Bill Gardam, CEO presenting. Peace River Center: Community based integrated behavioral healthcare for Polk County

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1 Bill Gardam, CEO presenting Peace River Center: Community based integrated behavioral healthcare for Polk County

2 All about the info. Report on the IHC Funded Services and Programs Need for Services Peace River Center Overview Wellness Clinic Crisis Services

3 Polk Funding & Indigent Plan ½ Cent Surtax Impact and Services

4 FY 2014 PRC Services Provided Excluding DV and Home to Stay Total Agency Polk County DCF (SAMH Funded) Total Clients Served 27,662 21,388 Clients Served Direct Services Total Units of Service Provided Average Units of Service per Client Crisis Response Team Calls 12,965 9, , , ,697 12,345

5 Breakdown of Services FY 2014 Polk County DCF (SAMH Funded) 9,043 Clients 256,339 Services 28 Avg. Units of Service per Client Primary Service Areas Services Provided Clients Served Services per Client CSU 3, Outpatient Therapy Medical Services (Psychiatric) 69, 376 5, ,642 3,792 1 Clubhouse 134, ,159 Psychosocial Rehab Case Management 29, ,

6 Funding and Services PRC Overall Total PRC Annual Budget $23,730,476 Enables PRC to serve 27,662 Providing units of service 506,681

7 Peace River Center Funding Sources DCF SAMH Program 40.5% Medicaid, Medicare & Commercial 31.5% DCF SAMH Funding 40.5% Other State Programs 6.4% Other Governmental Programs 6.8% Private Agency Programs 8.2% Medicaid, Medicare & Commercial 31.5% Contributions, Goods and Donations 4.0% All Other 2.5% 6.4% Other State LIP, CAT, DV 6.8% Other HUD Gov/Match

8 Direct Impact of the IHC Tax on PRC Impact of the IHC Tax on PRC DCF/SAMH Contract $9,618,104 Match requirement $1,359,831 Funding provided by the Tax $961,298 Funding % of PRC's required match 71% Total Funding Available $10,977,935 Clients served with the funding 21,388

9 Economic Impact of the IHC Tax on PRC and Polk County Impact of the IHC Tax on PRC Funding made possible by DCF + Polk County $10,977,935 Direct salaries/benefits impact $9,331,245 Provides Jobs for Polk Residents 175 Community Impact Jobs 86 Community Annual Economic Impact $13.9 million

10 Did You Know? In a single day, 10 15% of population suffer mental illness In a single year, 20 25% suffer mental illness. In a single generation, nearly 40% suffer mental illness Mental Illness affects more people than heart disease and cancer combined!

11 Did You Know? Total Polk Population: 623,000 (2013) In any given year Projections: Mental Illness Florida: 16.87% Polk County Affected Population: 105,101 One Generation = 245,000 Mild not require services: 15% % Actual Seeking services: 40 60% Number Seeking Treatment: 53,600 Number Served by PRC: 23,000 % of Population Served by PRC: 42.9%

12 Peace River Center is evolving to meet the needs of 23,000 people every year

13 Peace River Center is a system of care *30 Programs *20 Locations in Polk County *380+ Team Members Including a professional staff of: 7 Psychiatrists, 14 ARNPs, 20 RNs, 18 LPNs, 44 Florida Licensed Therapists, and 14 Certified Addiction Therapists a family of integrated programs and services that provide local community based services

14 Rape Recovery & Resource Center FITT TEAM Domestic Violence Shelters Lakeland & Sebring VICTIM SERVICES Children, Adults & Families in Need APPROX. 72% SUBSTANCE ABUSE (Outpatient, intensive Outpatient, Testing) PRIMARY CARE WELLNESS CLINIC FACT TEAM CASE MANAGEMENT CLUB SUCCESS Severely Mentally Ill Adults APPROX. 28% SUPPORTED HOUSING HUD Housing Residential Program HOME TO STAY CRISIS SERVICES CSU & CRT SHORT TERM RESIDENTIAL RESILIENCY TEAM CAT TEAM THRIFT SHOPPE OUTPATIENT THERAPY MEDICAL & MED MANAGEMENT SERVICES SUPPORTED EMPLOYMENT CATERING PSYCHOSOCIAL REHABILITATION

