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| Community Budget Issue Requests - Tracking Id #354 |
| System of Care for Children with Fetal Alcohol Spectrum |
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| Requester: |
Kathryn Shea, LCSW |
Organization: |
The Florida Center for Children and Family Development |
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| Project Title: |
System of Care for Children with Fetal Alcohol Spectrum |
Date Submitted |
12/19/2007 3:36:35 PM |
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| Sponsors: |
Bennett |
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| Statewide Interest: |
| This issue addresses prevention of a major developmental disability that is the highest cause of mental retardation in our county and prevention of secondary disabilities (mental health, juvenile justice, special education, health, child welfare) in those already affected by FASD. |
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| Recipient: |
The Florida Center & Firts Step of Sarasota |
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Contact: |
Kathryn Shea |
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4620 17th St. |
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Contact Phone: |
(941) 371-8820 |
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Sarasota 34235 |
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Contact email: |
kathryn.shea@thefloridacenter.org |
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| Counties: |
Sarasota |
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| Gov't Entity: |
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Private Organization (Profit/Not for Profit): |
Yes |
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| Project Description: |
| The FY 05-06 legislature appropriated $280,000 which established Florida's first FASD diagnostic/Intervention Center at The
Florida Center for Child and Family Development in Sarasota. This initial funding was increased to $380,000
recurring funds during the FY 06-07 legislative session. Additional non recurring funds of (75,000) was appropriated during the FY 07/08 legislative session for increased services in Sarasota. This request of $750,000 is to build upon the FASD initiative started in FY 05-06 initiative whose mission is primary and
secondary prevention of FASD through screening, diagnosis, intervention, training, education and research;
and to reduce disabilities and increase functioning of persons with FASD to improve their quality of life. The
primary target population of this project is young children, ages birth through eight years, and their families who are involved in the child welfare system, those at high risk for entering the child welfare system due to parental
substance abuse and/or pre-natal exposure to alcohol and other substances, and those mothers and infants
in a residential substance abuse treatment program. This project provides 1) diagnostic services and
training/education on a statewide basis; and 2) intervention services for children and families residing
in Sarasota County. Family Navigators work with each child and family team to provide support and to
assist the family with integration and coordination of services among the multiple systems and various service providers. Interventions services (individual/family therapy, behavioral support services, respite, advocacy)
to an will be increased to treat an additional 20 children/families residing in Sarasota County. In addition,
statewide training will increase to train an additional 200 parents/professionals.
Although Florida has made great strides in addressing the impact of FASD in a short period of time, much more needs to be done to accomplish the goals/objectives of Florida's FASD State Strategic Plan (see attached). Additional funds will be used to establish one additional FASD Diagnostic and Intervention Center in Florida, provide clinic services in Monroe County, provide technical assistance and consultation to the new FASD clinic in Jacksonville, and expand statewide training. The 4-Digit Diagnostic Code method used in all seven FAS DPN (Diagnostic & Prevention Network) clinics in Washington State for over three years has demonstrated that this method can be taught to a broad array of social and health care professionals in an equally broad array of clinical settings. In addition, additional funding provided would allow the Center to coordinate a community effort to develop a comprehensive service delivery system for substance exposed infants/children in our community. A portion of this funding ($225,000) would expand outreach services to pregnant women through First Step, support residential treatment for pregnant women who are abusing substances in the Mothers and Infants Program, and provide after-care services for women discharged from the Mothers and Infants or Transitional Living Programs. This comprehensive approach would include multiple service providers that would focus on prevention, intervention, and long term outcomes of infants with pre-natal exposure to alcohol and other substances. These are high risk infants and mothers that require immediate and continuous comprehensive, coordinated services. A portion of this funding ($90,000) would be used to contract with USF/FMHI to provide a comprehensive evaluation of program services.
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| Is this a project related to a federal or state declared disaster? |
No |
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| Measurable Outcome Anticipated: |
| The benefits to be achieved are through early identification/intervention we prevent the development of secondary disabilities and improve functioning of young children with FASD and their families. The goal is to improve their quality of life and assist them in reaching their highest level of independent functioning. We also hope to prevent future births of children born with FASD through education and referral of birth mothers of those children involved in the FASD identification and treatment project.
Specific Outcomes:
100% of children evaluated for FASD will receive appropriate diagnosis based on the 4-digit code and referred for appropriate service interventions
Reduce by 50% the number of pre-school and school age children (age's birth through eight) with FASD who are expelled or suspended from day care/school settings due to behavior problems related
to the disorder
Trained child welfare, juvenile justice, child care, and medical care professionals in the symptoms and screening for FASD.
Improved functioning of children with FASD and their families enrolled in the Sarasota intervention protocol.
Support residential substance abuse treatment for 13 to 15 pregnant women, resulting in substance free full term pregnancies and substance free newborns (Mothers and Infants and Transitional Living
Program at First Step) This treatment continues as an aftercare service with the mothers and their newborns through the Healthy Families and/or Healthy Start program resulting in a significant decrease in recidivism among these women and early identification of newborns/infants at risk for developmental and mental health disorders. A portion of this funding would also expand outreach services to pregnant women and provide after-care services for women discharged from the Mothers and Infants or Transitional Living Program.
Continue and expand services at the FASD Diagnostic/Intervention Clinic at the Sarasota site, provide diagnostic assessments in Monroe County (Key West, Marathon, Key Largo), provide technical assistance and consultation to the new FASD clinic site in Jacksonville.
Outputs
1. 30-40 training events each year
2. 60 full diagnostic evaluations
3. 40 children diagnosed with FASD and their families will receive intensive intervention services(case management, mental health, respite care, family support/education, advocacy)
4. Work with the FASD Interagency Action group to introduce legislation to provide warning signs in all alcohol points of sale.
5. Outreach services to pregnant women
6. Aftercare services to pregnant women
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| Amount requested from the State for this project this year: |
$750,000 |
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| Total cost of the project: |
$4,200,000 |
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| Request has been made to fund: |
Operations |
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| What type of match exists for this project? |
Local, Private |
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Cash Amount |
$175,000 |
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In-kind Amount |
$10,000 |
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| Was this project previously funded by the state? |
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Yes |
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Fiscal Year: |
2007-2008 |
Amount: |
$455,000 |
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| Is future-year funding likely to be requested? |
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Yes |
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Amount: |
$500,000 |
To Fund: |
Operations |
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| Was this project included in an Agency's Budget Request? |
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No |
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| Was this project included in the Governor's Recommended Budget? |
Yes |
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| Is there a documented need for this project? |
Yes |
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Documentation: |
State Interagency Action Group and State FASD Stratigic Plan |
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| Was this project request heard before a publicly noticed meeting of a body of elected officials (municipal, county, or state)? |
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Yes |
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Hearing Body: |
Sarasota County Legislative Delegation on December 3, 2007 |
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| Is this a water project as described in Section 403.885, Laws of Florida? |
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No |
