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Acute Care Crisis System Issue Analysis

Sarasota County has one public receiving facility for Baker Act patients (Coastal Behavioral Healthcare’s Crisis Stabilization Unit) and two private receiving facilities (Sarasota Memorial Hospital’s Bayside Center and Venice-Bon Secours Hospital). For months now, all three receiving facilities have been over-capacity almost on a daily basis, with patients needing crisis stabilization and assessment backing up into Sarasota Memorial Hospital’s emergency room (which compromises the hospital’s ability to provide timely emergency medical treatment). The causes of this situation include rapid population growth in the county, the closing last year of G. Pierce Wood Memorial Hospital in Arcadia and Charter Glades Psychiatric Hospital in Ft. Myers, very modest increases by the Legislature in funding for additional CSU beds in recent years, and the inability of agencies to serve persons before they reach a crisis point in their lives.

While there is general agreement on the causes of the problem, solutions are harder to come by. Increased state funding for additional beds will help address the issue, but all of the players agree that what is really needed is a cooperative, community-wide effort to better coordinate the existing acute care system and seek creative solutions. For that reason, Coastal Behavioral HealthCare and Sarasota Memorial Hospital approached the Community Alliance’s Executive Committee with a request that a study of the County’s acute care system be undertaken as the Alliance’s first “Issue Analysis”. The Steering Committee agreed that this issue was of critical importance to the community and should be analyzed further.

The five agencies which have a stake in providing acute care services in the county (Coastal Behavioral Healthcare, Sarasota Memorial Hospital,  the Sarasota County Sheriff’s Office, First Step of Sarasota, and Sarasota County Government) have joined together to address the issue and have agreed to share the cost of bringing in a consultant from USF’s Florida Mental Health Institute to facilitate the analysis. In addition to representatives of these six agencies and DCF’s SunCoast Region, members of the Planning/Outcomes Work Group and other local enforcement agencies will constitute the Issue Analysis Task Force. The task force has begun its analytical work and a final report is expected by February, 2003.

Acute Care Crisis System Issue Analysis Task Force

Ad-hoc task forces such as the Issue Analysis Task Force address specific issues that come before the Alliance which are critical to the human services community. The Alliance has undertaken an analysis of the county’s acute care system as it’s first project.

  • Ken Alexander, Sarasota Memorial Hospital Bayside Center

  • Dr. Rye Bell, Venice-Bon Secours Behavioral Health Program

  • Dave Beesley, First Step of Sarasota

  • Bill Broughton, Sarasota County Intergovernmental Relations Coordinator

  • MaryLee Bussard, SCOPE

  • Tim Dutton, SCOPE

  • Capt. Jerry Eggleston, Sarasota County Sheriff's Office

  • Joan Geyer, National Alliance for the Mentally Ill (NAMI)

  • Michael Grant, Grant Medical Transportation

  • Rik Jimison, Sarasota County Health and Human Services

  • Kathy Kleinlein, Diocese of Venice

  • Bill Little, Sarasota County Health and Human Services

  • Amy Merrill, Manatee County Community Services

  • Susan Nunnally, DCF-SunCoast Region, Alcohol, Drug Abuse and Mental Health Program

  • Mary Ruiz, Manatee Glens

  • James Schulz, Sarasota County Health and Human Services

  • Lt. George Scott, Sarasota County Sheriff's Office

  • Debbie Spellman, DCF-SunCoast Region, Alcohol, Drug Abuse and Mental Health Program

  • Chip Taylor, Sarasota County Health and Human Services

  • Dr. Jerry Thompson, Coastal Behavioral Healthcare

  • Davis Tornabene, Public Defenders Office, Twelfth Judicial Circuit

  • Jeff Watts, DCF-SunCoast Region, Alcohol, Drug Abuse and Mental Health Program

Link to "Acute Care Issue Analysis Behavioral Healthcare Report"

FMHI Faculty Consultant: Mark Engelhardt

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© 2002 Community Alliance of Sarasota County