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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. Central Receiving Center < 23 hours. Law Enforcement Officer. Center for - PowerPoint PPT Presentation
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Central Receiving Center (CRC) System of Care
Donna P. Wyche, MS, CAPManager, Mental Health and Homeless Issues Division
Orange County Family Services DepartmentOffice Phone 407-836-7608
Center for Drug Free Living
Detox3-5 days
Lakeside Behavioral Healthcare Crisis Stabilization Unit / Short-term Residential
Treatment Unit3-4 days
ORH Behavioral Healthcare
Florida HospitalBehavioral
Healthcare Medical-Surgical Psychiatric
3-4 days
Lakeside Behavioral Healthcare
Hospital3-4 days
INVOLUNTARY
Law Enforcement
OfficerCentral Receiving Center
< 23 hours
CRC System of Care
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
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 – Orange County Jail
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
Permanent HousingShelter + Care
HUD, SROLow income
Central Receiving CenterPhase Two3-6 months
VOLUNTARY
Phase Two CRC
Center for Drug Free Living
Detox3-5 days
Lakeside Behavioral Healthcare Crisis Stabilization Unit / Short-term Residential
Treatment Unit3-4 days
ORH Behavioral Healthcare
Florida HospitalBehavioral
Healthcare Medical-Surgical Psychiatric
3-4 days
Lakeside Behavioral
HealthcareHospital3-4 days
INVOLUNTARY
Law Enforcement
Officer
Central Receiving Center< 23 hours
CRC System of Care- Phase Two
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
• 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
Program Components
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 LivingLakeside Behavioral Healthcare
Orange County GovernmentDepartment of Children and Families
Florida HospitalOrlando Health
Human Services AssociatesHomeless Services Network
Legal Aid SocietyGrand Avenue Economic Community Development
Healthcare Center for the HomelessGoodwill 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.