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

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 Target Group: Adults with or at risk of substance abuse 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.

Adults with Substance Abuse Problems 114,695 served Adults Identified as Needing Treatment 758,876 Children Identified as Needing Treatment 301,066 Who We Serve FY Children with Substance Abuse Problems 68,265 served Adult Sub-Populations Persons in the Criminal Justice System % Parents putting children at-risk - 38% Adults with co-occurring disorders (mental illness and substance abuse) % Intravenous drug users -10.9% Other adults - 6.2% Children Sub-Populations Children under state supervision (DJJ, Protective Services, Foster Care) % Children not under state supervision % Children at risk of substance abuse - 4.4%

What We Are Purchasing FY Major Activities Budget % Allocated Detoxification $ 18,462, % Prevention Services $ 5,282, % Treatment and $ 84,952, % Aftercare TOTAL $ 108,697, % Adults Children/Adolescents Major Activities Budget % Allocated Detoxification $ 5,385, % Prevention Services $ 12,192, % Treatment and $ 40,926, % Aftercare TOTAL $ 58,505, % Program Management and Compliance FY Number of FTEs 69 Total Dollars $5,232,081 Percent of total budget 3.0%

CONCEPTUAL FLOW OF SYSTEM OF CARE MODEL FOR SUBSTANCE ABUSE SERVICES CHILD PROTECTION SYSTEM FAMILY SELF- REFERRALS PUBLIC HEALTH EMPLOYERS COMMUNITY AGENCIES ADULTS WITH SUBSTANCE ABUSE PROBLEMS CRIMINAL JUSTICE & DUI SERVICE PLANNING and CASE MANAGEMENT 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 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 UTILIZATION MANAGEMENT CLIENT PLACEMENT DECISION (according to ASAM PPC-2) 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

CONCEPTUAL FLOW OF SYSTEM OF CARE MODEL FOR SUBSTANCE ABUSE SERVICES CHILDREN WITH SUBSTANCE ABUSE PROBLEMS 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 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) UTILIZATIONMANAGEMENT JUVENILE JUSTICE SYSTEM SCHOOL SYSTEM FAMILY COMMUNITY AGENCIES 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 SERVICE PLANNING and CASE MANAGEMENT CLIENT PLACEMENT DECISION (according to ASAM PPC-2)

How Are We Performing? Completion of treatment for children has increased from 53.9% in FY to 72.1% in FY % of children in targeted prevention programs achieved expected levels of improvement in reading in FY % of children in targeted prevention programs achieved expected levels of improvement in math in FY OPPAGA Justification Review: The program is generally effective in achieving its goals.... Program is a benefit to Floridas taxpayers and should be continued. Completion of treatment for adults has increased from 55.3% in FY to 69% in FY

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. F Integrate services with the Family Safety and Mental Health programs. F 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. F Promulgate a new administrative rule (65E-14) for contracting system improvements for substance abuse and mental health. F Implement the Florida Youth Prevention Initiatives (Prevention Partnership Grants, Florida Youth Survey, Florida Youth Initiative, Prevention Plan). F Governors Substance Abuse Streamlining Initiatives. F Development and implementation of Peer Review Process. F Implementation of Senate Bill 1258 (Behavioral Health)