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Budget Summary FY2018

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50425000 - Child and Adolescent Mental Health Services
Data Current as of:  12/6/2017



Account Description FY2017
Spending		 FY2018
GAA
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 to fund 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; provided further, that the department shall expend not less than $3,700,000 for the Massachusetts child psychiatry access project, also known as MCPAP; provided further, that not less than $500,000 of that sum shall be expended for the Massachusetts child psychiatry access project for moms statewide to address mental health concerns in pregnant and postpartum women; 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 not less than $100,000 of that sum shall be expended to increase capacity for telephonic, face-to-face psychiatric or behavioral health consultations for patients; provided further, that the department shall report, not later than March 1, 2018 to the house and senate committees on ways and means on: (i) an overview of MCPAP care coordination efforts; (ii) the number of psychiatric consultations, face-to-face consultations and referrals made to specialists on behalf of children with behavioral health needs in fiscal year 2017 and fiscal year 2018; and (iii) recommendations to: (a) increase the number of specialists receiving referrals through MCPAP; and (b) improve care coordination efforts to identify specialists available and accepting new child and adolescent patients, with priority to those who exhibit complex conditions and experience long wait lists for specialty psychiatry; provided further, that not less than $300,000 shall be expended for a loan forgiveness program to increase the number and distribution of mental health professionals treating children and adolescents and who commit to working within geographically underserved areas in Massachusetts; provided further, that the department of mental health shall implement this program according to specific guidelines and criteria as they see fit; provided further, that the program shall require participating mental health professionals treating children and adolescents to commit to working within a geographically underserved area for a minimum of 5 years and accept MassHealth members; provided further, that not less than $50,000 shall be expended for a partnership with the department of early education and care to improve access to early childhood mental health; provided further, that in order to strengthen public access to mental health services for children and adolescents, not less than $1,950,000 shall be expended for: (i) increasing case management services for children and adolescents; (ii) enhancing services for persons ages 16 to 24, inclusive; and (iii) maximizing resources for consultation and training for child and family mental health through increased collaboration with day care centers, schools and community agencies; provided further, that the department shall report on the implementation of clause XVI to the house and senate committees on ways and means, not later than March 19, 2018 on: (a) the distribution of funds, delineated by initiative; (b) the number of individuals served; (c) the outcomes measured; and (d) recommendations for expanding cost-effective and evidence-based early mental health identification and prevention programming for children and adolescents in fiscal year 2019 and fiscal year 2020; provided further, that not less than $75,000 shall be expended for YouthConnect in the communities of East Boston; provided further, that the Department shall expend not less than $50,000 for the Children's Room in Arlington; provided further, that not less than $100,000 shall be expended for the Alliance for Inclusion and Prevention's services; provided further, that not less than $75,000 shall be expended for the Northwestern Juvenile Fire Intervention Response Education and Safety Partnership, Inc.; and provided further, that not less than $150,000 shall be expended to the Arlington Youth Counseling Center

 83,340,704 91,738,321

Veto Explanation:   I am striking language which earmarks funding for programs not recommended, and I am reducing this item to the amount projected to be necessary.