In 2015, Hegira Health bid to create an innovative, centralized, mobile-focused, adult crisis service program to serve Detroit and its surrounding suburbs.
Funded by the Detroit Wayne Mental Health Authority, the Community Outreach for Psychiatric Emergencies (COPE), opened in March 2016 as the single-entry point into a continuum of organized crisis and community-based outreach and coordination of care services for adults 18 years and older. Utilizing our walk-in center as the central station for our call center and psychiatry staff, we deploy community teams comprised of clinicians and certified peer supports, using a web-based fleet management system to maximize resources and ensure timeliness of services. The program offers a flexible, comprehensive package of care to wraparound the needs of Wayne County’s consumers and their families who were experiencing a behavioral health crisis or pre-crisis event. The model takes into account the needs of all stakeholders by providing a service plan to resolve some of the major issues facing Wayne County’s behavioral health crisis services system including timeliness of decision-making and effective level of care determination and community placements. Since March 2016, the COPE program has:
- Completed more than 40,000 pre-admission reviews (PAR)
- Redirected approximately 15,000 pre-admission reviews for inpatient requests to lower than inpatient levels of care
- Completed more than 12,000 admissions to mobile crisis community-based services with linkages for ongoing care to community outpatient providers
- Completed 95% + of dispositions in under 3-hours from the time of request for service
- 0% of services began within 2-hours of the request for service
- In 2019 completed 80%+ services face-to-face on-site in the community at 20+ EDs
- Reduced level of care placement from 20+ hours in 2016 to an average of 9 in 2019
