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Crises community management
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Efficient and Effective Crises Community ManagementA Community Response for CrisesPresentation Date 2013Evonda Thomas-Smith, Director, Health
Overview
• City staff seek ways to consolidate
and avoid duplication of services
• Address gaps that exist between
what residents request or require
and what staff is able to provide
• Goal-Solution to address crises
intervention, outreach and case
management for families in crises
Staff Concerns
• Description of the issue
Mental health
Hoarding
Disabled Residents
Refusal of Services
Emergency Assistance
Current Status
• What progress has been made?o Sought guidance from the Mental Health Board
o City staff met with Police, Fire, Health, Parks, Recreation and
Community Services, and Community, Economic Development,
Evanston Township Officials, Erie Family Health Center, And
Evanston Township,
• What has caused a crisis in our Community?o Funding, absence and delay, decrease in mental health beds
Timeline
Mental Health Board Proposal
Review via outreach of other municipalities similar to
Evanston that provide or contract similar services
Des Plaineso Services located in health and human services
o Staff 2 .5FTE social workers, 2(.5) nurses each work 22.5 hours
weekly
o Staff f/u referrals from police and fire and building department
o Staff make home visits
o 10 percent of their service are from police and fire, 40 percent
of time are senior citizen calls for triage
MHB Proposal (cont.)
• Nileso Staff 4 FTE, 6.5FTE LCSW social workers
o 50 percent of staff time devoted to senior services
o 24/ day a week service
o Budget 850,000 some reimbursement from Medicare
MHB proposal (cont.)
• Oak Parko Mental health crises calls referred to Thrive (a full service
mental health agency)
o Thrive 3FTE Social workers, four interns carry pagers
o 3 off hour counselors working 12 hour shifts
o Staff respond to ER for youth calls, domestic disputes, public
disturbances, reports of people unable too take care of
themselves and or uninhabitable dwellings
o Senior citizens requests are handled primarily by the township
o Budget $110,000
MHB proposal (cont.)
• Wheelingo 7 FTE (Four of the staff are at the Senior Center, and the three
are social workers who handle crises calls victims of crime
domestic violence and homelessness)
o 3 staff rotate on call 24/7
o Consult with police and fire
o Budget 660,000
Mental Health Board Recommendations for continued City of Evanston Services-expansion
• Centralized system for response
• Regular contact with EFD, EPD
• Perform follow-up services to citizen of Evanston
• Referrals to agencies for residents in need of social
services
• Provide short term counseling
• Perform education information workshops to community
on hoarding pet concerns housing etc.
• Provided 24 hour coverage for week-ends
Budget
• Salary (1FTE program manager, 2FTE SW and 1.5FTE SW)
• Fringe• Printing and office
supplies• IPad/laptops• Office furniture• Cell phone• Transportation
• Total
$167,960
$60,000$100$2400$4600$2500Undetermined
238,460
Presence Behavioral Health Proposal
• Provide outreach, Case management and community
support service referrals
• Education and training to Evanston Police and Fire
regarding services
• Crises Line which operates 24/7
• Home visitation for identified chronic 911 callers
• Initiates psychiatric in-home assessments, therapy and
counseling
Presence Behavioral Health
ProposedRevenue •Evanston Revenue •Total Revenue
Expenses •Social Worker .5 FTE •Crises Line Expansion •Administration @ 7% •Supplies•Mileage./TravelTotal Expenses
Budget 2013
55,00055,000
30,50020,00 3,850 250.00400.0055,000
Efficient and Effective Crises Community Management
What are the immediate next steps?
• Select and approve a proposal to
address gaps in current services to
address at-risk individuals and
families.
Appendix• Proposal from Mental Health
Board• Proposal from Presence Health• Support letters (Presence Health)• Comments from Townships that
utilize Presence Health Services
Frank Perham, Vice President
Presence Behavioral Health
708 338-3806 x5555
Rainer Huemer, LCSW
Director Community Mental Health and Crisis
708 338-3906 x5546
Allison Starks
Chair Mental Health Board
224 628-0834 [email protected]
Contact information
