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RESULTS OF EFFORTS TO ADDRESS MENTAL ILLNESS,
                                          SUBSTANCE ABUSE AND HOMELESSNESS
                                             IN SAN ANTONIO & BEXAR COUNTY

                                  Documented and Immediate Cost Avoidance, Three Year Analysis

                                      Year One April 16, 2008 โ€“ March 31, 2009
                                      Year Two April 16, 2009 โ€“ March31, 2010
                                     Year Three April 16, 2010 โ€“ March 31, 2011
           Cost Category               City of San Antonio        Bexar County    Direct Cost Avoidance

 Public Inebriates Diverted from            $435,435              $1,983,574            $2,419,009
        Detention Facility
                                            $925,015              $2,818,755*           $3,743,770

                                           $1,322,685             $4,372,128            $5,694,813

                                               A.                      B.

  Injured Prisoner Diverted from            $528,000              $1,267,200            $1,795,200
              UHS ER
                                            $435,000              $1,044,000            $1,479,000

                                            $421,000              $1,010,400            $1,431,400

                                               C.                      D.

Mentally Ill Diverted from UHS ER           $322,500               $774,000             $1,096,500
                Cost
                                            $283,500               $676,000              $959,500

                                            $276,500               $663,600              $940,100

                                               E.                      F.

     Mentally Ill Diverted from             $208,159               $371,350              $579,509
       Magistration Facility
                                            $179,833               $322,300              $502,133

                                            $126,893               $191,125              $310,018

                                               G.                      H.

   Reduction in Competency                      0                  $255,055              $255,055
 Restoration Wait Time in Jail for
        Hosp Admission                                            $1,020,000            $1,020,000

                                                                   $595,000              $595,000

                                                                       I.

Reduction in Wait Time in Jail for              0                  $137,898             $137,898
Outpatient Competence/Wait Time
  for Restoration compared to                                      $900,000              $900,000
            Inpatient
                                                                   $542,300              $542,300

                                                                       J.


Updated January 6, 2012                                                                      Page 1 of 3
Reduction in Jail Time for                         0                      $385,522                      $385,522
Competency Restoration on Bond
        and on Return                                                        $221,000                      $221,000

                                                                             $700,000                      $700,000

                                                                                 K.

             Total Year 1                        $1,494,094                 $5,174,599                    $6,668,693

             Total Year 2                        $1,823,348                 $7,002,055                    $8,825,403

             Total Year 3                        $2,147,078                 $8,127,253                   $10,221,631

               TOTALS                            $5,463,520                 $20,303,907                  $25,714,727



Total documented savings of $25,714,727
This total is the direct cost avoidance resulting from current documented processes. We are certain that there
will be even greater real savings resulting from continued engagement and treatment.


Summary of Results:
    o    Reduced victimization and increased support for the homeless population.
    o Greater efficiency in the use of law enforcement, resulting in increased public safety and return of law
         enforcement officers back to community policing.
    o Reduced inappropriate incarceration of persons with mental illness and/or substance abuse issues.
    o Reduced inappropriate use of emergency rooms and hospitalizations
    o Increased efficiency and effectiveness in the use of public dollars
Calculation Methodology

    A.   # PIโ€™s x (City Mag processing cost + SAPD Cost-Officer time)
               Year 1: 1,914 x $227.50 (@ $62.50 estimated Mag      Year 2: 4066 x $227.50 (@ $62.50 estimated Mag at
              at booking plus one Mag day @ $65.00 plus 2 hours booking plus one Mag day @ $65.00 plus 2 hours of
                   of SAPD time at $50 per hour) = $435,435               SAPD time at $50 per hour)= $925,015
                                    Year 3:
                        5,814x227.50= $1,322,685

    B.   # PIโ€™s x the percentage of PIโ€™s with other charges X County processing cost + # PIโ€™s x the percentage of PIโ€™s with other
         charges x Average Jail Time (14 days) x $50/day.* = the number of persons going to Sobering doubled in the second year.
              Year 1: (1,914 x .882 x $475) + (1,914 x .882 x 14 x      Year 2: (4,066 x .59 x $475) + (4,066 x .59 x 14 x
                             $50) = $1,983,573.90                                     $50) = $2,818,754.50
                                    Year 3:
            (5,814x.64x$475)+(5814x.64x14x50)=$4,372,128

    C.   Injured Prisoners x Average Officer Wait Time Cost
                      Year 1: 1,056 x 500 (average wait at ER of   Year 2: 870 x 500 (average wait at ER of 10 hours at
                   10 hours at $50.00 per hour) = $528,000                     $50.00 per hour) = $435,000
                                   Year 3:
                  842 x 500 (average wait at ER of 10 hours at
                         $50.00 per hour) = $421,000


    D.   # Injured Prisoners x UHS ER Cost
                          Year 1: 1,056 x $1,200 = $1,267,200               Year 2: 870 x $1,200 = $1,044,000

