CENTRALIZED RECEIVING SYSTEM
FUNDER: Florida Department of Children & Families/Broward Behavioral Health Coalition
LENGTH OF FUNDING: Five years
PROJECTED START DATE: April 2017
PURPOSE: To create a centralized receiving system consisting of a designated centralized receiving center (CRC) and other service providers that serve as a coordinated system of entry for adult individuals, 18 years and older, needing evaluation or stabilization under the Baker Act or Marchman Act or a person who is experiencing an acute mental, emotional or substance use crisis.
OBJECTIVES: To provide opportunities for jail diversion, offering a more suitable and less costly alternative to incarceration; reduce the inappropriate utilization of emergency rooms; increase the quality and quantity of services through coordination of care and recovery support services; demonstrate improved coordination of care and improvements in client outcomes; and improve access and reduce processing time for persons served and law enforcement officials transporting the target population. Henderson Behavioral Health’s CRS is aligned with The Triple Aim of improving population health and the patient experience of care, while reducing per capita cost.
TARGETED POPULATION: Adults , male and female, over 18 years of age, with behavioral health and/or substance use issues who are in need of an involuntary evaluation or stabilization under a Baker Act or Marchman Act as well as Crisis Support services as defined in subsections 394.67 (170-(18), F.S. “Crisis services” means short-term evaluation, stabilization, and brief intervention services provided to a person who is experiencing an acute mental or emotional crisis to prevent further deterioration of the person’s mental health and whom may give informed consent for voluntary treatment. Other characteristics that are typical of the targeted population may include:
- High risk of over-reliance on utilizing the most costly and restrictive levels of care, including emergency rooms, crisis stabilization units, repeated &/or prolonged psychiatric hospitalizations, and intermediate or long-term institutionalization;
- Involvement in the judiciary system due to various misdemeanor and felony charges, often leading to incarceration;
- Episodic or chronic homelessness, often precipitated by lack of access to affordable, safe and decent housing of their choice.
PROGRAM DESCRIPTION: The Centralized Receiving System is designed to provide adults experiencing a crisis a convenient point of entry into the mental health and substance use systems for immediate assessment as well as subsequent referral and linkage to appropriate and available providers and services. Individuals will be assessed for care based on a triage model of urgency, in which concerns for safety to self and to others based on Baker Act criteria and Marchman Act criteria are addressed first. Additionally, the LOCUS (Level of Care Utilization System) and SPDAT (Service Prioritization Decision Assistance Tool), standardized assessment tools, will be utilized for further determination of needs. Individuals will be offered referral and/or linkage to appropriate providers and services based on their desired need(s) as well as the professional determination of evaluating staff.
SERVICES OFFERED: Assessment, Crisis Support/Emergency Services, Case Management, Recovery Support, and covered services to support existing jail diversion programs. Necessity of service is based on assessment determination.
PARTNERSHIPS COMMITTED (as of 01/31/2017): Broward Sheriff’s Office (security detail at the CRC); Mental Health Association and South Florida Wellness Network (Peer Specialists as part of the staffing for the CRS); Archways (residential beds, case management, psychosocial rehabilitation and supported employment); House of Hope/Stepping Stones (residential beds); Broward Health and Fort Lauderdale Hospital; Broward County Housing Authority; Smith Community Mental Health (therapy and psychiatric services); Chrysalis Health (outpatient therapy and psychosocial rehabilitation) and BARC (Detox, residential beds and assessment services).
LOCATION: The Centralized Receiving Center (CRC) will be located at Henderson Behavioral Health, Headway Office Park Location, 4720 North State Road 7, Building B, Lauderdale Lakes, Florida 33319 The Center will be open 24/7/365 days of the year to provide immediate access to emergency services and Coordination of Care for the targeted population for Law Enforcement and Hospital Emergency Departments. The CRC will be one of four multi-entry drop-off sites currently identified for Law Enforcement to bring individuals; Memorial Regional ER in Hollywood, Broward Addiction Receiving Center (BARC) and Henderson’s CSU are also identified “drop-off” sites.