Citrus Health Network Inc

TO PROVIDE PRIMARY CARE, BEHAVIORAL HEALTH AND CHILD WELFARE SERVICES.

CHILD WELFARE: CITRUS HEALTH NETWORK'S DIVISION, CITRUS FAMILY CARE NETWORK (CITRUS FCN), SERVES AS THE COMMUNITY BASED CARE LEAD AGENCY FOR CHILD WELFARE FOR MIAMI-DADE AND MONROE COUNTIES, UNDER CONTRACT WITH THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES. CITRUS FCN DIRECTLY PROVIDES OR WORKS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO PROVIDE, FAMILY PRESERVATION, FOSTER CARE, ADOPTIONS, AND RELATED SERVICES TO CHILDREN, FAMILIES, AND YOUNG ADULTS IN MIAMI-DADE AND MONROE. CITRUS FCN RECEIVED 678 CHILDREN WHO HAD BEEN ABUSED, ABANDONED OR NEGLECTED DURING FY 21-22, SUCCESSFULLY DIVERTED MORE THAN 1,000 CHILDREN FROM ENTERING FOSTER CARE THROUGH PREVENTION SERVICES, AND FOUND PERMANENCY FOR 423 CHILDREN THROUGH ADOPTION, REUNIFICATION WITH THEIR BIOLOGICAL FAMILIES OR PERMANENT GUARDIANSHIPS WITH RELATIVES OR FICTIVE KIN. CITRUS FCN HAS SEEN A DECREASE OF MORE THAN 20 PERCENT IN THE NUMBER OF CHILDREN IN OUT OF HOME CARE BETWEEN JULY 2019 AND JUNE 2022. ADDITIONALLY, CITRUS FCN HAS THE LARGEST TRANSITIONING YOUTH SERVICES PROGRAM IN THE STATE OF FLORIDA, SERVING MORE THAN 300 YOUNG ADULTS WHO HAVE AGED OUT OF FOSTER CARE, AGES 18-23, TO HELP THEM ACHIEVE PERMANENCY, AND OBTAIN EDUCATION, EMPLOYMENT AND LIFE SKILLS TO LIVE INDEPENDENTLY.

OUTPATIENT SERVICES:AS A FEDERALLY QUALIFIED HEALTH CENTER, CITRUS IS TRULY A MEDICAL FAMILY FOR PATIENTS, OFFERING A WIDE RANGE OF BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES FOR ADULTS AND CHILDREN. CITRUS TAKES A TOTAL WELLNESS APPROACH WITH EACH CLIENT, TREATING THE BODY AND MIND. THIS APPROACH TO HEALTH CARE ADDRESSES THE WHOLE PERSON BY INTEGRATING BEHAVIORAL HEALTH SERVICES AND PRIMARY CARE AND COORDINATING CARE ACROSS A BROAD RANGE OF HEALTH SERVICES AND COMMUNITY-BASED PROGRAMS. CITRUS PROVIDES ADULT PRIMARY CARE, PEDIATRICS, OB/GYN AND WOMEN'S HEALTH SERVICES, AND MEDICAL CASE MANAGEMENT FOR INDIVIDUALS LIVING WITH HIV/AIDS. CITRUS HAS SEVERAL PROGRAMS DEDICATED TO IMPROVING THE MENTAL AND PHYSICAL HEALTH OF CHILDREN INCLUDING SCHOOL HEALTH TEAMS, SUBSTANCE USE PREVENTION PROGRAMS, EARLY CHILDHOOD DEVELOPMENT PROGRAMS, CHILDREN'S COMMUNITY TEAMS, TARGETED CASE MANAGEMENT, AND SERVICES FOR CHILDREN INVOLVED IN THE JUVENILE JUSTICE SYSTEM. CITRUS HAS A VARIETY OF PROGRAMS AND SERVICES DEDICATED TO IMPROVING THE MENTAL HEALTH OF ADULTS, MANY OF WHICH ARE SPECIFICALLY TAILORED THOSE LIVING WITH SERIOUS MENTAL ILLNESS. CITRUS' OUTPATIENT ADULT MENTAL HEALTH SERVICES INCLUDE A SPECIAL PROGRAM OF TREATMENT AND SUPPORTIVE SERVICES FOR YOUNG ADULTS EXPERIENCING THEIR FIRST EPISODES OF PSYCHOSIS, COUNSELING SERVICES FOR STUDENTS AT MIAMI-DADE COLLEGE, TARGETED CASE MANAGEMENT, COMMUNITY SUPPORT SERVICES WITH PSYCHOSOCIAL REHABILITATION, FLORIDA ASSERTIVE COMMUNITY TREATMENT TEAMS, AND OUTPATIENT MENTAL HEALTH SERVICES FOR RESIDENTS OF A WOMEN'S SHELTER. CITRUS PROVIDES TRADITIONAL OUTPATIENT MENTAL HEALTH SERVICES INCLUDING PSYCHIATRY AND PSYCHOTHERAPY TO ALL AGES, AND HAS 340B PHARMACY AVAILABLE TO ALL CLIENTS AND PATIENTS OF THE HEALTH CENTER, WHICH IMPROVES ACCESS TO MEDICATIONS AND MEDICATION COMPLIANCE. ADDITIONALLY, CITRUS IS A TEACHING HEALTH CENTER, TRAINING PSYCHOLOGISTS THROUGH INTERNSHIP AND RESIDENCY PROGRAMS, AND TRAINING PHYSICIANS THROUGH A PSYCHIATRY RESIDENCY PROGRAM AND A CHILD AND ADOLESCENT PSYCHIATRY FELLOWSHIP, OFFERING A UNIQUE TRAINING EXPERIENCE IN A COMMUNITY HEALTH CENTER SETTING. ACROSS ALL OF THESE OUTPATIENT SERVICES, CITRUS SERVED MORE THAN 30,000 PATIENTS AND CLIENTS DURING THE 2021 CALENDAR YEAR.

