Briefing July 16, 2001 Judge Kathleen Kearney Kenneth A. DeCerchio

1. Briefing July 16, 2001 Judge Kathleen Kearney Kenneth A. DeCerchio Secretary Director of Substance Abuse Substance Abuse Program

2. 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.

3. Adults with Substance Abuse Problems 114,695 served Children with Substance Abuse Problems 68,265 served WhoWeServeFY 99-00 Adults Identified as Needing Treatment 758,876 Children Identified as Needing Treatment 301,066 Children Sub-Populations 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 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%

4. Number of FTEs 69Total Dollars $5,232,081Percent of total budget 3.0% What We Are Purchasing FY 00-01 Adults 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 % 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

5. CONCEPTUAL FLOW OF SYSTEM OF CARE MODEL FOR SUBSTANCE ABUSE SERVICES ADULTS WITH SUBSTANCE ABUSE PROBLEMS FAMILY SELF- REFERRALS CHILD PROTECTION SYSTEM PUBLIC HEALTH EMPLOYERS COMMUNITY AGENCIES CRIMINAL JUSTICE & DUI INFORMATION and REFERRALS (within and outside of network) • ProposedService • Delivery • Network • Lead agency or • network • Blend new & existing resources • Prospective payment • Utilization • Management SCREENING, INTAKE, ASSESSMENT and ENROLLMENT triage - diagnostic services - crisis intervention CLIENT PLACEMENT DECISION (according to ASAM PPC-2) MANAGEMENT UTILIZATION SERVICE PLANNING and CASE MANAGEMENT • 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 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

6. CONCEPTUAL FLOW OF SYSTEM OF CARE MODEL FOR SUBSTANCE ABUSE SERVICES CHILDREN WITH SUBSTANCE ABUSE PROBLEMS COMMUNITY AGENCIES FAMILY SCHOOL SYSTEM JUVENILE JUSTICE SYSTEM INFORMATION and REFERRALS (within and outside of network) SCREENING, INTAKE, ASSESSMENT and ENROLLMENT triage - diagnostic services - crisis intervention • Proposed • Service • Delivery • Network • Lead agency or network • Blend new & existing resources • Prospective payment • Utilization • Management CLIENT PLACEMENT DECISION (according to ASAM PPC-2) CLIENT PLACEMENT DECISION (according to ASAM PPC-2) UTILIZATION MANAGEMENT SERVICE PLANNING and CASE MANAGEMENT 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 • 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

7. How Are We Performing? • Completion of treatment for adults has increased from 55.3% in FY 97-98 to 69% in FY 99-00. • 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.”

8. 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)