Transcript 2011-02-01 Discussion Mental Health and Substance Abuse

Central Receiving Center
Phases I and II
Update
February 1, 2011
Presentation Outline
• CRC Phase I – History
• CRC Phase I – Data
• CRC Phase II / ANCHOR
• Action Requested
CRC Update
“All that I have learned while serving as Secretary of
[Department of Children and Families] leads me to the
conclusion that the vast majority of child abuse, adult
abuse, domestic violence, and homelessness has
substance abuse and mental health issues as the
underlying cause.”
Ex- Secretary George Sheldon, commenting on funding cuts.
Presentation Outline
• CRC Phase I – History
• CRC Phase I – Data
• CRC Phase II / ANCHOR
• Action Requested
CRC Phase I - History
• CRC is a central point of access to assess Baker Act (mental
health) and Marchman Act (substance abuse) individuals
• Involuntary placement from OC Law Enforcement (95%) and
Hospitals (5%)
• State-of-the-art facility, only one of its kind in the State of Florida
• Partnerships
Department of Children and Families
Lakeside Behavioral Healthcare
The Center for Drug Free Living
Florida Hospital and Orlando Regional Healthcare
CRC Phase I - History
System of Care Before CRC
• Long waits for a consumer to be placed in a
treatment bed at every entry point
• Overcrowded emergency rooms for psychiatric
patients and those needing detox services
• Bookings in the Orange County Jail, and the costs
associated with risk, psychotropic medications and
jail resources to manage these vulnerable consumers
Lakeside
Behavioral
Healthcare
Center for
Drug Free Living
Addition Receiving
Facility (ARF)
Florida Hospital
Emergency Room
CONSUMER
Mental Health
Baker Act
Substance Abuse
Marchman Act
Law Enforcement
Officer
Pre CRC
System
of Care
Jail
Health Central
Orlando Regional
Hospital
Emergency Room
CRC Phase I - History
Law
Enforcement
Officer
Central Receiving Center
< 23 hours
INVOLUNTARY
Center for
Drug Free Living
Detox
3-5 days
Lakeside
Behavioral Healthcare
Crisis Stabilization Unit /
Short-term Residential
Treatment Unit
3-4 days
Lakeside Behavioral
Healthcare
Hospital
3-4 days
ORH Behavioral
Healthcare
Florida Hospital
Behavioral
Healthcare MedicalSurgical Psychiatric
3-4 days
CRC
Phase I
CRC Phase I - History
•
•
The CRC serves as the hub for the mental health system of care for
adults in Orange County
Consumers placed in most appropriate community resource within
24 hours
• Over 36,000 individuals screened
– 21% are homeless
_ For homeless consumers – approximately 50% have both a mental
health and substance use disorder
• Of those screened:
– 31,731 placed in mental health beds
– 2,952 placed in substance abuse beds
CRC Phase I - History
• 2005 award recipient as “most innovative” program –
from DCF and FADAA
• 2008 Orange County Mayor and BCC awarded a
national Crisis Intervention Team Award for “Advocate
of the Year”
• 2010 Phase Two CRC award recipient from The
Southeast Institute on Homelessness and Supportive
Housing
Presentation Outline
• CRC Phase I – History
• CRC Phase I – Data
• CRC Phase II / ANCHOR
• Action Requested
CRC Phase I – Data
April 2003 - December 2010
• Jail is no longer the defacto mental health facility
– Average length of jail time for mental health
misdemeanant - 34 days
• Law enforcement drop off time averaging 11
minutes vs. 2-4 hours
CRC Phase I - Data
April 2003 - December 2010
– No Marchman individuals brought to jail for protective
custody
– Approximately 300 Baker Act individuals received annually
from Orange County Jail
– Law enforcement is diverting over 7% of consumers from the
jail (this number is probably underestimated)
– Approximately 86,292 jail bed days saved
CRC Phase I - Data
Prior to the CRC, LEO would take clients to
the closest Emergency Department
Savings:
$12.8 M to $32 M* over the last 7 years
Diverted over 16,000 patients from
local emergency departments
* Range estimates costs if all LEO patients presented only to ED vs. ED + Admission
CRC Phase I - Data
Prior to the CRC, LEO would spend approximately
2 - 4 hours with clients at an Emergency Department
Savings:
$2.2 M over the last 7 years
= 45 Additional Positions
CRC Phase I - Data
Orange County Sheriff
Orlando Police
Corrections
Winter Park
Apopka
Ocoee
Winter Garden
Maitland
Eatonville
UCF
Edgewood
Oakland
Windermere
Florida Highway Patrol
15594
6607
1835
1529
900
807
706
297
237
219
59
44
26
19
CRC Phase I - Data
Presentation Outline
• CRC Phase I – History
• CRC Phase I – Data
• CRC Phase II / ANCHOR
• Action Requested
Law
Enforcement
Officer
Central Receiving Center
< 23 hours
INVOLUNTARY
Center for
Drug Free Living
Detox
3-5 days
Lakeside
Behavioral Healthcare
Crisis Stabilization Unit /
Short-term Residential
Treatment Unit
3-4 days
Lakeside Behavioral
Healthcare
Hospital
3-4 days
ORH Behavioral
Healthcare
Florida Hospital
Behavioral
Healthcare MedicalSurgical Psychiatric
3-4 days
VOLUNTARY
Central Receiving Center
Phase Two
3-6 months
Permanent Housing
Shelter + Care
HUD, SRO
Low income
CRC
Phase II
CRC – Phase II
Goal
To stabilize and lead to
permanent housing. All
services provided will
be directed toward this
outcome
Maxwell Place
Maxwell Place
Property
West Colonial Drive
John Young Parkway
Orange County
Sheriff’s Office
CRC – Phase II
Participants Rooms
Forty-Four bed
transitional housing
Program - Opened Oct.
2008
– Length of stay 3-6
months
– Serving
approximately 97
consumers per year
CRC – Phase II
Program Components
• Case Management
• Supportive Housing Specialist – Avg. length of stay is 4-5
months
• Job skills/Employment
• Computer Lab
• Identification via Idignity Project
• Entitlement Services
• Life skills – HIV/AIDS Education
• Support Groups – Peer, AA, and Alumni Groups
• Medical Services
CRC – Phase II
Outcomes Since inception October 2008
• 279 Individuals Served
• 47% left for permanent housing
• 76% left the program 6 months or less
• 32% left the program with greater monthly
income than upon entry
• 27% left with food stamps
• 92% did not return to CRC
• 81% were not re-arrested in 90 days
CRC – Phase II
New Community Room
CRC - Phase II - Funding
• Capitol Improvement Funding
– 2007 EDI Award Sen. Martinez, $500,000
– 2009 EDI Award Sen. Martinez, $950,000
– 2010 EDI Award Rep. Brown, $400,000
• Operational Funding
– 2008 to 2011 DCF Reinvestment Grant, $954,663
CRC - Phase II - Funding
• 2nd DCF Reinvestment Grant – 3 year award
$750,000
• This grant allows more mental health and
substance abuse overlay for these consumers
• Match Funds
– Existing Orange County Funding, $206,000
– Homeless Service Network, $350,000
– OATH, $273,000
Presentation Outline
• CRC Phase I – History
• CRC Phase I – Data
• CRC Phase II / ANCHOR
• Action Requested
Action Requested
 Approval of the Memorandum of Understanding
for Criminal Justice, Mental Health and Substance
Abuse Reinvestment Grant between Orange
County Government and State of Florida
Department of Children and Families in the
amount of $750,000
Central Receiving Center
Phases I and II
Update
February 1, 2011