HomeMy WebLinkAboutResolution 2018 (35) Resolution No. 35 (2018)
ST. R0l `' T REGIONAL EMERGENCY DETENTION BED NEED RESOLUTION
1 WHEREAS, St. Croix County Community Justice Collaborating Council has established a
2 Mental Health Subcommittee; and
3 WHEREAS, the Mental Health Subcommittee of the Community Justice Collaborating
4 Council established inpatient and residential behavioral health treatment options, including
5 secure inpatient, to serve the region as a work plan priority at the initial meeting held on June
6 20, 2016; and
7 WHEREAS, the inpatient and residential behavioral health treatment options to serve the
8 region priority was adjusted and the subcommittee work plan was focused on secure regional
9 emergency detention bed needs; and
10 WHEREAS, work of the Mental Health Subcommittee of the Community Justice
11 Collaborating Council included collection of local, regional and state data related to the
12 availability of emergency detention beds, including Wisconsin Counties utilization of Winnebago
13 Mental Health Institute; and
14 WHEREAS, the Mental Health Subcommittee of the Community Justice Collaborating
15 Council concluded that the trend toward increased usage of the Winnebago Mental Health
16 Institute was mainly due to the loss of local resources (hospital beds) over the years; and
17 WHEREAS, meetings were conducted with current regional emergency detention
18 providers, Mayo Clinic Health Systems and Hospital Sisters Health Systems, both located in Eau
19 Claire, Wisconsin and found that increasing capacity for secure emergency detention services is
20 not part of either of their current planning; and
21 WHEREAS, after review of financial information related to the operation of a secure
22 emergency detention facility in a hospital setting it was concluded that Medical Assistance
23 reimbursement rates are insufficient; and
24 WHEREAS, information the subcommittee reviewed indicate the operational loss for a 10
25 bed secure emergency detention facility in a hospital setting is approximately one million dollars
26 annually; and
27 WHEREAS, it is unlikely that hospitals would develop or expand this service due to the
28 significant financial loss which is largely due to overall low reimbursement rates, including
29 reimbursement rates from Wisconsin Medical Assistance; and
30 WHEREAS, the subcommittee is concerned about any additional closure of hospital
31 secure emergency detention facilities due to the low reimbursement rates; and
32 WHEREAS, a meeting with the Division Administrator, Division of Care and Treatment
33 Services-Wisconsin Department of Health Services was held to discuss regional needs for
34 emergency detention bed needs; and
35 WHEREAS, the Division Administrator, Division of Care and Treatment Services-Wisconsin
36 Department of Health Services reported that the state was in the process of completing a bed
37 need study, but the focus of that study was not on regional emergency detention bed need, but
38 focused on the state mental health institutes, which includes Winnebago Mental Health Institute;
39 and
40 WHEREAS, increased bed capacity at Winnebago Mental Health Institute would not fully
41 meet regional needs due to distance the from St. Croix County with the round trip estimated to
42 be approximately 9 hours; and
43 WHEREAS, a trip of this distance not only creates additional expense for law
44 enforcement, but also requires adjustments and challenges for law enforcement to cover
45 community safety while officers are out of county; and
46 WHEREAS, this extended transport time for an individual with mental health needs only
47 exacerbates the situation as they are handcuffed and transported in a squad car; and
48 WHEREAS, the utilization of Winnebago Mental Health Institute creates a situation where
49 the individual can feel isolated from their families and support systems due to the distance from
50 home; and
51 WHEREAS, the St. Croix County Sheriff's Office Data Analyst identified transportation
52 costs for law enforcement related to trips to Winnebago Mental Health Institute which was
53 shared with local legislators at a meeting in April of 2018 (see attached summary); and
54 WHEREAS, St. Croix County Health and Human Services Administration provided an
55 emergency detention data sheet which was shared with local legislators at the same meeting in
56 April of 2018 (see attached); and
57 WHEREAS, members of the Mental Health Subcommittee of the Community Justice
58 Collaborating Council believe the solution to increasing secure regional emergency detention
59 bed access in a hospital requires action from the legislature to increases Medical Assistance
60 reimbursement rates; and
61 WHEREAS, members of the Mental Health Subcommittee of the Community Justice
62 Collaborating Council believes there is support from local legislators to introduce legislation
63 during the next session to address access to secure regional emergency detention.
64 THEREFORE, BE IT RESOLVED that the St. Croix County Board of Supervisors urges the
65 state legislature to develop and support legislation to fund secure regional emergency
66 detention bed access in a hospital setting to increase regional access, which will provide
67 additional local resources for individuals in need of emergency mental health services.
