Central Receiving Center (CRC) System of Care Donna P. Wyche, MS, CAP Manager, Mental Health and Homeless Issues Division Orange County Family Services Department Office Phone

Center for Drug Free Living Detox 3-5 days Lakeside Behavioral Healthcare Crisis Stabilization Unit / Short-term Residential Treatment Unit 3-4 days ORH Behavioral Healthcare Florida Hospital Behavioral Healthcare Medical- Surgical Psychiatric 3-4 days Lakeside Behavioral Healthcare Hospital 3-4 days INVOLUNTARY Law Enforcement Officer Central 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 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 Housing Shelter + Care HUD, SRO Low income Central Receiving Center Phase Two 3-6 months VOLUNTARY Phase Two CRC Center for Drug Free Living Detox 3-5 days Lakeside Behavioral Healthcare Crisis Stabilization Unit / Short-term Residential Treatment Unit 3-4 days ORH Behavioral Healthcare Florida Hospital Behavioral Healthcare Medical- Surgical Psychiatric 3-4 days Lakeside Behavioral Healthcare Hospital 3-4 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 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 1 st DCF Criminal Justice Reinvestment Grant for Phase 2 in $954,663 (3-year award) 2 nd DCF Criminal Justice Reinvestment Grant awarded in 2011 –$750,000 (3-year award)

CRC Community Partners/Providers Center for Drug-Free Living Lakeside Behavioral Healthcare Orange County Government Department of Children and Families Florida Hospital Orlando Health Human Services Associates Homeless Services Network Legal Aid Society Grand Avenue Economic Community Development Healthcare Center for the Homeless Goodwill 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, CAP Manager, Mental Health and Homeless Issues Division Orange County Family Services Department Office Phone