This is not the official budget document.

Budget Summary FY2010

Department of Mental Health
Data Current as of:  1/26/2010



FISCAL YEAR 2010 BUDGET SUMMARY ($000)
ACCOUNT FY2010
Conference		 FY2010
Vetoes		 FY2010
GAA		 October
Budget
Reductions
Department of Mental Health Administration and Operations 29,648 0 29,648 -976
Child and Adolescent Mental Health Services 72,200 0 72,200 -16
Mental Health Services Including Adult, Homeless, and Emergency Supports 310,284 -500 309,784 -7,145
Statewide Homelessness Support Services 20,134 0 20,134 0
CHOICE Program Retained Revenue 125 0 125 0
Emergency Services and Acute Mental Health Care 34,705 0 34,705 -1
Forensic Services Program for Mentally Ill Persons 8,148 0 8,148 -2
Inpatient Facilities and Community-Based Mental Health Services 169,933 -600 169,333 -2,200
TOTAL    645,178 -1,100 644,078 -10,339

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account description amount
DEPARTMENT OF MENTAL HEALTH 648,926,624
Direct Appropriations
5011-0100 Department of Mental Health Administration and Operations
For the operation of the department 		29,648,399
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 not refer or discharge a child or adolescent to the custody or care of the department of children and families 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 funds may be expended for the Child Psychiatry Access Project 		72,199,953
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 2010, no later than February 1, 2010 		309,783,591
5046-2000 Statewide Homelessness Support Services
For homelessness services 		20,134,424
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 		34,705,186
5055-0000 Forensic Services Program for Mentally Ill Persons
For forensic services provided by the department; provided, that funds may be expended for juvenile court clinics 		8,148,410
5095-0015 Inpatient Facilities and Community-Based Mental Health Services
For the operation of hospital facilities and community-based mental health 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 		169,333,412

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 4,848,249
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 		1,851,990
5012-9159 State Mental Health Data Infrastructure Grant
For the purposes of a federally funded grant entitled, State Mental Health Data Infrastructure 		106,650
5012-9160 Jail Diversion and Trauma Recovery
For the purposes of a federally funded grant entitled, Jail Diversion and Trauma Recovery 		410,665
5046-9102 Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care Program 		201,120
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 		2,277,824

account description amount