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Bob Janes Triage Center and Low Demand Shelter Lee County

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Presentation on theme: "Bob Janes Triage Center and Low Demand Shelter Lee County"— Presentation transcript:

1 Bob Janes Triage Center and Low Demand Shelter Lee County
Kevin Lewis, CEO Southwest Florida Addiction Services, Inc Triage Center Partner Agency

2 Opened April 28, 2008

3 Pre-Arrest Diversion Program
Voluntary alternative to incarceration and inappropriate emergency room utilization Targets low level offenses (trespass, open container, disturbing the peace) Primarily for individuals experiencing a behavioral health crisis who are homeless, indigent, and/or intoxicated Compliments Crisis Intervention Training

4 Low Demand Shelter Opened 22 beds in April 2008 and increased to 58 beds May 2010 using CJMHSA grant Provides safe shelter while conducting medical and psycho-social assessments Residents work with case manager to establish goals to accomplish Links with community treatment programs as beds become available

5 The shelter provides an alternative for police officers and emergency rooms for petty offenders or intoxicated patients who may not need jail or serious medical care. (John David Emmett/

6 Major components needed to open
Funding CJMHSA implementation grant Building space at mental health center – Lee Mental Health Center unsung hero Data system built on existing HMIS Local matching funds from key stakeholders Agency willing to run shelter component Buy in of key community partners

7 Data System Utilizes Client Services Network (CSN) – Lee County’s Homeless Management Information System (HMIS) to track demographic information Admission to facility including Length of stay, referring agency, etc. Referrals for services and housing Criminal history

8 Data System Cross referenced with local jail data system
Cross referenced with local hospital data Florida Mental Health Institute (FMHI) cross referenced with use of publicly funded behavioral health system and Medicaid

9 Policy Services and Research Data Center at FMHI Phase I Report
Concluded that those who completed the program or left Triage for a housing opportunity or a treatment facility experience the following positive outcomes: fewer subsequent encounters with law enforcement fewer subsequent arrests if arrested shorter length of incarceration.

10 FMHI Review Shows Impact of Triage Center
Triage serves highly vulnerable population with history of criminal justice involvement and high physical, mental health and substance abuse needs. Cost benefit of diversion calculated to be $220 less per individual and $68,666 per year (not including court and police time) Provides alternative to revolving door

11 Case Study 22 arrests with 743 jail days in last 13 years
19 hospital encounters in five years 6 triage stays in 3 years (longest 354 days) Jail cost $58,771 - Hospital cost $124,811 – Triage cost - $42,626 Baker Act and Detox history Qualified for SS disability, food stamps, Medicaid and permanent supportive housing

12 Potential impact on SA/MH System
Diverting arrest may prevent person from decompensating and additional charges such as battery on LEO Provides law enforcement alternative to arrest Works with homeless population most of whom have criminal justice history and MH/SA treatment history Emphasis on stabilizing, obtaining resources and housing

13 Number of Triage Admissions
2,070 duplicate client admissions occurred during first three years Facility capacity increased from 22 beds to 58 beds May 2010

14 Source of Referral

15 Number of Repeat Admissions
Unduplicated clients served and program entries and number of repeat admissions (“client entries” categorized by number of intakes). Information from CSN reports. See Eric. 1,246 unduplicated clients 2,070 duplicated clients Average Length of Stay 13 days

16 Who does Triage Center Serve?
77% male population (County jail is 86% male) 79% white; 92% non-Hispanic 73% between ages of 31-60 16% Veterans 93% Homeless Gender # % Male 965 77.45% Female 281 22.55% Total 1,246 100% Age # % 18-20 27 2.17% 21-30 212 17.01% 31-40 216 17.34% 41-50 351 28.17% 51-60 340 27.29% 61-70 85 6.82% 71-80 11 .88% 80 + 2 0.16% Not Reported Total 1,246 100% Information from CSN reports. See Eric.

17 Presenting Issues Based on self-disclosure during assessment
Mental Health 12.12% Co-Occurring 25.28% Other 7.87% Substance Abuse % None 31.38% Reporting of mental health, substance abuse, or both and percentage reporting taking medications information was not on the reports. Information from CSN reports. See Eric. 67% of clients reported having a Disabling Condition of this 60.75% were made up of Alcohol, Drug, and Mental Health related conditions. The other 7.87% consists of Developmental Disabilities, Chronic Health Conditions, Physical Disabilities, and Domestic Violence victims. Based on self-disclosure during assessment 42% report taking medications which includes but is not limited to psychotropic drugs

18 True Diversion? 70% have prior arrest history in Lee County
64% misdemeanor 36% felony Most common prior charges are: Trespass DUI Theft Battery Information from CSN reports. See Eric.

19 Impact on Criminal Justice System
16% of time LEO would have taken individual to jail Diverted 332 charges 5% of people would have been charged with more than one crime If LEO had taken to jail, most common charges would be: Trespass Loitering Diverted 70 Marchman/Protective Custody Information from CSN reports. See Eric.

20 Impact on the Community
64% of time LEO would have taken nowhere Provides access to assessment, shelter, resources and treatment for people who would have otherwise been left on the streets 3% of time LEO would have taken to hospital Reduces impact of inappropriate utilization of emergency rooms 53% successfully linked with resources 44% Had a good exit status. Information from CSN reports. See Eric.

21 Saves Law Enforcement Time
84% of time officers spend ≤ 5 minutes 10% of time officers spend ≤ 15 minutes 93% of officers are satisfied to highly satisfied with process 34% of time individuals are brought by a CIT trained officer Information from CSN reports. See Eric.

22 Map provide by Jason K.

23 Funding Sources CJMHSA Implementation Grant $997,698 (3 year period)
CJMHSA Expansion Grant $750,000 (3 year period) Local Match $2 million (3 year period) from Lee County BOCC and project partners Federal stimulus funds used to expand facility FDLE Byrne Grant funds operating expenses Veteran’s Administration per diem contract Cost is $68 per bed per day Left “as is” from 9 month report – assuming this is all still the same.

24 Key Stakeholders Lee County BOCC – administers grant and provides local match funds Salvation Army – operates low demand shelter Lee Memorial Health System – provides nursing staff, medical supplies, and some meals Lee Mental Health Center – provides facility, oper. and maint., meals, and intake clinician Southwest Florida Addiction Services – provides intake clinician United Way – provides match funds for meals Local law enforcement NAMI


26 Questions For additional information please contact
Ann Arnall, Lee County Human Services 2440 Thompson Street Fort Myers, Florida

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