Provider Network and Care Coordination
Leading the transformation of our provider network for substance use and mental health into a Recovery Oriented System of Care
A Recovery Oriented System of Care (ROSC) is a coordinated network of community-based services and supports that is person-centered and builds on the strengths and resiliencies of individuals, families, and communities to achieve abstinence and improved health, wellness, and quality of life for those with or at risk of mental health, alcohol and drug problems. The central focus of a ROSC is to create an infrastructure or “system of care” with the resources to effectively address the full range of substance use and mental health problems within communities.
Improving outcomes among priority populations through care coordination
Deliberate and planned organizational relationships and service procedures that improve the effectiveness and efficiency of the behavioral health system by engaging in purposeful interactions with individuals who are not yet effectively connected with services to ensure service linkage. Examples of care coordination activities include development of referral agreements, shared protocols, and information exchange procedures. The purpose of care coordination is to enhance the delivery of treatment services and recovery supports and to improve outcomes among priority populations.
Children and Family-focused Initiatives
Family Intensive Treatment Team
The Family Intensive Treatment (FIT) team model is designed to provide intensive team-based, family-focused, comprehensive services to families in the child welfare system with parental substance abuse.
Community Action Treatment Team
The Community Action Treatment (CAT) program is designed to provide community-based services to children ages 11 to 21 with a mental health or co-occurring substance abuse diagnosis with any accompanying characteristics such as being at-risk for out-of-home placement as demonstrated by repeated failures at less intensive levels of care; having two or more hospitalizations or repeated failures; involvement with the Department of Juvenile Justice or multiple episodes involving law enforcement; or poor academic performance or suspensions. Children younger than 11 may be candidates if they display two or more of the aforementioned characteristics.
Children’s System of Care Expansion SAMHSA Grant
This four-year grant fund the development and implementation of a comprehensive strategic plan for improving and expanding services provided by the system of care (SOC) for young adults with serious emotional disturbances (SED) or those who experience early onset SED/SMI and their families in Miami-Dade County, building and expanding upon the progress achieved from the Children Mental Health Initiative (CMHI) and System of Care Expansion Implementation Cooperative Agreements. The project will target at least 200 vulnerable and at-risk young adults 14-21 years of age who are transitioning to adulthood by creating more extensive collaboration, coordination, and formal system linkages between and within child and adult serving agencies to appropriate and needed services and supports in order to achieve and maintain recovery and wellness.
Florida Assertive Community Treatment
In an effort to promote independent, integrated living for individuals with serious psychiatric disabilities, Florida Assertive Community Treatment (FACT) teams provide a 24-hour-a-day, seven-days-a week, multidisciplinary approach to deliver comprehensive care to people where they live, work or go to school, and spend their leisure time. The programmatic goals are to prevent recurrent hospitalization and incarceration and improve community involvement and overall quality of life for program participants.
State Opioid Response
The State Opioid Response grant is a two-year Substance Abuse and Mental Health Services Administration funded Medication-Assisted treatment service for the treatment of opioid use disorder. The grant also funds prevention programs and strategies with evidence of effectiveness at preventing opioid misuse, opioid dependence, or opioid deaths.
Thriving Mind and local police TEAM UP to transform the lives of the chronically homeless while saving taxpayer dollars
A unique partnership between South Florida Behavioral Health Network and local police department in Miami and Miami Beach has changed the way the police are viewed in the community and dramatically transformed the lives of individuals engaged in the new program. The two-year-old program helps those who are chronically homeless and suffering from substance abuse to get treatment and find housing.
Importantly, this innovative program is not a drain on tax dollars. Just the opposite, getting these individuals needed health care and housing is now saving hundreds of thousands of dollars a year.
SFBHN’s Housing Coordinator and Housing Peer work to increase and improve collaboration and coordination between Managing Entities, Local Homeless Coalitions, Designated Lead Agencies of Continuum of Care Plans, Florida Housing Finance Corporation (FHFC), and other key state and local agencies as they relate to housing-related services. We are committed to finding safe, affordable, stable housing for individuals with mental health and/or co-occurring diagnoses; Ensuring that these individuals receive the necessary support services to be successful in the community; and increase the number of discharges from state mental health treatment facilities to stable community housing in lieu of discharges to community crisis stabilization units, to addiction receiving facilities, or to placements increasing the risk of subsequent homelessness.
South Florida Behavioral Health Network, Inc. (SFBHN) has developed a Housing Directory which lists the housing programs provided at each community agency. Please go to www.sfbhn.org to access the Housing Directory. If you are homeless or need rental assistance, please refer to the section titled “Homeless Helpline” in this manual.
If you have questions regarding employment and housing opportunities, please ask the case manager or other staff at the community agency from which you are receiving services. Many of the mental health and/or substance abuse agencies have programs which may begin with sobriety and medication management and then progress to employment and housing assistance. If you are not linked to a community mental health center, refer to the section titled “Community Mental Health Centers (CMHC)” in this manual.
Supported housing/living services assist persons with substance abuse and mental health issues in the selection of housing of their choice. These services also provide the necessary services and supports to assure their continued transitioning and successful living in the community.
Homeless Trust of Miami-Dade County http://www.homelesstrust.org/
Click here for a link to housing. https://sfbhn.org/docs/manual/1539699816.pdf
Direct Line: 786-456-6497
Miami Center for Mental Health and Recovery
The 208-bed Center will serve individuals with mental health and substance use disorders diverted from the criminal justice system. The Center will offer a comprehensive continuum of mental health, substance use, and primary healthcare services targeting high-cost, high-need individuals who are most often underserved by the public health system.