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Senate Proposed dbudget Rd Reduction Impact To SAMH by County, Circuit, Region Using Senate Report Ranking Agency Effectiveness in Achieving GAA Measures Assumptions and Caveats This report is based upon each provider s percentage of achievement of the State s FY10-11 targets on GAA performance measures only. This report is not weighted and does not consider each provider s numbers served, size of their Department funded budgets or any other variables. Single purpose providers (with few GAA measures) score higher than providers with multiple services caring for a wide range of providers. Proposed reductions in this document do not include reductions to crisis, detoxification or forensic services.

ADULT MENTAL HEALTH Proposed Reductions $60,000,000 $50,000,000 $40,000,000 Impact of Proposed Budget Reduction to Adult Mental Health by Region (Total Reduction = $87,253,135) $30,000,000000 000 $20,000,000 $10,000,000 $0 Northwes t Northeas t Central Suncoast Southeast Southern Reduction Amount $8,777,628 $14,100,924 $29,628,276 $36,782,931 $21,213,673 $13,782,594 After Cut $1,131,984 $3,614,503 $9,794,771 $11,005,253 $8,918,584 $2,567,797 2

ADULT SUBSTANCE ABUSE Proposed Reductions Impact of Proposed Budget Reduction to Adult Substance Abuse by Region (Total Reduction = $31,347,336) 347 336) $25,000,000 $20,000,000 $15,000,000 $10,000,000 $5,000,000 $0 Northwes t Northeast Central Suncoast Southeast Southern Reduction Amount $4,493,458 $6,866,884 $12,968,490 $13,128,868 $10,460,202 $9,625,987 After Cut $2,002,188 $2,045,139 $5,657,380 $5,974,126 $5,455,521 $5,062,199 3

Adult Mental Heath Proposed Reductions Northwest Region Providers List 1 3,237 individuals will not receive services 3 providers face significant reduction or elimination 100 % of, Outpatient and Residential services will be eliminated in Circuit 2 providers in surrounding Circuits do not have sufficient capacity to cover this loss and will also be impacted by reductions FACT team loss in Circuit 2 will result 60 individuals being readmitted to state hospitals at increased cost to state 3,237 12% Reduction of $7,645,644 Okaloosa Co Board of Commissioners Escambia Board of City Commissioner Life Management Center of NW Florida Lakeview Center, Inc. Chautaqua Offices of Psychotherapy Apalachee Center (multiple sites) # No Longer Served 4

Adult Substance Abuse Proposed Reductions Northwest Region 3,178 individuals will not be served 3 providers will be significantly reduced or eliminated 100% of non-crisis treatment and aftercare will be eliminated in Circuits 1 and 2. Providers in surrounding Circuits do not have sufficient capacity to cover this loss 25% loss of specialized family intervention specialists supporting the child welfare system 3,178 30% Chemical Addiction Recovery Effort DISC Village Drug & Alcohol Council Lakeview Center, Inc. Chautauqua Offices of Psychotherapy Bridgeway Center Inc. # No Longer Served Reduction of $2,491,270 5

McCullough, H. Ken, M.A. Jewish Family & Gainesville Opportunity Center Gulf Coast Jewish Family House Next Door Volunteers of America of Florida Nassau Cty MH Alc & Drug Abuse Council CDS Family & Behavioral Health Svcs. Northwest Behavioral Health River Region Human Cathedral Foundation of Jacksonville Clay Behavioral Health Center Meridian Behavioral Health Care Adult Mental Heath Proposed Reductions Northeast Region Flagler Hospital St. John's Cty Alc/Drug/MH Dept. Northeast Florida Sate Hospital Apalachee Center Mental Health Resource Center (MHRC) SMA Behavioral Health Haven Recovery Center Marlyn Enterprise of Jacksonville Putnam Behavioral Healthcare Urban Jacksonville Child Guidance Center Halifax Medical Center Rehabilitation Center 15,553 individuals will no longer receive services 9 providers will face significant reduction. providers do not have sufficient capacity to cover this and will also be impacted by reductions 60 % loss of treatment, outpatient and residential services FACT team loss in Jacksonville and Gainesville area will result in 180 individuals being readmitted to state hospitals at an increased cost to state 15,553 51% # No Longer Served Reduction of $10,486,421 6

