SCP-9390 Unknown ~ medium confidence
SCP-9390
Expected annual
$3.9M
One-time setup
$2.9M
Annual recurring
$3.5M
Personnel
23
Estimated initial capital of about $2.93M with annual operations around $3.54M; main drivers are staff wages (companions, clinicians, mobile teams), facility costs (lease/maintenance or purchase/retrofit) and recurring intensive-care/per-case costs.
🏗️ One-Time Capital Costs Total: $2.9M
Facilities $1.1M
[#2, #3] Purchase/renovation for a single 8–12 bed respite center (mid-range purchase $900k + retrofit $250k). Lease costs treated as recurring.
Research Study Seed $500K
[#9] Seed funding for an initial cohort study (n≈100–300) including recruitment and baseline testing (mid-range).
Record Retention And Contingency Seed $300K
[#19] Seed reserve for legal holds, contingency, FOIA/subpoena and crisis PR (mid-range seed).
Initial Research And Lab Setup $250K
[#9, #10, #8] Research buildout: clinical research instruments, data-warehousing hardware and initial study infrastructure.
Ehr Setup $125K
[#8] EHR licensing/customization and initial deployment costs (mid-range).
Equipment $100K
[#3, #10] CCTV/monitoring hardware, basic clinical equipment, and an EEG system (moderate purchase estimate).
Program Planning And Legal Setup $100K
[#1] Legal review, licensing, policy, data-use agreements and initial program/project management (midpoint of $50k–$150k).
Decommissioning $100K
[#25] Estimated cost to terminate leases, severance and archive data if program winds down.
Mobile Team Vehicle $70K
[#6] One dedicated response vehicle for mobile crisis/outreach (one-time vehicle purchase).
It Security Initial $60K
[#23] Initial IT security and compliance setup, audits and secure comms.
Public Outreach Initial $50K
[#18] Initial public outreach/normalization campaign (small multimedia / materials budget).
Transport Vehicle $45K
[#15] Additional transport/utility vehicle purchase for client transfers and logistics.
Hotline Setup $30K
[#7] Initial hotline/IVR/software setup and implementation.
Initial Staff Training $30K
[#12] Initial staff certification and training (de-escalation, suicide risk assessment, trauma-informed care).
Community Incentives Seed $20K
[#24] Seed funds for community incentives/subsidies/one-time stipends to reduce isolation.
Regional Rollout Seed $0
[#22] Scalable regional rollout costs exist (see scenario); not budgeted in baseline one-time totals.
🔄 Annual Recurring Costs Total: $3.5M/yr
Staff Wages $1.7M/yr
[#4, #5, #6, #20, #7] Companion/residential aide wages (institutional model), clinician salaries (psychiatrist/psychologist/LCSW), mobile-team staffing and administrative staff (mid-range totals aggregated).
Per Case Intensive Care $500K/yr
[#21] Expected annual expense for multiple intensive per-case full-time companionship interventions (e.g., ~20 cases × ~$25k average per case used as midpoint).
Research And Monitoring $400K/yr
[#9, #8, #10] Ongoing research costs, cohort follow-ups, per-study imaging/testing budgets and EHR/data-analytics subscriptions and maintenance.
Facilities Maintenance $222K/yr
[#2, #3, #16] Facility lease (~mid-range) or building upkeep, utilities and housekeeping/food for an 8–12 bed respite center (utilities/housekeeping included).
Cover Story And Legal $150K/yr
[#13, #19, #18] Insurance, liability, legal defense replenishment and ongoing public outreach/PR budgets.
Hotline Operations $150K/yr
[#7] Ongoing hotline staffing, call-routing and platform costs (monthly operations scaled for moderate volume).
Acute Hospitalizations $100K/yr
[#14] Program-borne costs for uninsured/unsupported acute psychiatric inpatient stays (expected annual budget for several incidents).
Community Incentives $100K/yr
[#24] Ongoing subsidies, stipends, housing incentives and community outreach programs to reduce isolation (program-level budget).
Medication And Pharmacy $50K/yr
[#11] Pharmacy dispensing costs and medication budgets for adjunctive pharmacotherapy across program participants.
Training And Certification $50K/yr
[#12] Ongoing continuing education and certification costs for staff (CE, refresher training).
Supplies And Consumables $30K/yr
[#17] Consumables, PPE, basic medical supplies, first-aid and operational consumables (monthly operating estimate aggregated).
Logistics And Transport $30K/yr
[#15, #6] Vehicle operating costs (fuel, maintenance) for mobile teams and transport vans (per-vehicle operating estimates aggregated).
It Security Maintenance $30K/yr
[#23] Ongoing cybersecurity, audits and secure-comms maintenance.
Cost Scenarios
📊 Baseline (baseline) $3.5M/yr
80.0% probability / year
Normal operational year for a single moderate program (one 8–12 bed respite center, one mobile team, ongoing research).
steady caseload no major incidents planned research activity
🚨 Minor Incident $3.8M/yr
15.0% probability / year +$250K vs baseline
Year with several acute incidents requiring elevated inpatient care, emergency responses and legal/PR costs.
cluster of high-acuity cases multiple uninsured hospitalizations localized negative publicity
🚨 Regional Scaleup $10.5M/yr
5.0% probability / year +$7.0M vs baseline
Initiation of a regional rollout (multiple centers and expanded mobile teams) with associated capital and ramp-up operating costs.
epidemic-level prevalence policy decision to scale regionally major funding/mandate initiated
👥 Personnel 23 total
Role Count Notes
Companion / Residential Aide 8 [#4] Staff providing shared 24/7 presence across an 8–12-bed respite center (institutional staffing model, aggregated FTEs).
Psychiatrist 1 [#5] Senior prescriber/supervisor for medication management and oversight.
Psychologist 2 [#5] Psychologists providing therapy and assessments.
LCSW / Case Manager 2 [#5] Social work / case management for intake, coordination and community linkage.
Mobile Team Clinician / Responder 6 [#6] Staff for a 24/7 mobile crisis team (two-person shifts → ~6 FTEs for continuous coverage).
Administrative Staff (HR / Billing / Accounting) 2 [#20] Admin functions supporting payroll, billing, compliance and program operations.
Hotline / Dispatch Staff 2 [#7] Staff operating triage hotlines and dispatch systems (shared/rotating coverage).
📋 Confidence Notes
Estimates use analyst-supplied ranges and a moderate-program assumption (single 8–12 bed center + one mobile team). Reasonable midpoints were chosen where ranges existed, but prevalence, case rates and local cost variation produce meaningful uncertainty.
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