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Budget Summary FY2015

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Department of Mental Health
Data Current as of:  10/17/2014





FISCAL YEAR 2015 BUDGET SUMMARY ($000)
ACCOUNT FY2015
Conference
FY2015
Vetoes
FY2015
Overrides
FY2015
GAA
Department of Mental Health Administration and Operations 28,098 0 0 28,098
Child and Adolescent Mental Health Services 87,567 0 0 87,567
Mental Health Services Including Adult Homeless and Emergency 360,697 0 0 360,697
Adult Community-Based Placements 10,000 0 0 10,000
Statewide Homelessness Support Services 20,135 0 0 20,135
CHOICE Program Retained Revenue 125 0 0 125
Emergency Services and Mental Health Care 36,416 0 0 36,416
Forensic Services Program for Mentally Ill Persons 8,979 0 0 8,979
Inpatient Facilities and Community-Based Mental Health Service 183,884 0 0 183,884
Occupancy Fees Retained Revenue 500 0 0 500
TOTAL    736,402 0 0 736,402

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account description amount
DEPARTMENT OF MENTAL HEALTH 739,667,679
Direct Appropriations
5011-0100 Department of Mental Health Administration and Operations
For the operation of the department of mental health; provided, that not less than $100,000 shall be expended for the Stephanie Moulton Safety Symposium established in section 1 of chapter 19 of the General Laws
28,098,283
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 to other departments within the executive office of health and human services; provided further, that not less than $45,000 shall be expended for a juvenile firesetter intervention and prevention program in Hampshire and Franklin Counties, the town of Athol, and the city of Holyoke; provided further, that the department shall expend not less than $3,100,000 for the Massachusetts Child Psychiatry Access Project; provided further, that amounts expended from this item for the Massachusetts Child Psychiatry Access Project that are related to services provided on behalf of commercially insured clients shall be assessed by the commissioner of mental health on surcharge payors, as defined in section 64 of chapter 118E of the General Laws, and shall be collected in a manner consistent with the department of mental health's regulations; provided further, that the department shall expend not less than $150,000 for the Arlington youth counseling center; and 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
87,567,266
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, under 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 expend for clubhouses no less than the amount of 2013 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; provided further, that not less than $100,000 shall be expended for Project Interface, on the South Shore in the communities of Cohasset, Duxbury, Hanover, Hingham, Kingston, Marshfield, Norwell, Pembroke, and Scituate; provided further, that the department shall expend not less than $250,000 to develop and implement an assisted outpatient treatment pilot program to treat residents who suffer from serious and persistent mental illness and experience repeated interaction with law enforcement or have a high rate of recurring hospitalization due to their mental illness either through a voluntary agreement with the resident or by court order mandating that the resident receive the treatment described in this program; provided further, that the department shall report not later than June 1, 2015, to the house and senate committees on ways and means and the joint committee on mental health and substance abuse the progress and results of the pilot program and any identified barriers and challenges to treatment for the aforementioned treatment group; provided further, that the department shall allocate not less than $300,000 to Heywood Hospital for suicide prevention, mental health services and transportation costs; and provided further, that not less than $150,000 shall be expended to the International Institute of New England for culturally and linguistically appropriate mental health services for immigrants and refugees who have experienced torture and trauma
360,697,453
5046-0005 Adult Community-Based Placements
For adult mental health community-based placements; provided, that no more than $10,000,000 shall be transferred from the Community First Trust Fund established by section 25 of this act to this item; provided further, that funds shall be used to expand community-based placements by no fewer than 100 placements for discharge ready individuals currently in the department's continuing care facilities; and provided further, that any unexpended funds in this item shall not revert but shall be made available for expenditure until June 30, 2016
10,000,000
5046-2000 Statewide Homelessness Support Services
For homelessness services
20,134,629
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
36,416,490
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
8,978,876
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. ex rel. Zimring, 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: (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 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 no fewer inpatient beds in fiscal year 2015 than were maintained in fiscal year 2014; provided further, that the department shall maintain no fewer than 671 inpatient beds by June 30, 2015; provided further, that the department shall operate no fewer than 260 adult continuing care inpatient beds as of April 15, 2015 at Worcester Recovery Center and Hospital; provided further, that in fiscal year 2015, 45 beds shall be continuing care inpatient beds on the campus of Taunton State Hospital; provided further, that the department shall take no action in fiscal year 2015 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs on the Taunton State Hospital campus or relocate any administrative hospital services associated with the operation of the hospital off campus; provided further, that the department shall not enter into any new lease agreements or interagency agreements for new vendor-operated programs until the department, in conjunction with the division of capital asset management and maintenance, has developed a master plan with appropriate community input detailing future uses for the Taunton State Hospital campus; and provided further, that this master plan shall be submitted no sooner than March 2, 2015 to the executive office for administration and finance, the executive office of health and human services, the joint committee on mental health and substance abuse and the house and senate committees on ways and means
183,883,536

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
5095-1016 Occupancy Fees Retained Revenue
For the department of mental health, which may expend not more than $500,000 in revenue collected from occupancy fees charged to the tenants of the state hospitals; provided, that all fees collected shall be expended to support the costs to sustain operations of the state hospital facilities; and provided further, that for the purpose of accommodating timing discrepancies between the receipt of retained revenues and related expenditures, the department may incur expenses and the comptroller may certify for payment amounts not to exceed the lower of this authorization or the most recent revenue estimate as reported in the state accounting system
500,000

account description amount
Federal Grant Spending 3,266,146
5012-9121 Projects for Assistance in Transition from Homelessness
For the purposes of a federally funded grant entitled, Project for Assistance in Transition from Homelessness
1,596,000
5012-9162 Transition Age Youth and Young Adult Care
For the purposes of a federally funded grant entitled, Transition Age Youth & Young Adult Care
997,655
5012-9164 Data Infrastructure Grant 2011
For the purposes of a federally funded contract entitled, Behavioral Health Services Information System
130,000
5012-9170 Mission Integrated Re-Entry and Peer Support
For the purposes of a federally funded grant entitled, Mission - I RAPS
300,000
5046-9102 Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care Program
242,491

account description amount