About Thriving Mind Foundation

Background

History, Incidence, Funding

Florida is ranked #48 in per capita funding for mental health treatment. Serious mental illnesses (SMI) and substance use disorders (SUD) affect 4.4 % and 7.5% of the U.S. population overall, respectively. However, both SMI and SUD are strongly associated with poverty. South Florida, comprised of Miami-Dade and Monroe counties, has a known population of 2.8 million, with the total population including both documented and undocumented individuals estimated in excess of 3 million.

 With over 900,000 documented adults at less than 200% of the federal poverty level, this translates to approximately 300,000 adults with SMI and SUD in South Florida.  Of that 300,000 in need, about 50,000 annually receive services through a safety net system operated by Thriving Mind South Florida.

While there is a funding gap, our consumers have highly treatable conditions. Response rates for treatment of mental illness and substance use disorders are as good as typical responses seen for treatments for blood pressure, diabetes and heart disease. The undertreatment of this population is due to multiple factors: limited funding to pay for services, limited access to care, lack of awareness of available resources.

For many of our consumers, their situation is compounded by lack of stable housing, which makes treatment and recovery more complicated.

Our Community Partner

Thriving Mind | South Florida (contracting as South Florida Behavioral Health Network, Inc.) promotes access to effective, accountable and compassionate care for individuals and families in our community with mental illnesses and substance use disorders. We fund and oversee a safety net of services for uninsured individuals in Miami-Dade and Monroe counties, supported by the State of Florida, Department of Children and Families (DCF) and other public and private sources.

Thriving Mind manages nearly $90 million in contracts with nearly 40 providers using funding from DCF. Additional funding to support new programs and innovations comes from competitively acquired grants that include funding from the Substance Abuse and Mental Health Services Administration (SAMHSA), the National Institutes of Health, as well as private foundations. With administrative costs below 5%, in contrast to 12%-15% for managed Medicaid, Thriving Mind offers local, nimble and cost-effective healthcare solutions for a complex and costly population. The total operating budget for Thriving Mind this year is approximately $120 million.

Thriving Mind supports services for adults and children with mental health and substance use disorders, ranging from crisis stabilization unit in-patient care to outpatient treatment and recovery support. In addition to funding providers to deliver these services, we perform quality assurance and quality control oversight for all services in our network, assuring high-quality and accountable care. Thriving Mind South Florida also offers system-level Care Coordination to reduce readmission of high-utilizers by ensuring appropriate treatment that supports recovery, including behavioral health care, housing, primary care, transportation, work programs, and access to benefits (insurance, disability). Our system identifies individual high-utilizers, leads a team to ensure appropriate treatment, tracks individuals across services, and compiles data to measure success.  The goal is to reduce readmissions from deep-end costly services and inappropriate settings such as jails, emergency rooms, crisis stabilization units/detox facilities, and reduce out-of-home care for children. This program complies with DCF’s goal to reduce by 20% the number of people in crisis by June 30, 2021.

Care coordination is also a priority for our partners in the school systems. The Marjory Stoneman Douglas Commission (November 1, 2019) reported that “one of the greatest challenges facing the mental health system is care coordination … Too many times service providers do not work together.” Further, the Institute of Medicine (IOM) published Crossing the Quality Chasm: A New Health System for the 21st Century. “It is an approach that includes coordination at the funder level, through data surveillance, information sharing across regional and system partners, partnerships with community stakeholders (i.e. housing providers, judiciary, primary care, etc.).”

Thriving Mind’s partnerships with the schools, police and courts augment the traditional system of care and create a comprehensive safety net for the community. Consumers can enter the mental health system of care from a variety of sources and our close working relationships with police, courts and schools help ensure that as many people as possible are connected with needed services.

Our Overall Pillars

  1. Advancing early diagnosis and treatment intervention to save lives
  2. Supporting recovery through job training, housing, and engagement
  3. Measuring impact and improving outcomes through quality assurance and innovation
  4. Reducing the stigma and increasing awareness through community engagement, information campaigns, and workforce training

Our community partner

Thriving Mind | South Florida (contracting as South Florida Behavioral Health Network, Inc.) promotes access to effective, accountable and compassionate care for individuals and families in our community with mental illnesses and substance use disorders. We fund and oversee a safety net of services for uninsured individuals in Miami-Dade and Monroe counties, supported by the State of Florida, Department of Children and Families (DCF) and other public and private sources.

Thriving Mind manages nearly $90 million in contracts with nearly 40 providers using funding from DCF. Additional funding to support new programs and innovations comes from competitively acquired grants that include funding from the Substance Abuse and Mental Health Services Administration (SAMHSA), the National Institutes of Health, as well as private foundations. With administrative costs below 5%, in contrast to 12%-15% for managed Medicaid, Thriving Mind offers local, nimble and cost-effective healthcare solutions for a complex and costly population. The total operating budget for Thriving Mind this year is approximately $120 million.

Thriving Mind supports services for adults and children with mental health and substance use disorders, ranging from crisis stabilization unit in-patient care to outpatient treatment and recovery support. In addition to funding providers to deliver these services, we perform quality assurance and quality control oversight for all services in our network, assuring high-quality and accountable care. Thriving Mind South Florida also offers system-level Care Coordination to reduce readmission of high-utilizers by ensuring appropriate treatment that supports recovery, including behavioral health care, housing, primary care, transportation, work programs, and access to benefits (insurance, disability). Our system identifies individual high-utilizers, leads a team to ensure appropriate treatment, tracks individuals across services, and compiles data to measure success.  The goal is to reduce readmissions from deep-end costly services and inappropriate settings such as jails, emergency rooms, crisis stabilization units/detox facilities, and reduce out-of-home care for children. This program complies with DCF’s goal to reduce by 20% the number of people in crisis by June 30, 2021.

Care coordination is also a priority for our partners in the school systems. The Marjory Stoneman Douglas Commission (November 1, 2019) reported that “one of the greatest challenges facing the mental health system is care coordination … Too many times service providers do not work together.” Further, the Institute of Medicine (IOM) published Crossing the Quality Chasm: A New Health System for the 21st Century. “It is an approach that includes coordination at the funder level, through data surveillance, information sharing across regional and system partners, partnerships with community stakeholders (i.e. housing providers, judiciary, primary care, etc.).”

Thriving Mind’s partnerships with the schools, police and courts augment the traditional system of care and create a comprehensive safety net for the community. Consumers can enter the mental health system of care from a variety of sources and our close working relationships with police, courts and schools help ensure that as many people as possible are connected with needed services.

 

Our overall pillars

  1. Advancing early diagnosis and treatment intervention to save lives
  2. Supporting recovery through job training, housing, and engagement
  3. Measuring impact and improving outcomes through quality assurance and innovation
  4. Reducing the stigma and increasing awareness through community engagement, information campaigns, and workforce training

Leadership

Paul Singerman

Chair of the Board


Tim Coffey

Secretary


Patrick G. Morris

Board Member


Carrie Ann Perez

Chief of Operations

954-483-7578
Contact by e-mail

Together we can improve mental health in South Florida