TITLE
REPORT ON THE AGREEMENT WITH SOUTH FLORIDA BEHAVIORAL HEALTH NETWORK, INC. D/B/A THRIVING MIND SOUTH FLORIDA, FOR THE PROVISION OF BEHAVIORAL HEALTH SERVICES THROUGH THE MIAMI-DADE COUNTY CENTRAL RECEIVING FACILITY

HEADER
Date:

To:
Honorable Chairman Anthony Rodriguez
and Members, Board of County Commissioners
From:
Daniella Levine Cava
Mayor
Subject:
Report on the Agreement with South Florida Behavioral Health Network, Inc. D/B/A Thriving Mind South Florida, for the Provision of Behavioral Health Services through the Miami-Dade County Central Receiving Facility

STAFF RECOMMENDATION
This report is in response to Resolution No. R-95-24, sponsored by Senator Rene Garcia and adopted by the Board of County Commissioners (Board) on February 6, 2024. The resolution authorized an Agreement with South Florida Behavioral Health Network, Inc. D/B/A Thriving Mind South Florida (Thriving Mind) for the provision of behavioral health services through the Miami-Dade County Central Receiving Facility (CRF), located at 3800 West Flagler Street, Miami, Florida, and operated by Banyan Community Health Center, Inc. (Banyan),. The resolution also requested a report to include an analysis of the use of the $1.0 million in annual funding, the number of individuals served, and the impact on the residents of Miami-Dade County.

Executive Summary
This report summarizes the Central Receiving Facility Program s (Program) performance, as detailed in the attached exhibits. To date, this Program has continued to work effectively, providing services to over 5,000 uninsured individuals throughout Miami-Dade County with mental health and substance use disorders. expanding the footprint of viable options for mental health services.

Background
Under Chapter 2016-241, Laws of Florida (Senate Bill 12, F.S.), the Florida Legislature required counties to develop and implement plans for designated receiving systems and the transportation of individuals requiring substance abuse and/or mental health treatment in accordance with the Baker Act and Marchman Act. In response to this statutory requirement, the Board adopted Resolution No. R-782-17, establishing the County s designated receiving system and transportation plan. The resolution also authorized a multiyear agreement with Thriving Mind to serve as the managing entity responsible for administering $1.0 million in County funds annually to expand mental health and substance use disorder services for uninsured residents of the County.

Pursuant to this authorization, Thriving Mind entered into an agreement with Banyan Banyan to serve as the County s designated receiving facility under the Program. In this capacity, Banyan, under the oversight of Thriving Mind, became the sole recipient of the $1.0 million in County funding to operate the designated receiving facility and provide mental health and substance use disorder services to uninsured individuals within the County. Additionally, on July 19, 2022, the Board adopted Resolution No. R-688-22, which authorized use of this funding to leverage an additional $500,000 in Medicaid matching funds in support of the Program from the Florida Agency for Health Care Administration in an amount not to exceed $500,000 annually..

Upon expiration of the initial authorizing resolution and agreement with Thriving Mind, the Board approved Resolution No. R-95-24 to continue the services provided under the Program. Through this action, Thriving Mind was awarded an agreement in the amount of $1,000,000 annually on February 26, 2024, for year one of the Program retroactive to Fiscal Year (FY) 2022 2023, with up to four one-year options to renew.

Report
This report summarizes the Program s performance for FY 2022 23, FY 2023 24, and FY 2024 25, as detailed in Exhibits A, B, and C, respectively.

Performance Summary
Performance Measure
Contract Deliverable
FY 2022 23
FY 2023 24
FY 2024 25
Individuals Served
N/A
1,628
2,068
1,973
Intake/Assessment Compliance
100%
100%
100%
100%
Outpatient Appointment (? 10 days)
100%
96%
95.92%
90.68%
Follow-Up Calls (? 72 hours)
100%
94.2%
100%
99%
Alternative Appointment Secured
85%
96.42%
98.25%
100%
CSU Readmission Rate
14.5%
10.8%
7%
6.29%
Detox Readmission Rate
15%
3.25%
0.75%
3%
Across all three fiscal years, the Central Receiving Facility achieved full compliance with contractual requirements related to intake, assessment, admission, and transportation. Service volume increased in FY 2023 24 and remained strong in FY 2024 25, reflecting sustained community demand and stable system capacity. Funds provided under this agreement are budgeted to provide crisis support services with $1.0 million allocated in each budget cycle.

Timely access to outpatient services remained consistently high, exceeding 90 percent in each year under review. While a modest decline in appointment timeliness occurred in FY 2024 25, follow-up calls and the securing of alternative appointments improved during the same period. Additionally, readmission rates for both Crisis Stabilization Unit (CSU) and detoxification services remained well below contractual benchmarks throughout the reporting period.

This report will be placed on the next available Board Agenda pursuant to Rule 5.06(j). Should you require additional information, please contact Daniel T. Wall, Assistant Director, Office of Management and Budget at 305-375-5143.

Attachments