Addressing the Need for Long-Term Residential Mental Health Care Facilities in Douglas County
undefinedLong-Term Residential
Mental Health Care Facility Plan
04/06/2023
undefined
DOUGLAS COUNTY HEALTH CENTER
Mission Statement
•
Douglas County has provided health care for its citizens at
the Douglas County Health Center
on 42
nd
street since
1931.
•
Long-term residential care is currently provided for
approximately 190 physically disabled Douglas County
residents.
•
The Douglas County community currently lacks
any
long-
term residential mental health care capacity
3
•
Acute psychiatric emergency room services (e.g., UNMC)
for 1 to 3 days.
•
Acute intermediate in-patient psychiatric care (e.g.,
Immanuel Hospital and Lasting Hope) for approximately 3
to 7 days.
•
NO
community
LONG-TERM RESIDENTIAL
MENTAL HEALTH CARE SERVICES ARE
AVAILABLE
THE PROBLEM:
NO
community
LONG-TERM RESIDENTIAL MENTAL HEALTH CARE
SERVICES ARE AVAILABLE
4
•
Utilize existing facilities owned by
Douglas County
•
Utilize Federal ARPA F
unding
•
Provide long-term residential health care services
on the
42
nd
Street campus, current space allows for 20 to 30 beds.
•
Lower operational costs by expanding existing programs
and community partnerships
•
Use a collaborative public and private health care
agreements with community organizations and hospital-
licensed partners (e.g., UNMC and Veterans Hospital) to
establish a Public Health Corridor on 42
nd
St.
Long-Term Residential Mental Healthcare
THE SOLUTION
5
D
O
U
G
L
A
S
C
O
U
N
T
Y
H
E
A
L
T
H
C
E
N
T
E
R
V
E
T
E
R
A
N
S
H
O
S
P
I
T
A
L
U
N
M
C
42
ND
STREET PUBLIC HEALTH CORRIDOR
•
Eliminate negative stigma of corrections
center collocation venue for patients and
their families
•
Lower construction, staffing and
operational costs
•
Medicare-Medicaid reimbursement is
available on the 42
nd
Street campus
•
Service and Program Sharing with the
Douglas County Health Center (including
food, laundry and staff) and other existing
partners
•
Multiple shared spaces for program,
population and administration use
•
Central location creates staffing
efficiencies
6
CORRECTIONS CAMPUS
•
The Douglas County Corrections Center was not designed to
safely treat mental health needs of the inmate population and
detaining people is expensive
•
Inmates are not Medicaid/Medicare eligible for healthcare
reimbursement. Currently paid for with property tax revenue
•
There are no secure spaces to hold and treat mentally ill
inmates
•
Approximately 40% of inmates in the correctional facility
have diagnosed mental illness issues
•
People cycle between detention and short-term treatment
with no long-term solution or residential opportunities
T
H
E
P
R
O
B
L
E
M
8
T
H
E
S
O
L
U
T
I
O
N
Corrections Center Campus
16
th
st
18t
h
St
Leavenworth
St
Jackson St
•
Corrections has capacity. There are over
100 beds of repurposable vacant mods to
serve inmate mental health and drug and
alcohol rehabilitation needs
•
Drug and Alcohol patients can be isolated
from the general population for treatment
•
Provide s
ecure
safe
space for mentally ill
inmate treatment
isolated from the general
population
•
Safer and more secure for healthcare
professionals and family members
9
BENEFITS
4
2
N
D
S
T
R
E
E
T
P
U
B
L
I
C
H
E
A
L
T
H
C
O
R
R
I
D
O
R
B
E
N
E
F
I
T
S
•
Create a public health corridor on 42
nd
street
utilizing current Douglas County owned property
and facilities on the 42
nd
Street campus in
collaboration with UNMC and the VA
•
Provide safe, secure long-term residential mental
healthcare services for Douglas County residents
•
Utilizes our public lands and maximizes resources
•
Economically and environmentally more sustainable
•
Uses federal ARPA funding to pay for project
modernization and upgrades.
11
C
O
M
M
U
N
I
T
Y
C
O
S
T
R
E
D
U
C
T
I
O
N
S
A
N
D
T
A
X
S
A
V
I
N
G
S
•
Property tax relief
•
Use federal ARPA funds for the modernization and upgrade of
the 42
nd
St. Campus.
•
Use long-term mental health patients’ eligibility for federal
Medicaid/Medicare reimbursements for operating costs.
•
Offset operational costs with a consortium of Douglas County,
UNMC and VA public health care providers and private partner
providers participation
•
Douglas County owns adequate property and buildings.
•
No additional property acquisitions are required
•
No new buildings need to be constructed
•
Cost of renovation is a fraction of the cost of new construction
12
TIMELINE
Land Acquisition
zero weeks – it is already owned
Committee selection
1 month
Design Team Selection
1 month
Programming
3 months
Design
9 months
Bidding
1 months
Construction
12-15 months
Total
Approximately 27-30 months total from start to occupancy
Starting now would allow occupancy
approximately the end of October 2025
13
C
O
N
C
L
U
S
I
O
N
•
Create a public health corridor on 42
nd
street
•
Financially responsible and efficient use of resources and
collaboration.
•
Provide patients with a safe, secure long-term mental health
care facility
.
•
Properties are owned by Douglas County
- Long-term residential mental health care facility on 42
nd
street.
