|
GOVERNOR'S RECOMMENDED FY 2012 BUDGET |
ACTUAL
FY 2009ACTUAL
FY 2010BUDGETED
FY 2011REQUESTED
FY 2012GOVERNOR'S RECOMMENDED
FY 2012RECOMMENDED INC/(DEC)
FY 2012
FUNDING SOURCE:
General Funds
$54,360,686
$54,771,921
$57,770,888
$55,838,850
$55,084,136
($2,686,752)
Federal Funds
32,689,264
37,960,440
37,497,839
37,711,412
36,820,187
(677,652)
Other Funds
3,295,755
2,130,643
2,564,107
2,181,403
2,180,649
(383,458)
Total
$90,345,705
$94,863,004
$97,832,834
$95,731,665
$94,084,972
($3,747,862)
EXPENDITURE DETAIL:
Personal Services
$32,838,796
$33,291,372
$33,276,156
$33,276,156
$33,285,156
$9,000
Operating Expenses
57,506,909
61,571,633
64,556,678
62,455,509
60,799,816
(3,756,862)
Total
$90,345,705
$94,863,004
$97,832,834
$95,731,665
$94,084,972
($3,747,862)
Staffing Level FTE:
626.3
635.2
637.5
637.5
637.5
0.0
| ACTUAL FY 2009 |
ACTUAL FY 2010 |
ESTIMATED FY 2011 |
ESTIMATED FY 2012 |
|
| REVENUES: | ||||
| DIVISION OF ALCOHOL & DRUG ABUSE: | $0 | $0 | $0 | $0 |
| Deposits to Federal Funds: | 0 | 0 | 0 | 0 |
| Title XIX - Medicaid Administration | 30,867 | 13,388 | 25,102 | 25,102 |
| Title XIX - Medicaid Provider | 2,839,951 | 2,768,030 | 3,152,622 | 3,724,389 |
| Title XIX - Medicaid Provider ARRA | 237,971 | 356,975 | 177,534 | 0 |
| Title XXI - Children's Health Ins. Prog. (CHIP) | 335,356 | 505,462 | 335,610 | 312,814 |
| Temporary Assistance to Needy Families (TANF) | 746,490 | 394,525 | 533,325 | 533,325 |
| Highway Safety-Prevention | 90,043 | 107,338 | 125,000 | 125,000 |
| Highway Safety-Diversion | 147,674 | 105,588 | 115,000 | 115,000 |
| Highway Safety-School Based | 561,026 | 469,850 | 0 | 0 |
| Drug & Alcohol Service Information System | 22,499 | 25,684 | 33,566 | 33,566 |
| Residential Substance Abuse Treatment | 0 | 0 | 167,805 | 167,805 |
| Safe & Drug-Free Schools & Communities (SDFSC) | 280,621 | 279,667 | 1,053 | 0 |
| Substance Abuse Prev. & Tx Block Grant (SAPT) | 4,418,483 | 4,159,245 | 5,086,794 | 5,086,794 |
| DOE Methamphetamine Awareness | 8,000 | 22,090 | 22,090 | 22,090 |
| DOE Safe & Drug-Free Schools | 61,170 | 61,533 | 0 | 0 |
| Strategic Prevention Framework | 0 | 62,504 | 2,135,724 | 2,135,724 |
| Fetal Alcohol Spectrum Disorder (FASD) | 173,121 | 140,439 | 246,731 | 246,731 |
| State Outcomes Measurement Mgmt System (SOMMS) | 225,000 | 140,862 | 0 | 0 |
| State Epidemiological Outcome Workgroup (SEOW) | 273,212 | 75,000 | 0 | 0 |
| Co-Occurring State Incentive Grant | 465,160 | 513,225 | 550,000 | 550,000 |
| Deposits to Other Funds: | 0 | 0 | 0 | 0 |
| Lottery-Gambling Treatment | 214,000 | 214,000 | 214,000 | 214,000 |
| Gaming Commission-Gambling Treatment | 30,000 | 30,000 | 30,000 | 30,000 |
| Alcohol and Drug Abuse Fees | 5,202 | 2,745 | 7,927 | 7,927 |
| Tobacco Prevention/Enforcement | 583,368 | 532,294 | 517,000 | 517,000 |
| 0 | 0 | 0 | 0 | |
| HUMAN SERVICES CENTER: | 0 | 0 | 0 | 0 |
| Deposits to General Funds: | 0 | 0 | 0 | 0 |
| Private Pay | 612,531 | 609,999 | 583,537 | 583,537 |
| Insurance | 1,455,474 | 859,556 | 1,151,181 | 1,151,181 |