Adult Substance Abuse Proposed Reductions Northeast Region 3,614 individuals will not receive services 6 providers face significant reductions or elimination 60 % of treatment t t and outpatient ti t capacity will be lost providers do not have sufficient capacity to cover this loss 25% loss of specialized family intervention specialists supporting the child welfare system Reduction of $4,821,745 Alachua County Dept. of Court DISC Village, Inc. Baker Counseling CDS Family & Behavioral Health Svcs. Haven Recovery Center, Inc. Putnam Behavioral Healthcare Nassau Cty MH Alc & Drug Abuse Council St. John's Cty Alc/Drug/MH Department River Region Human, Inc. Gateway, Inc. Mental Health Resource Center (MHRC) Meridian Behavioral Health Care, Inc. Clay Behavioral Health Center SMA Behavioral Health, Inc. Apalachee Center 3,614 22% # No Longer Served 7

Adult Mental Heath Proposed Reductions Central Region Special Projects The Arc of Saint Lucie County Wayne DenschCenter LifeStream Behavioral Center The Centers BayCare Behavioral Health Winter Haven Hospital Osceola Mental Health Peace River Ctr. for Personal Develop. Tykes and Teens, Inc. Volunteers of America of Florida Seminole CMHC Circles of Care Gulf Coast Jewish Family Intervention, Counseling and Recovery Center Orlando Reg. H.C./Sex. Abuse Trt. Prg. Human Associates Lakeside Behavioral Healthcare Mental Health Resource Center (MHRC) Tri County Human New Horizons of the Treasure Coast 15,825 individuals will not receive services 10 providers face significant reductions or elimination 70% elimination of residential and outpatient mental health treatment providers do not have sufficient capacity to cover this and will also be impacted by reductions Loss of 2 FACT teams in Brevard and Marion County will result in 120 individuals being readmitted to state hospitals at an increased cost to the state 15,825 34% # No Longer Served Reduction of $19,833,505 8

Adult Substance Abuse Proposed Reductions Central Region 8,974 individuals will not receive service 10 providers will face significant reductions or elimination 40% loss of treatment, case management and residential services will be eliminated 25% loss of specialized family intervention specialists supporting the child welfare system Special Projects Tenth Judicial Circuit of Florida New Horizons of the Treasure Coast Center Human Associates Restoration Ministries, Inc. Counseling and Recovery Center Peace River Ctr. for Personal Develop. Grove Counseling Center Tri County Human CARP The Centers Circles of Care LifeStream Behavioral Center Agency for Svcs Center For Drug Free Living (CFDFL) The Transition House 8,974 34% Substance Abuse Council of IRC 34% Osceola Mental Health Marion County BayCare Behavioral Health Citrus County BOCC Drug Court # No Longer Served Reduction of $7,311,110 9

Adult Mental Heath Proposed Reductions Suncoast Region 39,962 will not receive services 14 providers will face significant reductions and possible elimination 95% of all treatment, outpatient and residential services will be eliminated i providers do not have sufficient capacity to cover this and will also be impacted by reductions Loss of 12 FACT teams will result in 720 individuals being readmitted to state hospitals at an increased cost to the state First Step of Sarasota, Inc. Tri County Human, Inc. Project Return Florida, Inc. Renaissance Manor, Inc. Manatee Glens Corporation Northside Mental Health Center, Inc. Mental Health Care, Inc. Lee Mental Health Center (Ruth Cooper) Hendry Glades M. H. Clinic, Inc. Suncoast Ctr Mental Health Mental Health Resource Center (MHRC) Tampa Crossroads, Inc. Gulf Coast Jewish Family, Inc Boley, Inc. Centre For Women 39,962962 75% Reduction of $25,777,678 # No Longer Served 10

Adult Substance Abuse Proposed Reductions Suncoast Region * 17,455 individuals will not receive service 14 providers face significant reductions or elimination providers do not have sufficient capacity to cover this 75% of treatment and outpatient services will be eliminated 25% loss of specialized family intervention specialists supporting the child welfare system Reduction of $7,154,742 Suncoast Ctr Mental Health Agency for Svcs First Step of Sarasota, Inc. BayCare Behavioral Health Coastal Behavioral Healthcare, Inc. Centre For Women Phoenix Houses of Florida Operation Par, Inc. Southwest Florida Addiction DACCO Lee Mental Health Center (Ruth Cooper) David Lawrence Center Hendry Glades d M. H. Clinic, i Inc. Charlotte Behavioral Health Care Lutheran, Inc. Manatee Glens Corporation Personal Enrichment Through MH Svcs. Westcare Gulfcoast Florida, Inc. 17,455 57% # No Longer Served 11

