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Washington State. MaryAnne Lindeblad Director, Division of Program Support WA Dept. of Social & Health Services. Doug Allen Director, Division Alcohol & Substance Abuse WA Dept. of Social & Health Services. State of Washington. Population: 6.5 Million Department of Social & Health Services

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washington state

Washington State

MaryAnne LindebladDirector, Division of Program SupportWA Dept. of Social & Health Services

Doug AllenDirector, Division Alcohol & Substance AbuseWA Dept. of Social & Health Services

slide2

State of Washington

  • Population: 6.5 Million
  • Department of Social & Health Services
    • 1.2 Million customers a day

DASA

Fiscal Year 2005: Treatment: 29,105 adults 5,639 adolescents

Prevention: 45,299 adolescents in recurring programs

goals
Goals
  • Explore and develop new cooperative approaches to service delivery with funding streams.
  • Improve capacity in DASA, Mental Health, and Medicaid delivery systems using best practices to serve more Medicaid eligible clients (e.g. children, co-occurring).
the division of alcohol and substance abuse budget is a small fraction of that of dshs

Looking at the Bigger Picture

The Division of Alcohol and Substance Abuse budget is a small fraction of that of DSHS

DASA’s projected 2005-2007 Biennium Budget of $303.9 million represents 1.8% of Department of Social and Health Services.

Even so, recent increases in funding create a need to leverage systems change within a much larger bureaucracy in order to satisfy legislative requirements.

DSHS BudgetTotal=$17.2 Billion (34.7%)

State BudgetTotal = $49.5 Billion

slide5

DSHS-DASA Budget Changes

State General and Other Federal funding categories represent the largest portion of the 92% increase in DASA’s biennial budget.

Recent increases in State General Fund have created a need to alter delivery systems at the state and local level.

Budget Growth1993-1995 vs. 2003-2005 vs. 2005-2007

1993-1995 Biennium$158.3 Million

2003-2005 Biennium$240.3 Million

2005-2007 Biennium$303.9 Million

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Though contracts with counties, tribes, and community-based providers, DASA provides a full range of prevention and treatment services.

How do we spend our funds?

6% Criminal Justice

41% County Managed Expenditures

Drug CourtsCourt Supervised Treatment

County Grant in Aid

Youth Outpatient

Pregnant/Parenting Women Outpatient

Opiate Substitution Treatment

Detoxification

ADATSA Outpatient Treatment

Assessment

Title XIX Services

SSI Client Offset Services

TANF Services

Children & Family Services

7% Prevention

County Prevention Services

Direct Prevention Services

Training

7% Support Services

Youth Services

Native American Services

Interpreter Services

PPW & Child Care Services

HIV Support Services

ResearchTARGET (reporting database)

28% Residential

Adult & Youth Treatment

Pregnant/Parenting Women

Involuntary Treatment

2% Administration

2% Special Projects

challenges
Challenges
  • Increase treatment services for aged, blind, disabled, and other Medicaid-eligible adults.
  • Effect changes in delivery of services to provide appropriate treatment for these populations.
  • Maintain current levels of treatment retention and treatment completion.

Treatment Expansion ProgressStatewide, Adults Meeting Expansion Criteria

SOURCE: DSHS-Research and Data Analysis. DASA Treatment Expansion Client Monitoring Report.

slide8

Challenges

  • Increase treatment services for aged, blind, disabled, and other Medicaid-eligible adults.
  • Effect changes in delivery of services to provide appropriate treatment for these populations.
  • Maintain current levels of treatment retention and treatment completion.

Medicaid Disabled

GAU

TANF/Other Medicaid

Aged

SOURCE: DSHS-Research and Data Analysis. DASA Treatment Expansion Client Monitoring Report.

slide9

Challenges

  • Increase treatment services for aged, blind, disabled, and other Medicaid-eligible adults.
  • Effect changes in delivery of services to provide appropriate treatment for these populations.
  • Maintain current levels of treatment retention and treatment completion.

Treatment Completion: Outpatient

SOURCE: DSHS-DASA TARGET reporting database.