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

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7 Most commitment episodes reported for LE agencies are voluntary commitments: that is, voluntary transports to the ED. All IVCs data compiled from the Magistrate’s office are entered separately in our projections under the Magistrate. ii Disturbance/Trespass 911 calls associated with homelessness are recorded separately. Virtually all these calls involve Chapel Hill (87%) and Carrboro (8%). A small percentage of these may be transported to Crisis-Diversion Facility. These diversions may grow as programs to address homeless population evolve. Data were compiled for the last nine months of 2020. No data for 2021 were compiled. The 2020 data are used for the 2022 projections without update. iii In addition to the 911 call data, CHPD records were reviewed: data was compiled from Chapel Hill Police Records Management System (RMS) for 2015 – 2020. Although the RMS records are not designed to support a rigorous enumeration of cases and case types, these records do provide some insight on suicide and SUD episodes. The CHPD data are used to make inferences for episodes in the other Orange County municipalities based on population. Currently, most of these calls result in transport to the UNC ED. Note: Most commitment episodes reported for LE agencies are voluntary commitments or voluntary transports to the ED. All IVCs reported by the Magistrate are entered separately in our projections under the Magistrate. iv EMS 911 calls were compiled from ESO data for three categories: MH-related (includes suicidal ideation), opioid-related, and alcohol-related for 2018 – 2021. Data for 2018, 2019, 2021 were used for the BH category because 2020 data appear to be outliners from the other years on the high side. Most episodes labeled as transported without sirens or lights can be diverted to Facility: less than 3-4% are too agitated to receive care at the Facility. These episodes do not include treated and released or AMA situations. Alcohol (ETOH) cases included data from 2018 – 2021. Opioid data from 2021 are used in the projections instead of 4-year average because cases are increasing year over year. Minors account for about 8.4 percent of BH cases and zero percent of opioid cases. Percent of alcohol related cases that involve minors is not available. v UNC ED data were compiled for the first eleven months of 2021. Cases were categorized as routine and emergent/urgent. These data were not used directly, but served to evaluate data from other stakeholders currently transporting individuals to the UNC ED. vi Requests for clinical assessment and support services provided to individuals and their families involved with Community Resource Courts may result in approximately 5 – 10 cases per month with additional demand from individuals enrolled in Community Resource Court accessing the facility as walk in patients. These estimated are based on best judgement by professionals involved in resource court proceeding. Additionally, various outreach programs (e.g., SORAD, Lantern) may result in an additional 8 patients per month. Also see Endnote viii. Total for this category is estimated to be 10 – 20 patients per month. These estimates do not include any additional deflection efforts by local LE agencies. vii IVCs. Magistrate records were compiled to identify IVCs initiated in Orange County for 2018 – 2021. IVCs have been increasing year over year and this is true for minors as well. The average of 2020 and 2021 is used for the January 2022 projections. The 2020/2021 IVC data also provided breakdown by age and these data are used to estimate the percent of total IVC cases that are under 18 years of age (18.4% – 19.8%). All IVC episodes are included in the Magistrate account and not under law enforcement. Of the approximately 250 IVCs per month, approximately 80% are generated from within UNC Hospital and so are not eligible for deflection to the Facility. Additionally, not all IVCs issued by the OC Magistrate actually involve an Orange County resident. Moreover, do to process issues some individual episodes result in more than one IVC order (e.g., patient cannot be located within 24 hours thus requiring a second DocuSign Envelope ID: 1920B089-58AA-4E97-8225-7BCF8DEBAAD4