Alcohol And Drug Abuse Issues Volusia And Flagler Counties

Stewart-Marchman Center, Inc.July 2006

SMC HistoryServing alcohol and drug abusing clients since 1970.

Serving over 10,000 individuals annually.

Leader in Florida’s addiction treatment system for over 25 years.

Instrumental in developing special services for adolescents and pregnant women - with their new born infants.

1970 - founded in Daytona Beach by Rev. Hal Marchman, David Ashley, and Judge Leon Stewart.

SMC History in Flagler1984 – First outpatient clinic in Flagler opened in Bunnell (leased offices).

1998 – Phase I – construction of Flagler care center (outpatient) in Bunnell.

2002 Phase II – expansion of Flagler Care Center of detoxification (16 beds).

2006 – Planning for residential treatment expansion and research institute in planning process.

Flagler’s Growing Fast!Flagler is projected to grow from 78,216 residents in 2005 to 190,600 in 2030, a 142% increase, largest of any Florida county.

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UF Bureau of Economic and Business Research, 2006

SMC Services in Flagler 05-06

Level of Care Clients ‘05-’06 Completed Treatment

Outpatient 451 90%

Detox 541 76%

Residential 76 88%

Flagler Care Center

301 Justice Lane, BunnellPristine SettingAddiction Services Adults and AdolescentsScreening and Referral for Specialized ServicesPrevention EducationDetoxificationResidentialOutpatient

Current Flagler Treatment NeedsFlagler Population 78,000Lifetime prevalence any illegal drug use

28,860

Illegal drug use within past month 4,836

Alcohol use past month 31,980

Currently alcohol dependent 3,200

Total Flagler population in need of treatment services is between 5,000 and 8,000 at any point in time. From this information we can project that chronic users, meeting criteria for residential treatment, number at least ten percent of this number or 500-800 individuals.

Data extrapolated/projected from National Household Drug Use Survey, 2004

Current Flagler ResidentialService Capacity

SMC currently operates 8 residential substance abuse treatment beds in Flagler county.SMC currently serves 75 patients per year with an average 30-day length of stay.

In addition, SMC operates 8 beds for detoxification services in Flagler County.A total of 540 patients are served in the detoxification component.

Potential Flagler Residential Service Capacity

A 50-bed residential center providing a 60-day length of stay would serve an additional 300 patients per year.

SMC’s Flagler ProposalAdd 50-beds for intensive treatment in two, 25-bed treatment facilities (14,000 sq. Ft.).Add multi-purpose building to include kitchen, dining facility, and a 75-seat auditorium.Capacity to increase by an additional 50-beds to meet future needs.Add a research and epidemiology center, in partnership with the university of Florida, to conduct research to solve addiction problems.Add a epidemiology component to monitor types of drug use in the area in order to prepare the system to treat future addictions.

Treatment BenefitsAbstinence/reduced alcohol and drug useCriminal activity reduced by two-thirdsReduced hospitalizations/health care costsIncreased employment stabilityReduction in SSI and Medicaid enrollmentMultiple studies find a treatment benefit to cost ratio of between 4:1 and 12:1

Treatment Research Institute, National Opinion Research Center

Treatment Outcome andResearch Opportunities

Which medical interventions most improve treatment outcomes - for which clients?Which clinical interventions most improve treatment outcomes - for which clients?How do we measure the cost/benefit of addiction treatment?Contribute to the Nation’s knowledge about the origins of addictions (research).Monitor new drugs coming into the county before they become epidemic.

Flagler County Residential Economic Impact

Position #FTE Average Annual Salary

Total Salaries

Counselors/Aides

25.0 $ 26,960 $ 674,001

Nursing/Medical 4.75 $ 42,316 $ 201,000

Other Staff 3.0 $ 33,333 $ 100,000

Total 32.75 $ 29,771 $ 975,001

Budget Category Total Annual Cost

Salaries (incl. Fringe) $ 1,248,001

Operating Costs $ 499,201

Total Annual Operating Budget

$ 1,747,202

Flagler County Residential Economic Impact

Construction activities will have a local economic impact of more than $20 million.New residential services will provide full time employment for 33 individuals, at an average annual salary of $30,000.Total economic impact of new residential services for community will approach $12M annually.

Failure to Construct Will Result in an Increase in the Following:

CrimePovertyChild Abuse and NeglectCost of Law EnforcementCounty Jail PopulationSex Abuse CasesDecay of Community Values and MoresCost to Businesses for absenteeism and job related injuries

CONSTRUCTING THESE

FACILITIES MAKES SENSE

FOR FLAGLER COUNTY