The Substance Abuse Mental Health office would like to extend an invitation to all ALF operators and Mental Health Care Provider staff in Circuit 4 (Clay, Duval and Nassau counties) to attend a meeting to solicit input regarding service delivery issues and deficits requiring both short and long term planning. The information obtained would be included in an Annual Circuit 4 ALF-LMHL Plan Update. We will not be taking public comments at this meeting. AGENDA A. Discussion on the following requirements is Section 394.4574, F.S. 1. Are assessments to determine appropriateness of residing in an ALF sufficient/appropriate? 2. Do consumer’s have access to drop in centers, day support program’s? 3. Are the supervision of clinical needs of residents being met? 4. Is access to emergency psychiatric care with specific detailed procedures on how to access clear and available. 5. Discuss how the contractual provisions of LMHL-ALF’s are being met for those individuals enrolled in a Medicaid pre-paid or HMO. B. Describe gaps or deficits in the regions service capacity.