Crisis Care Center (CCC) Rapid City Crisis Care Center (CCC) Report for January 31, 2011 to July 31, 2011

BHMHSA Collaborative Goals 1. Develop a fully operational 24-Hour Crisis Center 2. Implement community case management 3. Provide intermittent professional care until provider availability 4. Develop integrated demographic and needs assessment with appropriate consents for treatment 5. Conduct regular networking meetings among service providers 6. Implement Community Education Plan

BHMHSA Collaborative Objectives 1. Reduce inappropriate admissions to the hospital, jail and detox 2. Improve access to after-crisis follow-up and mental health and substance abuse treatment 3. Improve service integration and coordination among agencies and providers to help patients better navigate complex systems 4. Improve awareness about and access to services to assist people in entering the healthcare system for mental health and substance abuse services prior to the crisis state

Number and Type of CCC Staff as of July 31, 2011 Medical Director Dr. Garry, MD Clinical Director Randy Allen CSW-PIP Program Manager Teri Corrigan CSW, QMHP QMHP’s (1 per shift) 3 FTE, 1 PT, 1 PRN EMT’s (2 per shift) 7 FTE, 1 PT, 3 PRN Case Manager 1 FTE (to be hired) Pennington County Health & Human Services Case Managers are currently providing case management.

People Who Died by Suicide by Year in Pennington County

People Who Died by Suicide in 2010 vs 2011 in Pennington County as of July 31, 2011 As of July 31, 2011, there have been 9 suicide deaths compared to 19 as of this same date in 2010.

Number of CCC Client Visits by Month as of July 31, 2011 - Total Client Visits = 283 (Total Unique Clients= 236)

Number of Clients Returning to CCC for >1 Crisis Visits as of July 31, 2011 Total = 29 Clients

Types of Services Provided When CCC Clients Returned in Crisis as of July 31, 2011 These 29 individuals accounted for 76 visits to the CCC. Fifteen of these 29 individuals were existing clients with agencies such as BMS, the VA, Rebound, CCADP or the BH Workshop. They were referred back to these programs with appointments / follow-up contacts being made by CCC staff. Returning to the CCC diverted these clients from 43 visits to the RCRH BHC and 27 visits to the RCRH ED. The RCPD brought these return clients to the CCC for 54 of the 76 visits, and they returned as walk-ins for 22 visits. Three were diverted from Jail. Not all these return clients were diverted from another program.

CCC Referral Out to Direct Service Percentages as of July 31, 2011

CCC Clients Received and Attended Direct Service Appointments as of July 31, 2011 Behavior Management Systems 13 new referrals with 11 who attended first appointments 5 needed additional referrals to community resources 11 scheduled follow-up appointments at BMS 1 additional identified crisis City / County Alcohol and Drug Programs 7 new referrals who attended first appointments 7 needed additional referrals to community resources 3 scheduled follow-up appointments at CCADP

CCC Clients Received and Attended Direct Service Appointments as of July 31, 2011 Lutheran Social Services 6 new referrals with 6 who attended first appointments 0 needed additional referrals to community resources 3 scheduled follow-up appointments at LSS 0 additional identified crisis Youth & Family Services 5 new referrals with 2 who attended first appointments 0 scheduled follow-up appointments at YFS

CCC Clients Received and Attended Direct Service Appointments as of July 31, 2011 Catholic Social Services 3 new referrals with 1 who attended a first appointment 1 needed additional referrals to community resources 0 scheduled follow-up appointments at CSS 0 additional identified crisis Community Health – Mental Health 2 new referrals with 2 who attended first appointments 0 needed additional referrals to community resources 2 scheduled follow-up appointments at CHC

Total Number of Services Provided by CCC as of July 31, 2011 All clients entering the CCC, receive a Medical Triage exam.

Number of CCC Clients Referred to Pennington County Health & Human Services (HHS) Case Management as of July 31, 2011 / Total = 51

HHS Case Management Referrals by Percent as of July 31, 2011 / Total = 51 CCC clients After receiving the initial referral, HHS Case Managers identified 96 additional crisis situations leading to 161 referrals. CCC clients had 20 follow-up contacts with Pennington County HHS Case Managers.

Method Client was Transported to CCC by Month as of July 31, 2011 (Separated from Referred By)

Referral Sources for CCC Clients as of July 31, 2011 Other includes Sioux San, CCC, YFS, CAP, Detox, EAFB, Job Corp, Nat’l Guard, and the VA.

Homeless Statistics of All CCC Clients as of July 31, 2011 Gender Statistics of All CCC Clients as of July 31, 2011

Race Statistics of all CCC Clients as of July 31, 2011

Age Statistics of all CCC Clients as of July 31, 2011 Total Unique CCC Clients = 236

Number of Non-Pennington County CCC Clients as of July 31, 2011 - Total = 33

Breath Alcohol Level of CCC Clients Who Were Tested as of July 31, 2011 Unknown levels are those where CCC staff knew a person was drinking but the breathalyzer was malfunctioning.

Funding Sources for CCC Clients as of July 31, 2011 Non-billable clients were those who were in briefly and/or were not able to provide or sign billing information.

CCC Indicated Diversions From Specific Programs as of July 31, 2011 These numbers are the total programs that CCC clients were diverted from. If a client was diverted from RCRH BHC by anyone other than the RCRH ER, it was counted as a diversion from the ER and from the BHC. * There was 1 diversion from HSC in June 2011.

Total CCC Diversions as of July 31, 2011 Total = 270

CCC Clients Compared to MH Holds < 24 hr Admits as of July 31, 2011

CCC Satisfaction Surveys as of July 31, 2011 (1)

CCC Satisfaction Surveys as of July 31, 2011 (2)

CCC Referrals from CIT Officers as of July 31, 2011 January 31 – July 31, 2011 – The CCC received 31 referrals from law enforcement officers trained in CIT. 12 referrals from law enforcement officers who had consulted with another officer trained in CIT. June 1 – July 31, 2011 – The CCC received 16 referrals from law enforcement officers trained in CIT.

Average Length of Stay at the CCC as of July 31, 2011 January 31 – July 31, 2011 The average length of stay at the CCC was 8.49 hours. June 1 – June 30, 2011 The average length of stay at the CCC was 10.34 hours. July 1 – July 31, 2011 The average length of stay at the CCC was 9.8 hours. Current average length of stay at the CCC is 9.0 hours

Collaboration: It’s an unnatural act between . . . . . . two or more unconsenting adults