15 The Highlights Community Partnerships Integrated Primary Care Wellness Clinic Evidence Based Practices research based Crisis Services Stationary and Mobile Certified Domestic Violence Shelters also certified to work with Human Trafficking victims 1 of 3 Short Term Residential treatment Centers in Florida Only Baker Act receiving facility for children under 10

16 Integrated Primary Care PRIMARY CARE Wellness WELLNESS CLINIC Clinic PRIMARY CARE WELLNESS CLINIC

17 Low Income Pool (LIP) Criteria Uninsured or underinsured (Medicaid or Polk Healthcare Plan) 200% at or below the federal poverty level Between the ages of A permanent resident of Polk County

18 Getting Care Peace River Center Primary Care Wellness Clinic Opened March 2013 Medical Nurse Practitioner Psychiatrist Licensed Therapist Registered Nurse Case Manager/Coordinator Wellness Clinic Hours are Mon Fri. 8a.m. 5p.m North Gilmore Ave.;

19 Access to Integrated Health Care Therapists on site at: Peace River Center Wellness Clinic Florida Department of Health Polk County Lakeland 3241 Lakeland Hills Blvd.; Hours Mon. 8a.m. 5p.m. and Wed. Fri. 8a.m. 5p.m. ; (863) Lakeland Regional Health Family Practice Clinic 300 Park View Pl.; Hours Mon. Fri. 9 a.m. 6 p.m.; Talbot House April 2015

20 Access to Behavioral Health Screening and Services Patients and Services Thru 2 nd Q 2015 Since 2012 Behavioral Health Screenings 1,487 4,420 Behavioral Health Patients 499 Behavioral Health Services 1,412

21 Integrated Care IS Making a Difference Many Behavioral Health Improvements Symptoms of Depression 80% reduction by 4th visit. Behavior Changes Many Medical Improvements Blood Pressure Diabetes Weight Loss Body Mass Index

22 What is Integrated Health Care? Mental Health System Physical Health System

23 Integrated Healthcare = Treating the Whole Person

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25 Crisis Services CRISIS SERVICES Crisis Stabilization Unit (CSU) Crisis Response team (CRT) Short Term Residential Treatment (SRT)

26 Voluntary Examination Criteria: 18 years old or older Shows evidence of mental illness Competent to provide express and informed consent to treatment (Can make well reasoned, willful, and knowing decisions regarding medical or mental health treatment) Suitable for treatment

27 Voluntary Examination For Minors (17 years old or younger) Shows evidence of mental illness The minor consents to admission without coercion or misrepresentation The guardian of the minor applies on behalf of the minor by expressed and informed consent A hearing to confirm the voluntariness of the admission if application by the guardian is unavailable

28 Involuntary Examination Criteria: Reason to believe person is mentally ill AND because of the mental illness; Person refuses OR is unable to determine examination is necessary AND Person is likely to suffer from self neglect OR harm to self or others

29 Involuntary Examination An Involuntary Examination can be Initiated by: Law Enforcement >>> 77% Court Order Ex Parte >>> 3% Professional Certification >>> 20%

30 RECAP Need for Services 20% to 25% of Polk County Affected in single year Services Provided THANKS to County Funding/IHC 21,388 total clients 256,339 units of service 30 programs 20 locations 380 team members

31 RECAP Funding IHC Tax Funding = $961,298 Results in ability to receive DCF/SAMH = $9,618,104 Total Funding provided: $10,977,935 Economic Impact: $13,900,000 ROI for the County ½ Cent Surtax $14.45 for every one dollar provided

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33 Bill Gardam, CEO x 6001 Thank you!