RESIDENTIAL & SUPPORTIVE HOUSING SERVICES:PERMANENT SUPPORTIVE HOUSING PROGRAMS: CITRUS OFFERS PERMANENT SUPPORTIVE HOUSING SERVICES THROUGH A VARIETY OF PROGRAMS FOR INDIVIDUALS AND FAMILIES WITH A DISABILITY, VETERANS, AND FOR THE CHRONICALLY HOMELESS. CLIENTS ARE PROVIDED WITH HOUSING IN APARTMENTS AT SPECIFIC SITES OR WITH RENTAL ASSISTANCE IN AN APARTMENT OF THEIR CHOICE IN THE COMMUNITY. CITRUS MANAGES OVER 600 HOUSING SLOTS FUNDED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT OR THE DCF SUBSTANCE ABUSE AND MENTAL HEALTH MANAGING ENTITY, THRIVING MIND. THE GOAL OF THESE PROGRAMS IS FOR THE CLIENT TO ACHIEVE INDEPENDENT LIVING THROUGH STABLE HOUSING AND ADDITIONAL INDIVIDUALIZED SUPPORT SERVICES SUCH AS CASE MANAGEMENT, PSYCHIATRIC TREATMENT, AND PRIMARY CARE SERVICES. DURING FY 21-22, CITRUS' PERMANENT SUPPORTIVE HOUSING PROGRAMS SERVED MORE THAN 800 CLIENTS, INCLUDING 480 CLIENTS THROUGH ITS PERMANENT SUPPORTIVE HOUSING MULTI-DISCIPLINARY TEAM PROGRAMS. STATEWIDE INPATIENT PSYCHIATRIC PROGRAM (SIPP): CITRUS HAS INPATIENT SERVICES AVAILABLE FOR ADOLESCENTS WITH SIGNIFICANT BEHAVIORAL OR PSYCHIATRIC NEEDS THROUGH THE SIPP. THESE YOUNG PEOPLE HAVE NOT BENEFITTED FROM OTHER INTENSIVE SERVICES. SIPPS ARE DESIGNED TO PROVIDE STABILITY AND SUPPORT SERVICES TO HELP THE CLIENT RETURN SAFELY TO THEIR FAMILY AND THE COMMUNITY. YOUNG PEOPLE IN CITRUS' SIPP RECEIVE INDIVIDUALIZED TREATMENT PLANS THAT INCLUDE PSYCHIATRIC AND PRIMARY MEDICAL CARE, CLINICAL THERAPY, AND LIFE SKILLS TRAINING. CERTIFIED TEACHERS ARE ALSO BROUGHT IN TO TEACH THE ADOLESCENTS DURING THEIR STAY IN THE INPATIENT UNIT. UPON THEIR TRANSITION TO THE COMMUNITY, CLIENTS ARE CONNECTED WITH COMMUNITY-BASED AFTERCARE MENTAL HEALTH SERVICES LINKED TO THEIR SCHOOLS, AND OTHER COMMUNITY AND FAMILY RESOURCES. DURING FY 21-22, THE SIPP SERVED 68 CLIENTS.SPECIALIZED THERAPEUTIC FOSTER CARE AND CITRUS HELPING ADOLESCENTS NEGATIVELY IMPACTED BY COMMERCIAL EXPLOITATION (CHANCE): CITRUS HEALTH NETWORK HAS BEEN PROVIDING FOSTER CARE SERVICES FOR MORE THAN 25 YEARS. FOSTER CARE AT CITRUS HEALTH NETWORK FOCUSES ON CHILDREN WITH EMOTIONAL AND BEHAVIORAL NEEDS, AS WELL AS VICTIMS OF COMMERCIAL SEXUAL EXPLOITATION, HOMELESS YOUNG ADULTS AND LGBTQ YOUTH. PROSPECTIVE FOSTER PARENTS ARE RECRUITED, TRAINED, AND LICENSED BY CITRUS STAFF, AND GIVEN ADDITIONAL TRAINING IN STRATEGIES FOR DEALING WITH DIFFERENT BEHAVIORS. CITRUS ALSO PLACES CHILDREN IN THERAPEUTIC FOSTER HOMES THAT BEST