68 FURTHER, BE IT RESOLVED that the St. Croix County Board of Supervisors directs the
69 County Clerk to forward this resolution to the office of the Governor, all members of the
70 Legislature, Wisconsin Counties Association, and the Wisconsin Department of Health Services
71 Secretary.
Le-gal-Fiscal-Administrative Approvals:
Legal Note:
Fiscal Impact: None at this time
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or 10/2/2018,
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10/10/18 Health & Human Services Board APPROVED
....................................................................................................................................................................................................................................................................................................................................
RESULT: APPROVED [UNANIMOUS]
AYES: Coulter, Long, Moothedan, Fosterling, Ostness, Anderson, Rasmussen
ABSENT: Heather Logelin, Paul McGinnis
Vote Confirmation.
Dave Ostness HHS, Chairman 10/18/2018
SL Croix County Board of Supervisors Action:
Roll Call -Vote Requirement-
......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ..................
RESULT: ADOPTED [UNANIMOUS]
MOVER: Bob Long, Supervisor
SECONDER: Andy Brinkman, Supervisor
AYES: Schachtner, Nordstrand, Miller, Coulter, Sjoberg, Long, Moothedan, Feidler,
Larson, Hansen, Brinkman, Peterson, Anderson, Achterhof, Leibfried, Peavey
ABSENT: Dan Fosterling, Dave Ostness, District 13
This Resolution was Adopted by the St. Croix County Board of Supervisors on November 6, 2018
Cindy Campbell, County Clerk
� u W Ad
St. Croix County Health and Human Services Emergency Detention Data Sheet
Issue: Increased utilization of state institutes for emergency detention (ED) due to lack of local resources. This
requires a round trip of approximately 9 hours for law enforcement to transport the individual that is in need of
emergency detention. As you can imagine, this secure transport is likely difficult for the individual as well as the
officer.
Emergency Detention Statutory Reference: Wisconsin Statutes 51.15. The purpose of this section is to
provide, on an emergency basis, treatment by the least restrictive means appropriate to the individual's needs,
to individuals who meets criteria identified in the statutes.
St. Croix County Emergency Detention Statistics:
Year Total Number of Emergency Detentions State Institute Utilization for ED
2013 165 17
2014 190 44
2015 141 35
2016 133 59
St. Croix County Emergency Detention Statistics Comparison with Implementation of Mobile Crisis
Services:
Year Total Number of Emergency Detentions Emergency Detention Rate
2005* 253 3.18 per 1,000 residents
2009** 188 2.32 per 1,000 residents
2017 133 1.50 per 1,000 residents
*This data is from the year prior to starting mobile crisis service for 8 hours per day.
**This data is from the year prior to starting mobile crisis service 24/7.
St. Croix County Diversion Rate of the Calls to Mobile Crisis:
Year Diversion Percentage
2014 62.4%
2015 71.4%
2016 78.1%
2017 77%
St. Croix County Health and Human Services Net Costs to State Institutes:
Year 2005 2009 2013 2014 2015 2016 2017
Cost* $161,342 $224,841 $147,884 $387,892 $143,429 $310,797 $326,872
*Cost at the State Institutes includes both emergency detention and longer term placement expenditures.
� u W Ad
St. Croix County Sheriff's Office Emergency Detention Data Sheet
Issue: Increased utilization of state institutes for emergency detention (ED) due to lack of local resources. This
requires a round trip of approximately 9 hours for law enforcement to transport the individual that is in need of
emergency detention. As you can imagine, this secure transport is likely difficult for the individual as well as the
officer.
Emergency Detention Statutory Reference: Wisconsin Statutes 51.15. The purpose of this section is to
provide, on an emergency basis, treatment by the least restrictive means appropriate to the individual's needs,
to individuals who meets criteria identified in the statutes.
St. Croix County Emergency Detention Transportation Overview:
2017 Sheriff's Office Other PDs
Tota 1 132 54 78
Amery 6 0 6
Mayo (EC) 34 4 30
Sacred Heart (EC) 34 8 26
St. Joes 3 2 1
United 1 0 1
Winnebago 45 33 12
Other 9 7 1
Overall expenditures on Emergency Detentions by law enforcement in St. Croix County:
2017 Expenditure on ED Transports
St. Croix County Sheriff's Office (SCSO) $42,710.73
Other Police Departments (PD) in St. Croix County $58,724.01
County Overall $101,434.74
Comparing Costs of EDs to Winnebago (between SCSO and other PDs):
Average Cost Per Round Trip Totals for 2017
SCSO $914.52 $28,350.06
Other PDs * $994.29 $38,777.31
*Estimated costs using averages of pay and other factors