Dayton-area residents needing immediate crisis care for addiction will have another option besides the emergency room once OneFifteen starts seeing patients later this summer.
The crisis stabilization and detox services are part of a full spectrum of addiction care planned at the OneFifteen, which is a nonprofit system of addiction treatment and recovery services created by Google-affiliate Verily, Premier Health, Kettering Health Network and the help of other community organizations.
For years, local hospitals have worked together on a plan for a crisis stabilization center, which was a missing piece in the local response to the opioid overdose crisis.
An ER can stabilize a patient after an overdose and discharge the patient. But then the patient faces a critical moment when they leave the hospital, hinging on whether they get connected to the next step of needed care. At the crisis center, patients can get quickly evaluated, providers can determine what level of care they need and can stay there up to 23 hours. Patients might be able to avoid an inpatient stay by getting started on medication and linked to outpatient care.
“It will almost operate as an urgent care for behavioral health, which does not exist in the region today,” said Danielle Schlosser, Verily senior clinical scientist for behavioral health.
The OneFifteen campus is under development in the Carillon neighborhood near the Elizabeth Place medical campus. A celebration was held on Friday to mark the completion of the first two locations in the system: 22,000 square feet of leased space in neighboring a Kindred Hospital and the 10,000-square-foot outpatient clinic Hopeland Street near the Elizabeth Place campus.
Dayton Mayor Nan Whaley, U.S. Sen. Rob Portman, and U.S. Rep. Mike Turner, R-Dayton, were among the speakers at the ribbon-cutting event.
Whaley said she thinks OneFifteen’s presence will accelerate the recovery work already happening in the city, and she said the group came to town to work with the city’s collaborative model to approaching the opioid crisis.
“They easily could have come to town with an attitude of knowing better, but that hasn’t been their approach at all,” Whaley said. “Instead, they have come here to learn to add value to our existing ecosystem of recovery.”
OneFifteen — named after the 115 people in the U.S. who died each day from opioid overdoses in 2017 — will treat an estimated 1,000 patients in its first year.
The OneFifteen system is designed around helping patients smoothly transition from different types of care, because someone’s recovery from addiction can be disrupted or sobriety lost during rocky periods of moving from different types of care.
The medical office off Hopeland Street has an area for children to wait alongside group therapy rooms and clinical space.
Verily, which also works in other health data projects, will bring data expertise to the project and will be analyze clinical data to see what works and continually improve the system’s approach.
The OneFifteen campus will be complete in 2020 and will eventually have other services like sober living apartments, and project officials are exploring other types of opportunities, such as a possible convenience store at the site so patients can conveniently get grocery items. Renderings show that the full 4.5-acre campus will have a winding path, gardens and outdoor gathering space.
Julia McNeal, vice president of the Carillon Civic Council, said the neighborhood association and OneFifteen’s mutual goal is to implement their vision and mission and align that with the Carillon Civic Council’s goal to revitalize the neighborhood.
“Our vision is to see Cincinnati Street as a commercial corridor with local retailers and services,” she said.
The project represents an unusually high level of investment into behavioral health, which is a field of medicine often characterized by thin margins, spotty insurance coverage and mission-driven providers practicing out of sparsely furnished offices.
In contrast, OneFifteen’s initial building for its outpatient services is a sleek and modern designed building developed by Alexandria Real Estate Equities, a publicly-traded real estate investment trust.
The project officials have so far not given the total cost of the project, revenue projections or broken out how much all the different parties are contributing.
Fred Manchur, CEO of Kettering Health Network, which is one of the project partners, said OneFifteen is a long-term commitment and a significant financial investment for Kettering and Premier.
“It’s something that we both will put in seven-digit numbers into this project a year actually,” Manchur said.
While the hospitals have already been providing behavioral health services, this project is different because it is a team approach between the hospital systems and other community organizations, said Mike Maiberger, chief operating officer of Premier Health. Maiberger said this makes it a model for other areas.
“The secret sauce is going to be the collaborative effort of all the resources in the community,” Maiberger said.
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