I: State Information
State Information
I. State Agency for the Block Grant Agency Name Department of Children and Families
Organizational Unit Substance Abuse and Mental Health Program Office
Mailing Address 1317 Winewood Blvd., Building 6, Room 275
City Tallahassee, Florida
Zip Code 32399-0700
II. Contact Person for the Block Grant First Name Hayden
Last Name Mathieson
Agency Name Department of Children and Families
Mailing Address 1317 Winewood Blvd., Building 6, Room 275
City Tallahassee, Florida
Zip Code 32399-0700
Telephone 850-921-9355
Fax 850-487-2239
Email Address [email protected]
III. Expenditure Period State Expenditure Period
From 7/1/2012
To 6/30/2013
Block Grant Expenditure Period
From 10/1/2010
To 9/30/2012
IV. Date Submitted Submission Date 12/2/2013 5:37:26 PM
Revision Date
V. Contact Person Responsible for Report Submission First Name Annette
Last Name Culp
Telephone 850-717-4408
Fax 850-487-2239
Email Address [email protected]
VI. Contact Person Responsible for Substance Abuse Data First Name Adam
Last Name Wasserman
Florida OMB No. 0930-0168 Approved: 05/21/2013 Expires: 05/31/2016 Page 1 of 98
Telephone 850-487-2920
Email Address [email protected]
footnote:
Florida OMB No. 0930-0168 Approved: 05/21/2013 Expires: 05/31/2016 Page 2 of 98
II: Annual Report
Table 2 - State Priorities
Number Title Description
Florida's SAMH 1 "Good and Modern"
System of Care
Evidence Based2 Practices Initiative
Florida identified this as its first and most critical priority. Enhancing its good and modern system of care to improve accountability, quality of care and coordination with local, state and federal partners is essential today and to prepare for the future.
In addition, to maintain current programs that address block grant priority populations (i.e., individuals with SED and SMI, women who are pregnant and in need of SA and MH services, persons with communicable disease (tuberculosis and HIV/AIDS), intravenous drug users and services for those at risk of substance abuse or mental disorders) the system must continue to strengthen its abilities to maximize resources and effectiveness in ways that are culturally appropriate and relevant.
When establishing this priority the State considered its needs assessment, realizing that in order to meet block grant requirements, and the emerging issues such as the prescription drug crisis, without new funding it is necessary to gain system. This led to the development of our first priority, its goal and objectives.
Priority 1 goals are designed to increase system capacity by managing substance abuse and mental health resources collaboratively, measuring performance and quality and conducting ongoing quality improvement processes in the States Regional Systems of Care (RSOC), their managing entities, community coalitions and provider networks. This will provide Florida with the tools it needs to monitor its system as it is described in the Substance Abuse and Mental Health Services (SAMHSA) Good and Modern System Brief.
The strategies outlined within each of P1s goals strengthen our States ability to address needs of individuals with co-occurring disorders. Strategies outline plans to enhance communication and data sharing among partners to improve access to substance abuse and mental health services regardless of payer source. It continues to build on the States work with child welfare and primary care.
In addition, P1, Obj. 6 describes the states plans to expand access to supportive housing, using scattered housing and community based services and supports in communities of high need. The objective includes action steps for developing a three year plan to increase community access for individuals seeking placement following care in State Mental Health Treatment Facilities (SMHTF).
Goal: Increase use of Evidence Based Practices (EBP) in the delivery of SA and MH services for children and adults.
As a major component of a Good and Modern System the State identified as its second priority the increased use and quality implementation of evidence based practices. P2 focuses on building the capacity of the RSOCs (including managing entities, community coalitions and provider networks) to improve practice in substance abuse and mental health prevention, treatment and recovery services and supports.
Increasingly there are new techonologies available to enhance service delivery, respond more effectively to diverse populations and move research to practice more quickly.
As Florida reponds to its unmet needs, including a growing Hispanic population, the use of prevention, treatment and recovery technologies is critical.
P2 uses the good and modern system of P1 to bring quality healthcare to SAMHSAs priority populations and address the needs identified in the States assessment. The priority is to establish and then support standards of care across state systems, including direct services provided to prioritized populations through the Florida Agency for Healthcare Administration (Medicaid) Florida Department of Corrections, Department of Health, Florida Department of Juvenile Justice, Florida Department of Children and Families, Florida Department of Education and the Board of Governors (state university system).
SAMH will extend EBP training and technical assistance to other agencies who serve or come in contact with individuals within our priority areas, including Floridas Department of Highway Safety and Motor Vehicles, Department of Transportation, Department of Elder Affairs, Agency for Workforce Innovation, Agency for Persons with Disabilities and all of their community based counterparts.
P2s goal that Floridas substance abuse and mental health system of care funds culturally relevant evidence-based practices in the delivery of prevention, treatment and recovery services and supports extends beyond block grant funding and is meant to further establish the DCF SAMH as the single state authority for substance abuse and mental health. It further enhances existing services, including those using block grants funds, moving practice from a delivery of a unit of service to performance of quality care.
Florida OMB No. 0930-0168 Approved: 05/21/2013 Expires: 05/31/2016 Page 3 of 98
Florida will give priority for substance abuse services to women with dependent children and women who are pregnant.
footnote:
3
4
5
6
Services to
Services to women with dependent children and women who are pregnant
Services to veterans and active military personnel
Services to persons with HIV AIDS
7 intravenous drug users.
Prevention and Recovery
Floridas growing multi-cultural population gives use of evidence based practices great significance. Implicit in the use of evidence based strategies is cultural appropriateness, relevance and best fit of services and supports for individuals being served.
P2 objectives support the States mental health and substance abuse activities outlined in our current level of service for our priority populations and concerns (i.e., co-occurring conditions, services for homeless individuals, and care for Veterans). The objectives create client feedback loops to provide support decision making and assure that services are culturally relevant and appropriate.
Strategies are designed to improve practice by monitoring fidelity of implementation. They provide for self assessment of fidelity of implementation and quality improvement initiatives across the spectrum of mental health and substance abuse services, including prevention, treatment and recovery.
The P2 objectives create a system of checks and balances that help the State manage with fewer staff managing while assuring that successful outcomes for individuals remains central to our mission. The routine reporting of performance and quality embedded in the strategies of P2 objectives will, at the end of this planning period, provide the State with realistic measures to use as indicators of system health.
Priority 3: Reduce Onset and Prevalence of SAMH Disorders; Promote Recovery.
The goals in this priority will specifically address identified needs, including prescription drug abuse; underage drinking; deaths by suicide; serious psychological distress among adults; disease progression among children and youth; adult heavy drinking and binge drinking.
P3 objectives begin to address health promotion and enhance prevention services for children at risk of mental and substance use disorders.
The objectives mobilize communities, increasing their awareness and organization to use local resources to impact negative behaviors. Changes in behavior will reduce the need for services among many in our priority populations.
This priority's goals will also address the state's committment to recovery support and services for those with substance use disorders, mental illneess or co-occurring disorders.
Florida veterans and active military personnel have access to quality substance abuse and mental health
services
Florida will provide early intervention testing to persons with HIV AIDS, other blood borne illness and
highly contagious disease.
Florida will provide early intervention testing to intravenous drug users.
Florida OMB No. 0930-0168 Approved: 05/21/2013 Expires: 05/31/2016 Page 4 of 98
II: Annual Report
Table 3 - Objectives, Strategies and Performance Indicators
