The 2008 Executive Budget Document
Department Of Mental Health, Mental Retardation and Substance Abuse ServicesMission Statement
The Department of Mental Health, Mental Retardation, and Substance Abuse Services (the Department) provides leadership and service to improve Virginia’s system of quality treatment, habilitation, and prevention services for individuals and their families whose lives are affected by mental illness, mental retardation, or substance use disorders (alcohol or other drug dependence or abuse). The Department seeks to promote dignity, choice, recovery, and the highest possible level of participation in work, relationships, and all aspects of community life for these individuals.Operating Budget History
|General Fund||Nongeneral Fund||Positions|
|2005 Appropriation||$ 30,978,347||$ 13,094,206||269.00|
|2005 Appropriation||$ 162,047,048||$ 69,029,447||0.00|
|2005 Appropriation||$ 224,887,551||$ 78,096,631||4,992.00|
|2005 Appropriation||$ 26,607,789||$ 176,173,994||4,545.00|
|2005 Appropriation||$ 5,805,615||$ 0||137.00|
|2006 Appropriation||$ 5,806,889||$ 0||137.00|
|2006 Appropriation||$ 27,713,457||$ 176,173,994||4,524.00|
|2006 Appropriation||$ 218,316,887||$ 78,096,631||4,963.00|
|2006 Appropriation||$ 168,100,431||$ 69,029,447||0.00|
|2006 Appropriation||$ 25,067,975||$ 13,094,206||260.00|
|2007 Appropriation||$ 26,262,042||$ 9,628,430||269.00|
|2007 Appropriation||$ 214,758,913||$ 60,029,447||0.00|
|2007 Appropriation||$ 236,872,917||$ 79,752,749||4,962.00|
|2007 Appropriation||$ 34,159,768||$ 201,585,697||4,524.00|
|2007 Appropriation||$ 7,161,391||$ 0||137.00|
|2008 Appropriation||$ 13,861,500||$ 0||137.00|
|2008 Appropriation||$ 34,559,768||$ 200,082,239||4,390.00|
|2008 Appropriation||$ 236,892,899||$ 79,752,749||4,907.00|
|2008 Appropriation||$ 221,187,698||$ 60,029,447||0.00|
|2008 Appropriation||$ 29,231,815||$ 14,326,563||270.00|
|General Fund||Nongeneral Fund||Positions|
|2009 Base Budget||$ 535,733,680||$ 354,190,998||9,704.00|
|2009 Addenda||$ 49,459,748||$ 22,536,185||8.25|
|2009 Total||$ 585,193,428||$ 376,727,183||9,712.25|
|2010 Base Budget||$ 535,733,680||$ 354,190,998||9,704.00|
|2010 Addenda||$ 59,357,657||$ 22,538,959||11.25|
|2010 Total||$ 595,091,337||$ 376,729,957||9,715.25|
Recommended Operating Budget Addenda
Distribute Central Appropriations amounts to agency budgetsAdjusts the agency budget to reflect amounts moved from Central Appropriations to cover the cost of items such as the continuation of 2007 and 2008 salary and health insurance premium increases, as well as changes in retirement and disability contribution rates and other centrally funded items. For each year, $48.5 million (GF) and $12.7 million (NGF).
Expand monitoring and accountability of community services boardsCreates four positions to develop core standards and service improvement plans related to services provided through local community services boards. The addition of these positions will allow for better oversight and monitoring of recent community-based service expansion. For 2009, $300,000 (GF) and four positions. For 2010, $575,000 (GF).
Continue and expand support for jail diversion servicesSupports the continuation and expansion of the goals of a pilot program for jail diversion services funded in the 2006 - 08 biennial budget. It is anticipated that these funds will provide diversion and wraparound services and supports for an estimated 300-500 persons. For each year, $3.0 million (GF).
Establish training program for crisis interventionProvides funds to implement and expand a training program related to crisis intervention and jail diversion services. This training will enable law enforcement to respond to crisis situations involving individuals with mental illness. For each year, $300,000 (GF).
Expand licensing staffProvides funding for four new licensing and investigation positions. This funding will ensure the agency is able to make the scheduled investigations necessary to properly license services statewide. For 2009, $141,952 (GF) and two positions. For 2010, $331,164 (GF) and two additional positions.
Provide oversight of opiate treatment programsProvides nongeneral funds for development, implementation and ongoing maintenance of an automated data management system for monitoring and tracking, research development, and training for community services boards and treatment providers. Proposed legislation would generate the funds required to perform these functions by imposing a dosing fee. For 2009, $273,239 (NGF) and 1.25 positions. For 2010, $276,013 (NGF) and one additional position.
Continue 2008 budget reductionsContinues the budget reductions included in the Governor's 2008 reduction plan into the 2008-10 biennium. For 2009, a decrease of $7.0 million (GF) and an increase of $3.0 million (NGF). For 2010, a decrease of $7.1 million (GF) and an increase of $3.0 million (NGF).
