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AUG 17 1983 e�mtc 'i4 PAcz.` <br />equity is reached with respect to deinstitutionalization funds in <br />the event the legislature does not continue the appropriation. <br />Secondly, there does not appear to be any plan to reach an <br />equitable situation with respect to non -deinstitutionalization <br />funds. The reallocation of $46,000 helps but it is a one-time, <br />one-shot fix to a situation that based upon 1983 funding levels <br />would require the transfer of over $250,000 to the four county <br />area to achieve equity. <br />Consequently, we do not believe the.current version of the plan <br />specifies priorities and anticipated expenditures and revenues <br />with enough clarity and certainty to assure adequate services will <br />be available to handl-e the four county area needs. The governing <br />statute F.S. §394.78 (4) grants each governing body the authority <br />to require necessary modification to that portion of the plan that <br />affects mental health programs and services within their <br />respective jurisdictions. We now request that you promptly make <br />the following changes to the plan: <br />1. A specific allocation methodology be included within the <br />district plan together with a procedure and guidelines and <br />timetable for implementing the methodology. <br />2. A failsafe plan for providing the necessary services in the <br />event that the $169,000 in deinstitutionalization funds is not <br />made available to the four county area. <br />3. That service goals be ranked in a manner that corresponds to <br />the most critical unmet service needs. The goals with the <br />highest ranking must be addressed in order until the service <br />need that they represent is alleviated at least to the extent <br />prevalent throughout the entire district. <br />4. That funds be shifted throughout the entire district to meet <br />the most critical needs of the district as a whole. In the <br />past the Board has shifted funds within the three areas in <br />Palm Beach County but has failed to shift funds out of the <br />Palm Beach County area to meet critical needs in the northern <br />area. The continuation of this type of subdistricting <br />thinking assures the continuation of the huge disparity in <br />the service availability between the two areas. <br />5. The plan should prohibit any new programs or additions to <br />programs that already exist until the critical needs are met <br />on an equitable basis throughout the district. <br />6. The plan should follow the guidelines set forth by state law <br />with respect to local cash match -requirements. <br />7. The plan should contain a method and a timetable to obtain an <br />equitable distribution of non -deinstitutionalization funds. <br />8. The plan should identify crisis stabilization and treatment <br />services as the highest priorities. <br />9. The plan should not attempt to.encumber local matching funds <br />for any purpose whatsoever. Local matching funds should be <br />utilized in aid of the highest priority within the <br />jurisdiction that provided the matching funds. <br />10. The plan shall highlight in accordance with all consultant <br />reports and state -site visit reports that the top priority for <br />the district is the in-patient crisis in the four county area. <br />The plan shall contain a methodology guidelines and timetable <br />for solving this crisis and this priority shall not be <br />considered to be addressed until the in-patient situation in <br />the four county area is commensurate with that which exists <br />throughout the remainder of the district. <br />11.. The plan shall indicate that all funds of the Board shall be <br />considered on a district -wide basis and shall not be <br />considered as earmarked. <br />90 <br />