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 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

• 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.

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