Transfer funds for the community integration commissionMoves salary and benefit funding for the Director of the Office of Community Integration from the Virginia Board for People with Disabilities to the Department of Mental Health, Mental Retardation, and Substance Abuse Services. This is a zero sum transaction with no impact on client services. For each year, $151,600 (GF).
Provide support for autism spectrum disordersProvides funding for a community resource manager to support autism spectrum disorder services. The new position will be responsible for coordinating with families and community resources to determine the statewide availability of and need for autism spectrum disorder services. For 2009, $100,000 (GF) and one position. For 2010, $100,000 (GF).
Adjust electronic health record languageAdjusts existing language to properly disperse funds. Funding will be used by the department to continue the development and implementation of electronic health records at state facilities, and in coordination with community services boards. This amendment is embedded in budget language.
Remove one-time funding for Medicaid waiver start-up costsRemoves funding for the one-time costs of placing an individual in a mental retardation home and community based waiver slot funded in the 2006 - 08 biennial budget. For each year, a reduction of $1.1 million (GF).
Adjust federal appropriation for new grantsAdjusts federal grant appropriation to reflect anticipated awards. The adjustment is needed to allow for the expenditure of anticipated federal grant awards. For each year, $1.8 million (NGF).
Increase availability of outpatient clinicians and therapistsIncreases the availability of outpatient clinicians and therapists at community services boards. This funding level will allow each community service board to hire one additional clinician, for a total of 40 new clinicians statewide. Funds are necessary to address significant delays in accessing outpatient mental health services. The positions will be phased in during the first year, and are fully funded in the second year. For 2009, $1.5 million (GF). For 2010, $3.0 million (GF).
Increase community services boards emergency services capacityProvides funding for emergency mental health services, including around-the-clock emergency psychiatric consultation, emergency clinicians and crisis stabilization. The funding level will provide $50,000 per Community Services Board (CSB) to provide 24/7 psychiatric consultation, $70,000 per CSB for emergency clinicians, and the addition of 36 new crisis stabilization beds. The increase in funding will assist community services boards in providing legally mandated emergency services. Services will be phased in during the first year, and are fully funded in the second year. For 2009, $5.3 million (GF). For 2010, $9.3 million (GF).
Increase community services boards case management capacityIncreases the number of case managers for mental health services provided through Community Services Boards. Over 90 percent of boards have average caseloads that exceed the nationally-recommended 25. A total of 106 additional case managers, one per CSB with the remainder being distributed based on capacity and need, will be hired by the end of the biennium. Services will be phased in during the first year, and are fully funded in the second year. For 2009, $3.5 million (GF). For 2010, $5.3 million (GF).
Provide outpatient services to childrenProvides funding for 40 clinicians specializing in children's mental health. This funding is intended to serve children who are not eligible for services through the Comprehensive Services Act. For 2009, $2.8 million (GF). For 2010, $3.0 million (GF).
Remove training fundsRemoves funds appropriated in the 2006-08 biennial budget for the specialized training of direct care services workers at state facilities. For each year, a reduction of $156,807 (GF).
Maximize use of Medicare Part D to provide prescriptions for individuals in the communityReduces funding for the community resource pharmacy program. An increase in Medicare Part D participants has reduced the need for the state to provide general fund dollars for individuals being served through community services boards. For each year, a reduction of $5.0 million (GF).
Maximize federal revenue for inpatient pharmacy servicesReplaces general fund dollars will nongeneral funds. An increase in participation in Medicare Part D has made more federal dollars available for inpatient pharmacy services at state facilities. For each year, a decrease of $4.8 million (GF) and an increase of $4.8 million (NGF).
Increase funding for sexually violent predator treatmentIncreases funding for anticipated caseload growth at the sexually violent predator treatment facility. Current trends show approximately four individuals committed to the facility per month. The funds will be used to provide security and treatment for those individuals. For 2009, $2.0 million (GF). For 2010, $3.9 million (GF).
Capital Totals for the Biennium
|$ 0||$ 0||$ 55,000,000|
Recommended Capital Budget Addenda
Renovate Central Virginia Training CenterProvides bond funding to renovate residential, treatment and hospital space on the campus of Central Virginia Training Center. These funds will address fire suppression systems and life safety code issues in non-compliant living spaces. Funding will be provided from the issuance of Virginia Public Building Authority bonds. For the biennium, $22.0 million (NGF).
Repair and replace cottages at Southeastern Virginia Training CenterProvides bond funding to renovate and replace cottages on the campus of Southeastern Virginia Training Center. Funds will be used to address life safety code issues in residential spaces, including the replacement of cottages if necessary. Funding will be provided from the issuance of Virginia Public Building Authority bonds. For the biennium, $9.0 million (NGF).
Address life safety issues at state mental health and mental retardation facilitiesProvides bond funding to address life safety issues at various state facilities. Included projects are the repair or replacement of roofs with active leaks, remediation of contaminated water supplies, and the installation of sprinkler systems in residential, treatment and administrative spaces. Funding will be provided from the issuance of Virginia Public Building Authority bonds. For the biennium, $24.0 million (NGF).