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27 <br /> BEST PRACTICES: OPPORTUNITIES FOR IMPROVEMENT (U.S. FACILITIES) <br /> In addition to the literature review,we researched existing Medical Jail Diversion <br /> Leans toward providing BH and Limited to providing criminal <br /> d facilities. SLID and Physical Health FOCUS justice stakeholders an alterative <br /> programs anServices. to using jail. <br /> There are scores of existing programs and facilities across the <br /> U.S. Limited Scope Comprehensive <br /> • BH Crisis Assessment and BH&SLID Assessment& <br /> Stabilization. $ervICES Stabilization;Detox:Sobering <br /> Subcommittee members interviewed representatives Of a 23-hour operation. Center;Physical Health;Pharmacy; <br /> dozen operating and planned facilities. multi-day stays. <br /> This review includes two important N.C.facilities: Restricted Anyone <br /> Limiting conditions:intoxicated, Admit anyone regardless of <br /> violence potential,suicidal Who IS Served? situation,behavior,age. <br /> Wakebrook ideation,IVCs. General public walk-ins. <br /> (Wake County,Raleigh). <br /> C3 356 Comprehensive Care Center (Buncombe County, Traditional rooCalm spaceng . ting <br /> P \ / Traditional medical facility with Living room space. <br /> Asheville). patient rooms and chairs. Ph SICaI Desi n EmPATH emergency setting. <br /> Designed to mitigate trauma and <br /> deescalate crisis. <br /> Figure on right illustrates the wide variation in facilities across <br /> six dimensions. Internally Focused Community Networking <br /> • Focus on crisis intervention and Networked with all community. <br /> Exhibit B contains more complete summary of best stabilization services provided Collaboration treatment and social services with <br /> within the Facility. peer specialists and case <br /> practices findings. management support. <br /> No Program Integration Wrap Around Services <br /> • Focus is on operation of theWarm handoff to facilitate <br /> Facility without much emphasis HOIIStIC transition from crisis care to <br /> on other programs. community treatment and social <br /> services. <br /> 14 <br />