Apalachee Center Integrated Health Care Project a presentation for Open Minds

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Apalachee CenterIntegrated Health Care Project
a presentation for Open Minds
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Apalachee Center History

• Comprehensive Community Mental Health Center,
  first organized in 1948 in Tallahassee, Florida.
• Expanded in 1971 to serve 7 surrounding counties
  a 5500 square mile catchment area.
• 400 employees.
• Served approximately 6000 persons last year.
• 28 million dollar annual budget.

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Service Area - Franklin Gadsden Jefferson
Leon Liberty Madison Taylor Wakulla
Counties
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Inpatient Services
Services Eastside Psychiatric Hospital (24
Beds) Crisis Stabilization Unit (28 Beds)
Public Receiving Facility for Baker Act
clients Detoxification Unit (12 Beds)
24hour Crisis Evaluation Admissions
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Residential Services

• Leon County Services
• 16-Bed Short-Term Residential Facility (SRT)
• 16-Bed Level 1 Residential Facility (Building K)
• 16-Bed Satellite Apartments
• Gadsden County Services
• 16-Bed Level 1 Residential Facility
• Madison County
• 16-Bed Level 2 Facility.
• Total of 80 residential beds.

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Outpatient Services

• Services available in all eight counties, in
  dedicated clinics
• Psychiatric Services
• Substance Abuse Treatment .
• Mental Health Treatment
• Case Management.
• In-Home Childrens Services.
• Forensic Treatment.

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Community Partnerships

• Apalachee Center is not only a behavioral
  healthcare network, it is also a partner with a
  variety of other private organizations, and
  local, state, and county government.

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Partnership with Physical Health Care

• In January, 2008, Apalachee partnered with Leon
  County Health Department to provide psychiatric
  coverage and benefits restoration in Bond
  Community Health Clinic (a federally qualified
  health center) and Neighborhood Health Clinic.

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Development of a Partnership

• Apalachee placed a psychiatric ARNP on-site at
  the two community health centers for 32 hours per
  week, and a case manager for 40 hours per week.
• Leon County Health Department funded these
  positions at 142,808.00

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Services provided

• Between January 2008 and November 2008, 420
  clients were seen through this program. Leon
  County population is about 273,000, and the
  Apalachee Center Leon County outpatient clinic
  serves about 900 unduplicated adult clients
  annually.
• During 07/08, occupancy on the Apalachee Crisis
  Stabilization Unit fell below 80 for the first
  time in five years.

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New Directions

• In November, 2008, Bond Community Health Clinic
  received a grant award for the implementation of
  the IMPACT model. They contracted with Apalachee
  Center for expanded time, including 32 hours a
  week of psychiatric ARNP/MD time, and 40 hours
  per week for a Masters level substance abuse
  counselor, for approximately 150,000.

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New Directions

• Currently, Apalachee Center and Bond CHC are
  planning to bring primary care services on-site
  at Apalachee Center 12 hours per week, in order
  to provide desperately needed medical services
  for the severely and persistently mentally ill
  population. This will establish Apalachee Center
  as a satellite site for Bonds FQHC services.