Rapid City Crisis Care Center (CCC) 2 Years of Operation

January 31, 2011 – January 31, 2013

FUNDING PARTNERS

CASH CONTRIBUTIONS

REGIONAL HEALTH CITY OF RAPID CITY VISION 2012 JOHN T. VUCUREVICH FOUNDATION SD COMMUNITY FOUNDATION PIONEER BANK & TRUST AND THE F.L. CLARKSON FAMILY FOUNDATION DEANNA LIEN GWENDOLYN STEARNS FOUNDATION CITY OF RAPID CITY CDBG $1,500,000 $ 500,000 $ 500,000 $ 45,000 $ 30,000 $ 15,000 $ 5,000 $ 5,000 $2,600,000 A RESERVE FOR SUSTAINABILITY OF THE PROGRAM HAS BEEN ESTABLISHED BY PENNINGTON COUNTY WITH THE GOAL OF $1MILLION, AS OF 2013, $971,705 HAS BEEN ALLOCATED.

FUNDING PARTNERS

IN-KIND CONTRIBUTIONS

HUNDREDS OF HOURS OF STAFF TIME HAVE BEEN INVESTED IN THIS PROJECT BY OUR COLLABORATIVE PARTNERS. WE TRULY THANK YOU FOR YOUR COMITTMENT AND DEDICATION TO THE SUCCESS OF THE CRISIS CARE CENTER! THANK YOU TO RAPID CITY REGIONAL HOSPITAL FOR THE DONATION OF SPACE AT REGIONAL BEHAVIORAL HEALTH CENTER!

Number and Type of CCC Staff as of January 31, 2013

• • • • • • Medical Director Clinical Director Program Manager QMHP’s (1 per shift) EMT’s (2 per shift) Case Management Dr. Mark Garry, MD Randy Allen, CSW-PIP, QMHP Teri Corrigan, CSW, QMHP 3 Full Time, 1 Part Time 6 Full Time, 1 Part Time, 2 PRN 1 FTE (contracted with PCHHS)

Number of CCC Clients by Year Total 1st Year = 623 Total 2nd Year = 1,018

120 105 90 75 60 63 80 76 62 110 104 97 100 90 86 74 55 63 53 55 61 75 50 54 60 54 61 45 1st Year 2nd Year 45 30 15 0 Jan 1 Feb 12 Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan

Average Length of Stay for Initial Observation 2 Years of Operation

14 12 10 8 6 10,29 11,49 11,18 10,74 8,11 10,3 8,48 10,14 8,81 10,35 8,96 7,87 9,52 4 2 0 1st Year Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Avg 9,71

Total Number of Services Provided by CCC 2 Years of Operation 623 1018 539 931 398 575 142 238 121 173 22 41 157 351 All clients entering the CCC, receive a Medical Triage exam.

126

Number of Clients Returning to CCC for >1 Crisis Visits Since Opening

39

2 visits 3 visits

21

4 visits

9

5 visits

16

6+ visits

Referral Sources for Crisis Care Center 2 Years of Operations

1st Year 2nd Year 280 255 230 205 180 155 130 105 80 55 30 5 -20

193 211 185 263 81 192 25 38 21 47 36 76 10 22 4 10 14 29 13 35 17 91 20 1

Total CCC Diversions 2 Years of Operation

600

534

500 400

333

300

251

200

174

100 0

RCRH BHC RCRH ER 23 48 Detox 8 Jail 8 1 HSC 0 Diversions are tallied based on the alternative that the referring entity would have chosen had the CCC not been available.

40

Percentage of Patients with less than 24 hour stay in Inpatient Unit

35 20 15 30 25 10 5 0 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec 2010 2011 2012

Rapid City Crisis Care Center Emerging Trends

Number of Clients at CCC

• • • Average Monthly Census for admissions into the CCC over the first 6 months (Feb - Jul) = 73.6/month Average Monthly Census for admissions into the CCC over the last 6 months (Aug – Jan) = 96.0/month An increase of 30%

Referral Sources

• • • • • • Average number of clients referred by RCPD in first 6 months (Feb – Jul) = 13.8/month Average number of clients referred by RCPD in last 6 months (Aug – Jan) = 21.3/month An increase of 54% Average number of clients referred by RCRH - ED in first 6 months (Feb – Jul) = 20.5/month Average number of clients referred by RCRH – ED in last 6 months (Aug – Jan) = 23.3/month An increase of 14% (Note: 42% increase year over year)

Impact of CIT Training

• • • • Average number of referrals from CIT trained officers for the first 6 months (Feb – Jul) = 10.8/month Average number of referrals from CIT trained officers for the last 6 months (Aug – Jan) = 17.8/month An increase of 65% Approx. 73% of all law enforcement officers trained in CIT

Diversions Year Over Year

• • • • Jail diversions: 8 in yr 1 / 8 in yr 2 = 0% change Detox diversions: 23 in yr 1 / 48 in yr 2 = 108% increase Emergency Department diversions: 174 in yr 1 / 251 in yr 2 = 44% increase Behavioral Health diversions: 333 in yr 1 / 534 in yr 2 = 60% increase

Suicide by Year from 1998 to 2012

17 9 8 17 14 13 15 21 20 13 24 23 28 18 19

Goals for Year 2

• • • Increase in CIT trained officers to greater than 70% – Results are 73% trained Increase diversions by 25% from the 2011 diversions: – ED goal 217 actual 251 increase of 44% – RCRH BHC goal 416 actual 534 increase of 60% – Detox goal 29 actual 48 increase of 108% – Jail goal 10 actual 8 no change from previous year Increase census in Crisis Care Center by 50% to 950 visits – Actual visits 1018 increase of 60%

Goals for Year 3

•

Focus on sustainability by

– Move the location of the Crisis Care Center – Advertise program to the public – Obtain approval for reimbursement from SD Medicaid for crisis counseling – Increase reserves with Pennington County to 1 million to help with transition after year 3 – Have brought together a community group to address the issue of Youth Crisis

Regional Health

• • • The Regional Health Board of Trustees in the April 2013 meeting approved funding for the Crisis Care Center of $500,000 for the third year This completes the Regional Health 3 year commitment to the Crisis Care Center for a total support of 1.5 million Thank you to all of the agencies for supporting this community initiative to improve mental health care