| Insurance Participating Provider | 0 | 983,711 | 1,475,000 | 1,475,000 |
| Counties | 655,300 | 761,366 | 652,722 | 652,722 |
| Indian Health Services (IHS & PHS) | 2,665,682 | 1,796,501 | 1,932,915 | 1,932,915 |
| Deposits to Federal Funds: | 0 | 0 | 0 | 0 |
| Title XVIII - Medicare | 4,953,349 | 4,917,435 | 4,254,496 | 4,868,977 |
| Title XIX - Medicaid | 5,709,778 | 5,792,612 | 5,346,916 | 5,086,360 |
| Title XIX - Medicaid ARRA | 479,881 | 781,846 | 301,104 | 0 |
| Disproportionate Share Hospital | 469,968 | 471,215 | 471,215 | 468,979 |
| Children's Health Insurance Program (CHIP) | 523,420 | 255,367 | 406,385 | 404,020 |
| Energy Conservation Measures (ECM) ARRA | 0 | 0 | 389,850 | 259,900 |
| Title I - Improving America's School | 44,001 | 24,586 | 0 | 0 |
| Act (IASA) Adolescent Grant | 0 | 0 | 0 | 0 |
| School Breakfast and Lunch | 84,023 | 84,669 | 84,372 | 84,372 |
| Bioterrorism Hospital Preparedness | 0 | 2,500 | 0 | 0 |
| Deposits to Other Funds: | 0 | 0 | 0 | 0 |
| Prescription Drug Plan | 213,280 | 272,592 | 272,592 | 272,592 |
| Medical Faculty Training | 40,682 | 36,202 | 36,581 | 36,581 |
| Other HSC Fund | 10,357 | 27,911 | 24,233 | 24,233 |
| Building/Rent | 18,975 | 15,175 | 16,808 | 16,808 |
| HSC Vending | 124,287 | 115,850 | 120,631 | 120,631 |
| Insurance-Roof Damage | 0 | 809,529 | 224,122 | 0 |
| Deposits to Special Revenue Fund: | 0 | 0 | 0 | 0 |
| Land Interest | 5,374 | 2,756 | 4,404 | 4,404 |
| 0 | 0 | 0 | 0 | |
| COMMUNITY MENTAL HEALTH: | 0 | 0 | 0 | 0 |
| Deposits to Federal Funds: | 0 | 0 | 0 | 0 |
| Title XIX - Medicaid Administration | 98,471 | 46,657 | 122,349 | 121,513 |
| Title XIX - Medicaid Provider | 8,750,844 | 8,877,004 | 9,903,766 | 9,362,037 |
| Title XIX - Medicaid Provider ARRA | 726,955 | 1,144,822 | 522,774 | 0 |
| Title XXI - Children's Health Ins. Prog. (CHIP) | 861,348 | 892,061 | 640,963 | 632,549 |
| Community Mental Health Services Block Grant | 940,231 | 580,046 | 863,186 | 863,186 |
| MH Data Infrastructure | 28,603 | 48,959 | 44,811 | 72,093 |
| Projects for Assistance in Transition from | 321,617 | 349,538 | 300,000 | 300,000 |
| Homelessness (PATH) | 0 | 0 | 0 | 0 |
| Suicide Prevention Grant | 360,921 | 294,064 | 432,152 | 500,000 |
| Transformation Transfer Initiative | 110,500 | 110,500 | 0 | 0 |
| Deposits to Other Funds: | 0 | 0 | 0 | 0 |
| Adult Prison Mental Health | 1,038,466 | 1,038,466 | 1,043,131 | 1,043,131 |
| Qualified Mental Health Professional (QMHP) | 1,750 | 1,860 | 1,728 | 1,728 |
| Endorsement Fees | 0 | 0 | 0 | 0 |
| Total |
$43,055,282 |
$42,985,799 |
$45,100,807 |
$44,186,716 |
| PERFORMANCE INDICATORS: | ||||
| HUMAN SERVICES CENTER: | ||||
| Operating Bed Capacity of Each Unit: | ||||
| Acute Psychiatric Services | 60 | 60 | 60 | 60 |
| Psychiatric Rehabilitation | 66 | 66 | 66 | 66 |
| Adolescent Psych (Acute/Intermediate/Long-Term) | 15/20/12 | 15/20/12 | 15/20/12 | 15/20/12 |
| Chemical Dependency (Adolescent/Adult) | 20/32 | 20/32 | 20/32 | 20/32 |
| Geriatric Psychiatric (Nursing Home) | 69 | 69 | 69 | 69 |
