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LSF Health Systems and Well Florida

LSF Health Systems and Well Florida. Needs Assessment for Northeast Florida. Purpose.

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LSF Health Systems and Well Florida

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  1. LSF Health Systems and Well Florida Needs Assessment for Northeast Florida

  2. Purpose • The purpose of this needs assessment is to identify the treatment needs of children and adults with an identified mental illness or substance abuse disorder in the 23-county region of Northeast Florida, which includes Circuits 3,4,5,7 and 8. • This needs assessment will help reaffirm current need priorities and discover new priorities, as well as uncover strengths, weaknesses and gaps in services. • These priorities will be used to refine appropriate goals, objectives and activities of programs and agencies to better serve the treatment needs of children and adults with identified mental illness or substance abuse disorder in the 23-county region. • Ultimately, the needs assessment will serve to improve the quality of mental health and substance abuse services provided in the service area. 

  3. County Population Density

  4. Total Population in the Region - 3,544,337 Source: US Census Bureau, 2010 Census, Table QTP3.

  5. Race, Ethnicity and Gender • Population by race is similar to Florida's population by race. • Gender is comparative to Florida overall with 49% males and 51% females. • The LSF service area has a much lower % of Hispanic population as compared to Florida.  Hispanics account for 22.5 % of the population in Florida, but only 8.5% of the population in the LSF service area.  Source: US Census Bureau, 2010 Census, Table P12H.

  6. Median Household Income Source: US Census Bureau, American Community Survey, 2006-2010 5-Year Estimates, Tables B19013, B19013A, B19013B, and B19013I.

  7. Poverty Estimates Estimated percent of all persons in poverty Source: US Census Bureau, Small Area Income and Poverty Estimates, 2009-2011; Florida Charts Population Estimates for 2009-2011.

  8. Educational Attainment Source: US Census Bureau, American Community Survey, 2007-2011 5-Year Estimates, Tables B15002. Prepared by: WellFlorida Council, 2013-2014.

  9. Health Outcomes Rankings are based on an equal weighting of one length of life (mortality) measure and four quality of life (morbidity) measures. 1 is the "healthiest", 67 is the "least healthy" (out of 67 counties in Florida) CIRCUIT 3 CIRCUIT 4 CIRCUIT 5 CIRCUIT 7 CIRCUIT 8 Source: University of Wisconsin Population Health Institute, County Health Rankings website http://www.countyhealthrankings.org, 2013.

  10. Health Factors Rankings based on 4 types of factors; Health Behaviors, Clinical Care, Social and economic, Physical Environment. 1 is the "Healthiest", 67 is the "Least Healthy“. (out of 67 Florida Counties) CIRCUIT 3 CIRCUIT 4 CIRCUIT 5 CIRCUIT 7 CIRCUIT 8 Source: University of Wisconsin Population Health Institute, County Health Rankings website http://www.countyhealthrankings.org, 2013.

  11. Percentage of Counties in Each Quartile Source: University of Wisconsin Population Health Institute, County Health Rankings website http://www.countyhealthrankings.org, 2013.

  12. Mental Health % of Adults who said they had poor mental health on 14 or more of the past 30 days CIRCUIT 3 CIRCUIT 4 CIRCUIT 5 CIRCUIT 7 CIRCUIT 8 Source: Florida CHARTS; Behavioral Risk Factor Surveillance Survey (BRFSS) Query, 2007 and 2010.

  13. Binge Drinking % of Adults Who Engage in Heavy or Binge Drinking CIRCUIT 3 CIRCUIT 4 CIRCUIT 5 CIRCUIT 7 CIRCUIT 8 Source: Florida Department of Health; Florida Behavioral Risk Factor Surveillance Survey (BRFSS) State and County Data Report Summary, 2007 and 2010.

  14. Change in Binge Drinking from 2007 - 2010 CIRCUIT 3 CIRCUIT 4 CIRCUIT 5 CIRCUIT 7 CIRCUIT 8 % Change in Adults Who Engage in Heavy or Binge Drinking Source: Florida Department of Health; Florida Behavioral Risk Factor Surveillance Survey (BRFSS) State and County Data Report Summary, 2007 and 2010.

