Remarks by Laura Naredo
21 remarks on the record, newest first · Page 1 of 1
- Play at 6:09
“Good morning. Can you guys hear me? Yeah. Um, so good morning, everyone. Some of you may have heard this presentation before, because we did present it at the collaborative meeting back in October November. Um, but I know Amanda reached out for us to share it as part of, uh, this, uh, work group. So it was part of your presentation. So please feel free to follow along. So contractually, Thriving Mind is required every three years through our contract with the department to do a community needs assessment to see what we're seeing as our community needs for that three-year cycle. As a reminder,…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 12:12
“It's a little bit of everything. Um, definitely. Um, we're actually in process of doing, and I can share it with this group because, um, for those of you who aren't familiar with FBHA, which is the Florida behavioral health association for, um, all behavioral health providers for the state. They recently put out a survey on salaries across the state and we are definitely under in our area. So salary definitely is an area for our community. We are going to take a look at least for our provider network and do a similar analysis for our network providers to see where they stack up statewide and…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 14:42
“And Claudio brought up an excellent point that I forgot to mention is cost of living. Comparatively across the rest of the state, we are significantly higher. I've heard up to 30% higher. I don't know if that's really the right statistic. But definitely significantly higher than other areas. So, you know. A $60,000 case management position, if you're getting that, goes a lot less here in South Florida versus a $60,000 position up in North Florida. That's just the reality of cost of living in our community. And we see that a lot of staff are leaving and exiting the county and moving to other…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 16:20
“Even though there's been some work towards moving away from certain buckets, it still very much comes down in buckets. Agape's actually had some great success with piloting a new OCA, which maybe will be the way of the future. What is that? It's a new OCA MSIRT, I believe.”
Behavioral Health Advisory Board · May 27, 2026
- Play at 16:39
“And then it is actually flexible enough where the dollars follow the individual. So that truly is, and Claudio can speak to this, the most flexible funding source that we have right now because regardless of the person is coming in for mental health needs or coming in for substance use needs or coming into residential care or outpatient care, the funding is not siloed. It literally follows the individual regardless of what category, what population, what service. Not all our dollars are that flexible. And that's actually a brand new OCA that Agape did a great job in advocating for and getting…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 19:15
“And so by the way, OCA stands for Other Cost Accumulator. Think about it as a funding code, right? And so again, there are some OCA's that are very flexible, which you could use across all the different covered services, across residential, across children, against adults, but then there are some that are very restricted.”
Behavioral Health Advisory Board · May 27, 2026
- Play at 20:38
“Absolutely. As I've been sitting through that data interoperability, some of the very same thoughts that I've been having, and I know Lourdes and I have verbalized some of that to that group as far as making sure to capture that and being aware of, for lack of a better word, the flavor of the dollar and how then that really can integrate across our system because right now we do have some of those restrictions.”
Behavioral Health Advisory Board · May 27, 2026
- Play at 22:19
“I guess moving along on the next area or category, children's services was another area of need that came up. And some of the strengths identified were the schools are key access points for generating awareness, family engagement, and prevention. And the school system has done a lot of work over the last several years embedding behavioral health services within the continuum. And embedded services are actually very valued and utilized. Some of the barriers, lengthy process at times to enroll, limited service for neurodivergent youth. And again, just like we're experiencing on the behavioral…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 28:00
“It's it's highly regulated like any other professional credential. Um, and yeah, I couldn't tell you exactly what the hours are or all the coursework. Um, but yeah, if you go to the Florida certification board, it'll lay it out like it does for clinical social worker or any other credentialed.”
Behavioral Health Advisory Board · May 27, 2026
- Play at 32:55
“You know it's waving fees are saving something or something to allow for some because that is another challenge because even if you jump through the hoops of getting the charges, you know exempted them to your point Claudia there's all the fees that have that you have to get paid.”
