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SMA Healthcare outlines local expansion, assisted outpatient program and $3.356M operating ask for central receiving facility
Summary
SMA Healthcare told Flagler County commissioners it served roughly 2,805 local clients last fiscal year, launched medication-assisted treatment and primary care locally, is starting a psychiatry residency, and requested state and local support for a central receiving facility including $1.5M in annual operating funding (part of a $3,356,000 total operating funding estimate).
Salvatore "Tory" Gentoli of SMA Healthcare briefed the Flagler County Board of County Commissioners Dec. 1 on the organization's local services, new programs and a legislative funding request for a central receiving facility.
SMA operates four Flagler County sites, including the Access Center on Moody Boulevard, outpatient and residential WARM (Women Assisting Recovering Mothers) programs on Justice Lane, and recently started medication-assisted treatment and primary-care services in partnership with the county health department. Gentoli said SMA served approximately 2,805 people in Flagler County last fiscal year across outpatient services, crisis triage and case management.
SMA described several expansions now in place or planned: a pharmacy opening in the spring and a pharmacy delivery program, a psychiatry graduate medical education residency program approved by AC GME, and an Assisted Outpatient Treatment (AOT) program started under a grant with the Seventh Judicial Court aimed at people with severe persistent mental illness. "This is a 6 month order after which the order is reevaluated," Gentoli said of the AOT model, adding the program will provide case management, psychiatric medication management, therapy and peer support.
Gentoli asked county leaders to support a legislative budget request tied to construction of a central receiving facility and operating funding. He said SMA has identified sponsors in the Legislature and is "looking at getting $1,500,000 in annual operating funding," with additional funding sources projected as $924,000 state, $422,000 local and $510,000 other (client service fees/insurance) for a total operating funding package of $3,356,000 per year.
Commissioners pressed SMA on outcomes measurement and transparency. Gentoli said performance measures will be tracked through SMA’s electronic health record and coordinated with courts for incarceration metrics; he committed to share program metrics with the county. On indigent patients, Gentoli responded SMA takes “everybody and anybody regardless of their ability to pay.”
The presentation closes with SMA offering to provide follow-up material and performance measures to county staff and commissioners, and with county staff and SMA agreeing to continue coordination on pharmacy details and program reporting.
