1. Mission: Protect the Vulnerable, Promote Strong and Economically Self- Sufficient Families, and Advance Personal and Family Recovery and Resiliency. Charlie Crist, Governor George H. Sheldon, Secretary Community Behavioral Health Integration Team Legislative Budget Request David A. Sofferin, Assistant Secretary for Substance Abuse and Mental Health

2. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request PURPOSE: Reduce impact of substance use and/or mental health disorders on Florida’s families involved with the Child Welfare System Protect Florida’s children from abuse, neglect, violence, or exploitation This issue is aligned with Department’s priority of integrating behavioral health services with the Child Welfare System. 2

3. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) COLLABORATIVE PROCESS: Four (4) Assistant Secretaries and Department’s Budget Director discussed importance of an integrated budget request Assistant Secretary for SAMH took lead in reworking issue –Reduced funding amount –Improved integration with CBCs / Family Safety –Moved to co-occurring teams (SA/MH) 3

4. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) COLLABORATIVE PROCESS (cont.): Collaborated with other Assistant Secretaries, Family Safety, Substance Abuse and Mental Health Directors to finalize issue This issue is the result of our collaboration This issue builds upon CBC Lead Agency approach Teams would serve as adjunct to the CBCs for identified families based on the Family Safety Case Plan Family Intervention Specialists (FIS) serve as linkage to coordinate between CBCs and these teams 4

5. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) WHAT WILL THIS FUNDING BE USED FOR? Identified families engaged in the child protection system: Parents/caretakers Children Services based on a Family Systems approach 5

6. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) WHAT WILL THIS FUNDING BE USED FOR? (cont.) To assist parents to become drug free and stable in order to provide appropriate and safe care for their children To identify mental health needs of children early, to avoid whenever possible, referrals to deep end, more costly treatment services 6

7. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) WHAT ARE THEIR NEEDS? 52% of Florida’s Family Safety cases investigated included allegations of substance misuse Parental substance abuse ranges from 65-75% of children in protective custody 30-40% children in out-of-home cases have a serious emotional disorder; as many as 75% of children need mental health services 7

8. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) WHAT ARE THEIR NEEDS? (cont.) When parents or caretakers have co-occurring (SA/MH) needs, the children’s: –social –physical and –emotional development is impacted 8

9. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) IMPLEMENTATION OR UTILIZATION STRATEGIES: The Community-Based Care (CBC) agency will: –Refer families who have been identified as potentially needing treatment, based on evidence-based screening and clinical assessment instruments for substance use and/or mental health disorders –Continue to provide case management and services for the family 9

10. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) IMPLEMENTATION OR UTILIZATION STRATEGIES: The Substance Abuse Family Intervention Specialists (FIS) workers will: –Coordinate services across the CBC lead agencies the Community Behavioral Health Integration Teams 10

11. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) IMPLEMENTATION OR UTILIZATION STRATEGIES: The Behavioral Health Integration Teams will: –Collaborate with CBC lead agency to provide specialized services as an adjunct to the CBC Family Safety Case Plan. –Expand the existing capacity of the Family Intervention Specialists (FIS) under contract throughout the State. –Be contracted with licensed or certified, private, not- for-profit Substance Abuse and Mental Health (SAMH) agencies throughout the State. 11

12. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) WHAT SERVICES AND SUPPORTS WILL BE AVAILABLE? Eight (8) Community Behavioral Health Integration Teams will: –Offer Intensive In-Home Behavioral Health Services to engage parents in seeking services –Conduct Evidence-Based Clinical Assessments –Increase Access to Clinical Treatment and Recovery Support Services 12

13. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) WHERE WILL THE TEAMS BE LOCATED? Community Behavioral Health Integration Teams will be allocated based on: –High number of Child Welfare caseloads –Prevalence of substance use disorders and mental health problems 13

14. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont’d.) AT WHAT COST? $4,454,601 – 8 Teams at $556,825 direct services funds per team Includes one Substance Abuse Headquarters position to coordinate/integrate team services across Substance Abuse, Family Safety, Mental Health and Domestic Violence Total Cost of Issue $4,458,499 14

15. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont’d.) AT WHAT COST? (con’t.) Joint funding from SA/MH Program Offices Teams selected through competitive process by local representatives of CBC, SA, MH, FS, DV No cost share is projected from Family Safety or the CBC Agencies 15

16. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) AT WHAT OUTCOMES? FAMILY REUNIFICATION: –50% families removed due to substance use/mental disorders will be reunited upon case closure ACCESS TO BEHAVIORAL HEALTH TREATMENT: –60% of individuals needing substance abuse and/or mental health services in the FS Case Plans will receive services SUCCESSFUL COMPLETION OF TREATMENT: –68% of the individuals receiving SA/MH services will successfully complete treatment 16

17. ISSUE: Community Behavioral Health Integration Team Legislative Budget Request (cont.) HOW CAN YOU HELP? Support this additional budget request provide recommendations for improvements/changes Advocate for inclusion of this issue in the Department’s Supplemental LBR 17