Agenda - 09-17-2024; 6-a - Approval of a Professional Services Contract with CPL for the Design of a New Crisis Diversion Facility

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3. HOW THE PROVIDER WILL ADHERE TO THE SCOPE�$WORK 3a. An Indication of Your Understanding In 2019, Orange County participated in a Sequential of the Project Intercept Mapping (SIM) exercise to determine North Carolina is experiencing increasing numbers current Behavioral Health resources and gaps. of individuals in behavioral health crisis. Local The SIM exercise resulted in creating a work group hospital emergency departments (ED) and detention and sophisticated data collection resulting in the facilities are the most often used resources during identification of needs and solutions. these episodes of crisis. Local ED's often do not have the capacity to treat persons with primary The data, current crisis continuum services, and behavioral health needs resulting in individuals being identified gaps support the need for a robust crisis "boarded" for several hours or even days before a continuum to: placement can be located or the person is safe to be discharged.This ED stay sometimes occurs without Provide a safe place for de-escalation and effective assessment, treatment or linkage to the treatment including case management and linkage ongoing community services and support needed to to the assessed level of care. This will occur as the prevent ED utilization for future psychiatric crises. preferred alternative to the jail or local The availability of other specialized community- emergency department. based crisis services can assess, treat, and connect Provide multiple levels of care within the Crisis individuals more quickly to behavioral health specific Continuum in order to stabilize individuals. resources which support an individual's path to recovery. • Decreased delays in the initiation of treatment and increased engagement in the outpatient service A number of individuals who commit crimes typically array. The availability of other specialized community- do so due to their unstable and untreated behavioral based crisis services to support an individual's path health concerns. This is often a direct result of a lack to recovery. of medication and treatment options and/or lack of suitable community resources, supports or referrals. A partnership and venture to develop crisis continuum Charges, usually misdemeanor and nuisance type services will succeed in paving the path toward charges result in incarceration. This puts a strain on creating a crisis center in Orange County to be the the local criminal justice and public safety entities, first line option and alternative to ED for persons with particularly law enforcement, detention centers and behavioral health crises. courts in Orange County. This strain has negative clinical, fiscal, and societal affects. While extensive efforts were put forth in the schematic phases of this project for program development, CPL looks forward to re-validating those needs and understanding any changes or assumptions since these efforts were completed. •I boo +n t 9 4 • +� ! + i • • CPL 11