One State One Solution: Policy Services & Research Data Center DIANE HAYNES FLORIDA MENTAL HEALTH INSTITUTE UNIVERSITY OF SOUTH FLORIDA

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1 One State One Solution: Policy Services & Research Data Center DIANE HAYNES FLORIDA MENTAL HEALTH INSTITUTE UNIVERSITY OF SOUTH FLORIDA

2 FMHI Research and Training Center at USF Long HX collaborative relationships w/state and local governments Large Administrative Data Repository

3 CRIMINAL JUSTICE, MENTAL HEALTH, AND SUBSTANCE ABUSE TECHNICAL ASSISTANCE CENTER (TAC) Resources include: Statewide Adult Arrests data (8 years) Statewide Juvenile Justice data (7 years) Statewide Dept. of Corrections data (14 years)

4 OTHER STATEWIDE DATA AVAILABLE Medicaid Claims data (17 years) Mental Health and Substance Abuse Event data (6 years) Child Welfare data Birth & Death data State Mental Hospital data (6 years) 72-Hours Involuntary Baker Act data (11 years)

5 LEE COUNTY S BOB JANES TRIAGE CENTER Pre-arrest diversion program (April beds) 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 (CIT)

6 WHO DO THEY SERVE? 77% male population (County jail is 86% male) 79% white; 92% non- Hispanic 73% between ages of % Veterans 93% Homeless Gender # % Male % Female % Total 1, % Age # % % % % % % % % % Not Reported % Total 1, %

7 STUDY GROUP & CONTROL GROUP -Matched on 7 characteristics: Gender, race, age group, veterans status, self-reported physical health, disability, and identification of mental health and substance abuse diagnosis Interactions up to 1 year prior to 1st Triage Stay N = 32 Interactions for the Control Group Size and Cost of Individuals and System Interactions #-ind % #-days $ Per Day Total $ Lee County Jail % 327 $79.10 $25, Baker Act Initiations % 21 $ $5, Medicaid % 646 $63.89 $41, DCF Mental Health&Substance Abuse Services % 400 $ $48, State Mental Hospital % N = 32 Interactions for the Study Group #-ind % #-days $ Per Day Total $ Lee County Jail % 332 $79.10 $26, Baker Act Initiations % 21 $ $5, Medicaid % 90 $63.89 $5, DCF Mental Health&Substance Abuse Services % 311 $ $37, State Mental Hospital % 0 $0.00 $0.00 Triage Center 1st Stay #-Ind Avg Days # Days $ Per day Total $ Control Group $58.00 $2, Study Group $58.00 $52, Recidivism Rate was any arrest within 2 years from leaving the Triage Center #-Ind Recidivism Rate Average Days to arrest Days in jail $ per Day Total $ Control Group % $79.10 $28, Study Group % $79.10 $9,333.80

8 DIVERSION COSTS Cost Benefit Analysis of the Triage Center Individuals Diversions Median # jail days Cost per day Booking Cost Days Total Cost $79.10 $9, $200, $79.10 $16, $312, $79.10 $26, $591, $79.10 $10, $200, Total $1,304, Average $326, Individuals Diversions Median # days in Triage Cost per day Cost Days $58.00 $87, $58.00 $186, $68.00 $545, $68, Savings per year $68.00 $209, $274, Total Savings Total $1,029, $ Per diversion Total Average $257, $ per individual Above Table is on the overall Triage Population (same population who were arrested and diverted to Triage) Does not include Court Costs or Police Officer s Time In 2010 the program moved to a larger facility with more beds, (increased cost and length of stays) Savings of $21 to $51 dollars per day for stay in Triage rather than Jail While in Triage, they are being connected to services (social services, housing, jobs/training), treatment, and prescriptions they need, decreases CJ interactions and costs

9 EXTREME EXAMPLE History 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 At this point in time he/she has qualified for Social Security disability, food stamps, Medicaid and is living in permanent supportive housing

10 QUESTIONS For additional information please contact Diane Haynes, Statistical Analyst Bruce B. Downs Blvd, MHC2621 Tampa, FL

11 PINELLAS DATA COLLABORATIVE FMHI data repository Pinellas County level data (over 10 years) EMS and Fire Sixth Circuit Court Booking Jail data Juvenile Welfare Board Health and Human services

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