1 State of California Department of Alcohol and Drug Programs California Department of Alcohol and Drug Programs Coalition of Alcohol & Drug Associations

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  • California Department of Alcohol and Drug ProgramsCoalition of Alcohol & Drug Associations Annual Public Policy ConferenceCSAC Conference Center

    ADP Planning & Budget for FY 2011-12

    April 12, 2011

    *State of CaliforniaDepartment of Alcohol and Drug Programs

  • Overall Strategic GoalTo develop and maintain a comprehensive, integrated statewide prevention and treatment system. *State of CaliforniaDepartment of Alcohol and Drug Programs

  • Statewide Needs Assessment & PlanningThe Statewide Needs Assessment and Planning (SNAP) process has been established within ADP business operations to develop a data informed planning and decision making process.*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Consequences of AOD Abuse Over 20,000 alcohol involved fatal & injury collisions Over 287,000 AOD related hospitilazations Over 279,000 AOD related emergency visits Over 636,000 AOD arrests *State of CaliforniaDepartment of Alcohol and Drug Programs

  • Annual Fiscal Cost to CA Alcohol abuse: $38.4 billion Illicit Drug Abuse: $23.8 billion*State of CaliforniaDepartment of Alcohol and Drug Programs

  • AOD Treatment Need Approximately 3.3 million age 12 & older need, but are not receiving AOD Tx Of 18 25 year olds 24% (over 1 million) need, but do not receive AOD Tx Nearly 2 million 26 and older need, but do not receive AOD Tx Males have higher percentage than females of need but are not receiving AOD Tx*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Subpopulation AOD Treatment Need 10% American Indian & 9% Hispanics need, but are not receiving AOD Tx Over 1 million Hispanics & Whites need, but are not receiving AOD Tx Approximately 107,000 pregnant women in CA used AOD during pregnancy in 2008 Over 1 million adults 60 and older need treatment for alcohol & prescription drug misuse *State of CaliforniaDepartment of Alcohol and Drug Programs

  • Subpopulation AOD Treatment Need (continued) Over 100,000 CA homeless need AOD Tx on any given day Approximately 416,000 CA veterans need AOD Tx Approximately 275,000 CA adults with serious mental illnesses also need AOD Tx Adults age 21-25 exhibit greatest harm related to risky & excessive use Between 750,000 and 1.3 million adults age 21-25 could benefit from early intervention services (such as SBIRT)*State of CaliforniaDepartment of Alcohol and Drug Programs

  • System Performance In SFY 2008-09 there were approximately 262,000 unique clients served in: 833 licensed residential facilities 842 certified outpatient facilities 222 licensed detox facilities 145 licensed NTP facilities*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Treatment Admissions*State of CaliforniaDepartment of Alcohol and Drug Programs

    Chart1

    57

    7

    5

    12

    19

    Admissions

    19%

    12%

    5%

    7%

    57%

    Sheet1

    Admissions

    ODF Non-NTP57

    ODF NTP7

    ODF Detox5

    RES Detox12

    RES19

    To resize chart data range, drag lower right corner of range.

  • Client Demographics By Gender*State of CaliforniaDepartment of Alcohol and Drug Programs 64% Male 36% Female

  • Client Demographics By Race/ Ethnicity*State of CaliforniaDepartment of Alcohol and Drug Programs

    Chart1

    0.42

    0.34

    0.17

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    White42%

    Hispanic34%

    African American17%

    Asian/Pacific Islander2%

    American Indian/AK Native1%

    Other Race/Multi-Racial4%

  • Client Demographics By Age*State of CaliforniaDepartment of Alcohol and Drug Programs

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    0.12

    0.18

    0.24

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    Under 1812%

    18-2518%

    26-3524%

    36-4523%

    46-5518%

    56 +5%

  • Source of Client Referral*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Treatment Outcomes 87% increase in job training 65% increase in abstinence from AOD use 58% increase in recovery activities 33% increase in employment 12% increase in number of no arrests 10% increase in independent living 8% reported no health problems*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Statewide Needs Assessment & Planning Priorities Employ more science-based, population level prevention strategies and identify new funding or resource strategies to expand evidence-based prevention activities in California Build the AOD System capacity for early intervention strategies, such as SBIRT Planning for Health Care Reform activities *State of CaliforniaDepartment of Alcohol and Drug Programs

