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7 <br /> 1 6. Regular Agenda <br /> 2 a. Review of Design Options for the Crisis Diversion Facility <br /> 3 The Board will review design options and associated project budgets for the Crisis Diversion <br /> 4 Facility, select a preferred option, and direct the Manager to finalize the design with the architect <br /> 5 and construction manager in order to prepare a guaranteed maximum price (GMP) for Board <br /> 6 consideration in late 2025. <br /> 7 <br /> 8 BACKGROUND: The development of a Crisis Diversion Facility has evolved and progressed <br /> 9 over the last six (6) years: <br /> 10 <br /> 11 2019—The Board established The Orange County Behavioral Health Task Force (BHTF), and its <br /> 12 Crisis Diversion Facility Subcommittee. The Crisis Diversion Facility Subcommittee brought <br /> 13 together subject matter experts in behavioral health clinical services, emergency services, law <br /> 14 enforcement, and criminal justice with Orange County government. <br /> 15 <br /> 16 2021 —The Subcommittee received approval from the Board of County Commissioners("BOCC") <br /> 17 in April 2021 to develop a recommendation for the Crisis Diversion Facility, along with $250,000 <br /> 18 for pre-planning services. The County completed a request for qualifications (RFQ) process and <br /> 19 selected CPL Architecture to perform preliminary and schematic-level design and analysis <br /> 20 services for further development of the Crisis Diversion Facility. <br /> 21 <br /> 22 2023 — The Board approved the FY 2023-33 Capital Investment Plan ("CIP"), which included <br /> 23 $2,047,155 for design services and $22,952,845 for construction for the Crisis Diversion Facility <br /> 24 in FY 2024-25. <br /> 25 <br /> 26 2024—The Board approved $1,100,000 for land acquisition. CPLArchitects was selected through <br /> 27 an RFP process to begin detailed design at a cost of$1,172,000. <br /> 28 <br /> 29 2025 — In April 2025, the firm Gilbane was selected through an RFQ process to be the <br /> 30 Construction Manager at Risk for the project. Gilbane began working with CPL to advise on <br /> 31 constructability of the design, value engineer the design, and provide cost estimates through each <br /> 32 step of the design process. The Board agreed to pay Gilbane $179,928 for pre-construction <br /> 33 services. <br /> 34 <br /> 35 At its April 15, 2025 Business meeting, the Board approved the purchase of a five-acre plot of <br /> 36 land close to UNC Hospital in Hillsborough for $1,350,000. <br /> 37 <br /> 38 Original Scope of the Facility <br /> 39 <br /> 40 The facility was originally programmed and designed to have two primary functions, with <br /> 41 additional space for coordinated discharge services and community resources. <br /> 42 <br /> 43 Behavioral Health Urgent Care ("BHUC") — This is a service for individuals four (4) years or <br /> 44 older who are experiencing a behavioral health crisis related to a substance use, mental health <br /> 45 disorder, and/or an intellectual/developmental disability diagnosis. The BHUC offers a safe <br /> 46 alternative for up to 23 hours for triage, stabilization, and assessment and provides a diversion <br /> 47 from the hospital emergency departments and the detention center. The current design calls for <br /> 48 twelve (12) bays to serve patients: eight (8) bays for adults and four (4) bays for children. <br /> 49 <br /> 50 Facility-Based Crisis and Non-hospital Medical Detox Services ("FBC")—This service offers <br /> 51 longer term therapeutic interventions and stabilization services for individuals experiencing <br />