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County resident access increases as Broadway crisis center expands services

Miami County Board of Commissioners · April 20, 2026
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Summary

County emergency psychiatric and substance‑use crisis care now includes urgent psychiatric care, a high‑acuity 24‑hour unit and new sub‑acute beds; commissioners were told Jan–Mar 2026 crisis‑center admissions rose and projections target more than 1,000 annual admissions once capacity scales.

Dr. Carrie Cadwell described a three‑prong crisis center model at the Broadway facility: psychiatric urgent care for low‑to‑medium acuity, a high‑acuity crisis unit offering up to 24‑hour stays, and newly certified sub‑acute beds for voluntary 3–5 day stays. The center accepts walk‑ins, law‑enforcement drop‑offs, ED referrals and 988 dispatches, and serves both mental‑health and substance‑use crises.

Cadwell said the previous inpatient model handled about 400 admissions per year; after an October 2025 change the crisis center recorded 278 admissions in Jan–Mar 2026 and staff projected the program could exceed 1,000 admissions annually as regional demand is absorbed. She emphasized improved access but noted routine psychiatric wait times remain a priority for further improvement.

Commissioners heard that the center can accept short‑term emergency detention orders and coordinate transfers to inpatient care where needed. No board action was taken; staff will continue monitoring throughput and report capacity changes in future meetings.