This is not the official budget document.

Budget Summary FY2017

Department of Mental Health
Data Current as of:  8/9/2016





FISCAL YEAR 2017 BUDGET SUMMARY ($000)
ACCOUNT FY2017
Conference
FY2017
Vetoes
FY2017
Overrides
FY2017
GAA
Department of Mental Health Administration and Operations 27,409 0 0 27,409
Child and Adolescent Mental Health Services 88,651 -320 320 88,651
Adult Mental Health and Support Services 379,754 -550 550 379,754
Adult Community-Based Placements 4,000 0 0 4,000
Statewide Homelessness Support Services 22,039 0 0 22,039
CHOICE Program Retained Revenue 125 0 0 125
Emergency Services and Mental Health Care 24,102 0 0 24,102
Forensic Services Program for Mentally Ill Persons 9,147 0 0 9,147
Inpatient Facilities and Community Based Mental Health 205,399 0 0 205,399
Occupancy Fees Retained Revenue 500 0 0 500
TOTAL    761,125 -870 870 761,125

Hide line item language

account description amount
DEPARTMENT OF MENTAL HEALTH 766,652,424
Direct Appropriations
5011-0100 Department of Mental Health Administration and Operations
For the operation of the department of mental health
27,408,942
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 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 not less than $70,000 shall be expended for the Northwestern Juvenile Fire Intervention Response Education and Safety Partnership, Inc. for a juvenile firesetter intervention and prevention program in Hampshire and Franklin counties, the town of Athol, North Quabbin and the city of Holyoke; provided further, that the department shall expend not less than $3,600,000 for the Massachusetts Child Psychiatry Access Project; provided further, that not less than $500,000 of that sum shall be expended to expand the Massachusetts Child Psychiatry Access Project for Moms statewide to address mental health concerns in pregnant and postpartum women; provided further, that the Department shall expend no less than $50,000 for The Children's Room located in the Town of Arlington; 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 $50,000 shall be expended for a partnership with the department of early education and care to improve early childhood mental health; and provided further, that the department shall expend not less than $150,000 for the Arlington Youth Counseling Center
88,650,618
5046-0000 Adult Mental Health and Support Services
For adult mental health and support services; provided, that $1,000,000 shall be expended for adult community-based mental health services and supports in the southeast region; provided, that the department may allocate not more than $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 before any such transfer, for residential and day services for clients formerly receiving care at department facilities; provided further, that the department shall report to the house and senate committees on ways and means on the distribution of funds per adult and child planning population and the types of services received in each region for fiscal year 2017, no later than February 1, 2017; provided further, that not less than $100,000 shall be expended for the Interface referral services of William James College, Inc. formerly known as Massachusetts School of Professional Psychology, in Plymouth county; provided further, that the department shall maintain in fiscal year 2017 the community-based placements established under item 5046-0005 of section 2 of chapter 165 of the acts of 2014 and item 5046-0006 of section 2 of chapter 46 of the acts of 2015, inserted by section 11 of chapter 70 of the acts of 2016; provided further, that the department shall expend not less than the fiscal year 2016 amount on clubhouses in fiscal year 2017 clubhouses; provided further, that the department shall expend not less than $250,000 to continue the assisted outpatient treatment pilot program at Elliot Community Human Services 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 not less than $200,000 shall be expended on a department of mental health and the executive office of elder affairs elder mental health interagency service agreement for adult home and community-based behavioral health services to adults over the age of 60; 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 $250,000 shall be expended to the International Institute of New England, Inc. for culturally and linguistically appropriate mental health services for immigrants and refugees who have experienced torture and trauma; provided further, that the department, in conjunction with Elliot Community Human Services, shall produce an assisted outpatient treatment pilot analysis report which shall include baseline and current metrics related to clients served including, but not limited to: (a) behavioral and physical medical diagnosis; (b) status of activities of daily living, including food, shelter and employment; (c) psychiatric hospitalizations; (d) treatment history; and (e) insurance status; provided further, that the report shall define the factors that proved successful in treating pilot participants, including practices used and type of staff functions necessary for success in treating pilot participants; provided further that the report shall identify issues and practices that present barriers to successful treatment; provided further that the report shall include a cost analysis of treatment; and provided further, that the report shall also include a plan for creating a sustainable program based on information from the analysis report and shall include a proposal for a sustainable course of funding to implement the program
379,754,252
5046-0006 Adult Community-Based Placements
For adult mental health community-based placements; provided, that funds shall be used to expand community-based placements for discharge-ready individuals currently in the department's continuing care facilities; and provided further, that the annualized cost of these placements in fiscal year 2018 shall not exceed the amount appropriated in this item
                Community First Trust Fund ............... 100%
4,000,000
5046-2000 Statewide Homelessness Support Services
For homelessness services
22,038,690
5047-0001 Emergency Services and Mental Health Care
For emergency service programs and acute inpatient mental health care services; provided, 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
24,101,834
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
9,147,474
5095-0015 Inpatient Facilities and Community Based Mental Health
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(1999) 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) the 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 of not more than $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 the department shall maintain no fewer inpatient beds in fiscal year 2017 than were maintained in fiscal year 2016; provided further, that the department shall maintain no fewer than 671 inpatient beds in its system in fiscal year 2017; provided further, that of these 671 beds, not less than 45 beds shall be continuing care inpatient beds on the campus of Taunton State Hospital; provided further, that within the existing appropriation the department may operate more beds at Taunton State Hospital; provided further, that the department shall operate not fewer than 260 adult continuing care inpatient beds at Worcester recovery center and hospital; provided further, that the department shall not take action in fiscal year 2017 to reduce the number of state-operated continuing care inpatient beds or other state-operated programs at the Taunton State Hospital campus or relocate administrative hospital services associated with the operation of the hospital off-campus; provided further, that the department shall not enter into new vendor-operated lease agreements for expansion of existing vendor-operated programs; provided further, that the department shall not enter into new interagency agreements or expansion of existing interagency agreements, programs or facilities until the department, in conjunction with the division of capital asset management and maintenance, develops a comprehensive long-term use master plan for the campus on or after March 2, 2017 with appropriate community input that is consistent with maintaining publicly-provided mental health services currently delivered on-campus at Taunton State Hospital; provided further, that the plan shall include maintaining existing affiliations with institutions of higher education and possible future relationships with those institutions and others to maintain the sustainability of Taunton State Hospital; provided further, that the plan shall be consistent with maintaining the campus of Taunton State Hospital as a publicly-run mental health facility and shall not prohibit the inclusion of behavioral health programs or publicly-run pilot programs to meet the needs of servicing individuals with mental health, behavioral health and those dual-diagnosed on the campus as part of the comprehensive master plan; and provided further, that the master plan shall be submitted 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
205,398,658

