1. Imagine Dutchess
Dutchess County, NY

2. Imagine
What if we created a local system of health, human, and social services that cannot fail?
What if people got access to services and supports on their own terms?
What if we treated every person that comes through our doors like they’re entering a 5-star hotel?
What if we broke down our silos and worked together whenever possible?
What if we measured success by a person’s whole quality of life?
What if we stopped a system that thrives on illness and make it thrive on wellness?
What if we repaired the social fabric of our communities?

3. Asset based community development designed to Break down silos and design clear paths to services    

4. Integration platform

5. Integration Platform
The Imagine Dutchess Platform is a web-based platform that will unite the county’s behavioral health, primary health, and health & human services community providers into a single virtual location so that individuals can access the services and information that they need in one place, and so that providers can work together on common goals. It has become imperative and obvious for systemic integration to work efficiently and effectively, all provider partners have to be in agreement to be immediately responsive to the needs of our community in an improved collaborative way The community also realized that integration cannot only happen in a virtual reality world. We had to create examples. And we did.

6. The Stabilization Center
How exactly?
The Stabilization Center

7. The Real Deal

8. A Paradigm Shift Evolving the system
Whole Health Oversight, where physical and behavioral health, as well as social concerns are addressed immediately
Person-Centered/Peer led
Team Approach
Diversionary from the emergency department and criminal justice system

9. Project goals
Improve the integration of service delivery throughout the Dutchess County community
Provide alternatives to criminal justice, emergency department visits and linkage with “bridging” to facilitate shorter inpatient mental health admissions and/or jail
Quick drop off and gateway to wellness
Provide CIT training to all police, probation, jail based CO’s in Dutchess County

10. The Partners
Mid-Hudson Regional Hospital, Mid-Hudson Addiction Recovery Centers, PEOPLe, Inc., and Astor Services for Children & Families
The Center’s partners will bring specialized expertise to the services provided, addressing the physical health care needs, as well as substance use and mental health.
Provide peer support and bridging services to guests, as needed
The intention is to improve access to services, quality of life and better engagement for long-term recovery goals

11. Stabilization CEnter
Participation in services at the Center are 100% voluntary
Services across the life span
Seamless transitions to partner agencies
Bridging to ensure engagement and follow-through with services

12. Stabilization Center
People experiencing a behavioral health crisis will be welcome to walk into the Center 24/7/365
First responders, including law enforcement, and families will have a warm hand-off to mental health caregivers to continue the work of triage and stabilization
Easy and open access to services and supports when people need them
Trauma-Informed Approaches and an environment that establishes safety and security---physically and psychologically

13. Redesign Access to Services
Support the community referral system to be accessible and responsive, providing appointment(s) within 24 hours
Optimize Open Access
Peer Bridging
Mobile Crisis Intervention & Prevention Team
HELPLINE

14. What happens at the Stabilization Center?
Medical Triage
Motivational Assessments, addressing mental health and substance use disorders
Screening, Brief Intervention, and Referral to Treatment
Sobering beds, initiating detox (8 beds)
23-hour psychiatric observation beds (5 beds)
Family and Adult Respite spaces
Transition planning to appropriate levels of service is continuous

15. What Happens at the Stabilization Center?
At the Crisis Stabilization and Wellness Center, guests will have the opportunity to engage with other community partners/services:
Dept. of Community & Family Services (Social Services)
Probation
Care Coordination
Domestic Violence Services
Housing
Other Related Providers/Services

16. Staffing
Dutchess County is the umbrella agency for the Stabilization Center
Dedicated staffing from the Department of Behavioral & Community Health’s Division of Mental Hygiene will address the supervisory needs of the Center
HELPLINE and the Mobile Crisis Intervention & Prevention Team will maintain a 24-hour presence

19. Peer SerVices
Crisis Respite Warm Line Mobile Peer Specialists Integrated (CO-Located) peer services into traditional services Emergency Room Peer Specialists Peer Specialists in the Jail Employment Services Social Inclusion Advocacy

20. Thank you
Steve Miccio, CEO PEOPLe., Inc. Poughkeepsie, NY