50460000 - Adult Mental Health and Support Services

Account Description FY2017
Spending
FY2018
GAA
5046-0000 Adult Mental Health and Support Services
For adult mental health and support services; provided, that the department may allocate not more than $5,000,000 from item 5095-0015 to this item, as necessary, under allocation plans submitted to the house and senate committees on ways and means 30 days before any such transfer, for residential and day services for clients formerly receiving care at department facilities; provided further, that the department shall report to the house and senate committees on ways and means on the distribution of funds per adult and child planning population and the types of services received in each region for fiscal year 2018, no later than February 1, 2018; provided further, that the department shall maintain in fiscal year 2018 the same amount of community-based placements in the previous 3 fiscal years; provided further, that the department shall expend not less than the fiscal year 2017 amount on clubhouses in fiscal year 2018 clubhouses; provided further, that funds shall be expended at the same level as the prior fiscal year for jail diversion programs in municipalities that provide equal matching funds from other public or private sources; provided further, that $2,000,000 shall be expended to expand the jail diversion program to include a Crisis Intervention Team; provided further, that the department shall issue a report not later than December 29, 2017, to the house and senate committees on ways and means regarding: (i) number of crisis intervention team and jail diversion efforts; (ii) amount of funding per grant, delineated by city, town or provider; (iii) potential savings achieved; (iv) recommendations for expansion; and (v) outcomes measured; provided further, that the department of mental health and the executive office of elder affairs shall execute an elder mental health interagency service agreement for adult home and community behavioural health services to adults over the age of 60; provided further, that not less than $500,000 shall be expended for these services; provided further, that the department shall expend not less than $250,000 for the assisted outpatient treatment program at Eliot Community Human Services, Inc. to treat residents who suffer from serious and persistent mental illness and experience repeated interaction with law enforcement or have a high rate of recurring hospitalization due to their mental illness, either through a voluntary agreement with the resident or by court order mandating that the resident receive the treatment described in this program; provided further, that the department, in conjunction with Eliot Community Human Services, Inc., shall report to the house and senate committees on ways and means not later than April 2, 2018 on the assisted outpatient treatment program which shall include baseline and current metrics related to clients served including, but not limited to: (a) behavioral and physical medical diagnosis; (b) status of activities of daily living, including food, shelter and employment; (c) psychiatric hospitalizations; (d) treatment history; and (e) insurance status; provided further, that the report shall include the following: (1) factors that proved successful in treating pilot participants, including practices used and type of staff functions necessary for success in treating pilot participants; (2) identification of issues and practices that present barriers to successful treatment; (3) cost analysis of treatment; (4) plan for creating a sustainable program based on information from the analysis report; and (5) proposal for a sustainable course of funding to implement the program; provided further, that not less than $100,000 shall be expended for the interface referral services of William James College, Inc. in Plymouth county; and provided further, that not less than $250,000 shall be expended to the International Institute of New England, Inc. for culturally and linguistically appropriate mental health services for immigrants and refugees who have experienced torture and trauma

375,286,905 387,080,579

Veto Explanation:   I am striking language which earmarks funding for programs not recommended. The reduction in the item incorporates the amount of the stricken earmarked funds.