Transcript No Slide Title

Mental Health
Program
Serving the Most Vulnerable
Children & Adults
Vision
The most vulnerable children and adults, those least able to manage
their mental illnesses, will have priority access to the limited resources.
Services will be individualized and driven by the client’s personal goals,
strengths and needs.
Service providers will form networks of quality care and treatment that
ensure continuity of care.
Continuity of care will be assured across systems and from emergency
through intensive treatment to maintenance of treatment gains.
Evidence-based practices will focus limited resources on the most
powerful and cost effective treatment.
Providers will be rewarded for excellent performance, and ineffective or
unnecessary services will be phased out.
A statewide quality improvement system will measure clinical, economic,
organizational and behavioral outcomes.
Data systems will support measures of individual child or adult outcomes
and the cost and quality of treatment.
Client Eligibility
Florida Statutes specify clinical and financial eligibility for services and
require that clients must be a member of one of the Department’s target
groups, as listed below:
Community Target Populations
Children with serious emotional disturbance
Children with emotional disturbance
Children at risk of emotional disturbance
Adults with severe and persistent mental illness
Adults in mental health crisis
Adults with forensic involvement
Older adults with severe and persistent mental illness
Older adults with serious and acute episodes of mental illness.
Older adults at risk
Juvenile Incompetent to Proceed
Institutional Target Populations
Adults in civil commitment
Adults in forensic commitment
Sexually Violent Predators
Model Mental
Health System of
Care
Yes
Entry
• Multiple entry points
• Common assessment elements
Is the person
in crisis?
Outpatient
assessment,
treatment,
rehabilitation
& support
No
Crisis services
Crisis
stabilized,
refer for other
services
Network
development:
• Outpatient
• Case
management
• Community
support
• Residential
• Crisis
stabilization
• State hospitals
• FACT or Wrap
Does person
require a complex
intervention?
No
Yes
Is problem solved?
No
Case manager selected
Yes
Case manager & person, family & supports, identify key
participants for team meeting, including other needed services
Convene team meeting, develop individualized plan for
community or residential or hospital-based treatment
No or
partially
Was the plan successful?
Develop & implement modified plan
Yes
Exit
system
Mental Health Services
Florida Statutes define “mental health services” as therapeutic interventions that help
eliminate, reduce, or manage symptoms for persons with severe mental health disorders.
Mental health services are intended to effectively manage the disability that accompanies
the illness so the person can recover, become self-sufficient, and live in a stable family or
in the community. Categories of services provided in both community based and
institutional settings (state mental health facilities) include:




Treatment services, such as psychiatric medications and supportive psychotherapies,
are intended to reduce or ameliorate the symptoms of severe distress or mental illness.
Rehabilitation services the disabilities associated with mental illness. Rehabilitative
services may include assessment of personal goals and strengths, readiness
preparation, specific skill training, and assistance in designing environments that enable
individuals to maximize their functioning and community participation.
Support services assist individuals in living successfully in environments of their choice.
Such services may include income, social, housing and vocational supports.
Case management assists individuals in obtaining formal and informal resources
needed to successfully cope with their illness. Case management includes assessing
client needs; service planning with client, family, and service providers; linkages to
services; monitoring service delivery; evaluating the effect of services; and advocating
on behalf of the client.
Community Mental Health
The community mental health program adheres to the following principles for the clients we
serve:
•Person-centered, with individualized pathways of care, that are enhanced by the person's and
family's natural supports and strengths.
•Community-based, with supports and services located in or strongly linked to the community, in
the least restrictive setting supportive of the person's safety and treatment needs.
•Results-oriented, with quality care leading to improved outcomes for the person and family
These principles are carried out through services provided to almost 200,000 adults and children
per year by over 200 private providers.
Total Number Served YTD April 2001
Children
SED
ED
At-Risk
34,578
17,784
2,316
Total Children: 54,678
Adults
SPMI
Crisis
Community Forensic
Total Adults:
103,940
58,695
43,945
1,300
State Mental Health Facilities
Persons admitted for services in a state facility must meet the criteria contained in either
Chapter 394, Florida Statutes (civil), or Chapter 916, Florida Statutes (forensic). Individuals
admitted under the civil statute have been determined to present substantial risk in the
community due to dangerousness to themselves or others or inability to care for themselves due
to a major mental illness. Individuals committed under the forensic statute have been
adjudicated, through the judicial process, incompetent to proceed or not guilty by reason of
insanity. There are six mental health treatment facilities operated by the state and one that is
operated under contract with a private provider. The type and current capacity of each of these
facilities is depicted in the chart below:
Facility Name / Location
•
•
•
•
•
•
•
Florida State Hospital
G. Pierce Wood Memorial Hospital
Northeast Florida State Hospital
South Florida State Hospital (Atlantic Shores)
North Florida Evaluation and Treatment Center
South Florida Evaluation and Treatment Center
West Florida Community Care Center
Total Beds
Civil Beds
Forensic Beds
486
266
543
350
474
216
200
80
1841
860
Major current initiatives
System of care re-design. The current service delivery system suffers from lack of services –
both acute care and psychological services and family supports – and is made up of several
separate components of care that are not well integrated. We have the knowledge base to
implement well-defined management of services, provide for quality, effectiveness and
efficiency, and integrate services with other systems that affect our client’s lives. We plan to
select two areas of the state to serve as learning sites to develop and implement a new
redesign of the system of care, addressing both the need for additional services and the
techniques needed to ensure continuity of care.
Integration of children’s mental health services for families served by Family Safety.
Children entering the care of the Department are at very high risk of emotional and behavioral
problems, due to the abuse they have experienced and the pain of removal from their families.
We need to ensure they receive professional assessment and timely, quality treatment at levels
appropriate to the severity of their conditions. We are re-designing our Children’s Mental
Health system of care to ensure better, more consistent access to services within the
timeframes set by statutes and the courts.
Successful closure of G. Pierce Wood State Hospital. The 2000 Legislature mandated
closure of G. Pierce Wood by April 1, 2002. The Department has worked with stakeholders on
a three-pronged planning process for the closure: 1) re-alignment of the hospital catchment
areas; 2) development of services in the community to ensure persons transferred from the
hospital will be placed in a safe environment with needed services in place; and 3) timely and
responsible actions for actual closure of the facility, including a phase-down plan for the staff,
consumers, and the facility.