                            Year 3:842x$1,200=$1,010,400

Updated January 6, 2012                                                                                         Page 2 of 3
E.   # MI from CCC to Hosp x Average Officer Wait Time Cost
                Year 1: 645 x $500 (10 hours x $50 per hour) =        Year 2: 567 x $500 (10 hours x $50 per hour) =
                                  $322,500                                              $283,500
                                   Year 3:
                             553 x $500=276,500


    F.   # MI from CCC to Hosp x UHS ER Cost
                     Year 1: 645 x $1,200 = $774,000                         Year 2: 564 x $1,200 = $676,800

                                   Year 3:
                           553 x $1,200=$663,600


    G. # MI under ED transported by SAPD x Magistrate Processing Cost
            Year 1: 1,071 x $227 โ€“ (minus) (Sheriffโ€™s Deputies   Year 2: 927 x $227 โ€“ (minus) (Sheriffโ€™s Deputies
                 cost โ€“ 154 x $227=$34,958) = $208,159               cost โ€“ 148 x $227=$33,596) = $176,833
                      Year 3: 559x$227 = $126,893


    H.   # MI under ED transported by Bexar Co SO x County processing cost + (# MI under ED transported by any Law Enforcement -
         (minus) # Admitted to Hospital) x Average Jail Days (14 days) x $50/day
              Year 1: (154 x $475) + $298,200 [1071 โ€“ 645 x 14 x    Year 2: 70,300(148 x $475) + $252,000 [927 โ€“ 567 x
                               $50] = $371,350                                     14 x $50] = $322,300
                                    Year 3:
                   (115 x$475)+(748-553)x14x15=$191,121


    I.   Average Days from Judgment to State Hospital Admit 8/07-4/08 โ€“ (minus) Average days from judgment to State Hospital
         Admit 5/08-3/09 X # Outpatient Competency (OPCR) Patients x $250.
                  Year 1: 58x250 x (64.32-46.73)=$255,055                 Year 2: 68 x $250 x 60= $1,020,000

                                  Year 3:
                            70x250x34=$595,000


    J.   Average # of days from Judgment to State Hospital 5/8-3/09 โ€“ (minus) average days from judgment to release from Jail to
         Outpatient Competency (OPCR) restoration 5/08-3/09 x # OPCRโ€™s x $250.
                  Year 1: 46.73-4.3 x 13 x $250 = $137,898                     Year 2: 60x60x250=$900,000
                                  Year 3:
                          63.8x34x$250=$542,300


    K.   # Outpatient Competency Restoration 5/08-3/09 Admitted from Bond or State Hospital x Average days from Judgment to State
         Hospital Admit x $250
                    Year 1: 33 x 46.73 x $250 = $385,522                     Year 2: 13x68x250-$221,000
                                 Year 3:
                           40x70x$250=$700,000




Updated January 6, 2012                                                                                         Page 3 of 3

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2012 01-05 success results year 3

