Mobile Crisis Services Inc.
24-Hour Crisis Intervention Program
STATISTICAL REPORT
2005 - 2006

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, 2005 to March 31, 2006.

During the 2005 - 2006 fiscal year, the agency responded to 17,889 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 41% of all client contacts they had. In 8% 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 28%
Emergency Financial Assistance 30%
Mental Health 20%
Problem Gambling 6%
Emotional Crisis 4%
Family Violence 4%
Miscellaneous Problem 3%
Substance Abuse 3%
Physical Health Problem 1.2%
Elder Issues 0.6%
Homelessness 0.4%
Sexual Assault 0.2%
Emergency ResponseWith Police, Fire, Ambulance 0.2%
Prostitution 0.2%

CHILD PROTECTION

Child Protection work comprised approximately 28% (5,017 contacts) of all client contacts for MCS. Situations involving child neglect account for 26% (1,313) of child protection cases the agency is involved in.
97 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 Department of Community Resources and Employment. On another 71 occasions, children were placed in the care of their extended family or friends in order to ensure their safety. The agency also responded to 64 cases involving placement breakdowns requiring our involvement.

Child Protection Services:Number of Cases
Child Neglect 1313
Missing or Found Juvenile 936
Out of Parental Control 620
Lost or Found Child 150
Youth (services to 16/17 year olds) 192
Physical Abuse 137
Young Offender Issue 95
Sexual Abuse 66
Delinquency (under 12 years) 41
Abandonment (under 10 years) 40
Emotional Abuse 16
Suicide Related 27
Mental Health Issue 17
Other Issue or Information 1398

EMERGENCY FINANCIAL ASSISTANCE

30% (5,370) of all cases identified financial problems as their primary reason for involvement with MCS. Financial difficulties were identified as a secondary problem in 791 client contacts.

Emergency Financial Services Number of Cases
Transportation Requests 2016
Accommodation Requests 1587
Food/Meal Requests 915
Infant Needs Requests 226
Health Requests (i.e. prescriptions) 29
Other Issue or Information 596

MENTAL HEALTH

Out of 17.889 client contacts, 3,506 or 20% 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 300 cases involving suicidal ideation, 53 cases of attempted suicide, and 14 cases of completed suicide.

Mental Health Services Number of Cases
Psychiatric Issue 2415
Suicidal Ideation 300
Emotional Issue 79
Suicide Attempt 53
Suicide - Completed 14
Other Issue or Information 644

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 6% of all client contacts in Regina (1,017 cases).

Problem Gambling Services Number of Cases
Gambling Problem or Addiction 544
Other Issue or Information 473

EMOTIONAL CRISIS

There were a total of 776 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 157
Custody Issue 175
Relationship Issue 122
Loss/Bereavement Issue 43
Marital Issue 66
Employment/School Issue 55
Victim of Crime Issue 43
Landlord/Tenant Issue 35
Tragic Event 23
Previous Assault Issue 10
Sexual Concerns 12
Other Issue or Information 35

FAMILY VIOLENCE

In 652 client contacts or 4% of all client contacts, family violence was the primary issue. MCS applied for 10 E.I.O.s (Emergency Intervention Order-Victims of Domestic Violence Act). 76 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 273
Current Emotional Abuse 128
History of Physical Abuse 34
History of Emotional Abuse 6
Other Issue or Information 211

SUBSTANCE ABUSE

Substance abuse issues were identified as the primary problem in 539 (3%) client contacts. It was identified as a contributing factor or secondary issue in 1,362 (8%) client contacts.

Substance Abuse Services Number of Cases
Alcohol Issue 335
Drug Issue 130
Combination Alcohol/Drugs 21
Solvent Issue 6
Other Issue or Information 47

PHYSICAL HEALTH

Physical Health issues were of primary concern with 217 client contacts (1.2%). These clients often needed immediate medical care. In 1,469 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 92
Acquired Brain Injury Issue 74
AIDS/HIV+ Issue 2
Other Issue or Information 49

ELDERLY

There were 101 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 38
Dementia/Altzheimer's Disease 25
Missing/Found Person 10
Abuse (physical, sexual, financial) 4
Other Issue or Information 24

SEXUAL ASSAULT

There were 25 client contacts where sexual assault was the primary issue.

Sexual Assault Services Number of Cases
Current Sexual Assault 19
Previous Sexual Assault 5
Sexual Harrassment 0
Other Issue or Information 1

HOMELESSNESS

MCS began tracking "homelessness/risk of homelessness" in 2002. Homelessness was the primary issue in 67 client contacts during the past year. Homelessness was identified as a contributing issue in a total of 721 client contacts.

Homelessness Services Number of Cases
Single Male 585
Single Female 115
Single Female with children 29
Teenager 25
Couple (no children) 21
Elderly Person 1
Single Male with children 5
Couple with children 3
Other Issue or Information 4

MISCELLANEOUS PROBLEMS

This category represents information, complaints, etc. There were 531 (3%) client contacts in this category.

Client Contacts

Out of 17,889 client contacts, 73.5% (13,139) consisted of telephone contact, 6% (1,086) of service requests resulted in a mobile response, and 18% (3,230) 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%	37%	47%

Most requests for services receive an immediate response (96%) 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. 730 calls to the agency were received by our answering service.
The average amount of time spent on calls was 25 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 85.6% in 2005-2006. Previous contacts were unknown in 4,675 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 2002, 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 54.1% (9,671 calls)
Walk In 14% (2,503)
Gambling Help Line 5.6% (1,004)
Centrex Phone 2.9% (518)
City Police (radio/phone) 4.3% (773)
Crisis Line 8.3% (1,487)
Child Abuse Line 3.6% (638)
Answering Service 4.1% (730)
Other (e.g.fax,mail,e-mail) .6% (101)

Client Profile

The average age of clients contacting MCS is 33. Age was confirmed in 66% 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 53.2% of contacts (5,630 cases) when constitutionality was confirmed, clients were of First Nation ancestry. 5,174 of these contacts were with individuals and families residing in Regina and an additional 2.5% (456 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 - 57%
Second Party - 17%
Dept of Community Resources & Employment - 9%
Regina Police Service - 6%
Hospitals - 2%
Other Agencies - 9%

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:
Department of Community Resources & Employment - 52%
Mental Health Clinic - 9%
Regina Police Service - 7%
Counsellor - 4%
Problem Gambling Services - 2%
Hospital - 3%
Salvation Army - 2%
Safe Shelter - 1%
Mobile Crisis Services - 22%

Financial assistance was requested in 21% of all contacts in 2005-2006. In 62% of all requests for Financial Assistance, emergency vouchers were less than $40.00.

During the 2005-2006 year MCS averaged 49 client contacts per day.

Mobile Crisis Services provides 24 hour, seven days a week service to the community. We respond to 49 requests for service per day with each client contact averaging 25 minutes. Therefore MCS is actively engaged in client contact for 20.4 hours each day. During the 2005 - 2006 fiscal year, MCS provided 7,446 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.