FISCAL YEAR 2008 RESOURCE SUMMARY ($000)
ACCOUNT FY 2008
Conference
FY 2008
Vetoes
FY 2008
Overrides
FY 2008
GAA
5011-0100  Department of Mental Health Administration 40,142 0 0 40,142
5042-5000  Child and Adolescent Mental Health Services 73,531 0 0 73,531
5046-0000  Adult Mental Health and Support Services 315,563 0 0 315,563
5046-2000  Statewide Homelessness Support Services 22,385 0 0 22,385
5047-0001  Emergency Services and Acute Mental Health Care 36,159 0 0 36,159
5055-0000  Forensic Services Program for Mentally Ill Persons 8,019 0 0 8,019
5095-0015  Inpatient Facilities and Community-Based Mental Health Services 171,484 0 0 171,484
5046-4000  CHOICE Program Retained Revenue 125 0 0 125
TOTAL    667,407 0 0 667,407

Hide line item language

account description amount
DEPARTMENT OF MENTAL HEALTH 667,406,853
Budgetary Direct Appropriations  
Direct Appropriations
5011-0100 Department of Mental Health Administration
For the operation of the department; provided, that the department shall not refer or discharge a child or adolescent to the custody or care of the department of social services until the department of mental health forwards its assessment and recommendation as to whether the child or adolescent is appropriate for foster care or, due to severe emotional disturbance, is more appropriate for group care; and provided further, that notwithstanding any general or special law to the contrary, the department of mental health shall report annually to the house and senate committees on ways and means on civil commitments
40,141,898
5042-5000 Child and Adolescent Mental Health Services
For child and adolescent services, including the costs of psychiatric and related services provided to children and adolescents determined to be medically ready for discharge from acute hospital units or mental health facilities and who are experiencing unnecessary delays in being discharged due to the lack of more appropriate settings; provided, that for the purpose of funding those services, the commissioner of mental health may allocate funds from the amount appropriated in this item to other departments within the executive office of health and human services; provided further, that the department shall submit a report to the house and senate committees on ways and means not later than January 18, 2008 on the results of the collaboration between the department and the other departments within the executive office of health and human services; provided further, that the report shall detail the current status of the implementation of clinically appropriate service models for that population of children and adolescents, remaining disparities in the service system which require children and adolescents to be served in unnecessarily restrictive or otherwise clinically inappropriate settings and changes during fiscal years 2006 and 2007 in the clinical acuity of children and adolescents; provided further, that the department shall submit to the house and senate committees on ways and means not later than November 17, 2007 a report detailing the implementation of the settlement agreement, dated August 29, 2006, and entered into by the parties of Rosie D. et al V. Romney, civil action No. 01-30199-MAP, filed in the United States District Court in order to provide community based services to children suffering from severe emotional disturbances, that shall include a schedule detailing the commencement of services and cost to implement the settlement by service type; provided further, that said report shall detail the impact on the number of residential placements provided for in item 5095-0015; provided further, that not less than $1,800,000 shall be expended from this item in fiscal year 2008 to ensure that a licensed practitioner or a licensed nurse administers medication to children and adolescents whose mental health services are delivered by public or private providers of those services; and provided further, that not less than $2,500,000 shall be expended for the Child Psychiatric Access project
73,530,647
5046-0000 Adult Mental Health and Support Services
For adult mental health and support services; provided, that the department shall allocate funds in an amount not to exceed $5,000,000 from item 5095-0015, to this item, as necessary, pursuant to allocation plans submitted to the house and senate committees on ways and means 30 days prior to any such transfer, for residential and day services for clients formerly receiving care at department facilities; provided further, that not more than $8,999,768 shall be expended for services for clients of the department who are aging into the adult system from the child/adolescent mental health system or other systems of care if the clients meet the clinical eligibility criteria of the department; 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 2008 not later than February 1, 2008; provided further, that not less than $3,314,796 shall be expended on the expansion of housing for the homeless mentally ill; provided further, that $50,000 shall be expended for Mass Citizens Advocacy; provided further, that not less than $75,000 shall be expended for the Fairwinds Clubhouse in Falmouth; provided further, that not less than $1,900,000 shall be expended on mental health research; provided further, that $200,000 shall be expended for jail diversion programs; provided further, that of that $200,000, $100,000 shall be expended for the jail diversion program in Framingham; provided further, that not less than $300,000 shall be expended for a pre-arrest jail diversion grant program at the Department of Mental Health for five (5) programs, but not more then $300,000 shall be expended for the continuation of said programs; and provided further, that not less than $100,000 shall be expended on the Trauma Center at Riverside Community Care
315,563,248
5046-2000 Statewide Homelessness Support Services
For homelessness services; provided, that not less than $90,000 shall be expended for the provision of health services to the homeless and uninsured by Primary Care and Mental Health, Inc. located in the city of Lynn
22,384,507
5047-0001 Emergency Services and Acute Mental Health Care
For emergency service programs and acute inpatient mental health care services; provided, that the department shall continue an interagency service agreement with the executive office of health and human services for the purchase of services and for such other services as the agreement may provide including, but not limited to, acute inpatient care and diversionary services; provided further, that the most recent savings projection from the implementation of the agreement may be expended for community services in the MM object class of this item; and provided further, that the emergency service programs shall take all reasonable steps to identify and invoice the third party insurer of all persons serviced by the programs
36,159,118
5055-0000 Forensic Services Program for Mentally Ill Persons
For forensic services provided by the department; provided, that funds shall be expended to sustain and expand services provided through juvenile court clinics
8,018,911
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
171,483,524

account description amount
Retained Revenues
5046-4000 CHOICE Program Retained Revenue
For the department of mental health; provided, that the department may expend not more than $125,000 in revenue collected from occupancy fees charged to the tenants in the creative housing option in community environments, the CHOICE program authorized by chapter 167 of the acts of 1987; provided, that all fees collected under that program shall be expended for the routine maintenance and repair of facilities in the CHOICE program including the costs of personnel
125,000

account description amount
Federal Grant Spending 3,342,291
5012-9121 Project for Assistance in Transition from Homelessness
For the purposes of a federally funded grant entitled, Project for Assistance in Transition from Homelessness
1,413,000
5012-9157 Alternatives to Restraint and Seclusion
For the purposes of a federally funded grant entitled, Alternatives to Restraint and Seclusion
238,311
5014-9105 Data Infrastructure
For the purposes of a federally funded grant entitled, Data Infrastructure
142,220
5046-9102 Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care Program
173,760
5047-9102 Comprehensive Mental Health Services for Children and their Families
For the purposes of a federally funded grant entitled, Comprehensive Mental Health Services for Children and their Families
1,375,000