Download Mental Health Redesign - Florida Alcohol and Drug Abuse Association

Rick Scott, Governor
David Wilkins, Secretary
Substance Abuse and
Mental Health
Presentation to the FADAA/Florida Council 2011
Annual Conference
August 25, 2011
David A. Sofferin
Assistant Secretary
Substance Abuse and Mental Health
Mission: Protect the Vulnerable, Promote Strong and Economically Self- Sufficient Families,
and Advance Personal and Family Recovery and Resiliency.
Department Strategic Vision
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SAMH Program Office
Vision
 Implement 3 Managing Entities (MEs) Statewide by
December 1, 2011
 Implement SAMH Finance and Service Accountability Management
System
 Redirect Services Funding Toward Evidence-based Practice By
July 1, 2013 (SA, MH, and Co-occurring)
 Metrics And Performance Driven Decision-making
 Reduce Duplicative Administrative Structure
 Mental Health Redesign
 Continue Integration with Primary Health Care
 Continue Integration with Child Welfare
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Reorganization of the Substance
Abuse and Mental Health Office
Assistant Secretary for
SAMH
David Sofferin
Performance Support
Services
Tom Lewis
• Contracts
• Finance
• Data
Facilities
Sally Cunningham
• State Operated State Mental
Health Treatment Facilities
• Privatized State Mental Health
Treatment Facilities
• Sexually Violent Predator
Program
Clint Rayner
Consumer & Stakeholder
Senta Goudy
Suicide Prevention
SAMH Services
(Program Office)
Stephenie Colston
• Performance Improv./CQI
(metrics, data decision
making)
• Policy (integrated, policy
decisions)
• Substance Abuse Services
(Science to Services – EBPs,
Standards)
• Mental Health Services
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SAMH Reorganizaton
 Goal: Increase quality of care for individuals and families with
substance abuse and mental health disorders while addressing
budget cuts
 Began July 2011
 Staff cut by more than 50%
 Required comprehensive review of SAMH roles and responsibilities
 Created six (6) regional systems of care-closed circuit SAMH
offices
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SAMH Alignment with Healthcare
Marketplace
 Implementation Of Managing Entities (MEs) Statewide
 Redirect Services Funding Toward Evidence-based Practice
 Increased Focus on Metrics and Performance Driven Decisionmaking
 Integrated SAMH Headquarters Program Consistent with
Co-Occuring Model
 Increased Use of Technology – E Therapy, Telehealth Technology
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SAMH Challenges
 Prescription drug abuse continues to increase in Florida
– an average of 7 persons die every day
 There remains great unmet needs for SAMH Services
 The rate of adverse childhood experiences is high –
Family Safety served 36,000 (of those, 18,700 in out of
home care)
 State economic concerns is expected to impact
numbers of persons needing services and our ability to
help them
 Siloed funding
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Importance of Metrics
Individual Level
•
Florida uses SAMH Information System (SAMH) to collect,
maintain, and report client-level data on approximately 400,000
persons
State Level
•
SAMHIS database provided info on performance outcome data, as
required for Legislative funding.
Federal Level
•
SAMHIS database major source for integrated SAMH Block Grant
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Core Questions
SAMHIS Data System
 Who Receives
 What Services
 From Whom
 Where
 At What Costs
 To Achieve What
 Outcomes?
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Managing Entity Background
• In the past, DCF has managed as many as 535 Community Provider
Contracts
• In 2008, the Legislature passed a law (394.9082, F.S.) authorizing
DCF to implement Managing Entities (MEs)
•
Today, there are three MEs operating
–
–
–
–
Suncoast - 1 contract / $138M
Southern - 1 contract / $77M
Circuit 1 - 1 contract / $27M
DCF manages three (3) contracts instead of 172
• There are four (4) Regions without MEs totaling 254 contracts /
$296.6M
• Procurement / Contracting process complicated and confusing
– Prescriptive not Outcomes / Results Focused
– High administrative fees
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Mental Health Redesign
• Civil
• Forensic
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