mission: protect the vulnerable, promote strong and economically self- sufficient families, and...

Mission: Protect the Vulnerable, Promote Strong and Economically Self- Sufficient Families, and Advance Personal and Family Recovery and Resiliency.

Charlie Crist, GovernorCharlie Crist, GovernorGeorge H. Sheldon, SecretaryGeorge H. Sheldon, Secretary

Community Behavioral Health Integration Team

Legislative Budget Request

David A. Sofferin, Assistant Secretary for Substance Abuse and Mental Health

ISSUE: Community Behavioral Health Integration Team

Legislative Budget Request

PURPOSE: • Reduce impact of substance use and/or mental health

disorders on Florida’s families involved with the Child Welfare System

• Protect Florida’s children from abuse, neglect, violence, or exploitation

This issue is aligned with Department’s priority of integrating behavioral health services with the Child Welfare System.

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Legislative Budget Request (cont.)

COLLABORATIVE PROCESS:• Four (4) Assistant Secretaries and Department’s Budget

Director discussed importance of an integrated budget request

• Assistant Secretary for SAMH took lead in reworking issue– Reduced funding amount– Improved integration with CBCs / Family Safety– Moved to co-occurring teams (SA/MH)

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COLLABORATIVE PROCESS (cont.):• Collaborated with other Assistant Secretaries, Family

Safety, Substance Abuse and Mental Health Directors to finalize issue

• This issue is the result of our collaboration• This issue builds upon CBC Lead Agency approach• Teams would serve as adjunct to the CBCs for identified

families based on the Family Safety Case Plan• Family Intervention Specialists (FIS) serve as linkage to

coordinate between CBCs and these teams

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WHAT WILL THIS FUNDING BE USED FOR?• Identified families engaged in the child protection

system: • Parents/caretakers • Children

• Services based on a Family Systems approach

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WHAT WILL THIS FUNDING BE USED FOR? (cont.) • To assist parents to become drug free and stable in

order to provide appropriate and safe care for their children

• To identify mental health needs of children early, to avoid whenever possible, referrals to deep end, more costly treatment services

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WHAT ARE THEIR NEEDS? • 52% of Florida’s Family Safety cases investigated

included allegations of substance misuse

• Parental substance abuse ranges from 65-75% of children in protective custody

• 30-40% children in out-of-home cases have a serious

emotional disorder; as many as 75% of children need mental health services

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WHAT ARE THEIR NEEDS? (cont.)• When parents or caretakers have co-occurring (SA/MH)

needs, the children’s: – social – physical and – emotional development is impacted

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IMPLEMENTATION OR UTILIZATION STRATEGIES:

The Community-Based Care (CBC) agency will:– Refer families who have been identified as potentially

needing treatment, based on evidence-based screening and clinical assessment instruments for substance use and/or mental health disorders

– Continue to provide case management and services for the family

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The Substance Abuse Family Intervention Specialists (FIS) workers will:– Coordinate services across the CBC lead agencies

the Community Behavioral Health Integration Teams

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The Behavioral Health Integration Teams will: – Collaborate with CBC lead agency to provide

specialized services as an adjunct to the CBC Family Safety Case Plan.

– Expand the existing capacity of the Family Intervention Specialists (FIS) under contract throughout the State.

– Be contracted with licensed or certified, private, not-for-profit Substance Abuse and Mental Health (SAMH) agencies throughout the State.

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WHAT SERVICES AND SUPPORTS WILL BE AVAILABLE?

•Eight (8) Community Behavioral Health Integration Teams will:

– Offer Intensive In-Home Behavioral Health Services to engage parents in seeking services

– Conduct Evidence-Based Clinical Assessments

– Increase Access to Clinical Treatment and Recovery Support Services

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WHERE WILL THE TEAMS BE LOCATED? • Community Behavioral Health Integration Teams will

be allocated based on:– High number of Child Welfare caseloads

– Prevalence of substance use disorders and mental health problems

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Legislative Budget Request (cont’d.)

AT WHAT COST? • $4,454,601 – 8 Teams at $556,825 direct services funds

per team • Includes one Substance Abuse Headquarters position to

coordinate/integrate team services across Substance Abuse, Family Safety, Mental Health and Domestic Violence

• Total Cost of Issue $4,458,499

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Legislative Budget Request (cont’d.)

AT WHAT COST? (con’t.) • Joint funding from SA/MH Program Offices • Teams selected through competitive process by local

representatives of CBC, SA, MH, FS, DV• No cost share is projected from Family Safety or the

CBC Agencies

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AT WHAT OUTCOMES? • FAMILY REUNIFICATION:

– 50% families removed due to substance use/mental disorders will be reunited upon case closure

• ACCESS TO BEHAVIORAL HEALTH TREATMENT:– 60% of individuals needing substance abuse and/or mental

health services in the FS Case Plans will receive services

• SUCCESSFUL COMPLETION OF TREATMENT: – 68% of the individuals receiving SA/MH services will

successfully complete treatment

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HOW CAN YOU HELP? • Support this additional budget request provide

recommendations for improvements/changes

• Advocate for inclusion of this issue in the Department’s Supplemental LBR

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mission: protect the vulnerable, promote strong and economically self- sufficient families, and...

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