Mental Health Program Office

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Mental Health Program Office
Substance Abuse and Mental Health Corporation
Meeting December 8, 2004
Roderick L. Hall, Ph.D. Interim Director
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Mission To help children, families, and
adults to live successfully in their
communities, be self-sufficient, and realize
their full potential.
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Values

• We value supports to people with mental illnesses
  that are
• Community-based, when possible,
• Culturally Competent,
• Recovery Oriented and
• Cost-Effective.

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Values

• We further value supports to people with mental
  illnesses that
• Are individualized and family focused,
• Promote empowerment and consumer choices, and
• Respect the rights of people served.

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Floridas MH Delivery System
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Adult Community Mental Health- Who We Serve

• People with severe and persistent mental illness
• long term mental disorder or receives SSI or SSDI
  or over age 59 and unable to perform
  independently
• People in mental health crisis
• persons with mental health presenting problem or
  meet criteria for admission to receiving facility
• People with forensic involvement
• persons at risk of being adjudicated Incompetent
  to Proceed or Not Guilty by Reason of Insanity or
  those on conditional release

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Adult Community Mental Health
Overall Characteristics (includes Forensic) 67
White 55 Males 95 18-64 Years Old 5
65 Years Old 44 Affective Disorder 29
Psychotic Disorder 21 Other (e.g. Personality
Disorder) 6 Anxiety Disorder
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Adults Served in State Treatment Facilities
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Sexually Violent Predator Program
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Sexually Violent Predator Program
WHO WE SERVE Persons who suffer from mental
abnormalities that make them likely to commit
future sexually violent offenses if not confined
for treatment
(Includes persons referred from prior year)
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Determination of Need

• Prevalence Rates
• Equity Analysis
• Waiting Lists (Community and Facilities)
• District Plans

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Prevalence

• Prevalence for target group served is based on
  national estimates from Center for Mental Health
  Services
• Adjusted for estimated number of persons expected
  to be served (excluding persons with privately-
  funded insurance)
• Adult prevalence is 2.4 of adults with SPMI 1.3
  for SPMI needing public services.

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Equity Analysis

• Mandates how funds are allocated to the
  districts.
• Sets equity requirements based on estimates of
  number of persons in need of services
• - 75 of new funds goes to districts below
  statewide equity
• - 25 of new funds goes to all districts.
• Allows General Appropriations Act (GAA) to
  earmark specific district or program allocations.

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Determining Equity Standard

• General Adult Community Services
• G. Pierce Wood Hospital Benchmark 1,225 per
  prevalence funding benchmark goal
• Prevalence of Severe and Persistent Mental
  Illness (SPMI)
• Acute Adult Services (i.e., Adult Baker Act
  Services)
• 10 per 100,00 adults per district (Methodology is
  in 65E-12 FAC, the CSU/SRT Rule.)

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Equity Crisis Stabilization Bed Need

• CSU beds provide immediate short-term treatment
  to stabilize the individuals condition and to
  assess need for service.
• Total need 1,250 Adult CSU beds
• Current funding 985 Adult CSU beds (includes
  lump sum funds)
• Unmet need 265 Adult CSU beds

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Average Funding for Adults with Serious
Persistent Mental Illnesses
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State Treatment FacilitiesCivil Waiting List
Average is based on any given point in time.
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State Treatment Facilities Forensic Waiting List

• Average number of people waiting for admission
  over 15 days is 28 (15 males 13 females).

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Master/District Plans

• Master Plan (Legislatively required per Chapter
  394.75, F.S.)
• District Plans are required elements of the
  Master Plan
• District Plans include
• Person(s) Served,
• Services Provided,
• Unmet Needs, and
• Priorities to Meet the Unmet Needs.

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Statewide Needs Identified in the District Plans

• Residential Services for Adults in Crisis
• Housing Supports
• Case Management and Therapy Services for
  Non-Medicaid Eligible Adults and Children
• Co-occurring Services (Mental Health and
  Substance Abuse)
• Enhanced Therapeutic Services for Adults with SPMI