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Account	Description	FY07 GAA	FY08 GAA
5095-0015	Inpatient Facilities and Community-Based Mental Health Services For the operation of adult inpatient facilities, including the community mental heath centers; provided, that in order to comply with the Olmstead decision and to enhance care within available resources to clients served by the department, the department shall take steps to consolidate or close psychiatric hospitals managed by the department and shall endeavor within available resources to discharge clients residing in the inpatient facilities to residential services in the community when the following criteria are met: 1) the client is deemed clinically suited for a more integrated setting; 2) community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and 3) the cost to the commonwealth of serving the client in the community is less than or equal to the cost of serving the client in inpatient care; provided further, that any client transferred to another inpatient facility as the result of a facility closure shall receive a level of care that is equal to or better than the care that had been received at the closed facility; provided further, that the department may allocate funds in an amount not to exceed $5,000,000 from this item to item 5046-0000, as necessary, under allocation plans submitted to the house and senate committees on ways and means 30 days before any transfer, for residential and day services for clients formerly receiving inpatient care at the centers and facilities; and provided further, that the Department of Mental Health shall notify the joint committee on mental health and substance abuse and the house and senate committees on ways and means 60 days prior to the closure of any inpatient state hospital beds	164,026,488	171,483,524

 
 

HISTORICAL SPENDING CATEGORIES ($000)

SPENDING CATEGORY	FY04 Spending	FY05 Spending	FY06 Spending	FY07 Spending	FY08 GAA
Wages & Salaries	105,202	105,198	107,551	118,894	116,910
Pensions & Benefits	267	292	317	455	450
Operating Expenses	18,721	18,206	21,305	21,964	20,896
Public Assistance	31,725	29,432	33,019	33,321	33,228
TOTAL	155,916	153,127	162,192	174,634	171,484

* FY07 Projected Spending includes the budget plus nearly $1 billion in spending from FY06 supplemental budgets.