- Safe, secure mental health care facility at Douglas County
Correctional campus.
•
Transportation and parking is already provided
•
Local management of existing funds
•
Stop downtown government sprawl
•
Provide property tax savings through the use of federal funds
(ARPA, Medicaid and Medicare)
Douglas County Corrections Center campus on 17
th
street.
Douglas County Community Health Center campus on 42
nd
Street.
14
15
Douglas County lacks long-term residential mental health care facilities, posing a challenge for individuals in need. The proposed solution involves utilizing existing county-owned facilities, securing Federal ARPA funding, and establishing a public health corridor to provide essential services. By leveraging partnerships with community organizations and hospitals, including UNMC and the Veterans Hospital, a comprehensive care system can be created to meet the mental health needs of the community, while also addressing related challenges at the Corrections Center.
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Presentation Transcript
Long-Term Residential Mental Health Care Facility Plan 04/06/2023
DOUGLAS COUNTY HEALTH CENTER Title Notes
Mission Statement Douglas County has provided health care for its citizens at the Douglas County Health Center on 42ndstreet since 1931. Long-term residential care is currently provided for approximately 190 physically disabled Douglas County residents. The Douglas County community currently lacks any long- term residential mental health care capacity 3
THE PROBLEM: NO COMMUNITY LONG-TERM RESIDENTIAL MENTAL HEALTH CARE SERVICES ARE AVAILABLE Acute psychiatric emergency room services (e.g., UNMC) for 1 to 3 days. Acute intermediate in-patient psychiatric care (e.g., Immanuel Hospital and Lasting Hope) for approximately 3 to 7 days. NO COMMUNITY LONG-TERM RESIDENTIAL MENTAL HEALTH CARE SERVICES ARE AVAILABLE 4
THE SOLUTION Utilize existing facilities owned by Douglas County Utilize Federal ARPA Funding Provide long-term residential health care services on the 42nd Street campus, current space allows for 20 to 30 beds. Lower operational costs by expanding existing programs and community partnerships Long-Term Residential Mental Healthcare Use a collaborative public and private health care agreements with community organizations and hospital- licensed partners (e.g., UNMC and Veterans Hospital) to establish a Public Health Corridor on 42nd St. 5
42ND STREET PUBLIC HEALTH CORRIDOR Eliminate negative stigma of corrections center collocation venue for patients and their families Lower construction, staffing and operational costs UNMC Medicare-Medicaid reimbursement is available on the 42nd Street campus DOUGLAS COUNTY HEALTH CENTER Service and Program Sharing with the Douglas County Health Center (including food, laundry and staff) and other existing partners VETERANS HOSPITAL Multiple shared spaces for program, population and administration use Central location creates staffing efficiencies 6
CORRECTIONS CAMPUS Title Notes
THE PROBLEM The Douglas County Corrections Center was not designed to safely treat mental health needs of the inmate population and detaining people is expensive Inmates are not Medicaid/Medicare eligible for healthcare reimbursement. Currently paid for with property tax revenue There are no secure spaces to hold and treat mentally ill inmates Approximately 40% of inmates in the correctional facility have diagnosed mental illness issues People cycle between detention and short-term treatment with no long-term solution or residential opportunities 8
THE SOLUTION Corrections has capacity. There are over 100 beds of repurposable vacant mods to serve inmate mental health and drug and alcohol rehabilitation needs Drug and Alcohol patients can be isolated from the general population for treatment Provide secure safe space for mentally ill inmate treatment isolated from the general population Safer and more secure for healthcare professionals and family members Corrections Center Campus 9
BENEFITS Title Notes
42ND STREET PUBLIC HEALTH CORRIDOR BENEFITS Create a public health corridor on 42nd street utilizing current Douglas County owned property and facilities on the 42nd Street campus in collaboration with UNMC and the VA Provide safe, secure long-term residential mental healthcare services for Douglas County residents Utilizes our public lands and maximizes resources Economically and environmentally more sustainable Uses federal ARPA funding to pay for project modernization and upgrades. 11
COMMUNITY COST REDUCTIONS AND TAX SAVINGS Property tax relief Use federal ARPA funds for the modernization and upgrade of the 42nd St. Campus. Use long-term mental health patients eligibility for federal Medicaid/Medicare reimbursements for operating costs. Offset operational costs with a consortium of Douglas County, UNMC and VA public health care providers and private partner providers participation Douglas County owns adequate property and buildings. No additional property acquisitions are required No new buildings need to be constructed Cost of renovation is a fraction of the cost of new construction 12
TIMELINE Land Acquisition Committee selection Design Team Selection Programming Design Bidding Construction zero weeks it is already owned 1 month 1 month 3 months 9 months 1 months 12-15 months Total Approximately 27-30 months total from start to occupancy Starting now would allow occupancy approximately the end of October 2025 13
CONCLUSION Create a public health corridor on 42nd street Financially responsible and efficient use of resources and collaboration. Provide patients with a safe, secure long-term mental health care facility. Properties are owned by Douglas County - Long-term residential mental health care facility on 42nd street. Douglas County Community Health Center campus on 42nd Street. - Safe, secure mental health care facility at Douglas County Correctional campus. Transportation and parking is already provided Local management of existing funds Stop downtown government sprawl Provide property tax savings through the use of federal funds (ARPA, Medicaid and Medicare) Douglas County Corrections Center campus on 17th street. 14
