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Guidance Center describes alcohol/crisis stabilization unit; board asks for follow-up data on usage and menus

3539654 · May 28, 2025

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Summary

Guidance Center staff briefed the Board on the Alcohol/Crisis Stabilization Unit, a short‑term clinical facility that provides medical observation, meals, hygiene and linkages to further care for people in behavioral‑health and substance‑use crises.

The Coconino County Board of Supervisors received an update on May 27 from the Guidance Center about the local Alcohol/Crisis Stabilization Unit (CSU), a short‑term clinical facility that provides medical observation, meals, hygiene, and on‑site linkage to ongoing behavioral‑health and substance‑use treatment.

Guidance Center staff told the board the CSU operates as an acute‑care stabilization resource for community members in behavioral‑health or substance‑use crises, and is available without regard to ability to pay; staff said substance‑use cases comprised roughly 80% of CSU entries in the reporting period noted. The CSU provides immediate clinical assessment, nursing oversight, medication as needed, short‑term stays (typically up to 24 hours) and active linkage to outpatient or residential treatment, benefits enrollment and case management.

The board was shown usage metrics for calendar‑year reporting spans presented by Guidance Center staff: for FY24 and part of FY25 the facility showed several thousand visits with several hundred unique individuals served; supervisors noted that unique‑individual counts in FY25 appeared lower while total visits remained significant, signaling repeat visits among some clients. Supervisors asked for follow‑up information on the difference between total visits and unique clients and requested a sample daily menu and explanation of nutritional oversight. Guidance Center staff said the CSU is funded in part by county allocations and described staffing and clinical management in place to oversee nutrition and patient care.

Supervisors did not take a vote; the briefing prompted a request that the Guidance Center provide the board a sample menu, more detail on the CSU census and the periodicity of repeat visits so the board can better understand program capacity and client flow. The CSU remains an operational service of the Guidance Center; the briefing was informational.