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

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8 IVC for the same episode). So, 20% of 250 per month is 50 IVC episodes per month. After accounting for cases that require a higher level of service than provided by the Facility, non-OC residents (40% of UNC ED/PES patients are OC residents), and multiple IVC orders for a single episode, the number of IVC potentially deflected to the Facility per month is estimated to be about 20 per month. This estimate is consistent with a review of UNC ED/PES data. viii Referrals from the Detention Center population for treatment or observation in the Crisis-Diversion Facility are estimated based on best judgement by professionals experienced in providing BH services to this population. Not counting IVCs from Detention Center, approximately 5 patients per month could benefit from Facility to assess and stabilize BH episodes. Additionally, approximately 10 patients per month could be evaluated at the Facility associated with court appearances (e.g., first appearance). These estimates do not account for possible use of the Facility for Safe Keeping, which now requires transfer to Central Prison. No Safe Keeping estimates have been provided. Total for this category is approximately 15 patients per month. ix Best professional judgement is that the number of minors who might be referred to the Crisis-Diversion Facility (Facility) from juvenile justice is 10 – 15 per year (1 – 2 per month). This is represented in the projections as 15 episodes per year with a probability of diversion at 100% for the high value and 67% for the low value. Additionally, based on professional judgement, the number of minors/families who could be diverted to the Facility instead of Secure Custody and involvement in the CJ system is perhaps an additional 10 – 15 cases per year (1 – 2 per month). This is represented in the projections as 15 diversions from CJ per year with a probability of diversion at 100% for the high value and 67% for the low value. x CHCCS provided high level professional judgement and concluded the following. CHCCS population is approximately 11,500 students. Approximately 5% of 11,500 or 575 students a year (about 48 per month) potentially could either have indirect/direct contact with the Facility via staff calling for consultation, safety and risk assessments, substance use/abuse evaluation/assessments, mobile crisis visits to school and/or actual visits. xi Best professional judgement is 10 – 25 students per month diverted to the Facility. Demographic breakdown is estimated to be: 1) 65 – 70% white, 2) 30 – 35% Hispanic/black leaning toward Hispanic and 1) 35% female/65% male (maybe 75% male). For comparison to the CHCCS estimate (see Endnote x) the Orange County Public School system estimate is about 10 – 25 episodes per month represents or 1.6% - 4.0% of total enrollment (7430). xii OC DSS provided data based on 2021 calendar year. Data fall into two categories: 1) In-home and Foster Care cases and 2) work with families not involved in in-home or foster care services. Demographic data provided for first category. xiii Data from Stakeholder Workgroup (22SEP2021) indicated that about 10 – 15 cases per week are transported to ED and same number per week to the Magistrate. The ED cases mostly are covered by EMS data and so are not counted under this category. The magistrate data are additions to the 2021 projection. For the 2022 projections it is assumed that 95 % (high estimate) can be diverted to the Facility based on an assumption that 5% are too agitated for the Facility, which is conservative (the facility is staffed and designed to likely handle 100% of these cases). The low estimate simply reflects the lower end of the range of the estimated number of cases per month. xiv Alliance Health gathered data from Durham’s RI facility. The number of walk-in cases per month is 161 in 2021. Scaling this number to population of Durham County vs Orange County (52%) yields about 84 per month, which is the basis for the value used in the projections. These cases are also assumed to DocuSign Envelope ID: 1920B089-58AA-4E97-8225-7BCF8DEBAAD4