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CASH CONTRIBUTIONSREGIONAL HEALTH $1,500,000 CITY OF RAPID CITY VISION 2012 $ 500,000 JOHN T. VUCUREVICH FOUNDATION $ 500,000 SD COMMUNITY FOUNDATION $ 45,000PIONEER BANK & TRUST AND THE F.L. CLARKSON FAMILY FOUNDATION $ 30,000 DEANNA LIEN $ 15,000 GWENDOLYN STEARNS FOUNDATION $ 5,000CITY 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
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 Staffas of January 31, 2013
• Medical Director Dr. Mark Garry, MD• Clinical Director Randy Allen, CSW-PIP, QMHP• Program Manager Teri 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 Management 1 FTE (contracted with PCHHS)
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0
15
30
45
60
75
90
105
120
1
12
45
62
55 53 55
61
5054
60
54
6163
8076
86
63
74
90
75
104
97100
110
Number of CCC Clients by YearTotal 1st Year = 623
Total 2nd Year = 1,018
1st Year2nd Year
1st Year Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Avg0
2
4
6
8
10
12
14
10.29
11.49
11.18
10.74
8.11
10.3
8.48
10.14
8.81
10.35
8.96 7.87
9.52
9.71076923076923
Average Length of Stay for Initial Observation2 Years of Operation
Hours
All clients entering the CCC, receive a Medical Triage exam.
Med
ical
Tri
age
MH
/Cri
sis
Asse
ssm
ent
Obs
erva
tion
Chem
ical
Dep
ende
ncy
Scre
...
Com
mun
ity C
ase
Man
age.
..
Psyc
hiat
ric
Cons
ult
Refe
rral
to C
omm
unity
Pro
...
623539
398
142 12122
157
1018931
575
238173
41
351
Total Number of Services Provided by CCC 2 Years of Operation
2 visits 3 visits 4 visits 5 visits 6+ visits
126
39
219
16
Number of Clients Returning to CCC for >1 Crisis Visits Since Opening
RCPD
RCRH
ER
Self
PCSO
BMS
Fam
ily/F
rien
d
Med
ical
Doc
tor
Oth
er L
aw E
nfor
cem
ent
Com
m. C
ouns
elor
USA
F
Oth
er
Unk
now
n-205
305580
105130155180205230255280
193 185
81
25 2136
10 4 14 13 17 20
211
263
192
38 4776
22 1029 35
91
1
Referral Sources for Crisis Care Center 2 Years of Operations
1st Year
2nd Year
RCRH BHC RCRH ER Detox Jail HSC0
100
200
300
400
500
600
333
174
23 8 1
534
251
48
8 0
Total CCC Diversions2 Years of Operation
Diversions are tallied based on the alternative that the referring entity would have chosen had the CCC not been available.
Diversions are tallied based on the alternative that the referring entity would have chosen had the CCC not been available.
Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec0
5
10
15
20
25
30
35
40
201020112012
Percentage of Patients with less than 24 hour stay in Inpatient Unit
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
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