Central Receiving Central Receiving CenterCenter

FY 2008-09Budget Worksession

July 22, 2008

• CRC Positive Community Impacts

• Consumer Perspective

• Partnerships

• Significant Budget Issues

• Summary of Unfunded Needs

Presentation Outline

• CRC Positive Community Impacts

• Consumer Perspective

• Partnerships

• Significant Budget Issues

• Summary of Unfunded Needs

Presentation Outline

Pre CRC System of Care

CONSUMERMental Health

Baker Act

Substance AbuseMarchman Act

Law Enforcement

Officer Orlando Regional Hospital

Emergency Room

Florida HospitalEmergency Room

Health Central

Jail

Center for Drug Free Living

Addiction Receiving

Facility (ARF)Lakeside

Behavioral Healthcare

Permanent HousingShelter + Care

HUD, SROLow income

Central Receiving CenterPhase Two3-6 months

VOLUNTARY

Phase Two Phase Two CRCCRC

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

Officer

Central Receiving Center< 23 hours

CRC System of CareCRC System of Care

Positive Community Impacts

April 2003- June 2008• State of the art integrated receiving center

• Keeps consumers out of very expensive emergency departments – over 8,500 emergency room days saved

• Streamlines care for consumers placing them in most appropriate resources

• Manages scarce resources effectively and efficiently

• Offers opportunities to address other community issues - Phase Two CRC

Positive Community Impacts

April 2003- June 2008• Law enforcement diverting consumers from

the jail – active Crisis Intervention Team Training

• Nearly 54,000 jail bed days saved

• Keeping the most vulnerable out of jail and in treatment system

• Jail population increase equates to more mental health/substance abuse inmates

• Approximately 150 Baker Act patients received annually from the Orange County Jail

Positive Community Impacts

Prior to the CRC, LEO would spend approximately 2 - 4 hours with clients at an

Emergency Department

Savings: $1.2M over the last 5 years

=27 Additional Positions

• CRC Positive Community Impacts

• Consumer Perspective

• Partnerships

• Significant Budget Issues

• Summary of Unfunded Needs

Presentation Outline

Nelson Kull, Pathways Drop In Center

• President - CEO

• Diagnosed with schizophrenia in his early teens

• Advocate for those suffering from mental illnesses

• Graduate from the University of Central Florida

Consumer Perspective

• CRC Positive Community Impacts

• Consumer Perspective

• Partnerships

• Significant Budget Issues

• Summary of Unfunded Needs

Presentation Outline

Rich Morrison, Regional Vice President, Florida Hospital

• The CRC Governing Board

• Participating Partners

• Relief of Hospital Emergency Departments

• CRC Vital Community Initiative

Partnerships

CRC Governing Board Members

The Honorable Belvin Perry, Jr. The Honorable Lydia Gardner The Honorable Kevin Beary The Honorable Andy Gardiner The Honorable John Mica

(Honorary)

The Honorable Linda Stewart The Honorable Robert Wesley Mr. Bud Brewer Ms. Carolann Duncan Mr. Roger Duryea Mrs. Deborah Kirkwood

Mr. Richard Irwin Mr. Dick Jacobs Mr. Jerry Kassab Mr. Michael Mathes Ms. Joan Nelson Ms. Mary McKinnon Mr. Richard Morrison Mr. William Vose Mrs. Mary I. Johnson Mr. Bill Owen Mrs. Alana Brenner

•Department of Children and Families

•Lakeside Behavioral Healthcare

•The Center for Drug Free Living

•Human Services Associates

•Florida Hospital and Orlando Regional Healthcare

Partnerships

• CRC Positive Community Impacts

• Consumer Perspective

• Partnerships

• Significant Budget Issues

• Summary of Unfunded Needs

Presentation Outline

Significant Budget Issues

Gains Via State Appropriations

• FY 05 - $2.8M

ADDED: 20 Mental Health Crisis Beds 6 Detox beds

7 Case Managers 10 Residential Substance Abuse

beds

• FY 06 - $3.0M

Kept the resources from previous year

Significant Budget Issues

• FY 07 – Appropriation cut to $2.25M LOSS: 10 Crisis Mental Health beds 3 Detox beds 6 Residential substance abuse beds

• FY 08 – Appropriation cut to $500,000 (As of July 1, 2008)

LOSS: 17 Mental Health beds Case management program Some services out of CRC

Fidelity of the CRC model

Total Reduction of ($1.75M) from State

• CRC Positive Community Impacts

• Consumer Perspective

• Partnerships

• Significant Budget Issues

• Summary of Unfunded Needs

Presentation Outline

Summary of Unfunded Needs

Request

Appropriation of $2.0M to replace State funding for the Central Receiving Center System of Care

Central Receiving CenterFY 2008-09

Budget WorksessionJuly 22, 2008