Adult Mental Heath Proposed Reductions Southeast Region Jeff Industries, Inc. Palm Beach Habilitation Center, Inc. Parent Child Center South County Mental Health Center ARC Broward, Inc. The Chrysalis Center, Inc. Family Preservation Svcs of Florida Gulf Coast Jewish Family, Inc Volunteers of America of Florida Multilingual Psychotherapy Ctrs., Inc. Fort Lauderdale Hospital, Inc. Archways, Inc. Smith Mental Health Associates Jerome Golden Ctr For Behavioral Hlth Bayview Center For Mental Health, Inc. Henderson Mental Health Center, Inc. Housing Partnership, Inc. Broward Addiction Recovery Center House of Hope, Inc. New Directions Institute, Inc. The Lord's Place, Inc. Tenet Saint Mary's, Inc. Broward Partnership for the Homeless 8,433 will not receive services 10 providers face significant reductions or elimination 30% of residential treatment, outpatient treatment, and rehabilitative services for adults with severe/persistent mental tlillness in Broward dcounty will be eliminated i providers do not have sufficient capacity to cover this and will also be impacted by reductions Loss of two FACT teams will result in 120 individuals being readmitted to state hospitals at an increased cost to the state 8,433 24% # No Longer Served Reduction of $12,295,089 12

Adult Substance Abuse Proposed Reductions Southeast Region 8,458 individuals will not receive services 12 providers face significant reductions or elimination 55% of treatment and aftercare services, including supportive housing, will be eliminated 25% loss of specialized family intervention specialists supporting the child welfare system Wayside House Broward County Sheriff's Office CARP, Inc. Broward Addiction Recovery Center Drug Abuse Association, Inc. Spectrum Programs, Inc. Housing Partnership, Inc. Institute For Family Centered The Starting Place, Inc. Broward Partnership for the Homeless Jerome Golden Ctr For Behavioral Hlth House of Hope, Inc. South Broward Hospital District Susan B. Anthony Center Gratitude House, Inc. Center for Family Henderson Mental Health Center, Inc. Drug Abuse Foundation of Palm Beach Co Fort Lauderdale Hospital, Inc. Gulf Coast Jewish Family, Inc New Directions Institute, Inc. Broward House, Inc. Archways, Inc. 8,458 39% # No Longer Served Reduction of $5,004,681 13

Adult Mental Heath Proposed Reductions Southern Region 18,381 individuals will not receive services 8 agencies face significant reductions or elimination 60% of treatment and aftercare will be eliminated providers do not have sufficient capacity to cover this and will also be impacted by reductions Loss of two Citrus Health Network FACT teams will result in 120 individuals being readmitted to state hospitals at an increase cost to the state Reduction of $11,214,797 Guidance Care Center, Inc. Passageway Residence Dade Co. Health of South Florida, Inc Douglas Gardens CMH Center South Florida Jail Ministries/Agape Bayview Center For Mental Health, Inc. Carrfour Supportive Housing, Inc. South FL Behavioral Health Network Citrus Health Network Jackson Memorial Hospital Miami Behavioral Health Center Fellowship House New Horizons CMHC Miami Dade Co. Office of Rehab. Svcs. 18,381 61% # No Longer Served 14

Adult Substance Abuse Proposed Reductions Southern Region NewHope CORPS (ME) Family Resource Center (ME) Concept House (ME) Camillus House (ME) Village South (ME) Better Way of Miami (ME) Miami Dade Bureau of Rehabilitative (ME) Here's Help (ME) South FL Behavioral Health Network Catholic Charities (ME) Health of South Dade (ME) Guidance Care Center (ME) Comprehensive Center (ME) Special Projects Miami Behavioral Health Center (ME) Spectrum Program (ME) Jessie Trice CHC (ME) Sembrando Flores (ME) Citrus Health Network (ME) CARE Resource (ME) Regis House (ME) Jackson North CMHC (ME) South Florida Jail Ministries/Agape (ME) Fellowship House (ME) Bayview Center For Mental Health, Inc. (ME) King David Foundation (ME) New Horizons CMHC (ME) Recapturing the Vision (ME) 8,867 will not receive services 14 agencies face significant reductions or elimination providers do not have sufficient capacity to cover this 60% elimination of residential/outpatient treatment and psychiatric services for adults with mental illness and substance abuse, including chronically homeless individuals. 25% loss of specialized family intervention specialists supporting the child welfare system 8,867, 867 31% # No Longer Served Reduction of $4,563,788 15