bob janes triage center and low demand shelter lee county kevin lewis, ceo southwest florida...
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Bob Janes Triage Center and Low Demand Shelter
Lee County
Kevin Lewis, CEOSouthwest Florida Addiction Services, Inc
Triage Center Partner [email protected]
Opened April 28, 2008
Pre-Arrest Diversion Program
Voluntary alternative to incarceration and inappropriate emergency room utilization
Targets low level offenses (trespass, open container, disturbing the peace)
Primarily for individuals experiencing a behavioral health crisis who are homeless, indigent, and/or intoxicated
Compliments Crisis Intervention Training
Low Demand Shelter Opened 22 beds in April 2008 and increased
to 58 beds May 2010 using CJMHSA grant Provides safe shelter while conducting
medical and psycho-social assessments Residents work with case manager to
establish goals to accomplish Links with community treatment programs as
beds become available
The shelter provides an alternative for police officers and emergency rooms for petty offenders or intoxicated patients who may not need jail or serious medical care.
(John David Emmett/news-press.com)
Major components needed to open Funding CJMHSA implementation grant Building space at mental health center – Lee
Mental Health Center unsung hero Data system built on existing HMIS Local matching funds from key stakeholders Agency willing to run shelter component Buy in of key community partners
Data System
Utilizes Client Services Network (CSN) – Lee County’s Homeless Management Information System (HMIS) to track demographic information
Admission to facility including Length of stay, referring agency, etc.
Referrals for services and housing Criminal history
Data System
Cross referenced with local jail data system Cross referenced with local hospital data Florida Mental Health Institute (FMHI)
cross referenced with use of publicly funded behavioral health system and Medicaid
Policy Services and Research Data Center at FMHI Phase I Report Concluded that those who completed the
program or left Triage for a housing opportunity or a treatment facility experience the following positive outcomes: fewer subsequent encounters with law
enforcement fewer subsequent arrests if arrested shorter length of incarceration.
FMHI Review Shows Impact of Triage Center Triage serves highly vulnerable population
with history of criminal justice involvement and high physical, mental health and substance abuse needs.
Cost benefit of diversion calculated to be $220 less per individual and $68,666 per year (not including court and police time)
Provides alternative to revolving door
Case Study 22 arrests with 743 jail days in last 13 years 19 hospital encounters in five years 6 triage stays in 3 years (longest 354 days) Jail cost $58,771 - Hospital cost $124,811 –
Triage cost - $42,626 Baker Act and Detox history Qualified for SS disability, food stamps,
Medicaid and permanent supportive housing
Potential impact on SA/MH System Diverting arrest may prevent person from
decompensating and additional charges such as battery on LEO
Provides law enforcement alternative to arrest Works with homeless population most of whom
have criminal justice history and MH/SA treatment history
Emphasis on stabilizing, obtaining resources and housing
Number of Triage Admissions
2,070 duplicate client admissions occurred during first three yearsFacility capacity increased from 22 beds to 58 beds May 2010
Source of Referral
Number of Repeat Admissions
1,246 unduplicated clients 2,070 duplicated clients Average Length of Stay 13 days
Who does Triage Center Serve?
77% male population (County jail is 86% male)
79% white; 92% non-Hispanic
73% between ages of 31-60
16% Veterans
93% Homeless
Age # %18-20 27 2.17%21-30 212 17.01%31-40 216 17.34%41-50 351 28.17%51-60 340 27.29%61-70 85 6.82%71-80 11 .88%80 + 2 0.16%Not Reported 2 0.16%Total 1,246 100%
Gender # %Male 965 77.45%Female 281 22.55%Total 1,246 100%
Presenting Issues
Based on self-disclosure during assessment
42% report taking medications which includes but is not limited to psychotropic drugs
None31.38%
Substance Abuse 23.35%
Co-Occurring25.28%
Mental Health12.12%
Other7.87%
True Diversion? 70% have prior arrest history in Lee County
64% misdemeanor 36% felony
Most common prior charges are: Trespass DUI Theft Battery
Impact on Criminal Justice System
16% of time LEO would have taken individual to jailDiverted 332 charges5% of people would have been charged with more than one crime
If LEO had taken to jail, most common charges would be:Trespass Loitering
Diverted 70 Marchman/Protective Custody
Impact on the Community 64% of time LEO would have taken nowhere
Provides access to assessment, shelter, resources and treatment for people who would have otherwise been left on the streets
3% of time LEO would have taken to hospital Reduces impact of inappropriate utilization of
emergency rooms 53% successfully linked with resources 44% Had a good exit status.
Saves Law Enforcement Time
84% of time officers spend ≤ 5 minutes 10% of time officers spend ≤ 15 minutes 93% of officers are satisfied to highly
satisfied with process 34% of time individuals are brought by a
CIT trained officer
T o w n o fF o r t M y e r s
B e a c h
B o n i t a S p r i n g s
F o r t M y e r s
S a n i b e l
C a p e C o r a l
41
75
7541
Triage Center Law Enforcement ReferralsChar l o t te Glades
Hendry
Co l l i e r
Sources:
Triage Data - Lee Cnty Dept of Human Srvcs
Gul f
o f
Mex ico
0 2 41
Miles
Date: May 2010
Legend
Triage Center
LCSO
Ave. Dist. 7.35 Miles
123 Pick Ups
FMPD
Ave. Dist. 3.24 Miles
538 Pick Ups
CCPD
Ave. Dist. 9.64 Miles
51 Pick Ups
Other Agencies
Ave. Dist. 6.47 miles
7 Pick Ups
Funding Sources CJMHSA Implementation Grant $997,698 (3 year
period) CJMHSA Expansion Grant $750,000 (3 year
period) Local Match $2 million (3 year period) from Lee
County BOCC and project partners Federal stimulus funds used to expand facility FDLE Byrne Grant funds operating expenses Veteran’s Administration per diem contract Cost is $68 per bed per day
Key Stakeholders
Lee County BOCC – administers grant and provides local match funds
Salvation Army – operates low demand shelter Lee Memorial Health System – provides nursing staff,
medical supplies, and some meals Lee Mental Health Center – provides facility, oper. and
maint., meals, and intake clinician Southwest Florida Addiction Services – provides intake
clinician United Way – provides match funds for meals Local law enforcement NAMI
http://triage.leegov.com/
Questions
For additional information please contact
Ann Arnall, Lee County Human Services
2440 Thompson Street
Fort Myers, Florida 33901
239-533-7920