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Alcohol And Drug Abuse Issues
Volusia And Flagler Counties
Stewart-Marchman Center, Inc.
July 2006
SMC History
Serving alcohol and drug abusing clients since 1970.
Serving over 10,000 individuals annually.
Leader in Florida’s addiction treatment system for
over 25 years.
Instrumental in developing special services for
adolescents and pregnant women - with their new
born infants.
1970 - founded in Daytona Beach by Rev. Hal
Marchman, David Ashley, and Judge Leon Stewart.
SMC History in Flagler
1984 – First outpatient clinic in Flagler opened in
Bunnell (leased offices).
1998 – Phase I – construction of Flagler care center
(outpatient) in Bunnell.
2002 Phase II – expansion of Flagler Care Center of
detoxification (16 beds).
2006 – Planning for residential treatment expansion
and research institute in planning process.
Flagler is projected to
grow from 78,216
residents in 2005 to
190,600 in 2030, a 142%
increase, largest of any
Florida county.
Thousands
Flagler’s Growing Fast!
250
200
150
100
50
0
5 10 20 30
0
20 20 20 20
UF Bureau of Economic and Business Research, 2006
SMC Services in Flagler 05-06
Level of Care
Clients ‘05-’06
Completed
Treatment
Outpatient
451
90%
Detox
541
76%
Residential
76
88%
Flagler Care Center
301 Justice Lane, Bunnell
Pristine Setting
Addiction Services
Adults and Adolescents
Screening and Referral for Specialized Services
Prevention
Education
Detoxification
Residential
Outpatient
Current Flagler Treatment Needs
Flagler Population
Lifetime prevalence any illegal drug use
Illegal drug use within past month
Alcohol use past month
Currently alcohol dependent
78,000
28,860
4,836
31,980
3,200
Total Flagler population in need of treatment services is between 5,000 and 8,000
at any point in time. From this information we can project that chronic users,
meeting criteria for residential treatment, number at least ten percent of this
number or 500-800 individuals.
Data extrapolated/projected from National Household Drug Use Survey, 2004
Current Flagler Residential
Service Capacity
SMC currently operates 8 residential
substance abuse treatment beds in Flagler
county.
SMC currently serves 75 patients per year
with an average 30-day length of stay.
In addition, SMC operates 8 beds for
detoxification services in Flagler County.
A total of 540 patients are served in the
detoxification component.
Potential Flagler Residential
Service Capacity
A 50-bed residential center
providing a 60-day length of
stay would serve an additional
300 patients per year.
SMC’s Flagler Proposal
Add 50-beds for intensive treatment in two, 25-bed
treatment facilities (14,000 sq. Ft.).
Add multi-purpose building to include kitchen, dining
facility, and a 75-seat auditorium.
Capacity to increase by an additional 50-beds to
meet future needs.
Add a research and epidemiology center, in
partnership with the university of Florida, to conduct
research to solve addiction problems.
Add a epidemiology component to monitor types of
drug use in the area in order to prepare the system
to treat future addictions.
Treatment Benefits
Abstinence/reduced alcohol and drug use
Criminal activity reduced by two-thirds
Reduced hospitalizations/health care costs
Increased employment stability
Reduction in SSI and Medicaid enrollment
Multiple studies find a treatment benefit to
cost ratio of between 4:1 and 12:1
Treatment Research Institute, National Opinion Research Center
Treatment Outcome and
Research Opportunities
Which medical interventions most improve treatment
outcomes - for which clients?
Which clinical interventions most improve treatment
outcomes - for which clients?
How do we measure the cost/benefit of addiction
treatment?
Contribute to the Nation’s knowledge about the
origins of addictions (research).
Monitor new drugs coming into the county before
they become epidemic.
Flagler County Residential
Economic Impact
Position
#FTE
Average Annual Salary
Total Salaries
Counselors/Aides
25.0
$ 26,960
$ 674,001
Nursing/Medical
4.75
$ 42,316
$ 201,000
Other Staff
3.0
$ 33,333
$ 100,000
Total
32.75
$ 29,771
$ 975,001
Budget Category
Total Annual Cost
Salaries (incl. Fringe)
$ 1,248,001
Operating Costs
$
Total Annual Operating Budget
$ 1,747,202
499,201
Flagler County Residential
Economic Impact
Construction activities will have a local economic
impact of more than $20 million.
New residential services will provide full time
employment for 33 individuals, at an average annual
salary of $30,000.
Total economic impact of new residential services for
community will approach $12M annually.
Failure to Construct Will Result in
an Increase in the Following:
Crime
Poverty
Child Abuse and Neglect
Cost of Law Enforcement
County Jail Population
Sex Abuse Cases
Decay of Community Values and Mores
Cost to Businesses for absenteeism and job related
injuries
CONSTRUCTING THESE
FACILITIES MAKES SENSE
FOR FLAGLER COUNTY