Briefing

July 16, 2001

Judge Kathleen Kearney Kenneth A. DeCerchioSecretary Director of Substance Abuse

Substance Abuse Program

Program Mission:

To prevent and remediate substance abuse.

Substance Abuse Program Vision:

Reduce the incidence of drug abuse from eight percent to four percent by the year 2005.

Target Group: Adults with or at risk of substanceabuse problems.

Goal: Adults with substance abuse problems are drug free

and economically self-sufficient.

Target Groups: Children at risk of substance abuse problems. Children with substance abuse problems.

Goal: Children with or at risk of substance abuse problems are drug free.

Adults with Substance Abuse

Problems

114,695 served

Adults Identified

as Needing Treatment758,876

Children Identified as Needing Treatment

301,066

Who

We

Serve

FY 99-00

Children with Substance Abuse

Problems

68,265 served

Adult Sub-Populations Persons in the Criminal Justice System - 69.8%

Parents putting children at-risk - 38%

Adults with co-occurring disorders (mental illness and substance abuse) - 13.5%

Intravenous drug users -10.9%

Other adults - 6.2%

Children Sub-Populations

Children under state supervision (DJJ, Protective Services, Foster Care) - 80.4%

Children not under state supervision - 18.7%

Children at risk of substance abuse - 4.4%

What We Are Purchasing FY 00-01

Major Activities Budget % Allocated

Detoxification $ 18,462,984 17.0 %

Prevention Services $ 5,282,571 4.9 %

Treatment and $ 84,952,083 78.1 %Aftercare

TOTAL $ 108,697,638 100.0 %

Adults

Children/Adolescents

Major Activities Budget % Allocated

Detoxification $ 5,385,612 9.2 %

Prevention Services $ 12,192,896 20.8 %

Treatment and $ 40,926,680 70.0 % Aftercare

TOTAL $ 58,505,188 100.0 %

Program Management and Compliance FY 00-01

Number of FTEs 69

Total Dollars $5,232,081

Percent of total budget 3.0%

CONCEPTUAL FLOW OFSYSTEM OF CARE MODEL FOR SUBSTANCE ABUSE SERVICES

CHILD PROTECTION

SYSTEM

FAMILY SELF-

REFERRALS

PUBLIC HEALTHEMPLOYERSCOMMUNITY

AGENCIES

ADULTS WITH SUBSTANCE ABUSE PROBLEMS

CRIMINAL JUSTICE & DUI

SERVICE PLANNING and CASE MANAGEMENT

ASSESSMENT OF OUTCOMES

Client Needs Met(employment, improved family relations,

reductions in criminal activity, prevent substance abuse,

recovery, substance free newborns) Client/Family Satisfaction

System Performance

INFORMATION and REFERRALS (within and outside of network)

SCREENING, INTAKE, ASSESSMENT and ENROLLMENTtriage - diagnostic services - crisis intervention

ProposedServiceDeliveryNetwork• Lead agency or network

• Blend new & existing resources

• Prospective payment

• Utilization Management

UTILIZATION MANAGEMENT

CLIENT PLACEMENT DECISION(according to ASAM PPC-2)

SERVICES • Treatment on demand for special populations• Flexible programming that is client-centered• Specialized family and in-home services• Motivational strategies• Expanded residential and aftercare services• Expanded case management services• Pharmacotherapy

ONGOING COMMUNITY SUPPORT LINKAGES

• Prevention

• Transportation

• Recovering community

• Faith community

• Drug free housing

• Health services

• Jobs

CONCEPTUAL FLOW OFSYSTEM OF CARE MODEL FOR SUBSTANCE ABUSE SERVICES

CHILDREN WITH SUBSTANCE ABUSE PROBLEMS

SERVICE PLANNING and CASE MANAGEMENT

ASSESSMENT OF OUTCOMES

Client Needs Met

(school performance, improved family relations, reductions in

criminal activity, prevent substance abuse)

Client/Family Satisfaction

System Performance

INFORMATION and REFERRALS (within and outside of network)

SCREENING, INTAKE, ASSESSMENT and ENROLLMENT

triage - diagnostic services - crisis interventionProposedServiceDeliveryNetwork

• Lead agency or network

• Blend new & existing resources

• Prospective payment

• Utilization• Management

CLIENT PLACEMENT DECISION

(according to ASAM PPC-2)

UTILIZATION MANAGEMENT

JUVENILE JUSTICE SYSTEM

SCHOOL SYSTEM

FAMILY COMMUNITYAGENCIES

SERVICES • Treatment on demand for special populations• Flexible programming that is client-centered• Specialized family and in-home services• Motivational strategies• Expanded residential and aftercare services• Expanded case management services• Expanded targeted prevention services

ONGOING COMMUNITY SUPPORT LINKAGES• Prevention• Drug-free alternatives• School supports• Faith community• Parental, family, caretaker supports• Recovering community

SERVICE PLANNING and CASE MANAGEMENT

CLIENT PLACEMENT DECISION

(according to ASAM PPC-2)

How Are We Performing?

Completion of treatment for children has increased from 53.9% in FY 97-98 to 72.1% in FY 99-00.

72 % of children in targeted prevention programs achieved expected levels of improvement in reading in FY 99-00.

76% of children in targeted prevention programs achieved expected levels of improvement in math in FY 99-00.

1999 OPPAGA Justification Review: “ The program is generally effective in achieving its goals . . . . Program is a benefit to Florida’s taxpayers and should be continued.”

Completion of treatment for adults has increased from 55.3% in FY 97-98 to 69% in FY 99-00.

Major Current Initiatives:

Implement pilot network of care demonstration programs for children at risk or who have substance abuse problems in Districts 7 and 9.

Integrate services with the Family Safety and Mental Health programs. Design and integration of services for persons with co-occurring disorders,

including GPW closure. Improve access to treatment and aftercare through increased capacity and

development of local systems of care. Promulgate a new administrative rule (65E-14) for

contracting system improvements for substance abuse and mental health. Implement the Florida Youth Prevention Initiatives (Prevention

Partnership Grants, Florida Youth Survey, Florida Youth Initiative, Prevention Plan).

Governor’s Substance Abuse Streamlining Initiatives. Development and implementation of Peer Review Process. Implementation of Senate Bill 1258 (Behavioral Health)