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

2. 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

3. 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

4. Number and Type of CCC Staff as of July 31, 2011  Medical DirectorDr. Garry, MD  Clinical DirectorRandy Allen CSW-PIP  Program ManagerTeri 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. 

6. People Who Died by Suicide by Year in Pennington County

7. 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.

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

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

10. 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.

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

12. 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

13. 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 needed additional referrals to community resources 0 scheduled follow-up appointments at YFS 0 additional identified crisis

14. 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 0 additional identified crisis

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

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

17. 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. 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.

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

19. 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.

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

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

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

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

24. 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.

25. 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.

26. CCC Indicated Diversions From Specific Programs as of July 31, 2011 * There was 1 diversion from HSC in June 2011.

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

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

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

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

31. 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.  12 referrals from law enforcement officers who had consulted with another officer trained in CIT.

32. 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

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