Behavioral Health Advisory Board · May 27, 2026
- Play at 34:23
“hello sure continuing on the next area was behavioral health and housing which again i don't think is going to surprise anyone that housing is a huge need in our community some of the strengths were identified where you know thriving mind is able to support some housing incidentals and also relationships with housing entities like the homeless trust and individuals so those are some of the strengths in our system some of the barriers is unlicensed or unregulated housing environments Systematic eligibility challenges, high costs of just housing in Miami-Dade County, and limited supportive…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 37:17
“So right now, I don't know that there is a specific protocol or process for when referrals are going, being handed off from agency to agency. So if someone at Jackson ends up in their CSU and that are getting referred over to Agape for residential, I don't know that there's like a standardized process that it says, you know, we should be contacting this individual and this basic information should be transmitted over I don't know that right now it's it's just personalized whatever care coordinator discharge planner over at Jackson has whatever relationship with the intake department over at…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 38:29
“Yeah, we can certainly make certain recommendations as far as these, this would be the basic standard of care, right? The person should be, and I think a lot of what we're trying to do in the data interoperability work group, right? So making sure that that Intake, biopsychosocial, regardless of where it's originated from, follows the individual and making sure that there's basic standards, if you will, when a person is going from one provider to another. Definitely, I think it's certainly something that we could explore to standardize and determine what that standard protocol should be.”
Behavioral Health Advisory Board · May 27, 2026
- Play at 40:44
“Yeah, to Vicky's point, I think it's both Vicky, right? I think there's the basic standards of what should follow that individual, but we definitely, and that's part of what I'm excited with the data interoperability work group, is that when we get to that point and those recommendations of how data can truly be shared within our system, That is going to be game changing for us because right now it's a very, like you said, manual process where I'm having to pull data from thriving mind. You're having to pull data from HMIS. We have to pull data from other hospital systems that are not within…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 47:28
“there is and it's been put on both contracts on the mma plan side as well as the managing entity side and we are definitely pursuing those uh relationships and we've gotten some agreement signed but as you can imagine some mma plans have been more reluctant than others to to partner but we are definitely exploring those options with those new contract requirements”
Behavioral Health Advisory Board · May 27, 2026
- Play at 49:48
“That's a great question because, again, that's why I always do my caveat of thriving mind focuses on the safety net. So when we do our town hall meetings, we don't. you know, refuse anyone to come in. So if it comes from a private provider, we're getting their feedback. Um, but predominantly it's coming from, from our network service providers that are the safety net, um, the individual serve that are surveyed. And part of that are people that received services through our safety net funding. So it's a great question as far as how do you elicit a system-wide needs assessment. I don't know…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 1:04:31
“Just to add extra clarity to what Karen and Lourdes was saying, it's not just co-occurring, but at risk of substance use, which I think is also part of how the dollars have been allowed to be used for the diversion facility. They're that flexible is my understanding.”
Behavioral Health Advisory Board · May 27, 2026
- Play at 1:10:37
“right through the chair yes um so great job to amanda and her team for all the social media i know that we're following and we're sharing and collaborating and it's been a great month and and all the providers actually know may is mental health month and everybody's been full force press getting um their programs and campaigns out there and i hope that we continue it throughout the year, that it's just not May's mental health. Jackson had a fabulous one with the care coordination team doing a whole little music segment. It was fabulous. It was actually when we re-shared it, it was one of the…”
Behavioral Health Advisory Board · May 27, 2026
- Play at 1:24:36
“It's actually not an announcement, but just an FYI. The next meeting actually falls on the week of the annual conference, behavioral health conference in Orlando. So just FYI, a lot of us, we won't be here. A lot of us may not be here.”
Behavioral Health Advisory Board · May 27, 2026
- Play at 1:25:11
“It's literally the 26th to the 28th. Okay.”
Behavioral Health Advisory Board · May 27, 2026
- Play at 1:26:11
“I actually heard from Susan that it was actually larger than New York and LA this year.”
Behavioral Health Advisory Board · May 27, 2026