BRC’s Chemical Dependency Crisis Center (CDCC) provides 32 beds of supportive inpatient detoxification services for homeless men and women, offering individual and group motivational counseling, medical support, didactic health and substance abuse education, and therapeutic activities. Thousands of homeless men and women come to CDCC each year seeking recovery from chemical addiction, detoxification, medical and supportive services.
"We see ourselves not just as the first step for many clients, but part of the ongoing process of ensuring clients have the support they need to end their cycles of homelessness and remain in recovery as they define it. " - Kelly, Program Director at CDCC
CDCC is BRC's front door to thousands of homeless men and women who come to us each year seeking health and self-sufficiency. Our open-door policy enables us to serve those who have nowhere else to go. Unlike hospital-based or private for-profit programs, which present serious barriers for clients with severe mental illness, CDCC accepts those in need regardless of their situational challenges and without charge to the client.
CDCC’s clients are extraordinarily disenfranchised, with complex substance abuse, mental health and medical challenges that inhibit access to social services and health care systems. CDCC meets these needs by going far beyond most other detoxification centers, providing wraparound case management to connect clients to the supportive services that address their myriad needs in health and housing.
"CDCC gives clients who are using drugs or alcohol, or might relapse, a chance to hit the pause button. Most other programs across the state operate where they meet a client need at one level and then send them to another program with new staff for the next level of care. CDCC is able to meet clients who seek our services and transition them within the unit from one level of care to another." - Kelly, Program Director at CDCC
In December 2014, we launched a pilot project at CDCC that adds medically supervised withdrawal services to the program’s existing medically monitored withdrawal services. The integration of two levels of withdrawal services at one program is an innovative model of patient-centered care that enables BRC to better serve clients with a variety of needs at a significantly lower cost than a hospital-based program. With additional funding from New York City, we are able to allow our clients to stay until they gain admission to a rehab program.
This innovative mixed model was designed by BRC in response to an increasing number of clients who asked for help, but were too sick to be admitted under the level of care we were originally licensed to provide. Rather than saying no to these clients, we adapted CDCC by adding an additional level of care to the program. Today, CDCC serves hundreds of clients who in the past had to go to the hospital, providing an alternative to hospitals that reduces barriers to treatment and provides a more integrated service environment that results in greater success linking them to ongoing treatment – all at a lower cost than hospital-based treatment.
"We take the clients that other substance abuse providers are hesitant to take, either because of their myriad of health problems, their housing instability, or their mental health issues. We fill a niche that other agencies can’t and give our clients quality care and services with respect and dignity." - Kelly, Program Director at CDCC
Today, the CDCC pilot diverts hundreds of homeless clients from more expensive hospital resources and instead provides the same services in a significantly less expensive community-based setting. And because clients at hospital-based programs have higher rates of relapse than those in community-based settings, CDCC also helps stop the revolving door of detoxification readmission, leading to better outcomes for clients as well as more efficient use of money, resources and staff.