Mental Health and Substance Abuse Funding Equity

1
Mental Health and Substance Abuse Funding
Equity

• Ken DeCerchio
• Assistant Secretary for Substance Abuse
• and Mental Health
• Senate Health and Human Services Appropriations
  Committee
• January 12, 2005

2
Statutory Definition of Mental Health and
Substance Abuse Equity (s. 394.908, F.S.)

• 75 of any new funding beyond FY 1996-97 base to
  be allocated based on
• - Epidemiological estimates of disabilities in
  the target population.
• - Pro rata share necessary for districts below
  the statewide average per capita in each target
  population of persons in need to achieve
  equity.
• Remaining 25 to be allocated based on number of
  persons in need of services.

3
Adult Mental Health Target Population
Target Population Adults with severe and
persistent mental illnesses who meet any of the
following criteria

• Receive income due to psychiatric disability, or
• Documented evidence of long-term psychiatric
  disability, or
• Are over 59 and demonstrate inability to perform
  independently in day-to-day living.

4
Adult Mental Health Equity

• Current statewide average per capita funding
  1,271.77
• Amount needed to reach statewide average in
  districts that are under the average
  37,245,600

• Includes Baker Act funding
• Statewide average per capita funding computed
  using adult community mental health
  appropriations plus costs associated with
  districts state hospital utilization (civil).

5
Adult Mental Health Equity
Amount to achieve statewide average funding of
1,271.77
6
Childrens Mental Health Target Population
Target population Children with serious
emotional disturbance

• Statewide average per capita funding 191.09
• 1,962,673 needed to bring nine districts up to
  equity target

7
Childrens Mental Health Equity
Amount Needed to Achieve Statewide Per Capita
Average of 191
8
Mental Health Additional Funding Needed to Reach
Equity
9
Achieving Equity in Mental Health Services
Without New Funding
10
Determining Substance Abuse Services Needs

• Children 2004 Florida census figures multiplied
  by estimated rates of substance use provided by
  2004 Florida Youth Substance Abuse Survey.
• Adults 2004 Florida census figures multiplied
  by estimated rates of state-specific substance
  abuse provided by SAMHSA through the National
  Survey on Drug Use and Health.

11
Substance Abuse Target Populations

• Children with or at risk for substance abuse.
• Adults with or at risk for substance abuse.
• Older adults in need of substance abuse
  treatment.

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Adult Substance Abuse Equity

• Statewide average per capita funding 98.58
• Amount needed to reach statewide average in
  districts that are below average 4,653,036

13
Adult Substance Abuse Equity
Amount to Achieve Statewide Per Capita Average of
98.58
14
Childrens Substance Abuse Equity

• Current statewide average per capita funding
  206.93
• Amount needed to reach statewide average in
  districts that are below statewide average
  2,94,150

15
Childrens Substance Abuse Equity
Amount to Achieve Statewide Per Capita Average of
206.93
16
Additional Funding Needed to Achieve Equity in
Substance Abuse Services
17
Achieving Equity in Substance Abuse Services
Without New Funding
18
RecommendationRevise Chapter 394.908 F.S.

• Delete requirement that 25 of all new funding be
  spread to all districts regardless of their per
  capita funding levels.
• Allow 100 of any new funding to go to districts
  that are below equity.
• Once equity is achieved, allocate additional
  funds across all districts based on size of
  target population.