Agenda 03-07-24; 8-a - Minutes - Laserfiche WebLink

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10 1 Shenekia Weeks said they would use that feedback to make improvements to the 2 dashboard. She said that they are in the process of getting the data out, but it will continue to be 3 updated. 4 5 2. Behavioral Health Diversion Facility Update 6 7 In April 2019, more than 30 community stakeholders from the criminal justice system, 8 healthcare, behavioral health system, and housing came together to participate in an Orange 9 County Sequential Intercept Mapping (SIM) Workshop facilitated by the North Carolina 10 Department of Health and Human Services. The SIM process is designed to inform and address 11 community-based responses to the involvement of individuals with behavioral health issues and 12 intercepts with the criminal justice system. 13 14 One of the gaps that was identified through this analysis was the need for a Crisis/Diversion 15 facility to divert individuals in behavioral health crisis from the criminal justice system and the 16 Emergency Departments at UNC Hospitals to a more appropriate and less expensive setting. 17 Later in 2019, a Crisis Diversion Facility Subcommittee was formed and tasked with developing 18 recommendations and a plan for a dedicated facility. 19 20 In December 2022, the Orange County Board of Commissioners approved a contract with CPL 21 Architects and RHA Health for$172,325 to provide preliminary/advanced planning services 22 necessary for the development of a Crisis Diversion Facility serving Orange County residents. 23 The scope of work included a review of existing planning and development information, and the 24 development of programming documents, a preliminary/ schematic design, site requirements 25 and budget estimates. The culmination of this work was presented to stakeholders during two 26 engagement sessions in April 2023. 27 28 The preliminary conceptual design represented a 29,000 square foot facility designed to offer 29 Behavioral Health Urgent Care services for assessment, stabilization, treatment, peer support 30 and discharge planning for patients experiencing a Behavioral Health crisis, such as for mental 31 illness and substance use disorders. Behavioral Health Urgent Care Services are intended to 32 be available for patients 4 years old and older. The facility is also designed to provide Facility 33 Based Crisis services for adults for up to two weeks and will include security required for some 34 patients and for justice-involved individuals. The facility will provide Behavioral Health crisis 35 services to walk-in patients on a 24/7/365 basis and offer associated urgent, but non-critical, 36 medical care if necessary. Finally, the facility will include a peer living room, a resource 37 information center and will provide space for partner agencies that support housing, social 38 services, food insecurity, harm reduction, domestic violence and sexual assault survivors and 39 many other critical determinants of health and well-being. 40 41 The Orange County Board of Commissioners approved $2,047,155 for design services in 42 FY2023-24. The County's Capital Investment Plan anticipates a total construction budget of 43 $22,952,845. The County is currently conducting due diligence on a potential site located in the 44 Town of Hillsborough and has begun working with Town staff on the appropriate entitlement 45 process. The County is also working with subject matter experts, including Alliance Health, on 46 calculating the cost of ongoing operations. Behavioral Health Urgent Care Services are not fully 47 billable services on public or private health care plans, so an operating subsidy will likely be 48 necessary without changes to those health care plans. That subsidy is currently estimated to be 49 approximately $2.8 million annually. 50 51 Additional information is available at https://orangecountync.gov/3168/Crisis-Diversion-Facility.