2023-002-E-AMS-CPL + RHA-PreDesign for Behavioral Health Crisis Diversion Facility

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1 ATTACHMENT #4 Crisis-Diversion Facility Estimate of Projected Demand for Service To support the design of the Orange County crisis-diversion facility (Facility), the subcommittee has undertaken a task to estimate the number of individuals who are expected to be served by the Facility. Herein we document our approach to developing these estimates. This report is organized into seven sections: • Executive Summary, • Overview, • Current Episodes, • Deflection Potential, • Results, • Demographic Breakdown, • Uncertainties. Executive Summary The Orange County Behavioral Health Task Force Crisis-Diversion Facility Subcommittee put forth recommendations for a BH crisis-diversion facility for Orange County. The subcommittee has described the services to be provided by the Facility, its alignment with various stakeholders in Orange County, and the number of individuals expected to be served by the Facility. Data have been compiled by the subcommittee working with various stakeholders who currently respond to BH crisis daily. These data have been used to quantify the number of cases expected to be served by the Facility. The current estimate is that the Facility will serve approximately 400 BH crisis cases per month. The facility will serve minors as well as adults and the current estimate is that cases involving minors will be approximately 23% of total cases or about 90 cases per month. While care has been taken to base these projections on hard data, the estimate also relies on professional judgement of subject matter experts where necessary. This report documents the data compiled and the approach used to make these projections. Overview In November 2019 the Orange County Behavioral Health Task Force (BHTF) formed a subcommittee to lead the process of developing a BH crisis center for Orange County. The first step in the subcommittee’s work was determining the scope of services that need to be provided to fill the gaps in Orange County’s current crisis response system. This process involved engaging all stakeholders who currently are involved in crisis response and asking what services are missing and, if available, would enable better responses and better outcomes for individuals in crisis. The subcommittee’s work led to the current plan for clinical and criminal justice services within a new crisis-diversion facility and plans for networking with community treatment and social services providers. The assessment described above asked stakeholders how and when they would use the Facility. To develop an estimate, or projection, of the number of individuals who are expected to be served by the Facility, these same stakeholders were asked to quantify their expectations. That is, how many individuals with whom they engage routinely do they believe could be deflected to the Facility in lieu of the current default approach, which often involves transport to the UNC Emergency Department. DocuSign Envelope ID: 1920B089-58AA-4E97-8225-7BCF8DEBAAD4