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COUNTY CRISIS

Wake County Crisis Stabilization Center


MBA 6271
Capella University
Keandra Cofield
August 30, 2015

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Wake County Crisis Stabilization Center is a crisis and


assessment clinic operated by the Department of Psychiatry,
School of Medicine of UNC Chapel Hill.

It is located in the

heart of Raleigh, North Carolina. The WakeBrook Campus that will


be the main point of discussion for this strategic management
plan houses is a dual-diagnosis substance abuse treatment
hospital for men, women, and families, as well as, high priority
populations including pregnant, IV and HIV-positive drug users.
This component is called the WakeBrook Recovery Center.

In

addition, the center houses the Crisis Stabilization Center where


crisis and assessment services are available to anyone in need of
help in a crisis related to a mental illness, a developmental
disability, or an addiction.
Socioeconomic Factors
The services at this center is for anyone in a crisis regardless
of age, race, sex, gender, religion, etc; with insurance or
inability to pay.

We tend to see that individuals that have

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insurance and the resources seek out private facilities to care


for themselves or loved ones in a crisis.

This particular

facility is located in an area that tends to see a lot of


individuals with a lower economic status.

These individuals

either do not have insurance or have some form of state or


federal sponsored coverage, such as Medicaid.

They may not have

as much access to resources for preventative or maintenance


methods or the knowledge, either with themselves or their support
systems to overcome triggers that prompt them to having a crisis.
Legislative Factors
With new implementation of the ACA, we see it gave states the
choice to accept or deny Medicaid expansion.

The State of North

Carolina rejected the Medicaid expansion and that left


individuals to fall through the cracks.

They are unable to

afford a policy and their salary does not allow them to qualify
for Medicaid.

Their options at that point is to either see if

they can afford to pay out of pocket on a possible sliding fee

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scale or not get the treatment that is needed until they reach an
emergency or critical status.
Policy Factors
Service Delivery Factors
The Wake County Crisis Stabilization Center is housed under the
umbrella of UNC Systems, a division of UNC-Chapel Hill.
Therefore, they work in conjunction with not only other local
hospitals within that system, but non profit organizations, such
as Alliance Healthcare, and also receive referrals through Wake
County Human Services and other hospitals in the area such as
Wake Medical Center.
Technological Factors
As stated before, with the Center being facilitated under a
collaborative effort between UNC Health Care systems and Wake
County, client information is accessible through either UNC's
system and Wake County's new NC Fast (Families Accessing Services
through Technology) system.

It is an intricate network that

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translates through the state of North Carolina and it is designed


to cut down the time workers spend on administrative business to
allow majority of their time in helping families in crisis find
access and resources.
Current Economic Factors
With the implementation of the ACA, we see how this has affected
the Medicaid paying system.

Private pay will continue to operate

in the same fashion, as well as out of pocket expenses with the


sliding fee scale.

Instead of Medicaid being billed on a case by

case basis, we see what is being implemented is recipients being


given a monthly allotment and it is then allocated between crisis
treatment, family planning, etc.

This could potentially be a

slippery slope if the individual has a number of issues that need


to be addressed and is using Medicaid to cover the costs.

What

is the money is depleted in one area before the month is out?


Organizational Factors

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Some economic factors that can affect this particular health care
organization are limit in supply of professionals educated in
this particular field.

There is a shortage in all areas of

health care which can be attributed to a shortage in individuals


that are looking to be educated in particular fields.

This area

is not as lucrative or glamorous as say an ER Physician or


Surgeon; therefore, with a current economy back on the slow rise
from a recession, we see some individuals leaving the health care
field for a field that can be more lucrative.

There also may be

a shortage in individuals being able to educate or train persons


interested in crisis intervention and treatment.

With the

advancement of technology, you see some trained people in the


general population not being able to sustain and leaving the
field all together.