AHRQ Innovations Exchange | Self-Directed Budget for Health and Other Services Enhances Ability of Those with Mental Illness to Function and Live Independently

Authorized by the Florida legislature, a state-funded program known as Florida Self-Directed Care gives persons with mental illness a quarterly allowance to purchase mental health and wellness services at their own discretion, with the goal of better integrating these individuals into their communities. With the help of life coaches, participants create a recovery plan and individual budget for traditional mental health recovery services (including psychotherapy, counseling, and medications) and other, nontraditional goods and services that facilitate recovery and successful living in the community (e.g., self-help services, exercise classes, transportation, dentistry services). The program has allowed participants to spend more time living in the community (instead of in psychiatric facilities or criminal justice settings), enhanced their ability to function, and increased their satisfaction with access to services and progress toward established goals.