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 retained revenues collected from occupancy fees charged to the tenants in the creative housing option in community environments, the CHOICE program under 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 retained revenues collected from occupancy fees charged to the tenants of the state hospitals; provided, that all collected fees 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 5,526,956
5012-9122 Project for Assistance in Transition from Homelessness
For the purposes of a federally funded grant entitled, Project for Assistance in Transition from Homelessness
1,558,000
5012-9162 Transition Age Youth and Young Adult Care
For the purposes of a federally funded grant entitled, Transition Age Youth and Young Adult Care
991,719
5012-9170 Mission Integrated Re-Entry and Peer Support
For the purposes of a federally funded grant entitled, Mission Integrated Re-Entry and Peer Support
261,389
5012-9171 NITT Healthy Transitions
For the purposes of a federally funded grant entitled, NITT - Healthy Transitions
1,092,674
5012-9172 Court Related Enhanced Services for Treatment
For the purposes of a federally funded grant entitled, Court Related Enhanced Services for Treatment (CREST)
348,142
5012-9173 Primary and Behavioral Health Care Integration
For the purposes of a federally funded grant entitled, Primary and Behavioral Health (PBHC)
400,000
5012-9174 Second Chance Act Reentry Initiative Mission-WI-RAPS
For the purposes of a federally funded grant entitled, Second Chance Act Re-Entry
300,000
5012-9175 Planning for Certified Community Behavioral Health Clinics
For the purposes of a federally funded grant entitled, Planning Grants for Certified Community Behavioral Health
339,498
5046-9102 Shelter Plus Care Program
For the purposes of a federally funded grant entitled, Shelter Plus Care Program
235,534

account description amount