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Budget Summary FY2013

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Department of Mental Health
Data Current as of:  7/7/2012



FISCAL YEAR 2013 BUDGET SUMMARY ($000)
ACCOUNT FY2013
Conference		 FY2013
Vetoes		 FY2013
GAA
Department of Mental Health Administration and Operations 27,373 0 27,373
Child and Adolescent Mental Health Services 76,817 0 76,817
Mental Health Services Including Adult Homeless and Emergency 344,027 0 344,027
Statewide Homelessness Support Services 20,134 0 20,134
CHOICE Program Retained Revenue 125 0 125
Emergency Services and Mental Health Care 35,242 0 35,242
Forensic Services Program for Mentally Ill Persons 8,322 0 8,322
Inpatient Facilities and Community-Based Mental Health Service 159,313 -5,100 154,213
TOTAL    671,354 -5,100 666,254

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account description amount
DEPARTMENT OF MENTAL HEALTH 669,155,275
Direct Appropriations
5011-0100 Department of Mental Health Administration and Operations
For the operation of the department of mental health; provided, that any unexpended funds in item 5095-0017 of section 2 of chapter 68 of the acts of 2011 shall not revert but shall be made available for expenditure in items 5046-0000 and 5095-0015 until June 30, 2013; and provided further, that not less than $100,000 shall be expended for the Stephanie Moulton Safety Symposium established under section 1 of chapter 19 of the General Laws 		27,373,198
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 shall be expended for the Child Psychiatry Access Project 		76,816,757
5046-0000 Mental Health Services Including Adult Homeless and Emergency
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 allocate $1,000,000 for clubhouses above fiscal year 2012 expenditures for 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; and 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 2013, not later than February 8, 2013 		344,027,150
5046-2000 Statewide Homelessness Support Services
For homelessness services 		20,134,424
5047-0001 Emergency Services and 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 		35,242,254
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 		8,321,818
5095-0015 Inpatient Facilities and Community-Based Mental Health Service
For the operation of hospital facilities and community-based mental health services; provided, that in order to comply with the decision in Olmstead v. L.C. 527 U.S. 581 and to enhance care for clients served by the department, the department shall discharge clients residing in the inpatient facilities to residential services in the community when the following criteria are met: (i) the client is deemed clinically suited for a more integrated setting; (ii) community residential service capacity and resources available are sufficient to provide each client with an equal or improved level of service; and (iii) 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 greater 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; provided further, that at least 180 days prior to closing an inpatient mental health facility, the secretary of housing and economic development, or a designee, and the commissioner of capital asset management and maintenance, or a designee, shall meet jointly with affected municipal officials and produce a plan for the timely demolition of buildings, remediation of hazardous materials and future use of the property, including disposition by the commonwealth for redevelopment or conservation, if appropriate; provided further, that the department shall maintain not less than 626 continuing care inpatient beds in its system in fiscal year 2013; provided further, that of these 626 beds, 45 beds shall be continuing care inpatient beds on the campus of Taunton State Hospital; provided further, that the department shall maintain and operate these beds until the commission established in section 186 submits its report to the General Court; and provided further, that $100,000 shall be allocated for the purposes of hiring a consultant as established in section 186
 		154,213,321

account description amount
Retained Revenues
5046-4000 CHOICE Program Retained Revenue
For the department of mental health, which 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 		125,000

account description amount
Federal Grant Spending 2,901,353
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 		1,650,000
5012-9160 Jail Diversion and Trauma Recovery
For the purposes of a federally funded grant entitled, Jail Diversion and Trauma Recovery 		424,000
5012-9164 Data Infrastructure Grant 2011
For the purposes of a federally funded grant entitled, Data Infrastructure Grant 2011 		132,937
5012-9166 Mission RAP
For the purposes of a federally funded grant entitled, Mission RAP 		151,862
5012-9167 Kids Planning Grant
For the purposes of a federally funded grant entitled, Kids Planning Grant 		125,000
5012-9168 RSP 94 Tornado Disaster
For the purposes of a federally funded grant entitled, RSP 94 Tornado Disaster 		216,434
5046-9102 Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care Program 		201,120

account description amount