FADAA and Florida Council Workgroup Established in 2000 - PowerPoint PPT Presentation

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FADAA and Florida Council Workgroup Established in 2000

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Co-Chairs: Marsha Lewis Brown, Northside Mental Health and Mary Lynn Ulrey, DACCO ... Representative from the two trade associations and other interested parties ... – PowerPoint PPT presentation

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Title: FADAA and Florida Council Workgroup Established in 2000


1
FADAA and Florida Council Workgroup Established
in 2000
  • Past, Present and Future
  • Co-Chairs Marsha Lewis Brown, Northside Mental
    Health and Mary Lynn Ulrey, DACCO

2
Chicken Little.the Sky is fallingwe must treat
co-occurring disorders!
3
History.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.
4
The 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.

5
The Workgroup formed two sub-committees
  • Policy and Finance
  • Clinical/Training/Readiness Services

6
The 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.

7
The 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.

8
Finance 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.

9
Finance 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.

10
Both 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

11
Both 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.

12
Both 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.

13
Presentrecent 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.

14
Workgroup 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.

15
Future..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

16
Future 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.

17
In 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
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