the Child and Family Services Act. These children were placed in the care of the Ministry of Social Services. On another 85 occasions, children were placed in the care of their extended family or friends in order to ensure their safety. The agency also responded to 51 cases involving placement breakdowns requiring our involvement.

Child Protection Services:Number of Cases
Child Neglect 1335
Missing or Found Juvenile 1151
Out of Parental Control 612
Lost or Found Child 144
Youth (services to 16/17 year olds) 192
Physical Abuse 116
Young Offender Issue 35
Sexual Abuse 75
Delinquency (under 12 years) 41
Abandonment (under 10 years) 16
Emotional Abuse 21
Suicide Related 26
Mental Health Issue 17
Other Issue or Information 1050

EMERGENCY FINANCIAL ASSISTANCE

27% (4,595) of all cases identified financial problems as their primary reason for involvement with MCS. Financial difficulties were identified as a secondary problem in 766 client contacts.

Emergency Financial Services Number of Cases
Transportation Requests 1685
Accommodation Requests 1608
Food/Meal Requests 604
Infant Needs Requests 138
Health Requests (i.e. prescriptions) 32
Other Issue or Information 528

MENTAL HEALTH

Out of 16,900 client contacts, 3,604 or 21% involved people in crisis who were experiencing Mental Health issues.
In 3% of all client contacts, Mental Health issues were identified as a secondary problem.
In this program area, MCS identified 278 cases involving suicidal ideation, 37 cases of attempted suicide, and 9 cases of completed suicide.

Mental Health Services Number of Cases
Psychiatric Issue 2173
Suicidal Ideation 278
Emotional Issue 146
Suicide Attempt 37
Suicide - Completed 9
Other Issue or Information 961

GAMBLING HELP LINE

Mobile Crisis Services shares responsibility for the provincial toll-free Problem Gambling Help Line with the crisis centres in Saskatoon and Prince Albert. Problem Gambling was identified as an issue in 5% of all client contacts in Regina (848 cases).

Problem Gambling Services Number of Cases
Gambling Problem or Addiction 389
Other Issue or Information 459

EMOTIONAL CRISIS

There were a total of 718 contacts (4%) with people experiencing difficulties with emotional issues related to tragic events, jobs, school, family, marriage, loss, sexual concerns, custody and coping issues.

Emotional Crisis Services Number of Cases
Family Issue 155
Custody Issue 175
Relationship Issue 92
Loss/Bereavement Issue 50
Marital Issue 68
Employment/School Issue 47
Victim of Crime Issue 21
Landlord/Tenant Issue 45
Tragic Event 22
Previous Assault Issue 7
Sexual Concerns 9
Other Issue or Information 27

FAMILY VIOLENCE

In 613 client contacts or 4% of all client contacts, family violence was the primary issue. MCS applied for 4 E.I.O.s (Emergency Intervention Order-Victims of Domestic Violence Act). 178 referrals were made to the Domestic Violence Outreach Project requesting follow-up services for victims of family violence.

Family Violence Services Number of Cases
Current Physical Assault 335
Current Emotional Abuse 118
History of Physical Abuse 12
History of Emotional Abuse 3
Other Issue or Information 145

SUBSTANCE ABUSE

Substance abuse issues were identified as the primary problem in 501 (3%) client contacts. It was identified as a contributing factor or secondary issue in 1,453 (9%) client contacts.

Substance Abuse Services Number of Cases
Alcohol Issue 364
Drug Issue 79
Combination Alcohol/Drugs 18
Solvent Issue 3
Other Issue or Information 37

PHYSICAL HEALTH

Physical Health issues were of primary concern with 325 client contacts (1.9%). These clients often needed immediate medical care. In 1,306 client contacts (8%), physical health was identified as a secondary problem. In the majority of cases identifying physical health issues as a secondary problem, the primary issue is lack of transportation to health care facilities.

Physical Health Services Number of Cases
Need for Medical Care 115
Acquired Brain Injury Issue 163
AIDS/HIV+ Issue 2
Other Issue or Information 45

ELDERLY

There were 136 client contacts in which elderly people were lost, experiencing difficulties in their living situations, having financial problems or were being abused.

Elderly Persons Services Number of Cases
Deteriorating Health Issue 55
Dementia/Altzheimer's Disease 41
Missing/Found Person 4
Abuse (physical, sexual, financial) 11
Other Issue or Information 136

SEXUAL ASSAULT

There were 19 client contacts where sexual assault was the primary issue.

