The Corporation was created by the Legislature to oversee the states publicly funded substance abuse

1

• The Corporation was created by the Legislature to
  oversee the states publicly funded substance
  abuse and mental health services in 2004.
• Comprised of 12 Board members appointed by the
  Governor, President of the Senate and the Speaker
  of the house.
• The Corporation is charged with making policy
  recommendations to the Governor and Legislature
  to better coordinate the states publicly funded
  mental health and substance abuse systems.
• In 2007, the Legislature expanded the
  Corporations responsibilities to encompass the
  administration of the Criminal Justice, Mental
  Health and Substance Abuse Reinvestment Act.
• More information about the SAMH Corporation is
  available on the website www.samhcorp.org

2
Why is Prevention and Early Intervention
Important?

• The Florida Substance Abuse and Mental Health
  Corporation is working with policy makers to
  adopt a well-funded, comprehensive and systematic
  public health approach to improve the mental
  health status of children and enhance substance
  abuse prevention and early intervention
  strategies.

3
Why is Prevention and Early Intervention
Important?
Because childrens treatment needs become more
critical as they age, prevention and early
intervention services must be available to avoid
the higher costs of more intensive treatment.
Earlier intervention is also vital to effectively
prepare children to succeed in school, within the
family and in the community.
4
Did You Know?

• Only one in five children who need treatment
  receive it.
• There is a shortage of child and adolescent
  psychiatrists in the united States.
• Primary Care Providers frequently diagnose and
  treat children and youth with mental illness and
  substance abuse.
• 75 percent of youth with a psychiatric disorder
  are seen in primary care settings.
• 50 percent of all pediatric office visits involve
  behavioral, psychosocial and/or educational
  concerns

5
Mental Health and Substance Abuse Identification
and Early Intervention in Primary Care Must
Improve
Primary care physicians are the first line of
defense in the detection and early
intervention. The Corporation has been working
with the Florida Academy of Pediatrics, the
Florida Department of Children and Families, the
Department of Pediatrics at the University of
South Florida and Florida National Alliance on
Mental Illness to identify strategies that
encourage primary care physicians to conduct
mental health and substance abuse screens,
provide appropriate early intervention treatment
and make referrals when specialists are needed.
6
Mental Health Toolkit for Pediatricians
The Corporation is working with the Florida
Academy of Pediatricians and other state partners
to advance the use of the mental health toolkit
developed by the American Academy of Pediatrics
Task Force on Mental Health. The toolkit was
developed to assist state chapters of the Academy
of Pediatrics in addressing and improving
childrens mental health in primary care settings.
7
IMPACT
The mental health initiative of the Academy is
entitled, American Academy of Pediatrics
Improving Mental Health in Primary Care through
Access, Collaboration and Training (IMPACT) More
information regarding the Academys initiative
and contact information is available on their
website http//www.aap.org/commpeds/dochs/mentalh
ealth
8
Medicaid Drug Therapy Management Program for
Behavioral Health

• The State of Florida through its Medicaid office
  is supporting this program.
• The program is administered by the Florida Mental
  Health Institute at the University of South
  Florida.
• The program goals are
• Improve the quality of behavioral health drug
  prescribing practices
• Improve patient adherence
• Reduce Clinical risks
• Lower costs

9
Medicaid Drug Therapy Management Program for
Behavioral Health

• The program supports the following interventions
• Medication treatment guidelines
• MD reminders
• Peer to Peer consults
• Medical records reviews
• Piloting of quality improvement projects in
  Community Mental Health Centers
• Contact www.fmhi.usf.edu

10
Percent of Prescriptions
11
In Florida there are two types of integration of
mental health with primary care

• Mental health/psychiatric consultation
• Co-location of mental health specialists with
  primary care

12
Consultation Model

• Being offered to pediatricians by the Department
  of Pediatrics, University of South Florida (USF)
  in the Tampa Bay region.
• USF is funded by Medicaid to do up to 75
  consultations.
• Operational Parameters of the Consultation
• Toll-free telephone number
• Staffed during normal working hours
• Callers have some relationship with the
  consulting physician
• M.D. contact within 24 hours

13
Co-location Model
Tallahassee, Florida The Apalachee Center a
comprehensive Community Health Center The Center
partnered with County government to provide
psychiatric coverage and benefits restoration in
the Bond community Health Clinic (a federally
qualified health center) and Neighborhood Health
Clinic. Bond Clinic will also be providing
primary care services on-site at the Apalachee
Center 12 hours per week, in order to provide
desperately needed medical services for the
consumers served by Apalachee center. Contact
www.apalacheecenter.org
14
Duval County Community ClinicsJacksonville,
Florida
A pediatric psychiatrist works in collaboration
with pediatricians and pediatric residents in the
Duval County Health Department community clinics.
The collaboration involves the psychiatrist and
the pediatrician seeing patients together and
discussing diagnosis and treatment. Previously
seen patients also might be discussed, as well as
any other questions the pediatrician might have
relating to mental health problems.
15
The Report of the Presidents New Freedom
Commission on Mental Health
Identified the need for better coordination
between primary care and mental health care.
Integrate care occurs when mental health
specialty and general medical care providers work
together to address both the physical and mental
needs of their patients.