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