Alachua County Fiscal Year Ending June 30, 2011 Maggie Labarta,
PhD President/CEO
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Among the most prevalent disorders
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By the numbers: mental illnesses and substance use disorders
Brain disorders, highly treatable 60-80% improvement, compared to
40-60% for heart disease Mental illnesses cause more premature
death and disability than most other conditions, second only to
heart disease Account for 25% of disability recipients Cost over
$317 billion annually for lost productivity, health care and
disability payments Impact of mental health and substance abuse in
Alachua County One in four are affected by a mental illness = 7,392
One in 17 has a serious, potentially disabling illness = 1,739
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Return on investment Return on investment Community Treatment
Without Community Treatment Crisis Stabilization per Day $300
Emergency Room visit $2,887 Detox per day $274 Hospital per day
$2,000 Average annual cost substance abuse treatment $2,400 Average
Annual prison Cost $55,000 Average annual cost mental health
treatment $1,551 Average State hospital bed $112,000 per year
$28,000 for 3-month admission
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The system of care capacity is inadequate Florida ranks 50 th
in funding for mental health, 37 th for substance abuse Un-met
need: 58% of adult mental health 82% childrens mental health 85%
childrens substance abuse 93% adult substance abuse of disorders
Only 46% of the care being provided is covered through private
insurance Last fiscal year, Meridian provided $1.7 million in
uncompensated care and despite this, we currently have 188 on
waitlists
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Our role in the community Meridian is a non-profit community
mental health and substance abuse treatment provider Part of the
safety net providing Emergency and crisis support services The
regions only public receiving facility Collaborative solutions to
community problems Emergency room and hospital overutilization Jail
diversion Homeless services Services to the uninsured
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Our role in the community Part of the areas high quality
healthcare system Accredited Council on Accreditation of
Rehabilitation Facilities American Association of Suicidology
Licensed Agency for Healthcare Administration Department of
Children and Families Drug Enforcement Agency
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Meridians community impact Served 26,154 across 11 counties
13,581 in treatment programs 12,573 through outreach and prevention
services On trend for 4% increase this year, 10% last year Part of
the areas economy Employ over 541 individuals, 331 in Alachua
County Provide $20.5 million in salaries and benefits Purchase
goods and services totaling $8 million in the local
communities
Year-to-Date Alachua Services FYE2012 4,967 seen year to date
Compared to 4,803 at the same point in FYE2011 (a 3.4% increase)
204 homeless served Turned away 533 with most because the insurance
or payer does not cover Meridian Alachua County Waitlist (as of
5/20):Typically increases as state funds are depleted in 3 rd &
4 th quarters Detox -7 Residential Substance Abuse 48 Outpatient 37
Medical 45 Case Management - 51
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Economic Status Of Clients 83% of those seen are at or below
Federal Poverty 97% are at or below 200% Federal Poverty and
receive discounted fees
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Age of Individuals in Treatment
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Program Number Served Case Management1,068 Outpatient
Services2,086 Psychiatric Services3,647 Outreach &
Prevention422 Acute Inpatient (CSU / Detox)2,007 Supported
Housing73 Crisis / Emergency Screening1,443 Residential
Treatment312 Day Treatment210 Psycho-educational Intervention488
Rehabilation & Employment166 Opioid Treatment637
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How we are funded Ability to braid funds maximizes county,
state, federal and private revenues Ability to braid funds
maximizes county, state, federal and private revenues Each piece is
essential to maintaining the whole Each piece is essential to
maintaining the whole Federal State Insurance Client Fees Donations
Medicaid Medicare Contracts Count y
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Funding Sources Medicare Medicare Psychiatric Treatment
Psychiatric Treatment Counseling Counseling Commercial Insurance
Commercial Insurance Psychiatric Treatment Psychiatric Treatment
Counseling Counseling CSU some companies only CSU some companies
only Detox - seldom Detox - seldom Medicaid Medicaid Psychiatric
Treatment Psychiatric Treatment Counseling Counseling CSU managed
care only CSU managed care only Rehabilitation services
Rehabilitation services Case Management Case Management Peer
Supports Peer Supports State and County State and County
Psychiatric Treatment Psychiatric Treatment Counseling Counseling
CSU (public receiving facility) CSU (public receiving facility)
Rehabilitation services Rehabilitation services Case Management
Case Management Vocational Vocational Peer Supports Peer Supports
Housing Housing
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Braided funding Most clients need more than one service, often
not all reimbursed by the primary payor Once a client is admitted,
they are offered all medically necessary services regardless of
availability of funding Typically results $1.5-2 million per year
in uncompensated care Medical Housing, Forensic Rehab, Detox, Jail
Diversion
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How we prioritize who is billed Fees/ Insurance/ Medicaid/
Medicare StateCounty Comprehensive Care
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Sources of Program Revenues
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County Match State and federal funds require local match
Meridians match amount is specified within contract with DCF Varies
year-to-year depending on how state and federal dollars are
allocated to us from DCF Local match Local fee and county funds
Counties responsible