How Douglas County would select residents for Monarch CARES: algorithm plus multi-agency consensus
Staff said referrals to Monarch CARES would come through the Familiar Faces lead team after a weekly algorithm-generated prioritized list (top 50) and Monday consensus reviews by multi-agency partners; selection is intended to be collaborative, not unilateral.
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County staff explained the selection process for Monarch CARES: an algorithm produces a prioritized list of people who repeatedly interact with crisis services and the selection is vetted in Monday morning Familiar Faces meetings. "The machine gives us a list, right, by looking at factors, and then we use human beings doing problem solving to determine...," Bob Trojanski said, describing an algorithm that weighs ED visits, TRC visits, ambulance runs, jail days and other factors to create a top-50 list for discussion.
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