HB 0411 2003
1	A bill to be entitled
2	An act relating to mental health; amending s. 1 of ch.
3	2001-152, Laws of Florida; directing the Department of
4	Children and Family Services to expand the district 4
5	mental health pilot project; providing for a client-
6	directed and recovery-based mental health program;
7	expanding services to children; providing for
8	administration by the Institute for Health and Human
9	Services at Florida State University; providing an
10	appropriation; providing an effective date.
11
12	Be It Enacted by the Legislature of the State of Florida:
13
14	Section 1. Section 1 of chapter 2001-152, Laws of Florida,
15	is amended to read:
16	Section 1. (1) The Department of Children and Family
17	Services shallexpand thedevelop aclient-directed and
18	recovery-based program known as Florida Self-Directed Care
19	choice-based pilot projectin district 4 to provide mental
20	health treatment and support services to adults who havea
21	serious mental illnessand mental health and support services to
22	children with serious mental disturbance, children with
23	emotional disturbance, and children at risk of emotional
24	disturbance. Theprogram shall continue to be based upon
25	voluntary participation by clients andprojectshallcontinue to
26	test a payment model in which each client controls the money
27	that is available for that client's mental health treatment and
28	support services. Theprogramproject shall be evaluated by an
29	independent entity whoseevaluation must include an assessment
30	of:
31	(a) The criteria for selecting adult mental health clients
32	with serious mental illness eligible for participation in the
33	programproject.
34	(b) The criteria for selecting child mental health clients
35	with serious mental disturbance, child mental health clients
36	with emotional disturbance, and child mental health clients at
37	risk of emotional disturbance for participation in the program.
38	(c)(b)The duties and responsibilities of thesystem
39	guidescare coordinator.
40	(d)(c)The accessibility and quality of services provided
41	under theprogramprojectby available community-based providers
42	selected by the client, compared to those services that are
43	available without theprogramproject.
44	(e)(d)The input by the clients in the development of
45	service andtreatment plans compared to other clients not
46	participating in theprogramproject.
47	(f)(e)The achievement of individual treatment goals or
48	outcome measures established for each client participating in
49	theprogramprojectcompared to othermental healthclients.
50	(g)(f)Any demonstrated improvements or cost savings in
51	the delivery of community-based mental health treatment and
52	support services, including an explanation of the analyses used
53	in determining cost savings.
54	(h)(g)All monitoring and oversight conducted by the
55	Department of Children and Family Services or the Agency for
56	Health Care Administration.
57	(i)(h)Any existing or appointed local advisory group
58	assisting in the design and implementation of theprogram
59	project.
60	(2) The program shall be administered by the Institute for
61	Health and Human Services at Florida State University. The
62	program director is authorized to expend the funds as necessary
63	to maintain the established integrity and intent of the program,
64	to include the purchase of services for clients, program staff
65	employment and retention, and program evaluation. The purchase
66	of services for clients shall be conducted in accordance with
67	the self-identified needs of each client as those needs
68	specifically relate to recovery from mental illness for adults
69	and recovery from behavioral and emotional disturbances for
70	children. The services shall include, but not be limited to,
71	those services defined by the Department of Children and Family
72	Services Mental Health and Substance Abuse Program Central
73	Offices. The Institute for Health and Human Services at Florida
74	State University shall continue development of this program in
75	cooperation with the Department of Children and Family Services
76	Mental Health Program Office.
77	(3)(2)TheInstitute for Health and Human Services at
78	Florida State UniversityDepartment of Children and Family
79	Servicesshall submit a report concerning the progress of the
80	programprojectto the appropriate legislative committees
81	annually on December 1by December 1, 2002, and December 1,
82	2003.This report shall contain a detailed strategic plan for
83	statewide implementation of this client-directed, recovery-based
84	program in collaboration with the Department of Children and
85	Family Services Mental Health Program Office and the Agency for
86	Health Care Administration.
87	(3) This section expires July 1, 2004.
88	Section 2.There is hereby appropriated for fiscal year
89	2003-2004 from the Alcohol, Drug Abuse, and Mental Health Trust
90	Fund in the Department of Children and Family Services to the
91	Institute for Health and Human Services at Florida State
92	University the sum of $470,000 for the purpose of implementing
93	the provisions of this act. The Department of Children and
94	Family Services district 4 shall make available no more than
95	$500,000 of general revenue funds allocated to district 4 for
96	fiscal year 2003-2004 for the purchase of client services.
97	Section 3. This act shall take effect July 1, 2003.
98