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Washington State

Washington State. MaryAnne Lindeblad Director, Division of Program Support WA Dept. of Social & Health Services. Doug Allen Director, Division Alcohol & Substance Abuse WA Dept. of Social & Health Services. State of Washington. Population: 6.5 Million Department of Social & Health Services

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Washington State

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  1. Washington State MaryAnne LindebladDirector, Division of Program SupportWA Dept. of Social & Health Services Doug AllenDirector, Division Alcohol & Substance AbuseWA Dept. of Social & Health Services

  2. State of Washington • Population: 6.5 Million • Department of Social & Health Services • 1.2 Million customers a day DASA Fiscal Year 2005: Treatment: 29,105 adults 5,639 adolescents Prevention: 45,299 adolescents in recurring programs

  3. Goals • Explore and develop new cooperative approaches to service delivery with funding streams. • Improve capacity in DASA, Mental Health, and Medicaid delivery systems using best practices to serve more Medicaid eligible clients (e.g. children, co-occurring).

  4. Looking at the Bigger Picture The Division of Alcohol and Substance Abuse budget is a small fraction of that of DSHS DASA’s projected 2005-2007 Biennium Budget of $303.9 million represents 1.8% of Department of Social and Health Services. Even so, recent increases in funding create a need to leverage systems change within a much larger bureaucracy in order to satisfy legislative requirements. DSHS BudgetTotal=$17.2 Billion (34.7%) State BudgetTotal = $49.5 Billion

  5. DSHS-DASA Budget Changes State General and Other Federal funding categories represent the largest portion of the 92% increase in DASA’s biennial budget. Recent increases in State General Fund have created a need to alter delivery systems at the state and local level. Budget Growth1993-1995 vs. 2003-2005 vs. 2005-2007 1993-1995 Biennium$158.3 Million 2003-2005 Biennium$240.3 Million 2005-2007 Biennium$303.9 Million

  6. Though contracts with counties, tribes, and community-based providers, DASA provides a full range of prevention and treatment services. How do we spend our funds? 6% Criminal Justice 41% County Managed Expenditures Drug CourtsCourt Supervised Treatment County Grant in Aid Youth Outpatient Pregnant/Parenting Women Outpatient Opiate Substitution Treatment Detoxification ADATSA Outpatient Treatment Assessment Title XIX Services SSI Client Offset Services TANF Services Children & Family Services 7% Prevention County Prevention Services Direct Prevention Services Training 7% Support Services Youth Services Native American Services Interpreter Services PPW & Child Care Services HIV Support Services ResearchTARGET (reporting database) 28% Residential Adult & Youth Treatment Pregnant/Parenting Women Involuntary Treatment 2% Administration 2% Special Projects

  7. Challenges • Increase treatment services for aged, blind, disabled, and other Medicaid-eligible adults. • Effect changes in delivery of services to provide appropriate treatment for these populations. • Maintain current levels of treatment retention and treatment completion. Treatment Expansion ProgressStatewide, Adults Meeting Expansion Criteria SOURCE: DSHS-Research and Data Analysis. DASA Treatment Expansion Client Monitoring Report.

  8. Challenges • Increase treatment services for aged, blind, disabled, and other Medicaid-eligible adults. • Effect changes in delivery of services to provide appropriate treatment for these populations. • Maintain current levels of treatment retention and treatment completion. Medicaid Disabled GAU TANF/Other Medicaid Aged SOURCE: DSHS-Research and Data Analysis. DASA Treatment Expansion Client Monitoring Report.

  9. Challenges • Increase treatment services for aged, blind, disabled, and other Medicaid-eligible adults. • Effect changes in delivery of services to provide appropriate treatment for these populations. • Maintain current levels of treatment retention and treatment completion. Treatment Completion: Outpatient SOURCE: DSHS-DASA TARGET reporting database.

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