iengageu: interfaith services
TRANSCRIPT
This. . . or Jails & Hospitals
Whole-person care for low income & homeless overcoming addiction, mental & physical health crises.
Whole-person care for the poor (and the most
expensive)• Innovative whole-person
care for very low-income, often homeless people with severe addiction, physical and mental health problems
• Model 75-bed “Super Center” is a unique and innovative combination of:• Detox (10 beds)• Sobering (10 beds)• In-patient (30 beds) & Out-
patient alcohol & other drug treatment program
• Recuperative Care (25 beds)
• This comprehensive center does not exist anywhere else in the country – costly alternatives: jails & hospitals
• Benefits of ONE PLACE & ONE TEAM will be both highly cost-effective and whole person-effective
• Model can be replicated in many communities
• Interfaith’s whole-person care “Super Center” ready to launch with Alliance Healthcare Foundation $1MM
Mental health? Addiction? Homeless?
The Status Quo: County Jails• Average cost to jail an individual
for one year: $48,000• Average cost to jail an individual
with mental illness: $125,000
The Other Status Quo: Hospital Emergency Departments• Average homeless person incurs $18,500 in hospital
expenses each year• 8,000+ homeless in San Diego County
Since insurance and MediCal do not cover healthcare in jails, taxpayers through the County of San Diego pay 100% of the expenses
Annual Hospital Expenses: $148 million
A complex journey for anyoneGood NewsThere is a strong system of care for privately insured or wealthy personsBad NewsFor the poor who are uninsured or utilize MediCal, it’s overly complicated, often inaccessible, ineffective, and extremely expensive for tax payers
Challenging current state of “whole person care” for the poor:
Detox & sobering: Nearly inaccessible… two to three month wait!!Alcohol and other drug treatment programs: Require detox & sobrietyRecuperative care: Interfaith’s current 32-bed program is at max capacitySocial & employment services: Critical to long-term self-sufficiency, usually located separate and apart from detox, sobering and treatment programs
Missed opportunitiesMark’s Story• Homeless off and on for 20 years• Long history of substance abuse & mental
health• Hospitalized at VA for a mental health crisis• Discharged into Interfaith’s Recuperative
Care Program• After 75 days in the program, he was clean
& sober• Was about to move into his own home...• …received a serious medical diagnosis which
sent him into a tailspin & he relapsed• Unable to stay in the program, he ended up
back in the hospital, and then the streetsSad example of our currently fragmented
system of care
Veronica’s Story• Heroin user, gave birth to a baby girl at
Palomar• Baby girl was taken by Child Protective
Services• Discharged to Interfaith’s Recuperative Care
program• Was in the program for two weeks, before
relapsing• Had to be exited from the program and was
picked up by her husband, who was also using
• Unfortunately, this was not the first child taken from Veronica and place into protective care
Smart, innovative, effective modelProposed 75-bed “Super Center” is a unique and innovation combination of:
• Detox (10 beds)• Sobering (10 beds)• In-patient (30 beds) & out-patient
alcohol and other drug treatment program
• Recuperative care (25 beds)• Wrap-around social and employment
servicesPartnership with:
• Law enforcement• VA & Hospitals• County of San Diego (Health & Human
Services, Behavioral Health Services, County Jails)
• Alcohol & other drug treatment providers• Community clinics (federally qualified
healthcare centers)
Scale…then Replicate125 people served per year in current Recuperative Care and Treatment programs
1,250
Innovative “one team, one place” model of whole-person care will begin in North San Diego County, and can then
be replicated in other communities
will be served under new “one team, one
place” model