| Account | Description | FY2018 Spending |
FY2019 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 said 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 $3,875,000 for the Massachusetts Child Psychiatry Access Project, or MCPAP; provided further, that not less than $675,000 of that sum shall be expended for MCPAP for mothers statewide to address mental health concerns in pregnant and postpartum women and to expand support for pregnant and postpartum women by adding substance use disorder-specific education, training, consultation and care coordination to the project's existing capacity; provided further, that amounts expended from this item for MCPAP 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 later than March 1, 2019, the department shall report to the house and senate committees on ways and means on: (a) an overview of MCPAP care coordination efforts; (b) 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 2018 and fiscal year 2019; and (c) recommendations to: (i) increase the number of specialists receiving referrals through MCPAP; and (ii) 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 in order to strengthen public access to mental health services for children and adolescents not less than $1,950,000 shall be expended for: (a) increasing case management services for children and adolescents; (b) enhancing services for persons ages 16 to 24, inclusive; and (c) 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 to the house and senate committees on ways and means not later than March 19, 2019 on: (i) the distribution of funds, delineated by initiative; (ii) the number of individuals served; (iii) the outcomes measured; and (iv) recommendations for expanding cost-effective and evidence-based early mental health identification and prevention programming for children and adolescents in fiscal year 2020 and fiscal year 2021; provided further, that not less than $10,500 shall be expended for the Massachusetts School Mental Health Consortium in the city of Methuen; provided further, that not less than $160,000 shall be expended to the Arlington Youth Counseling Center; provided further, that not less than $75,000 shall be expended on YouthConnect to provide community-based mental health services to high-risk youth and their families residing in the East Boston community; provided further, that not less than $100,000 shall be expended on the Alliance for Inclusion and Prevention's training and workforce development; provided further, that not less than $50,000 shall be expended on the Shrewsbury Youth and Family Services, Inc.; and provided further, that not less than $90,000 shall be expended on the juvenile firesetter intervention and prevention program in Hampshire and Franklin Counties, the town of Athol, and the city of Holyoke |
86,868,692 | 92,857,039 |