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Circles of Care strengthens trust through bold accountability

By Peter Schorsch

Circles of Care strengthens trust through bold accountability

Every so often, a Florida institution gets it exactly right. Not perfect -- because perfection doesn't exist in the complicated world of behavioral health. But right in how it responds to problems, pressure, scrutiny, and the needs of the communities it serves.

That's what Circles of Care (COC) has just done on the Space Coast.

Circles of Care is Brevard County's longtime safety net for individuals and families in crisis -- the place where people turn when someone is spiraling into psychiatric or substance-related distress. For more than 60 years, COC has been on the front lines of some of society's toughest challenges, from opioid addiction to pediatric mental health to the daily emergencies triggered under Florida's Baker and Marchman Acts.

But what stands out today is not just the services COC delivers -- it's the way the organization opened itself up to a full, independent review. Think about that. In a time when most institutions duck, spin, or lawyer up, COC invited and assembled an independent commission of outside experts to come in and openly review their policies, protocols, and procedures. The focus and goal: to make any improvements that could raise COC's level of care in its steadfast commitment to always do better. And then COC started implementing improvements in real time, even before the ink on the report was dry.

That's the mark of an organization confident enough to embrace accountability.

The commission -- chaired by Dr. Dave Weldon, a former Congressman and respected physician -- didn't pull punches. Over six weeks, it assessed safety protocols, workforce challenges, and clinical practices. The final report offered dozens of practical recommendations:

-- More recreational and therapeutic activities for patients.

-- Stronger pipelines to recruit and retain sorely needed mental health staff.

-- Smarter coordination with law enforcement and the courts to close gaps that too often leave people cycling between jail and crisis.

-- And, perhaps most importantly, a call for state leaders to finally fix Florida's outdated waiver system that keeps too many people with lived experience of mental illness or addiction from joining the behavioral health workforce.

What's striking is how many existing strengths the commission also found. Circles of Care has already invested in digital rounding systems to enhance patient safety. It has clear, safety-first rules that protect staff and patients. It has worked to secure background-screening waivers that let qualified "peers" -- people with lived experience -- join the behavioral health workforce, making care more authentic and effective.

It bears repeating: COC is one of only two nonprofit psychiatric hospitals in Florida accredited by The Joint Commission -- the gold standard in hospital quality. That's no small feat.

Why does this matter beyond Brevard County? Because behavioral health is under stress everywhere. We all know the stories -- emergency rooms backed up, law enforcement stretched thin, not enough beds for people in crisis. When a nonprofit like COC steps forward to show how it can be done better -- not in theory, but in practice -- it sets a model for the rest of the state.

The politics here are obvious. Florida lawmakers, regulators, and funders are always demanding accountability. Fair enough. But accountability cuts both ways. Providers like COC need more sustainable funding, especially when Medicaid reimbursement rates have been frozen for decades. Policymakers should read this report closely -- and recognize that organizations like COC that are bold and willing to self-audit, self-correct, and consistently work to always improve are exactly the ones worth investing in.

Too often, the process in Tallahassee rewards the squeaky wheel or the politically connected hospital system. Circles of Care doesn't have that kind of juice. What it does have is decades of credibility -- earned over decades of service and reaffirmed through this independent review.

At a moment when Florida's behavioral health system is under the microscope, Circles of Care has given us a road map. Fearlessly invite scrutiny. Wisely learn from it. Decisively act on it. That's how you build and strengthen public trust. And trust is the currency that matters most when you're caring for people on their hardest days.

If more institutions followed Circles of Care's lead, Florida's mental health system wouldn't just tread water. It would positively move forward to new horizons.

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