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Office of Program Policy Analysis and Government Accountability

Insufficient Information Available to Fully Assess the Success of the Self-Directed Care Program, Report No. 10-40, April 2010
 
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  • The Department of Children and Families’ Self-Directed Care program provides mental health treatment and support services to adults who have a serious mental illness. The program seeks to help participants move toward recovery and independence by allowing them to have more control over decisions regarding their treatment. Program participants can use individual budgets to purchase traditional mental health care services such as mental health counseling and medications, as well as non-traditional services that are not typically provided by the department’s community mental health programs. During the first six months of Fiscal Year 2009-10, the majority (81%) of participants’ purchases were for non-traditional services, such as transportation, housing, and computers.
  • In Fiscal Year 2008-09, it cost, on average, $4,313 to serve each participant in the program. These costs include direct expenditures for participant purchases, as well as costs to operate the program. While the state has not appropriated additional funds to operate the program, it is not cost-neutral as the department spends more, on average, to serve these participants than the average cost to serve adults with serious mental illnesses in the traditional community mental health system. The department needs to develop a stronger accountability system to monitor how well the program is helping participants achieve their personal and recovery goals.

Which Government Program Summaries contain related information?

Mental Health Services

    Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
    e-mail address: oppaga@oppaga.fl.gov


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