SUIT THEIR NEEDS. CITRUS IS THE LARGEST PROVIDER OF STFC SERVICES IN THE REGION WITH 40 LICENSED SPECIALIZED FOSTER CARE BEDS BETWEEN MIAMI-DADE AND BROWARD AT PRESENT.THE CHANCE PROGRAM SERVES CHILDREN AND ADOLESCENTS WHO ARE A SURVIVOR OF COMMERCIAL EXPLOITATION. CHILDREN IN THE CHANCE PROGRAM RECEIVE INDIVIDUALIZED CLINICAL TREATMENT PRIMARILY CENTERED ON TRAUMA-FOCUSED CARE, COGNITIVE BEHAVIORAL TREATMENT AND MOTIVATIONAL INTERVIEWING. CITRUS HEALTH NETWORK PROVIDES PROSPECTIVE FOSTER PARENTS WITH REQUIRED TRAININGS FOR LICENSING, AND ADDITIONAL TRAININGS FOR SPECIALIZED THERAPEUTIC FOSTER CARE FOR CSEC VICTIMS. ANY CHILD IN THE COMMUNITY WHO HAS BEEN A VICTIM OF CSEC CAN RECEIVE SERVICES FROM THE CHANCE PROGRAM, EVEN IF THEY ARE NOT IN A SPECIALIZED THERAPEUTIC FOSTER HOME. CITRUS CURRENTLY HAS 11 LICENSED CHANCE STFC BEDS IN MIAMI-DADE AND BROWARD. DURING FY 21-22, CITRUS'S SPECIALIZED THERAPEUTIC FOSTER CARE AND CHANCE PROGRAMS SERVED OVER 300 CHILDREN.

CRISIS SUPPORT AND CSU SERVICES: CRISIS SUPPORT: CITRUS' ASSESSMENT AND EMERGENCY SERVICES DEPARTMENT PROVIDES NON-RESIDENTIAL CRISIS SUPPORT SERVICES 24-HOURS-A-DAY, 7-DAYS-A-WEEK ENSURING THAT CLIENTS ALWAYS HAVE ACCESS TO BEHAVIORAL HEALTH SCREENINGS, ASSESSMENTS, AND REFERRALS. DURING FY 21-22 THE AES DEPARTMENT SERVED 7,338 CLIENTS. CRISIS STABILIZATION: CITRUS' ADULT AND CHILD CRISIS STABILIZATION UNITS PROVIDE BRIEF, INTENSIVE SERVICES FOR INDIVIDUALS WHO ARE ACUTELY MENTALLY ILL AND EXPERIENCING A MENTAL HEALTH CRISIS, WITH THE GOAL OF EXAMINING AND STABILIZING THE INDIVIDUAL, AND REDIRECTING THEM TO THE MOST APPROPRIATE AND LEAST RESTRICTIVE TREATMENT SETTING FOR THEIR NEEDS. DURING FY 21-22, THE ADULT CSU SERVED 1,059 DISTINCT PATIENTS, AND THE CHILDREN'S CSU SERVED 817 DISTINCT PATIENTS.OTHER ACCOMPLISHMENTS:CITRUS WAS AWARDED A $2.5 MILLION ALLOCATION FROM THE FLORIDA LEGISLATURE FOR THE INITIAL DEVELOPMENT OF A CAMPUS TO SERVE COMMERCIALLY SEXUALLY EXPLOITED CHILDREN (CSEC) WHO ARE SURVIVORS OF HUMAN TRAFFICKING. UPON COMPLETION, THE PROJECTED CAMPUS WILL PROVIDE A FULL, COMPREHENSIVE CONTINUUM OF CARE FOR CSEC YOUTH INCLUDING A STATEWIDE INPATIENT PSYCHIATRIC PROGRAM (SIPP), SPECIALIZED THERAPEUTIC GROUP HOMES, FOSTER HOMES, AND AN EDUCATIONAL FACILITY. THE CAMPUS WILL BE ON A 34-ACRE PLOT OF LAND IN NORTHWEST MIAMI-DADE THAT IS OWNED BY THE STATE OF FLORIDA AND LEASED TO CITRUS HEALTH NETWORK. THE FUNDS WERE ALLOCATED DURING THE 2022 FLORIDA LEGISLATIVE SESSION