  • ADP FY 2011-12 Budget ADPs proposed budget for FY 2011-12 is $630.4 million This is a total increase of $24.3 million *State of CaliforniaDepartment of Alcohol and Drug Programs

  • ADP Budget by Fund Source *State of CaliforniaDepartment of Alcohol and Drug ProgramsOther Funds$28.14.5%General Fund$222.135.2%Federal Funds$260.141.2%DMC FFP$120.119.1%

  • ADP Budget by Category *State of CaliforniaDepartment of Alcohol and Drug ProgramsLocal Assistance$587.993.3%State Support$42.56.7%

  • Governors Realignment Proposal*State of CaliforniaDepartment of Alcohol and Drug Programs$184 million in General Fund is proposed to be realigned to the counties to fund the responsibilities of providing substance abuse disorder treatment services

  • Main Tenets of Realignment*State of CaliforniaDepartment of Alcohol and Drug Programs Flexibility for decision making Adhere to minimum federal requirements Maximize federal resources Minimize adverse impacts to clients and patients

  • The Realignment Proposal*State of CaliforniaDepartment of Alcohol and Drug ProgramsNon Drug MediCal Regular$ 5.2 mNon Drug MediCal Perinatal 20.5 mDrug Court Partnership Act 6.8 mComprehensive Drug Court Implementation Act 15.7 mDependency Drug Court Program 4.3 mDrug MediCal Program 130.7 mState Support 0.8 mTotal Realignment $184 m

  • Drug Medi-Cal (DMC)$130.7 Million The DMC funding for realignment includes the funding for NTPs. Twenty nine counties currently operate or contract for NTP services ADP currently contracts directly with providers in 8 counties that choose not to provide the services under their county contract with ADP. *State of CaliforniaDepartment of Alcohol and Drug Programs

  • Non-DMC Regular & Perinatal $25.7 Million Funding for the Women and Childrens program is included in the realignment proposal For the perinatal program, there is a federal perinatal MOE requirement being factored in*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Drug Courts - $26.8 Million Counties may have flexibility to determine if they choose to operate Drug Courts If they choose to do so, they are expected to adhere the Drug Court best practices*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Impact on Clients No immediate impact to the individuals served by the treatment programs is anticipated Counties are better able to tie local needs and priorities The effectiveness and efficiency of treatment programs will increase with the control of fiscal and programmatic decision making*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Maintenance of Effort (MOE)The federal SAPT Block grant MOE requirements are being included in determining the processes and procedures for realignment in order to ensure that the expenditures and services funded can continue to be counted toward the MOE requirement *State of CaliforniaDepartment of Alcohol and Drug Programs

  • Phase 1 - FY 2011-12 The substance abuse treatment component of realignment is planned for Phase I, beginning in FY 2011-12 One step is to solicit the input of our stakeholders to identify the issues, questions and concerns Use stakeholder input to establish processes and procedures that work for both counties and providers and minimize burdens Clarify the expected roles and functions of the State and counties*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Roles & Functions of ADP Serve as SSA for AOD, SAPT Block Grant, and other discretionary grants Delegated administration of DMC Licensure and certification for programs and counselors Data collection, reporting, and analysis*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Roles & Functions of ADP (CONTINUED) Establish AOD Prevention & Treatment standards Statewide needs assessment and planning TA - Translating research into practice Auditing and fiscal oversight Public education and information dissemination*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Benefits & Risks - Benefits Increased flexibility and local control Promotes local decision making for fiscal and programmatic decisions Flexibility to establish priorities and tie program and fiscal together Transfers program oversight and provider selection to the local level*State of CaliforniaDepartment of Alcohol and Drug Programs

  • Benefits & Risks - Risks Funding source does not take caseload growth into account Negatively effects the MOE Potential litigation AOD services become low priority for funding*State of CaliforniaDepartment of Alcohol and Drug Programs

  • ACA Overarching GoalThe Patient Protection and Affordable Care Act (ACA), as amended by the Health Care and Education Reconciliation Act of 2010, has one major goal: To transform the way health care is provided and paid for in the United States in order t