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SECTION G -- HUMAN SERVICES
BEHAVIORAL HEALTHCARE SERVICES
DUAL DIAGNOSIS SERVICES
Program Mission:
To provide comprehensive dual diagnosis treatment and rehabilitation
services that move dually diagnosed individuals toward psychiatric and
substance abuse recovery, so that they may become more self-sufficient and
increase their independence in the community.
Dual Diagnosis Services was
established using LPACAP funds and from a reallocation of internal resources as
part of the reorganization in the Behavioral Healthcare Division. Dual Diagnosis Services provides
specialized, integrated, intensive outpatient services to individuals who
experience both a serious mental illness and a substance dependence disorder,
and as a result have multiple and complex needs. The program provides community
based case management services, psycho-educational groups, therapy groups, counseling,
family involvement, psychiatric services, and skill development to assist these
consumers to live productively in the community.
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Dual Diagnosis
Services
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FY 2004
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FY 2005
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FY 2006
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% Change:
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Actuals
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Adopted
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Proposed
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'05 to '06
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Personnel
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$258,585
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$385,524
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$385,169
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-
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Non-Personnel
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14,466
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26,461
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16,697
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-37%
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Nonprofits
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-
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35,000
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35,000
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-
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Total Expenditures
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273,051
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446,985
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436,866
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-2%
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Medicaid State
Plan Option
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19,738
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-
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19,738
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-
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State Share
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194,362
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269,310
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279,604
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4%
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Total Revenue
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214,100
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269,310
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299,342
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11%
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Net Tax Support
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$58,951
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$177,675
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$137,524
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-23%
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Authorized FTEs
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6.0
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6.0
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6.0
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Funded FTEs
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6.0
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6.0
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6.0
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SIGNIFICANT BUDGET HIGHLIGHTS:
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Decrease in non-personnel costs is due to reallocating
funding within Mental Health to achieve a more equitable distribution of operating
funding.
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Increase in Medicaid State Plan Option revenues
($19,738) is based on prior year actuals.
PERFORMANCE MEASURES:
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FY 2002 Actual
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FY 2003
Actual
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FY 2004 Actual
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FY 2005 Estimate
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FY 2006 Estimate
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FY 2006 Goal
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Mission Outcome Measures
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Number/percent of dually diagnosed consumers
staying in group treatment 90 days or more
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N/A
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N/A
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40/43%
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55/50%
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55/50%
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56/51%
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Number/percent of dual diagnosis consumers who
were not hospitalized
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N/A
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N/A
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84/89%
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98/89%
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98/89%
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99/90%
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Customer
Measures
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Number/percent of consumers responding who
reported favorably on satisfaction
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N/A
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N/A
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13/76%
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45/80%
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47/85%
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47/85%
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Number/percent of consumers reporting they are
better able to manage their thoughts and emotions as a result of being in the
Dual Diagnosis Program
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N/A
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N/A
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17/100%
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38/70%
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38/75%
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38/75%
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Workload
Measures
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Total number of dual diagnosed consumers served
by unit
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N/A
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N/A
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94
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110
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110
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110
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Total number of dually diagnosed consumers
enrolled in alcohol and drug education courses
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N/A
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N/A
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93
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95
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95
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95
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The benchmark for
90 day retention in treatment is 34-47%, according to studies by Bennet,
Bellack, and Gearon, 2001: Drake, McHugo, and Noordsey, 1993; Hanson, Kramer
and Gross, 1990; Hendrickson and Schmal, 2000; Koefoed, et al, 1986.
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In FY 2004, only
one consumer survey was taken of a small sample. The sample in 2005 is expected
to be larger, reflecting a more accurate percentage.
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