| Intensive Treatment Unit | 10 | 10 | 10 | 10 |
| Average Daily Census for Hospital | 253.3 | 241.0 | 250.0 | 250.0 |
| Average Daily Census by Unit: | ||||
| Acute Psychiatric Services | 52.6 | 50.4 | 50.0 | 50.0 |
| Psychiatric Rehabilitation | 58.2 | 55.1 | 56.0 | 56.0 |
| Adolescent Psych (Acute/Intermediate/Long-Term) | 8.8/16.2/10.6 | 8.5/16.6/9.8 | 10.0/16.0/11.0 | 10.0/16.0/11.0 |
| Chemical Dependency (Adolescent/Adult) | 13.6/22.5 | 10.6/20.3 | 14.0/24.0 | 14.0/24.0 |
| Geriatric Psych (Nursing Home) | 64.2 | 62.0 | 64.0 | 64.0 |
| Intensive Treatment Unit (Adult/Adolescent) | 4.0/2.6 | 3.8/3.9 | 3.0/2.0 | 3.0/2.0 |
| Admissions to / Discharges from Mickelson | 1,959/1,982 | 1,872/1,893 | 1,940/1,940 | 1,940/1,940 |
| Center for the Neurosciences (MCN) | ||||
| Direct Admissions by Unit: | ||||
| Acute Psychiatric Services | 1,332 | 1,254 | 1,316 | 1,316 |
| Psychiatric Rehabilitation | 1 | 0 | 0 | 0 |
| Adolescent Psych (Acute/Intermediate/Long-Term) | 203/1/5 | 212/9/2 | 190/5/5 | 190/5/5 |
| Chemical Dependency (Adolescent/Adult) | 66/198 | 50/185 | 70/200 | 70/200 |
| Geriatric Psychiatric (Nursing Home) | 2 | 1 | 4 | 4 |
| Intensive Treatment Unit (Adult/Adolescent) | 122/29 | 129/30 | 125/25 | 125/25 |
| Average Length of Stay in Days: | ||||
| Acute Psychiatric Services | 14.3 | 14.5 | 14.0 | 14.0 |
| Psychiatric Rehabilitation | 125.7 | 178.5 | 140.0 | 140.0 |
| Adolescent Psych (Acute/Intermediate/Long-Term) | 13.3/79.7/226.5 | 12.5/73.5/157.2 | 15.0/72.0/215.0 | 15.0/72.0/215.0 |
| Chemical Dependency (Adolescent/Adult) | 66.3/31.9 | 69.4/31.0 | 65.0/30.0 | 65.0/30.0 |
| Geriatric Psychiatric (Nursing Home) | 509.4 | 436.5 | 450.0 | 450.0 |
| Intensive Treatment Unit (Adult/Adolescent) | 5.3/6.3 | 4.7/10.2 | 5.0/5.0 | 5.0/5.0 |
| Average Length of Stay | 33.9 | 34.4 | 33.0 | 33.0 |
| Discharges by Unit: | ||||
| Acute Psychiatric Services | 1,164 | 1,163 | 1,150 | 1,150 |
| Psychiatric Rehabilitation | 169 | 109 | 192 | 192 |
| Adolescent Psych (Acute/Intermediate/Long-Term) | 112/74/17 | 94/94/27 | 110/80/18 | 110/80/18 |
| Chemical Dependency (Adolescent/Adult) | 68/259 | 48/237 | 70/220 | 70/220 |
| Geriatric Psychiatric (Nursing Home) | 46 | 40 | 50 | 50 |
| Intensive Treatment Unit (Adult / Adolescent) | 42/31 | 43/38 | 30/20 | 30/20 |
| Average Direct Cost/Patient Days: | ||||
| Acute Psychiatric Services | $255.05 | $267.78 | $271.48 | $271.48 |
| Psychiatric Rehabilitation | $173.57 | $190.06 | $174.44 | $174.44 |
| Adolescent Acute | $409.12 | $444.93 | $375.48 | $375.48 |
| Adolescent Intermediate | $215.27 | $206.63 | $215.00 | $215.00 |
| Adolescent Long-Term | $337.20 | $363.49 | $329.56 | $329.56 |
| Adolescent Chemical Dependency | $256.44 | $322.12 | $235.90 | $235.90 |
| Adult Chemical Dependency | $145.97 | $170.33 | $141.90 | $141.90 |
| Geriatric Psychiatric (Nursing Home) | $204.26 | $243.96 | $200.69 | $200.69 |
| Intensive Treatment Unit | $475.65 | $375.12 | $608.32 | $608.32 |
| Average Direct Cost/Average Cost - Inpatient | $225.86/$415.20 | $247.55/$448.88 | $227.03/$422.46 | $227.03/$422.46 |
