This is not the official budget document.

Budget Summary FY2014

Department of Mental Health
Data Current as of:  9/11/2013





FISCAL YEAR 2014 BUDGET SUMMARY ($000)
ACCOUNT FY2014
Conference
FY2014
Vetoes
FY2014
Overrides
FY2014
GAA
Department of Mental Health Administration and Operations 27,276 0 0 27,276
Child and Adolescent Mental Health Services 85,223 0 0 85,223
Mental Health Services Including Adult Homeless and Emergency 353,869 0 0 353,869
Statewide Homelessness Support Services 20,134 0 0 20,134
CHOICE Program Retained Revenue 125 0 0 125
Emergency Services and Mental Health Care 35,526 0 0 35,526
Forensic Services Program for Mentally Ill Persons 8,497 0 0 8,497
Inpatient Facilities and Community-Based Mental Health Service 173,117 0 0 173,117
TOTAL    703,767 0 0 703,767 0  

Hide line item language

account description amount
DEPARTMENT OF MENTAL HEALTH 706,374,152
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
27,275,844
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 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 $3,100,000 for the Massachusetts Child Psychiatry Access Project; and provided further, that the commissioner may assess surcharge payors, as defined in section 64 of chapter 118E of the General Laws, for amounts expended from this item for the Massachusetts Child Psychiatry Access Project which are related to services rendered to the commercial clients of such surcharge payors
85,222,740
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 of mental health shall expend no less than the fiscal year 2013 amount on clubhouses in fiscal year 2014; provided further, that the department shall expend not less than the amount expended in fiscal year 2013 for programming for early detection, assessment and response to risk for psychotic illness; provided further, that the department shall allocate not less than $275,000 to Heywood Hospital to expand suicide prevention services in north central Massachusetts; and 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
353,868,606
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
35,526,443
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
8,497,163
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: (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 not less than 626 continuing care inpatient beds in its system in fiscal year 2014; 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 of chapter 139 of the acts of 2012 submits its report to the General Court and until June 30, 2014;provided further, that $100,000 shall be allocated for the consultant hired by the advisory committee established in section 186 of chapter 139 of the acts of 2012; provided further, that the consultant shall submit a report to the house and senate committees on ways and means and the joint committee on mental health and substance abuse not later than March 1, 2014 providing recommendations on the potential future use of the Cain building at Taunton state hospital or elsewhere in the southeast area for purposes which shall include, but not be limited to: (i) the development of state-operated pilot crisis stabilization units which would be fully operational 24 hours a day, 7 days a week and would provide evaluation, stabilization and referral to behavioral health patients who may otherwise be boarded in emergency rooms or spend longer periods in continuing and acute care units in the southeast area; (ii) the development of a pilot program for nonviolent offenders with mental health diagnoses currently serving their sentences in state or county correctional facilities; (iii) the development of a pilot program for females committed under section 7 of chapter 111B of the General Laws or section 35 of chapter 123 of the General Laws who are evaluated as having co-occurring mental health and substance abuse disorders; (iv) the development of interagency coordination between state agencies, authorities, departments and programs currently providing services or benefits to individuals who would be deemed eligible for any of the above pilot programs, with particular attention to the coordination of services between the department of mental health, the department of public health, the department of correction, county correctional facilities and the trial court; (v) the availability of existing resources, including the Cain building at Taunton state hospital or elsewhere in the southeast area to address gaps in behavioral or mental health services for southeast area residents as well as inmates or individuals receiving court-ordered treatment; and (vi) the projected costs and benefits of each of the above pilot programs; and provided further, that Taunton state hospital shall notbecome a department of corrections facility
173,116,512

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 2,607,420
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
1,680,000
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
45,483
5012-9167 Kids Planning Grant
For the purposes of a federally funded grant entitled, Kids Planning Grant
125,000
5046-9102 Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care Program
200,000

account description amount