50950015 - Inpatient Facilities and Community-Based Mental Health Service

Account Description FY2013
Spending
FY2014
GAA
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
161,889,962 173,116,512