Central Receiving Center (CRC) System of Care

1. 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 407-836-7608

2. CRC System of Care Central Receiving Center < 23 hours Law Enforcement Officer Center for Drug Free Living Detox 3-5 days Lakeside Behavioral Healthcare Hospital 3-4 days INVOLUNTARY 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

3. 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

4. Community Impacts – Orange County Jail 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)

5. Community Impacts –Local Hospitals * Range estimates costs if all LEO patients presented only to ED vs. ED + admission

6. 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

7. 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

8. CRC System of Care- Phase Two Central Receiving Center < 23 hours Law Enforcement Officer INVOLUNTARY Center for Drug Free Living Detox 3-5 days Lakeside Behavioral Healthcare Crisis Stabilization Unit / Short-term Residential Treatment Unit 3-4 days Lakeside Behavioral Healthcare Hospital 3-4 days ORH Behavioral Healthcare Florida Hospital Behavioral Healthcare Medical-Surgical Psychiatric 3-4 days VOLUNTARY Central Receiving Center Phase Two 3-6 months CRC Phase Two Permanent Housing Shelter + Care HUD, SRO Low income

9. CRC Phase II- ANCHOR

10. 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

11. CRC Phase ll - ANCHOR Participants’ Rooms The participants live in a double occupancy room within a therapeutic community that provides a variety of supportive services.

12. CRC Phase ll - ANCHOR Program Components • 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

13. 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

14. 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)

15. 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

16. 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.

17. 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 407-836-7608