  15. Health Insurance Coverage CIRCUIT 3 CIRCUIT 4 CIRCUIT 5 CIRCUIT 7 CIRCUIT 8 Source: Florida Department of Health; Florida Behavioral Risk Factor Surveillance Survey (BRFSS) State and County Data Report Summary, 2007 and 2010.

  16. Suicide Rates Age Adjusted per 100,000 population Source: FloridaCHARTS, 2010-2012.

  17. Years of Potential Life Lost Due to Suicide Measures premature mortality.  Source: FloridaCHARTS, 2010-2012.

  18. Domestic Violence Rate per 100,000 population Source: Florida Department of Law Enforcement; Domestic Violence Annual Reports, 2009-2012.

  19. Baker Acts Initiated Rate per 100,000 population Source: University of South Florida, AHCA, Annual Report of Baker Act Data, Summary of Data, 2010 and 2011; Special Report of Baker Act Data by County of Resident for Children and Adults, 2009; Florida Charts

  20. ME Statewide Comparison

  21. Total Contracted Dollars for All Services,LSF ME Counties, FY 2013-2014

  22. Total Contracted Dollars for Mental Health Services FY 13-14

  23. Total Contracted Dollars for Substance Abuse FY 13-14

  24. % Population/Funding/Clients If the total number of clients served per circuit in FY 13-14 mirrors what occurred in FY 12-13 the following approximations can be made regarding the managing entity service region. Source: Summary of Budget by Circuit File from Lutheran Services Florida for FY 13-14 received on February 5, 2014; Florida Charts Population Estimates Query for 2013.

  25. Percentage of Funding and Individuals Served in the Region Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013.

  26. Top 10 Services Provided Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013.

  27. Top 10 Services Provided (cont.) Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013.

  28. Service Delivery In and Out of Circuit Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013.

  29. Service Delivery In and Out of County Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013.

  30. Total Clients (LSF region) Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013. Prepared by: WellFlorida Council, 2013-2014.

  31. Data Clarification To avoid confusion, each slide that contains information from focus groups and surveys in this needs assessment will be labeled. Surveys (S) Focus Groups (FG) All other data has been pulled from researched sites or domains and cited in the technical assessment.

  32. Methodology • Focus Groups (9) Consumer/Caregivers - 103 participants(3) CEO and Providers - 10 participants (1) Advocates - 6 participants • Surveys Consumer/Caregivers- 216 Surveys Providers - 157 Surveys

  33. Word Cloud fromConsumer/Caregiver Focus Groups appointment care change community county crisis facility family far feel focus funding group healthhelphospital illness insurance issue issues jail job kids kind long medicaid medication money months moreneedneeds pay program provider servicessocial staff substance system talk three timetreatment trying understand wantwellwork working

  34. Most Important Mental Health Service – By Consumer (FG,S)

  35. Most important Substance Abuse Services - By Consumer (FG,S)

  36. Most important Mental Health Services – by Family Member (FG,S)

  37. Most Important Substance Abuse Services - by Family Member (FG,S)

  38. Barriers to Services - Consumers/Family Members (FG,S)

  39. Provider Qualities and Satisfaction Level - Consumer/Family Members (FG,S)

  40. Circuit 5Specific Information

  41. Total Population in C5 – 1,070,323

  42. Total Clients by County Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013.

  43. Circuit 5 Median Household Income Source: US Census Bureau, American Community Survey, 2006-2010 5-Year Estimates, Tables B19013, B19013A, B19013B, and B19013I.

  44. Circuit 5 Health Factors State Ranking from 1 “Healthiest” to 67 “Least Healthy” Source: Mobilizing Action Toward Community Health (MATCH) collaboration project between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute

  45. Circuit 5 Risk Factors Source: Mobilizing Action Toward Community Health (MATCH) collaboration project between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute

  46. Most Common Services Provided in Circuit 5 (FG,S)

  47. Least Common Services in the Region (FG,S) • Mental Health Clubhouse Services • Project Recovery • Respite Services • Sheltered Employment • Room and Board with Supervision III

  48. Most Provided Services in Citrus County Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013. Prepared by: WellFlorida Council, 2013-2014.

  49. Most Provided Services in Hernando County Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013. Prepared by: WellFlorida Council, 2013-2014.

  50. Most Provided Services in Lake County Source: Special Data Report from Lutheran Services Florida for FY 12-13 received on October 30, 2013. Prepared by: WellFlorida Council, 2013-2014.

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