Title: FADAA and Florida Council Workgroup Established in 2000
1FADAA and Florida Council Workgroup Established
in 2000
- Past, Present and Future
- Co-Chairs Marsha Lewis Brown, Northside Mental
Health and Mary Lynn Ulrey, DACCO
2Chicken Little.the Sky is fallingwe must treat
co-occurring disorders!
3History.the past
FADAA and FCCMH established a joint workgroup in
2000. Representative from the two trade
associations and other interested parties
participated including FMHI and CFBHN. The focus
of the Work group was on policy and system
enhancement.
4The workgroup recommended the following goals
- Adoption of a goal promoting more dual diagnosis
capable programs through a statewide voluntary
effort. - Promotion of contractual, financial, and
licensure flexibility to treat both disorders as
co-primary - Committing to a 3-5 year effort.
- Supporting financial investments in the system
that are targeted to specific service needs. - Definition of standards over time.
5The Workgroup formed two sub-committees
- Policy and Finance
- Clinical/Training/Readiness Services
6The Clinical/Training and Readiness Workgroup
proposed
- Obtain agency and staff competency measurement
tools. Assess both as desired by each agency.
(Minkoffs Compass and Code-cat) - Survey FADAA and FCCMH members regarding clinical
and funding processes - Target trainings to correspond to the 9
competency domains for all staff /all levels in
order to address attitudes and values. - Encourage agencies to sponsor dual diagnosis
friendly self-help groups and disseminate
resources to all - Generate list of screening instruments that
assess substance abuse and mental health issues.
7The Finance and Policy Workgroup proposed
- Develop contractual language giving affimative
authority to treat co-occurring disorders as a
target population enabling Districts/Regions and
providers have language to rely on as the braid
funding streams at the provider level. - ID where MH and Addictions licensure flexibility
can support and promote dually diagnosed capable
services in both MH and Addictions agencies.
8Finance and Policy Continued
- Analyze and recommend separate outcomes to
account for increased acuity of this population.
Reduce risk for providers who commit to this
population. - Reengineer data system to ID this group as a
target group. - Follow and promote national effort to allow
flexibility in the Federal Block Grant for this
population.
9Finance and Policy Cont.
- Charge Medicaid workgroups with analyzing
Medicaid Codes with co-occurring disorders in
mind. - Develop LBR to allow for increased psychiatry
time and IDP funds for SA and drug testing money
for MH providers. Include in LBR request for
increased rates for dual capable programs and
increased demand for services that may come about
with enhanced services.
10Both Sub-committees
- Identified barriers and action plans or
recommendation to overcome - The Workgroup reviewed and provided
suggestions/recommendations for the DCF Policy
Paper on Co-occurring. - The Workgroup reviewed and provided input to DCF
on both SAMHSA/COSIG applications 2003 and 2004
11Both continued
- Representatives of Workgroup provided input to
proposed Medicaid Co-occurring Disorders draft
sections of the Community Mental Health Manual. - FADAA/FCCMH and the Southern Coast Additions
Tech. Transfer Center sponsored trainings on
co-occurring disorders throughout Florida.
12Both cont.
- The Workgroup supported use of the Minkoff CCISC
(comprehensive Continuous Integrated System of
Care Model as a basis for evidence-based systems
change to improve co-occurring services. - The Workgroup prepared various Memorandum of
Understandings to support efforts by Hillsborough
County, DCF MOU and FADAA/Florida Council MOU.
13Presentrecent accomplishments
- FADAA and the State Association of Addiction
Services (SAAS) held the first National
Conference in Florida focusing on the SAMHSA TIP
42 from the Center for Excellence in Co-occurring
Disorders called, SA treatment for Persons with
Co-occurring Disorders. - Through the State Hospital Closure, minimal funds
were provided to some SA agencies for IDP and
Psychiatry service, while minimal funds were able
to be provided to some MH agencies for UDS.
14Workgroup Meeting with DCF to request
- Appointment of DCF liaison at the state level and
district level to work with the Co-occurring
Workgroup and local providers on co-occurring
issues. - Collection of co-occurring data in both the MH
and SA data systems and ensuring that DCF data
systems are identifying clients with Co-occurring
disorders. - Consideration of Co-occurring needs as the state
develops funding priorities and funds are
earmarked.
15Future..where do we go from here?
- Apply for the SAMHSA COSIG when available again
(this year due 5/16). - Improve DATA system to capture co-occurring
information as well as SA or MH information
through one system (current SISAR and FARS in
pkt.) - Improve training for MDs, Licensed
professionals, etc. for both disorders
16Future Continued..
- Potential rewrite of Chapter 394 by SAMH
Corporation to inculde Certification of programs
as Level I, Capable, or Level II, Enhanced with
program application to DCF. - Protect current co-occurring funding from erosion
to other areas.
17In Summary
- The Co-occurring workgroup is appreciative of the
efforts of FADAA and the Florida Council for the
support we have received. - Hats off to Mary Ruiz who led this group for the
first 4 years. - Join 5000 Friends, because in a crisis, every
Florida Family needs a place to turn and there
should be No Wrong Door! www.5000friends.org