| Average Indirect Cost: | ||||
| Medical | $73.57 | $74.56 | $76.36 | $76.36 |
| Administrative | $115.77 | $126.76 | $119.07 | $119.07 |
| Direct Care Staff (Total) | ||||
| (Nurses, Aides, Techs, and Assistants) | 326 | 327 | 325 | 325 |
| Direct Care Staff Separations | 70 | 70 | 70 | 70 |
| % Direct Care Staff/Employee Turnover | 21.4%/16.9% | 22.2%/18.8% | 22.2%/18.8% | 22.2%/18.8% |
| COMMUNITY MENTAL HEALTH: | ||||
| Community Mental Health Centers | 11 | 11 | 11 | 11 |
| Consumers Served (All Funding Sources) | 16,916 | 17,046 | 17,304 | 17,550 |
| Consumers Served Through DMH Funding: | ||||
| Residential (Transitional and Group) | 129 | 138 | 138 | 138 |
| Outpatient | 2,689 | 2,962 | 2,962 | 2,962 |
| Individualized & Mobile Program of Assertive | 228 | 222 | 222 | 222 |
| Community Treatment (IMPACT) | ||||
| Children's Serious Emotional Disturbance (SED) | 5,072 | 5,214 | 5,362 | 5,541 |
| CARE (Continuous Assistance, | 4,890 | 5,221 | 5,328 | 5,395 |
| Rehabilitation, and Education) | ||||
| Indigent Medication Program | 747 | 739 | 747 | 754 |
| % of Adults Admitted to HSC as | 7% | 7% | 7% | 7% |
| Readmissions within 30 days | ||||
| Intensive Family Services MH Referrals | 69 | 54 | 54 | 54 |
| Department of Corrections Mental Health: | ||||
| Adult Psychiatric Contacts | 4,840 | 4,438 | 4,504 | 4,571 |
| Juvenile Psychiatric Contacts | 456 | 469 | 469 | 469 |
| Adults Identified with Mental Health | 728/32% | 790/32% | 800/32% | 811/32% |
| Concerns/% of Total Admissions | ||||
| DIVISION OF ALCOHOL & DRUG ABUSE: | ||||
| Accredited/Recognized Chemical | 0 | |||
| Dependency Programs | 60 | 59 | 61 | 61 |
| Inpatient/Residential Days | 27,408 | 26,064 | 26,064 | 26,064 |
| Intensive Outpatient Hours | 85,724 | 98,945 | 98,945 | 98,945 |
| Day Treatment Days | 9,650 | 9,620 | 9,620 | 9,620 |
| SLIP/SLOT Outpatient Treatment Hours | 11,921 | 10,663 | 10,663 | 10,663 |
| Counseling Hours | 49,683 | 55,536 | 55,536 | 55,536 |
| Total Assessment Hours | 9,358 | 10,409 | 10,409 | 10,409 |
| Detoxification Days/Low Intensity Days/Dual | 6,351/52,603 | 6,243/50,252 | 6,243/50,252 | 6,243/50,252 |
| Case Management/Recovery Support Hours | 1,068 | 1,595 | 1,595 | 1,595 |
| Low Intensity Care for Pregnant Women | 6,225 | 8,479 | 8,479 | 8,479 |
| SLIP/SLOT Low Intensity Care | 8,390 | 9,056 | 9,056 | 9,056 |
| Prevention Service Hours | 53,056 | 55,924 | 35,924 | 70,000 |
| Improv Students Trained | 231 | 258 | 231 | 231 |
| Gambling Assessment Hours | 95 | 90 | 90 | 90 |
| Gambling Individual / Local Group Hours | 176/587 | 143/782 | 143/782 | 143/782 |
| Gambling Intensive Outpatient Hours | 2,570 | 3,143 | 3,143 | 3,143 |
| Gambling Day/Residential Treatment Day | 219/560 | 216/553 | 216/553 | 216/553 |
| Total Clients Served for Gambling | 191 | 203 | 203 | 203 |
| Outcomes/Abstinent One Year Post Treatment | ||||
| A&D Treatment Outcomes--Adult/Adolescent | 48.5%/50.2% | 49.4%/45.6% | 49.4%/45.6% | 49.4%/45.6% |
| Gambling Treatment Outcomes | 51.7% | 52.0% | 52.0% | 52.0% |