HomeMy WebLinkAboutReg 2023-03-06 Item 5A - Update - King County Crisis Care Centers Levyr I
King County Crisis Care
Centers Levy
ir
L41
King County
KELLY RIDER (She/Her)
Chief of Staff
King County Department of
Community and Human Services
Mental Health
Behavioral &
Health Substance
Use Disorder
People Recover.
3
Urgent
Problems
We've Solved this for Broken
Bones...
No walk-in Behavioral Health "Urgent Care"
One Third!
Losing Mental Health Residential Capacity
It takes People to Treat People
Unsustainable Workforce
N
N
Core Crisis
System
Elements:
What do
we have
now?
Someone
to Talk To
Someone
to
Respond
988, Mobile Crisis Teams,
Regional Co -Responders,
Crisis Line Outreach,
Peers
Someplace
to
Go Be 'Be
Brought
Anyone Anywhere Any Time
King County's
proposed
Crisis Care
Centers
Levy
i
0
Create Urm 0
five new
regional 0
crisis care
centers-
Distributed geographically
across the county, the centers
will provide walk-in access and
the potential forshort-term
stays to help people stabilize,
depending on needs, with one
center specifically serving youth.
One 46 -bed crisis center for
2.3 million people in our county
0
Preserve and
restore the
dramatic loss
of residential .41
treatment
beds: I I I
In 2018, 355 beds providing
community-based residential care
for people with mental health
residential needs existed in
King County. Today, only 244 of
these beds are available.
Loss of 1 in 3 of our
residential treatment
beds in recent years
As of July 2022, people
waited an average of
44 days fora mental
health residential bed.
0
Grow the
behavioral
health
workforce
pipeline:
The proposal will create career
pathways through apprenticeship
programming and access to higher
education, credentialing, training.
and wrap-around supports. It will
also invest in equitable wages for the
workforce at crisis care centers.
Historic labor shortages
A 2021 King County survey of member
organizations of the King County Integrated
Care Network found that job vacancies at4
community behavioral health agencies
were at leastd
'r' '; double what
=gthey were
d • in 2019.
s '1
4h rr
Paramount Purpose: A Regional Network of 5 CCCs
§1.0 defines 4 Crisis Response Zones
• Each Crisis
Response Zone
hosts at least one
CCC
• At least one CCC
1111 specializes in
serving children
The purpose of Crisis Response
Zones (CRZs) is to promote localized
access geographic distribution of
CCCs. CRZs do not restrict who can
access which CCC.
ET_
Proposed Crisis Response Zones
North Zone
East Zone
South Zone
Paramount Purpose• What is a CCC? see §1.A
Same Day Access to multiple types
of crisis stabilization services, which
shall include:
24/7 Walk-
In/Drop-Off
BH Urgent Care
Clinic
14 -Day Crisis
Stabilization:
16 beds for
short-term care
23 -Hour
Observation
Unit
Onsite access
to a DCIS
(Designated Crisis
Responder)
No Wrong Door: "Shall endeavor to
accept at least for initial screening and
triage any person..."
Single Facility or Grouped
Facilities that are adjacent or with
transportation provided
Staff must be multidisciplinary and
include peers.
May incorporate compatible pre-
existing facilities
N
0)
Paramount Purpose: Who Will Site & Operate CCC's?
• Crisis Care Centers would be operated by provider
agencies under contract to DCHS's Behavioral Health
and Recovery Division.
• Crisis Care Centers would be sited by providers
proposing sites w/ host jurisdiction support through
an RFP or a similar procurement process.
The proposed Ballot Measure Ordinance is silent on this issue other than requiring an Implementation
Plan. CCC operations/siting would be governed by the Implementation Plan. Except for election cost and
up to $1M in initial planning, Levy proceeds may not be spent until the Implementation Plan is enacted.
Supporting Purpose One: Restore Mental Health
Residential Capacity
King County lost one-third of its mental �
ealth residential beds since 2018. It was almost one-half.
Supporting Purpose One would
reinforce remaining facilities to prevent further loss
and
• build back at least 111 beds.
New facilities would be limited to 16 beds, requiring at
least 7 new facilities.
Why 16 beds?
Supporting Purpose One: Restore Mental Health
Residential Capacity
What is Mental Health Residential?
• A recovery -oriented place to live
• Residential treatment
• Case management & practice for basic life skills
• Supports for individual treatment & group sessions
• A setting that builds community within community
Supporting Purpose Two: Workforce
Provider staff
2021.
acancies double
between 2019 and
• Invest in systemwide supports to increase the
sustainability and representativeness of the entire
behavioral health workforce
• Make specific investments at CCCs to support
robust, sustainable, and representative staffing
W
Projected Costs for a 14.5 cent, 9 -year Countywide Levy
Auburn
2022 Median
Assessed Value
$433,000
Estimated 2024
Median Assessed
Value
$522,544
Estimated 2024
Annual Payment
$75.77
Estimated 2024
Monthly Payment
$6.31
Kent
$467,000
$563,576
$81.72
$6.81
Renton
$534,000
$644,' 21_
193.44
7 7Q
Countywide Median
$694,000
$837,519
$121.44
$10.12
Deattle
60,000
$917,16
$132.99
$11.08
Bothell
$758,000
$914,754
$132.64
$11.05
Redmond
$1,005,000
$1,212,834
$175.86
$14.66
Bellevue
$1,107,000
$1,335,928
$193.71
$16.14
Proposed at $0.145 per $1,000 of Assessed Value (AV)
• Assessed values often differ from sale prices
• Levy period would begin in 2024
This projection estimates 2024 median AV by applying
a 20.68% growth factor to 2022 median AV. The
Assessor's 2022 Median AV by city is available online.
Timeline for Crisis Care Centers Levy Development
Problem
Identification &
Initial Concept
Development
Early to Mid '22
W.
CCC Proposal
Development &
Finalization
AUG -SEP '22
Coalition Forms to
Develop a Policy
Proposal
V
JUL-AUG '22
Council & RPC
Consider CCC
Ballot Measure
Ordinance
OCT `22 -JAN '23
Coalition CCC
Levy
Announcement & I
Exec. Transmits
Proposed Ballot
Measure
SEP '2
Potential Voter
Consideration in
April 2023
Election
LAPR `23
L
Latest Potential
Enactment of CCC
Ballot Measure
Ordinance
V
Early FEB '23
If Approved:
Council & RPC
Consider CCC
Implementation
Plan
If Approved:
Executive
Implementation
Plan Development
APR -FALL '23