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| ACCOUNT | FY2009 Conference |
FY2009 Vetoes |
FY2009 Overrides |
FY2009 GAA |
FY2009 Total Spending |
|
|---|---|---|---|---|---|---|
| 5011-0100 | Department of Mental Health Administration | 38,360 | 0 | 0 | 38,360 | 37,069 |
| 5042-5000 | Child and Adolescent Mental Health Services | 76,202 | 0 | 0 | 76,202 | 73,820 |
| 5046-0000 | Mental Health Services Including Adult, Homeless and Emergency Supports | 322,068 | 0 | 0 | 322,068 | 292,402 |
| 5046-2000 | Statewide Homelessness Support Services | 22,452 | 0 | 0 | 22,452 | 20,211 |
| 5046-4000 | CHOICE Program Retained Revenue | 125 | 0 | 0 | 125 | 125 |
| 5047-0001 | Emergency Services and Acute Mental Health Care | 36,228 | 0 | 0 | 36,228 | 35,937 |
| 5055-0000 | Forensic Services Program for Mentally Ill Persons | 8,105 | 0 | 0 | 8,105 | 8,052 |
| 5095-0015 | Inpatient Facilities and Community-Based Mental Health Services | 181,900 | 0 | 0 | 181,900 | 180,378 |
| TOTAL | 685,441 | 0 | 0 | 685,441 | 647,994 | |
| account | description | amount |
|---|---|---|
| DEPARTMENT OF MENTAL HEALTH | 647,993,784 | |
| 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 |
37,069,474 |
| 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 not less than $2,750,000 shall be expended for the Child Psychiatry Access Project; provided further, that of the $2,750,000, not less than $250,000 shall be expended for the expansion of the Child Psychiatry Access Project to begin implementation of service to public schools in each region using the model piloted during fiscal year 2008 as a performance initiative; and provided further, that not less than $1,800,000 shall be expended from this item in fiscal year 2009 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 |
73,819,835 |
| 5046-0000 | Mental Health Services Including Adult, Homeless and Emergency Supports
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 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 2009 not later than February 2, 2009; 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 not less than $1,900,000 shall be expended on mental health research; 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 5 programs; provided further, that $200,000 shall be expended for jail diversion programs; provided further, that of said $200,000, not less than $100,000 shall be expended for the jail diversion program in Framingham; provided further, that not less than $125,000 shall be expended on expansion of employment support services at the Fairwinds Clubhouse in Falmouth; provided further, that not less than $50,000 shall be expended to continue and expand the triage counseling services in the Needham public schools; provided further, that not less than $50,000 shall be expended for culturally and linguistically appropriate mental health services for immigrants at the International Institute of Boston; and provided further, that $20,000 shall be expended for the Samaritans on Cape Cod and the Islands$ |
292,402,144 |
| 5046-2000 | Statewide Homelessness Support Services
For homelessness services; provided, that not less than $50,000 shall be expended for homelessness services at the Salem Mission |
20,210,919 |
| 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; provided further, that the department shall require a performance specification to be developed for safe aftercare options for adults upon release from acute inpatient mental health care services; 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 |
35,936,696 |
| 5055-0000 | Forensic Services Program for Mentally Ill Persons
For forensic services provided by the department; provided, that not less than $1,186,000 shall be expended to sustain and expand services provided through juvenile court clinics |
8,052,180 |
| 5095-0015 | Inpatient Facilities and Community-Based Mental Health Services
For the operation of adult inpatient facilities and community-based mental heath services; 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: a) the client is deemed clinically suited for a more integrated setting; b) community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and c) 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 |
180,377,536 |
| 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; and provided further, 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 | 3,548,000 | |
| 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 |
1,800,000 |
| 5012-9157 | Alternatives to Restraint and Seclusion
For the purposes of a federally funded grant entitled, Alternatives to Restraint and Seclusion |
72,000 |
| 5046-9102 | Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care Program |
176,000 |
| 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 |
1,500,000 |
| account | description | amount |
|---|---|---|
| Trust and Other Spending | 157,220 | |
| 5012-9158 | State Mental Health Data Infrastructure Grant | 15,000 |
| 5014-9159 | State Mental Health Data Infrastructure | 142,220 |