1. Central Receiving Center Phases I and II Update February 1, 2011

2. Presentation Outline CRC Phase I – History CRC Phase I – Data CRC Phase II / ANCHOR Action Requested

3. “All that I have learned while serving as Secretary of [Department of Children and Families] leads me to the conclusion that the vast majority of child abuse, adult abuse, domestic violence, and homelessness has substance abuse and mental health issues as the underlying cause.” Ex- Secretary George Sheldon, commenting on funding cuts. CRC Update

4. Presentation Outline CRC Phase I – History CRC Phase I – DataCRC Phase I – Data CRC Phase II / ANCHORCRC Phase II / ANCHOR Action RequestedAction Requested

5. CRC is a central point of access to assess Baker Act (mental health) and Marchman Act (substance abuse) individuals Involuntary placement from OC Law Enforcement (95%) and Hospitals (5%) State-of-the-art facility, only one of its kind in the State of Florida Partnerships Department of Children and Families Lakeside Behavioral Healthcare The Center for Drug Free Living Florida Hospital and Orlando Regional Healthcare CRC Phase I - History

6. System of Care Before CRC Long waits for a consumer to be placed in a treatment bed at every entry point Overcrowded emergency rooms for psychiatric patients and those needing detox services Bookings in the Orange County Jail, and the costs associated with risk, psychotropic medications and jail resources to manage these vulnerable consumers

7. Pre CRC System of Care CONSUMER Mental Health Baker Act Substance Abuse Marchman Act Law Enforcement Officer Orlando Regional Hospital Emergency Room Florida Hospital Emergency Room Health Central Jail Center for Drug Free Living Addition Receiving Facility (ARF) Lakeside Behavioral Healthcare

8. 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 Phase I - History CRC Phase I

9. CRC Phase I - History The CRC serves as the hub for the mental health system of care for adults in Orange County Consumers placed in most appropriate community resource within 24 hours Over 36,000 individuals screened – 21% are homeless _ For homeless consumers – approximately 50% have both a mental health and substance use disorder Of those screened: – 31,731 placed in mental health beds – 2,952 placed in substance abuse beds

10. CRC Phase I - History 2005 award recipient as “most innovative” program – from DCF and FADAA 2008 Orange County Mayor and BCC awarded a national Crisis Intervention Team Award for “Advocate of the Year” 2010 Phase Two CRC award recipient from The Southeast Institute on Homelessness and Supportive Housing

11. Presentation Outline CRC Phase I – History CRC Phase I – DataCRC Phase I – Data CRC Phase II / ANCHORCRC Phase II / ANCHOR Action RequestedAction Requested

12. April 2003 - December 2010 Jail is no longer the defacto mental health facility – Average length of jail time for mental health misdemeanant - 34 days Law enforcement drop off time averaging 11 minutes vs. 2-4 hours CRC Phase I – Data

13. CRC Phase I - Data April 2003 - December 2010 – No Marchman individuals brought to jail for protective custody – Approximately 300 Baker Act individuals received annually from Orange County Jail – Law enforcement is diverting over 7% of consumers from the jail (this number is probably underestimated) – Approximately 86,292 jail bed days saved

14. CRC Phase I - Data Prior to the CRC, LEO would take clients to the closest Emergency Department Savings: $12.8 M to $32 M* over the last 7 years Diverted over 16,000 patients from local emergency departments * Range estimates costs if all LEO patients presented only to ED vs. ED + Admission

15. CRC Phase I - Data Prior to the CRC, LEO would spend approximately 2 - 4 hours with clients at an Emergency Department Savings: $2.2 M over the last 7 years = 45 Additional Positions

16. CRC Phase I - Data Orange County Sheriff 15594 Orlando Police 6607 Corrections 1835 Winter Park 1529 Apopka 900 Ocoee 807 Winter Garden 706 Maitland 297 Eatonville 237 UCF 219 Edgewood 59 Oakland 44 Windermere 26 Florida Highway Patrol 19

17. CRC Phase I - Data

18. Presentation Outline CRC Phase I – History CRC Phase I – DataCRC Phase I – Data CRC Phase II / ANCHORCRC Phase II / ANCHOR Action RequestedAction Requested

19. Permanent Housing Shelter + Care HUD, SRO Low income Central Receiving Center Phase Two 3-6 months VOLUNTARY Phase II 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

20. CRC – Phase II Goal To stabilize and lead to permanent housing. All services provided will be directed toward this outcome

21. Maxwell Place Orange County Sheriff’s Office West Colonial Drive John Young Parkway Maxwell Place Property

22. CRC – Phase II Forty-Four bed transitional housing Program - Opened Oct. 2008 – Length of stay 3-6 months – Serving approximately 97 consumers per year Participants Rooms

23. CRC – Phase II Case Management Supportive Housing Specialist – Avg. length of stay is 4-5 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

24. CRC – Phase II Outcomes Since inception October 2008 279 Individuals Served 47% left for permanent housing 76% left the program 6 months or less 32% left the program with greater monthly income than upon entry 27% left with food stamps 92% did not return to CRC 81% were not re-arrested in 90 days

25. CRC – Phase II New Community Room

26. CRC - Phase II - Funding Capitol Improvement Funding – 2007 EDI Award Sen. Martinez, $500,000 – 2009 EDI Award Sen. Martinez, $950,000 – 2010 EDI Award Rep. Brown, $400,000 Operational Funding – 2008 to 2011 DCF Reinvestment Grant, $954,663

27. CRC - Phase II - Funding 2 nd DCF Reinvestment Grant – 3 year award $750,000 This grant allows more mental health and substance abuse overlay for these consumers Match Funds – Existing Orange County Funding, $206,000 – Homeless Service Network, $350,000 – OATH, $273,000

28. Presentation Outline CRC Phase I – History CRC Phase I – DataCRC Phase I – Data CRC Phase II / ANCHORCRC Phase II / ANCHOR Action RequestedAction Requested

29. Action Requested  Approval of the Memorandum of Understanding for Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant between Orange County Government and State of Florida Department of Children and Families in the amount of $750,000

30. Central Receiving Center Phases I and II Update February 1, 2011