House Community Budget Issue Requests - Tracking Id #649 Mental Health Overlay Services at Orange Regional Detention Center
Requester:	Duane Zimmerman		Organization:		Lakeside Alternatives, Inc.
Project Title:	Mental Health Overlay Services at Orange Regional Detention Center		Date Submitted:		01/18/2000 3:10:36 PM
District Member:	Allen Trovillion		Service Area:		Regional
Counties Affected:	Orange, Osceola, Seminole
Recipient:	Lakeside Alternatives, Inc.		Contact:		Steve Hill
	434 West Kennedy Boulevard		Contact Phone:		(850) 656-3100
	Orlando 32810
Project Description:
Provide an expansion of mental health and substance abuse overlay services, psychiatric services and crisis assessment services to the Orange Regional Detention Center. Provide 2 masters level clinicians to perform assessments, crisis counseling and individual/group therapy. Provide 1 substance abuse counselor to perform psycho educational groups and counseling. Staff the Center with a licensed psychiatrist to come to the center 3 hours weekly. Add an on-call counselor so that there is coverage within 24 hours for a crisis assessment. Services will include: *** Psychiatric diagnosis and evaluation *** Medication management *** Suicide screening and assessment *** Psycho educational Groups *** Individual mental health treatment *** Crisis Intervention/Counseling *** Substance abuse counseling and psycho educational groups *** Assistance with discharge planning *** Reporting of monthly statistics on number of referrals to mental health counselors; number of clients triaged (for emergency); number of clients who participated in formal screenings; number of clients admitted to crisis unit; number of clients placed in specialized detention center mental health unit; number of clients moved out of unit to general population; number of clients seen by psychiatrist, and other needed or requested statistics.
Services Provided/Benefit to State:
Lakeside Alternatives, a comprehensive non-profit community mental health center in Orange County, serves approximately 11,000 children and adults with severe and persistent mental disabilities who have little or no resources to pay for their mental health care. This proposal is intended to demonstrate the need and obtain support for an appropriation for Lakeside to provide assessment services, crisis counseling and psychiatric medical services at the Orange Regional Detention Center. The Juvenile Detention Center has increased population and the degree of difficult juvenile delinquents with mental illlness has also increased. The State has mandated drug treatment for the residents. Lakeside Alternatives can provide these services, however, there is currently no funding for these services. In the past, juveniles were transported to our children's medication clilnic, in shackles, to wait in a waiting room to be assessed by the psychiatrist or to be followed for medication management. By our presence at the Detention Center, the number of individual counseling sessions has risen significantly. Admissions to inpatient children's crisis unit have dropped significantly. Detention Center staff has reported a sharp decline in critical incidents. Assistance with staff training for mentally ill juveniles has risen. In the first quarter of this fiscal year 1999-2000, with the current services being rendered, the statistics continue to show an improved trend.
Measurable Outcome Anticipated:
95% of juveniles referred will be assessed within 24 hours. Less than 10% of referred juveniles will be admitted to Children's Crisis Stabilization Unit (CCSU).
Amount requested from the State for this project this year:				$183,024
Total cost of the project:		$183,024

Request has been made to fund:			Operations
Is there Local Government or Private match for this request?					No
Was this project previously funded by the State?					Yes
	Fiscal Year:	1999-2000		Amount:	$71,500
Is future-year funding likely to be requested?					Unknown
Was this project included in an Agency's Budget Request?					No
Was this project included in the Governor's Recommended Budget?					No
Is there a documented need for this project?					Yes
	Documentation:	Past history from Lakeside Overlay Services, DJJ Dentention Center statistics to its effectiveness.
Was this project request heard before a publicly noticed meeting of a body of elected officials (municipal, county, or state)?					No