DEPARTMENT OF HUMAN SERVICES BEHAVIORAL HEALTHCARE DIVISION SUBSTANCE ABUSE OUTPATIENT TREATMENT PROGRAM MISSION To treat adults with alcohol and/or drug dependencies and improve functioning and increase selfsufficiency. Substance Abuse Outpatient Treatment Prevent adverse social, legal, and medical conditions in individuals resulting from alcohol and drug dependency. Provide assessment, individual and group therapy, alcohol and drug education courses, relapse prevention services, psychological evaluations, urinalysis and referral to communitybased support groups. SIGNIFICANT BUDGET CHANGES
Personnel increases due to the full year impact of retirement benefit enhancements adopted in FY 2009 (effective January 4, 2009), and increases in the County’s contribution to employee health insurance to offset 50% of projected health care cost increases. The FY 2010 proposed budget does not include employee step/performance increases or market payline adjustments. In addition, a key position was filled at a higher salary. Personnel is also increased by 0.50 FTE for HIV prevention-related activities. This 0.50 FTE is supported by new state funding. Non-Personnel increases include nonprofit and contractor increases similar to those received by County programs. These increases are partially offset by administrative reductions not affecting client care in areas such as office supplies, travel, and training as a result of the loss of state funding for Community Service Board programs. State Share revenue increases due to new HIV-prevention funding. This line of business was not impacted by the budget reductions made as part of the development of the County Manager’s FY 2010 proposed budget.
PROGRAM FINANCIAL SUMMARY
FY 2008 Actual $1,115,607 162,015 1,277,622 27,924 756,000 783,924 $493,698 14.00 14.00 FY 2009 Revised $1,161,196 99,110 1,260,306 56,813 746,944 803,757 $456,549 13.50 13.50 FY 2010 Proposed $1,256,571 131,603 1,388,174 56,813 759,570 816,383 $571,791 14.00 14.00 % Change ‘09 to ‘10 8% 33% 10% 2% 2% 25%
Personnel Non-Personnel Total Expenditures Fees State Share Total Revenues Net Tax Support Permanent FTEs Temporary FTEs Total Authorized FTEs
DEPARTMENT OF HUMAN SERVICES BEHAVIORAL HEALTHCARE DIVISION SUBSTANCE ABUSE OUTPATIENT TREATMENT PERFORMANCE MEASURES
Critical Measures Percent of clients surveyed who reported satisfaction with services received* Percent of clients who report improved functioning as a direct result of services received* Clients receiving outpatient services FY 2005 Actual 95% 92% 765 FY 2006 Actual 84% 93% 735 FY 2007 Actual N/A N/A 777 FY 2008 Actual 96% 92% 771 FY 2009 Estimate 90% 97% 800 FY 2010 Estimate 96% 95% 800 FY 2010 Target 96% 95% 800
*Survey not administered in FY 2007 as program was transitioning to new survey tool.
Supporting Measures FY 2005 Actual 403/70% FY 2006 Actual 380/70% FY 2007 Actual 391/71% FY 2008 Actual 347/75% FY 2009 Estimate 400/70% FY 2010 Estimate 350/75% FY 2010 Target 350/75%
Of clients discharged, number/percentage of clients who met most or all of treatment plan goals Of clients discharged, number/Percentage of clients who achieve and maintain abstinence during treatment Clients receiving methadone services Individuals enrolled in alcohol/drug education courses
372/69% 30 360
317/69% 28 335
331/73% 20 202
334/73% 17 216
300/73% 20 250
350/75% 20 230
350/75% 20 230
Not all clients receive full treatment services. All supporting measures are subsets of the total number of clients receiving outpatient services.