Transcript (CRC) Phase Two - National Association for County, Community

Central Receiving Center
(CRC) System of Care
Donna P. Wyche, MS, CAP
Manager, Mental Health and Homeless Issues Division
Orange County Family Services Department
Office Phone 407-836-7608
CRC System of Care
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 History
• Operational since April 2003
• Integrated Mental Health and Substance
Abuse 24/7 model
• April 2003/August 2012:
– Approximately 45,000 individuals screened
– 98% referred by Law Enforcement, 2% from Hospitals
• Of those screened:
– 22% were homeless
– 90% were placed in mental health beds
– 10% were placed in substance abuse beds
Community Impacts –
Orange County Jail
April 2003- September 2012
• Provides an alternative to arrest – Pre Diversion
Program
• Law enforcement drop off time now averages 11
minutes
• Approximately 300 Baker Act individuals were
received annually from Orange County Jail
• It is under-estimated that the CRC has saved the
jail approximately $1.5M ($13.58 per diem)
Community Impacts –
Local Hospitals
Prior to the CRC, Law Enforcement Officers would take
clients to the closest Emergency Department
Savings:
$16.5 M to $41.1 M* over the last 9 years
Diverted over 20,000 patients from local
emergency departments
* Range estimates costs if all LEO patients presented only to ED vs. ED
+ admission
CRC Additional Project
Components
• Care Coordinators provide intensive case
management for high recidivists
• Reducing use of deep end services by decreasing
inpatient stays by 90% - builds capacity in the
system of care
• CRC and the Lakeside’s Access Center Staff
are able to assist community members in crisis
at a single location
CRC Phase II
• The CRC has screened an average of 5,000
individuals annually
• Approximately 22% were homeless
• After involuntary acute care was completed,
there were no supportive transitional housing
units available for this type of client
• CRC Phase II was created as a transitional
housing program with supportive services
CRC System of Care- Phase Two
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 Two
CRC Phase II- ANCHOR
CRC Phase ll - ANCHOR
• Thirty -six bed transitional housing program
– length of stay is 3-6 months
– Approximately 98 participants per year
• Voluntary referrals from acute care settings
• Components of program include comprehensive
services
• Benefits determination (SSI/SSDI)
• Goal to lead to permanent housing, and self
sufficiency
CRC Phase ll - ANCHOR
The participants live in a
double occupancy room
within a therapeutic
community that provides
a variety of supportive
services.
Participants’ Rooms
CRC Phase ll - ANCHOR
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Program Components
Case Management
Supportive Housing Specialist – Avg. length of
stay is 3-6 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 ll – ANCHOR
Outcomes Since Inception October 2008
• 393 Individuals Served
• 51% left for permanent housing
• 80% left the program 6 months or less
• 41% left the program with greater monthly
income than upon entry
• 47% left with food stamps
• 86% reduced use of the CRC
• 89% were not re-arrested in 90 days
CRC Phase ll – ANCHOR
Funding
• Original Funding Partners were Orange County,
Homeless Services Network, Orlando Area Trust
for the Homeless, Department of Children and
Families Reinvestment Grant
• Capitol Improvement Project financed by $1.8
million EDI grant through CDBG program
• Awarded the 1st DCF Criminal Justice
Reinvestment Grant for Phase 2 in 2008$954,663 (3-year award)
• 2nd DCF Criminal Justice Reinvestment Grant
awarded in 2011 –$750,000 (3-year award)
CRC Community
Partners/Providers
Center for Drug-Free Living
Lakeside Behavioral Healthcare
Orange County Government
Department of Children and Families
Florida Hospital
Orlando Health
Human Services Associates
Homeless Services Network
Legal Aid Society
Grand Avenue Economic Community Development
Healthcare Center for the Homeless
Goodwill Industries
Conclusion
• In 2010, the CRC Phase Two received an award from
The Southeast Institute on Homelessness and
Supportive Housing for creating supportive housing
opportunities.
• The CRC model provided an opportunity to make
innovative changes to the existing mental health and
substance abuse system.
• CRC Phase 2 integrated supportive housing resources
of care for homeless and advocated for quality
individualized case management for chronic homeless
individuals.
Central Receiving Center
(CRC) System of Care
Donna P. Wyche, MS, CAP
Manager, Mental Health and Homeless Issues Division
Orange County Family Services Department
Office Phone 407-836-7608