Sexual Assault Services Number of Cases
Current Sexual Assault 9
Previous Sexual Assault 8
Sexual Harrassment 1
Other Issue or Information 1

HOMELESSNESS

MCS began tracking "homelessness/risk of homelessness" in 2002. Homelessness was the primary issue in 128 client contacts during the past year. Homelessness was identified as a contributing issue in a total of 830 client contacts.

Homelessness Services Number of Cases
Single Male 669
Single Female 169
Single Female with children 41
Teenager 21
Couple (no children) 33
Elderly Person 3
Single Male with children 7
Couple with children 8
Other Issue or Information 7

MISCELLANEOUS PROBLEMS

This category represents information, complaints, etc. There were 275 (1.6%) client contacts in this category.

Client Contacts

Out of 16,900 client contacts, 74.1% (12,515) consisted of telephone contact, 6.9% (1,166) of service requests resulted in a mobile response, and 16.6% (2,088) of service requests were initiated by individuals attending to the office.

Hours Client Contacts Are Received

Hours	00:00 - 08:00	08:00 - 16:00	16:00 - 00:00
Percentage	16%	36%	48%

Most requests for services receive an immediate response (96.5%) when they attend or phone the office. When all of the workers are out on mobile-response calls or are unavailable as they're on another phone line, the phone lines are picked up by an answering service. 823 calls to the agency were received by our answering service.
The average amount of time spent on calls was 28 minutes. Time spent on contacts actually varies from 10 minutes to over 3 hours.

Number of Previous Contacts

The percentage of contacts with known individuals or families who have had previous contact with the agency was 85% in 2007-2008. Previous contacts were unknown in 4,284 cases. The high percentage of clients who have had previous contact with the agency is the result of several factors. The two most significant factors are the diversity of services provided by the agency as well as the number of years the agency has been in operation. For example, if someone contacted MCS in 1975 and not again until 2007, this contact is categorized as a "previous contact".
As another example, if someone contacted MCS three times in the past year, it would likely be a result of the diversified services we offer. That is, contacts may have occurred as a result of financial difficulties on one occasion and other crisis situations on the following two occasions.

How Request for Service is Received

CATEGORY PERCENTAGE OF CONTACTS
Telephone 52.1% (8,796 calls)
Walk In 13.5% (2,278)
Gambling Help Line 5.0% (846)
Centrex Phone 3.7% (626)
City Police (radio/phone) 5.1% (859)
Crisis Line 9.2% (1,561)
Child Abuse Line 3.3% (551)
Answering Service 4.9% (823)
Other (e.g.fax,mail,e-mail) 1.9% (320)

Client Profile

The average age of clients contacting MCS is 34. Age was confirmed in 67% of contacts.Clients were female in 63% of cases, male in 35% of cases, and unknown in 2% of cases. Constitutionality was unknown in 41% of contacts. In 53.9% of contacts (5,337 cases) when constitutionality was confirmed, clients were of First Nation ancestry. 5,003 of these contacts were with individuals and families residing in Regina and an additional 2% (334 cases) of all contacts were with individuals of First Nation ancestry living on a reserve and requesting services in Regina.

Referral Received From:

Self Referral - 52%
Second Party - 17%
Ministry of Social Services- 10%
Regina Police Service - 7%
Hospitals - 3%
Other Agencies - 11%

Referrals Made

Crisis Workers not only provide immediate assistance, they actively try to link clients to other community partners with ongoing programs and services

Referrals Made To:
Ministry of Social Services- 52%
Mental Health Clinic - 9%
Regina Police Service - 8%
Counsellor - 4%
Problem Gambling Services - 3%
Hospital - 3%
Salvation Army - 2%
Safe Shelter - 1%
Mobile Crisis Services - 21%

Financial assistance was requested in 27% of all contacts in 2007-2008. In 72% of all requests for Financial Assistance, emergency vouchers were less than $50.00.

During the 2007-2008 year MCS averaged 46 client contacts per day.

Mobile Crisis Services provides 24 hour, seven days a week service to the community. We respond to 46 requests for service per day with each client contact averaging 28 minutes. Therefore MCS is actively engaged in client contact for 21.5 hours each day. During the 2007 - 2008 fiscal year, MCS provided 7,848 hours of crisis intervention services in our community.

Mobile Crisis Services remains a vital and integral part of the community service framework, providing client service when it is needed and requested.