AND WILL BE PROVIDED FOR FY 22-23.CITRUS WAS RECOGNIZED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) WITH FIVE COMMUNITY HEALTH QUALITY RECOGNITION BADGES AWARDED TO HEALTH CENTERS THAT HAVE MADE A NOTABLE QUALITY IMPROVEMENT ACHIEVEMENT IN THE AREAS OF ACCESS, QUALITY, HEALTH EQUITY AND HEALTH INFORMATION TECHNOLOGY. CITRUS RECEIVED THE FOLLOWING FIVE BADGES:- HEALTH CENTER QUALITY LEADER- GOLD: REPRESENTS HEALTH CENTER AWARDEES AND LALS THAT MEET OR EXCEED NATIONAL BENCHMARKS FOR ONE OR MORE OF THE CLINICAL QUALITY MEASURES (CQMS) GROUPS THAT PROMOTE BEHAVIORAL HEALTH, HEART HEALTH, DIABETES HEALTH, HIV PREVENTION AND CARE, AND MATERNAL AND CHILD HEALTH. HEALTH CENTERS THAT ACHIEVE GOLD TIER ARE AMONG THE TOP 10% IN PERFORMANCE OF ALL HEALTH CENTERS IN OVERALL CQMS.- ACCESS ENHANCERS: INCREASES THE TOTAL NUMBER OF PATIENTS SERVED AND THE NUMBER OF PATIENTS WHO RECEIVE AT LEAST ONE COMPREHENSIVE SERVICE (MENTAL HEALTH, SUBSTANCE ABUSE, VISION, DENTAL, AND/OR ENABLING) BY AT LEAST 5%.- HEALTH DISPARITIES REDUCER: DEMONSTRATES IMPROVEMENTS IN SELECT CQMS DURING CONSECUTIVE UDS REPORTING YEARS (2020 AND 2021 UDS) FOR AT LEAST ONE RACIAL/ETHNIC GROUPS; OR MEETS ESTABLISHED BENCHMARKS FOR ALL RACIAL/ETHNIC GROUPS SERVED WITHIN THE MOST RECENT UDS REPORTING YEAR.- ADVANCING HEALTH INFORMATION TECHNOLOGY (HIT) FOR QUALITY: MEETS ALL CRITERIA TO OPTIMIZE HIT SERVICES THAT ADVANCE TELEHEALTH, PATIENT ENGAGEMENT, INTEROPERABILITY, AND COLLECTION OF SOCIAL DETERMINANTS OF HEALTH DATA TO INCREASE ACCESS TO CARE AND ADVANCE QUALITY OF CARE.- PATIENT CENTERED MEDICAL HOME RECOGNITION (PCMH): ACHIEVES PCMH RECOGNITION IN ONE OR MORE DELIVERY SITES.FOR THE FIRST TIME, CITRUS HEALTH NETWORK RECEIVED APPROVAL FOR FUNDING FROM HRSA'S TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM. CITRUS OPENED ITS SECOND 340B PHARMACY LOCATION HOUSED IN ITS MATERNAL AND CHILD HEALTH CENTER LOCATION AND EXPANDED OFFERINGS OF LONG ACTING INJECTABLES (LAIS) TO TWO CITRUS LOCATIONS. LONG-ACTING INJECTABLES ALLOW FOR THE SLOW RELEASE OF MEDICINE INTO THE BLOOD AND ARE USED TO TREAT INDIVIDUALS LIVING WITH MENTAL ILLNESS, INCLUDING PSYCHOSIS (HALLUCINATIONS OR DELUSIONS) IN INDIVIDUALS WITH SCHIZOPHRENIA. SOME LAIS MAY BE USED AS MOOD STABILIZERS IN INDIVIDUALS WITH BIPOLAR DISORDER. LAIS CAN HELP INDIVIDUALS STAY ON TRACK WITH A MEDICINE PLAN, HELP LOWER THE CHANCE OF SIDE EFFECTS AND MAY ALSO HELP IMPROVE QUALITY OF LIFE AND SATISFACTION WITH MEDICINE.