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Mental Health and Governor Patrick’s FY 2014 Budget

The Governor’s Budget includes a very modest 3.3% increase to the Department of Mental Health’s budget. This isn’t nearly enough to support existing programs, and is still woefully inadequate to address the long term needs of our friends, supporters and families. This is unacceptable, and we need you to help us advocate our priorities. We need you need to tell your story. We need you to join our advocacy efforts. We need you need to make your voice heard. We need you to be involved in the process and help us increase the budget to support and expand the array of services provided by the Department of Mental Health.

If the state’s multi-billion dollar budget drafting process were a game of football, we would be at the opening kickoff. For the next few months, it will be crucial for stakeholders to review the budget proposed by the governor and present their concerns to the legislature. This includes NAMI Mass members, friends and supporters. Public input, whether it be at NAMI Mass Lobby Day at the State House on Monday,April 8th or through e-mails and phone calls, your voice matters.

Stay tuned for additional information and updates in the coming weeks.

Department of Mental Health

FY2014 Budget Analysis

The delivery of cost-effective, high quality services is critical to the mission of the Department. The House 1 budget for FY2014 totals $696,471,926 for DMH. This is a 3.3% increase above Projected FY2013 Spending.

Federal grant spending is projected at $2,482,420 and trust/other spending is projected at $20,264,615. The total FY2014 Department spending is projected at $719,218,961.

The budget recommendation relies on the collecting $90,411,508 of non-tax revenue.

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Tax revenue

Expenditures

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House 1 has recommended the following for DMH:

Expansion of $5M

  • $500K increase for a Public Awareness Education Campaign (5011-0100), which will raise awareness that good mental health is essential to good health. Additionally, this campaign will Increase the knowledge that treatment is effective and available, and reduce the stigma associated with accessing mental health services.
  • $500K increase over FY13 projected spending for the Massachusetts Child Psychiatric Access Program (5042-5000), which will provide access to psychiatric consultation to pediatricians for medication, treatment and referral for children who may be exhibiting signs of behavioral or mental health concerns during pediatrics visits. This funding will enhance this key prevention activity by improving response time and operational hours.
  • $1M increase to Mental Health Training and Consultation to School Systems (5042-5000), which will be directed to middle and high school personnel. Personnel will receive training and ongoing technical assistance in recognizing symptoms of mental illness in students and guidance on how to address and support students with mental illness effectively, as well as enhancing collaboration between public safety and mental health.
  • $100K increase for the Center for Early Detection and Response to Risk (CEDAR) program (5046-0000), which will enhance the current capacity of this program to serve more youth who have experienced first psychotic breaks or are exhibiting early signs of psychosis. This service provides those adolescents, their families, teachers, community supports, and others with the interventions and tools to prevent psychiatric disability in adulthood.
  • $900K increase to Law Enforcement Mental Health Collaboration programs (5046-0000), which will expand crisis intervention training (CIT) for law enforcement and other community-based mental health intervention programs for law enforcement. Programs that partner mental health and law enforcement, as well as training opportunities for law enforcement, enable first responders to recognize, de-escalate, and intervene with individuals who are in emotional distress or suffering from a mental illness and divert these individuals from criminal justice when safe and appropriate to targeted services.
  • $2M increase in Emergency Services Program supporting Secure Mobile Capacity and Technology (5047-0001), which will increase personnel and technology to improve and expand mobile crisis outreach capacity in existing emergency service teams. Rapid deployment of mobile crisis intervention is limited due to inadequate staffing and technology. Adequate mobile crisis requires enhanced staffing to ensure staff safety and adequate response time.

Maintenance

  • “Caring Together” (a joint procurement between DMH and DCF) – the Governor’s budget increases funding to the 5042-5000 by $6.9M to sustain current levels of services as a result of the implementation of Chapter 257.
  • Clubhouse services were re-procured in FY13 under Chapter 257 which required    transportation to be carved out of service array and procured separately. The Governor’s budget recognizes funding to support transportation costs at $2.6M.
  • House 1, consistent with the FY13 recommendations, closes Taunton State Hospital. The cost of operating Taunton in FY14 would have been $12.7M.
  • Parkview funding was increased by $975K to address staffing concerns.
  • House 1 supports $500K to sustain court based jail diversion services prioritizing veterans with mental health issues.
  • House 1 recognizes inflationary costs associated with collective bargaining and other operational increases.
  • FY13 9C cuts to line items totaling $5.5M were maintained for FY14.