Rapid City Crisis Care Center (CCC) 2 Years of Operation January 31, 2011 – January 31, 2013

CASH CONTRIBUTIONS REGIONAL HEALTH $1,500,000 CITY OF RAPID CITY VISION 2012$ 500,000 JOHN T. VUCUREVICH FOUNDATION$ 500,000 SD COMMUNITY FOUNDATION$ 45,000 PIONEER BANK & TRUST AND THE F.L. CLARKSON FAMILY FOUNDATION$ 30,000 DEANNA LIEN$ 15,000 GWENDOLYN STEARNS FOUNDATION$ 5,000 CITY OF RAPID CITY CDBG$ 5,000 $2,600,000 A RESERVE FOR SUSTAINABILITY OF THE PROGRAM HAS BEEN ESTABLISHED BY PENNINGTON COUNTY WITH THE GOAL OF $1MILLION, AS OF 2013, $971,705 HAS BEEN ALLOCATED. FUNDING PARTNERS

IN-KIND CONTRIBUTIONS HUNDREDS OF HOURS OF STAFF TIME HAVE BEEN INVESTED IN THIS PROJECT BY OUR COLLABORATIVE PARTNERS. WE TRULY THANK YOU FOR YOUR COMITTMENT AND DEDICATION TO THE SUCCESS OF THE CRISIS CARE CENTER! THANK YOU TO RAPID CITY REGIONAL HOSPITAL FOR THE DONATION OF SPACE AT REGIONAL BEHAVIORAL HEALTH CENTER!

Number and Type of CCC Staff as of January 31, 2013 Medical DirectorDr. Mark Garry, MD Clinical DirectorRandy Allen, CSW-PIP, QMHP Program ManagerTeri Corrigan, CSW, QMHP QMHP’s (1 per shift)3 Full Time, 1 Part Time EMT’s (2 per shift)6 Full Time, 1 Part Time, 2 PRN Case Management1 FTE (contracted with PCHHS)

All clients entering the CCC, receive a Medical Triage exam.

Diversions are tallied based on the alternative that the referring entity would have chosen had the CCC not been available.

Percentage of Patients with less than 24 hour stay in Inpatient Unit

Rapid City Crisis Care Center Emerging Trends

Number of Clients at CCC Average Monthly Census for admissions into the CCC over the first 6 months (Feb - Jul) = 73.6/month Average Monthly Census for admissions into the CCC over the last 6 months (Aug – Jan) = 96.0/month An increase of 30%

Referral Sources Average number of clients referred by RCPD in first 6 months (Feb – Jul) = 13.8/month Average number of clients referred by RCPD in last 6 months (Aug – Jan) = 21.3/month An increase of 54% Average number of clients referred by RCRH - ED in first 6 months (Feb – Jul) = 20.5/month Average number of clients referred by RCRH – ED in last 6 months (Aug – Jan) = 23.3/month An increase of 14% (Note: 42% increase year over year)

Impact of CIT Training Average number of referrals from CIT trained officers for the first 6 months (Feb – Jul) = 10.8/month Average number of referrals from CIT trained officers for the last 6 months (Aug – Jan) = 17.8/month An increase of 65% Approx. 73% of all law enforcement officers trained in CIT

Diversions Year Over Year Jail diversions: 8 in yr 1 / 8 in yr 2 = 0% change Detox diversions: 23 in yr 1 / 48 in yr 2 = 108% increase Emergency Department diversions: 174 in yr 1 / 251 in yr 2 = 44% increase Behavioral Health diversions: 333 in yr 1 / 534 in yr 2 = 60% increase

Suicide by Year from 1998 to 2012

Goals for Year 2 Increase in CIT trained officers to greater than 70% – Results are 73% trained Increase diversions by 25% from the 2011 diversions: – ED goal 217 actual 251 increase of 44% – RCRH BHC goal 416 actual 534 increase of 60% – Detox goal 29 actual 48 increase of 108% – Jail goal 10 actual 8 no change from previous year Increase census in Crisis Care Center by 50% to 950 visits – Actual visits 1018 increase of 60%

Goals for Year 3 Focus on sustainability by – Move the location of the Crisis Care Center – Advertise program to the public – Obtain approval for reimbursement from SD Medicaid for crisis counseling – Increase reserves with Pennington County to 1 million to help with transition after year 3 – Have brought together a community group to address the issue of Youth Crisis

Regional Health The Regional Health Board of Trustees in the April 2013 meeting approved funding for the Crisis Care Center of $500,000 for the third year This completes the Regional Health 3 year commitment to the Crisis Care Center for a total support of 1.5 million Thank you to all of the agencies for supporting this community initiative to improve mental health care