  • 1. RESULTS OF EFFORTS TO ADDRESS MENTAL ILLNESS, SUBSTANCE ABUSE AND HOMELESSNESS IN SAN ANTONIO & BEXAR COUNTY Documented and Immediate Cost Avoidance, Three Year Analysis Year One April 16, 2008 โ€“ March 31, 2009 Year Two April 16, 2009 โ€“ March31, 2010 Year Three April 16, 2010 โ€“ March 31, 2011 Cost Category City of San Antonio Bexar County Direct Cost Avoidance Public Inebriates Diverted from $435,435 $1,983,574 $2,419,009 Detention Facility $925,015 $2,818,755* $3,743,770 $1,322,685 $4,372,128 $5,694,813 A. B. Injured Prisoner Diverted from $528,000 $1,267,200 $1,795,200 UHS ER $435,000 $1,044,000 $1,479,000 $421,000 $1,010,400 $1,431,400 C. D. Mentally Ill Diverted from UHS ER $322,500 $774,000 $1,096,500 Cost $283,500 $676,000 $959,500 $276,500 $663,600 $940,100 E. F. Mentally Ill Diverted from $208,159 $371,350 $579,509 Magistration Facility $179,833 $322,300 $502,133 $126,893 $191,125 $310,018 G. H. Reduction in Competency 0 $255,055 $255,055 Restoration Wait Time in Jail for Hosp Admission $1,020,000 $1,020,000 $595,000 $595,000 I. Reduction in Wait Time in Jail for 0 $137,898 $137,898 Outpatient Competence/Wait Time for Restoration compared to $900,000 $900,000 Inpatient $542,300 $542,300 J. Updated January 6, 2012 Page 1 of 3
  • 2. Reduction in Jail Time for 0 $385,522 $385,522 Competency Restoration on Bond and on Return $221,000 $221,000 $700,000 $700,000 K. Total Year 1 $1,494,094 $5,174,599 $6,668,693 Total Year 2 $1,823,348 $7,002,055 $8,825,403 Total Year 3 $2,147,078 $8,127,253 $10,221,631 TOTALS $5,463,520 $20,303,907 $25,714,727 Total documented savings of $25,714,727 This total is the direct cost avoidance resulting from current documented processes. We are certain that there will be even greater real savings resulting from continued engagement and treatment. Summary of Results: o Reduced victimization and increased support for the homeless population. o Greater efficiency in the use of law enforcement, resulting in increased public safety and return of law enforcement officers back to community policing. o Reduced inappropriate incarceration of persons with mental illness and/or substance abuse issues. o Reduced inappropriate use of emergency rooms and hospitalizations o Increased efficiency and effectiveness in the use of public dollars Calculation Methodology A. # PIโ€™s x (City Mag processing cost + SAPD Cost-Officer time) Year 1: 1,914 x $227.50 (@ $62.50 estimated Mag Year 2: 4066 x $227.50 (@ $62.50 estimated Mag at at booking plus one Mag day @ $65.00 plus 2 hours booking plus one Mag day @ $65.00 plus 2 hours of of SAPD time at $50 per hour) = $435,435 SAPD time at $50 per hour)= $925,015 Year 3: 5,814x227.50= $1,322,685 B. # PIโ€™s x the percentage of PIโ€™s with other charges X County processing cost + # PIโ€™s x the percentage of PIโ€™s with other charges x Average Jail Time (14 days) x $50/day.* = the number of persons going to Sobering doubled in the second year. Year 1: (1,914 x .882 x $475) + (1,914 x .882 x 14 x Year 2: (4,066 x .59 x $475) + (4,066 x .59 x 14 x $50) = $1,983,573.90 $50) = $2,818,754.50 Year 3: (5,814x.64x$475)+(5814x.64x14x50)=$4,372,128 C. Injured Prisoners x Average Officer Wait Time Cost Year 1: 1,056 x 500 (average wait at ER of Year 2: 870 x 500 (average wait at ER of 10 hours at 10 hours at $50.00 per hour) = $528,000 $50.00 per hour) = $435,000 Year 3: 842 x 500 (average wait at ER of 10 hours at $50.00 per hour) = $421,000 D. # Injured Prisoners x UHS ER Cost Year 1: 1,056 x $1,200 = $1,267,200 Year 2: 870 x $1,200 = $1,044,000 Year 3:842x$1,200=$1,010,400 Updated January 6, 2012 Page 2 of 3
  • 3. E. # MI from CCC to Hosp x Average Officer Wait Time Cost Year 1: 645 x $500 (10 hours x $50 per hour) = Year 2: 567 x $500 (10 hours x $50 per hour) = $322,500 $283,500 Year 3: 553 x $500=276,500 F. # MI from CCC to Hosp x UHS ER Cost Year 1: 645 x $1,200 = $774,000 Year 2: 564 x $1,200 = $676,800 Year 3: 553 x $1,200=$663,600 G. # MI under ED transported by SAPD x Magistrate Processing Cost Year 1: 1,071 x $227 โ€“ (minus) (Sheriffโ€™s Deputies Year 2: 927 x $227 โ€“ (minus) (Sheriffโ€™s Deputies cost โ€“ 154 x $227=$34,958) = $208,159 cost โ€“ 148 x $227=$33,596) = $176,833 Year 3: 559x$227 = $126,893 H. # MI under ED transported by Bexar Co SO x County processing cost + (# MI under ED transported by any Law Enforcement - (minus) # Admitted to Hospital) x Average Jail Days (14 days) x $50/day Year 1: (154 x $475) + $298,200 [1071 โ€“ 645 x 14 x Year 2: 70,300(148 x $475) + $252,000 [927 โ€“ 567 x $50] = $371,350 14 x $50] = $322,300 Year 3: (115 x$475)+(748-553)x14x15=$191,121 I. Average Days from Judgment to State Hospital Admit 8/07-4/08 โ€“ (minus) Average days from judgment to State Hospital Admit 5/08-3/09 X # Outpatient Competency (OPCR) Patients x $250. Year 1: 58x250 x (64.32-46.73)=$255,055 Year 2: 68 x $250 x 60= $1,020,000 Year 3: 70x250x34=$595,000 J. Average # of days from Judgment to State Hospital 5/8-3/09 โ€“ (minus) average days from judgment to release from Jail to Outpatient Competency (OPCR) restoration 5/08-3/09 x # OPCRโ€™s x $250. Year 1: 46.73-4.3 x 13 x $250 = $137,898 Year 2: 60x60x250=$900,000 Year 3: 63.8x34x$250=$542,300 K. # Outpatient Competency Restoration 5/08-3/09 Admitted from Bond or State Hospital x Average days from Judgment to State Hospital Admit x $250 Year 1: 33 x 46.73 x $250 = $385,522 Year 2: 13x68x250-$221,000 Year 3: 40x70x$250=$700,000 Updated January 6, 2012 Page 3 of 3