| 2002 Yellow Book |
| Backward Forward Cover Overview Table of Contents |
| OFFICE OF MENTAL HEALTH |
Adjusted Executive
Appropriation Request Percent
2001-02 2002-03 Change Change
AGENCY SUMMARY
General Fund 1,424,797,000 1,362,422,000 (62,375,000) -4.38%
Special Rev.-Fed. 32,931,000 39,493,000 6,562,000 19.93%
Special Rev.-Other 453,107,000 559,982,000 106,875,000 23.59%
Fiduciary 570,000 570,000 0 0.00%
Enterprise 8,015,000 8,277,000 262,000 3.27%
Internal Service Fund 2,234,000 2,292,000 58,000 2.60%
Capital Projects Fund 37,719,000 37,700,000 (19,000) -0.05%
Mental Hygiene Capital
Improvement Fund-389 90,132,000 125,180,000 35,048,000 38.89%
Total for AGENCY SUMMARY: 2,049,505,000 2,135,916,000 86,411,000 4.22%
STATE OPERATIONS
General Fund 728,467,000 665,527,000 (62,940,000) -8.64%
Special Rev.-Fed. 1,258,000 1,258,000 0 0.00%
Special Rev.-Other 404,772,000 485,447,000 80,675,000 19.93%
Fiduciary 570,000 570,000 0 0.00%
Enterprise 8,015,000 8,277,000 262,000 3.27%
Internal Service Fund 2,234,000 2,292,000 58,000 2.60%
Total for STATE OPERATIONS:1,145,316,000 1,163,371,000 18,055,000 1.58%
Administration and Finance
General Fund 57,213,000 57,061,000 (152,000) -0.27%
Special Rev.-Fed. 1,258,000 1,258,000 0 0.00%
Special Rev.-Other 1,300,000 1,300,000 0 0.00%
Fiduciary 570,000 570,000 0 0.00%
Enterprise 8,015,000 8,277,000 262,000 3.27%
Internal Service Fund 2,234,000 2,292,000 58,000 2.60%
Total for Program: 70,590,000 70,758,000 168,000 0.24%
Adult Services
General Fund 785,497,000 793,536,000 8,039,000 1.02%
Total for Program: 785,497,000 793,536,000 8,039,000 1.02%
Children and Youth Services
General Fund 115,645,000 118,690,000 3,045,000 2.63%
Total for Program: 115,645,000 118,690,000 3,045,000 2.63%
Forensic Services
General Fund 107,401,000 113,082,000 5,681,000 5.29%
Total for Program: 107,401,000 113,082,000 5,681,000 5.29%
Research
General Fund 40,811,000 41,686,000 875,000 2.14%
Special Rev.-Other 5,772,000 6,019,000 247,000 4.28%
Total for Program: 46,583,000 47,705,000 1,122,000 2.41%
Maintenance Undistributed
General Fund (397,700,000) (478,128,000) (80,428,000) 20.22%
Special Rev.-Other 397,700,000 478,128,000 80,428,000 20.22%
Total for Program: 0 0 0 --
Enhanced Community Services
General Fund 19,600,000 19,600,000 0 0.00%
Total for Program: 19,600,000 19,600,000 0 0.00%
AID TO LOCALITIES
General Fund 696,330,000 696,895,000 565,000 0.08%
Special Rev.-Fed. 31,673,000 38,235,000 6,562,000 20.72%
Special Rev.-Other 48,335,000 74,535,000 26,200,000 54.21%
Total for AID TO LOCALITIES: 776,338,000 809,665,000 33,327,000 4.29%
Adult Services
General Fund 425,758,000 423,126,000 (2,632,000) -0.62%
Special Rev.-Fed. 24,695,000 30,400,000 5,705,000 23.10%
Special Rev.-Other 7,735,000 7,735,000 0 0.00%
Total for Program: 458,188,000 461,261,000 3,073,000 0.67%
Children and Youth Services
General Fund 96,090,000 96,494,000 404,000 0.42%
Special Rev.-Fed. 6,978,000 7,835,000 857,000 12.28%
Total for Program: 103,068,000 104,329,000 1,261,000 1.22%
Community Mental Health Reinvestment
General Fund 174,482,000 177,275,000 2,793,000 1.60%
Total for Program: 174,482,000 177,275,000 2,793,000 1.60%
Enhanced Community Services
Special Rev.-Other 40,600,000 66,800,000 26,200,000 64.53%
Total for Program: 40,600,000 66,800,000 26,200,000 64.53%
CAPITAL PROJECTS
Capital Projects Fund 37,719,000 37,700,000 (19,000) -0.05%
Mental Hygiene Capital
Improvement Fund-389 90,132,000 125,180,000 35,048,000 38.89%
Total for CAPITAL PROJECTS: 127,851,000 162,880,000 35,029,000 27.40%
Design and Construction Supervision
Capital Projects Fund 1,750,000 1,750,000 0 0.00%
Mental Hygiene Capital
Improvement Fund-389 7,500,000 8,000,000 500,000 6.67%
Total for Program: 9,250,000 9,750,000 500,000 5.41%
Executive Direction
Mental Hygiene Capital
Improvement Fund-389 3,300,000 3,300,000 0 0.00%
Total for Program: 3,300,000 3,300,000 0 0.00%
Community Mental Health Facilities
Capital Projects Fund 5,000,000 6,000,000 1,000,000 20.00%
Mental Hygiene Capital
Improvement Fund-389 5,424,000 5,470,000 46,000 0.85%
Total for Program: 10,424,000 11,470,000 1,046,000 10.03%
Non-Bondable Projects
Capital Projects Fund 3,000,000 2,000,000 (1,000,000) -33.33%
Total for Program: 3,000,000 2,000,000 (1,000,000) -33.33%
Maintenance and Improvements of Existing Facilities
Capital Projects Fund 27,969,000 27,950,000 (19,000) -0.07%
Mental Hygiene Capital
Improvement Fund-389 73,908,000 108,410,000 34,502,000 46.68%
Total for Program: 101,877,000 136,360,000 34,483,000 33.85%
ALL FUNDS PERSONNEL
BUDGETED FILL LEVELS
Current Requested
Program 2001-02 2002-03 Change
Capital Planning 41 41 0
Administration and Finance 617 617 0
Adult Services 12,571 12,160 (411)
Children and Youth Services 1,964 1,964 0
Forensic Services 1,878 1,878 0
Research 524 524 0
Maintenance Undistributed 397 397 0
Total General Fund : 17,469 17,058 (411)
Total All Other Funds : 523 523 0
TOTAL: 17,992 17,581 (411)
BUDGET HIGHLIGHTS
(Executive Budget: pp. 145-151)
The Office of Mental Health (OMH) administers an extensive statewide
mental health network, including community based mental health
services, 17 State-operated psychiatric centers for adults, six State-
operated psychiatric centers for children, three forensic psychiatric
centers and two research institutes. The State-operated inpatient
mental health system serves approximately 7,600 persons annually.
Outpatient services are provided to an additional 37,000 patients each
year. In addition to serving outpatients, OMH provides other
community-based services, including sheltered employment and
residential opportunities. There are more than 2,500 not-for-profit,
municipal and proprietary mental health service providers in the
community, meeting the needs of over 500,000 persons annually. All
community-based providers are licensed by OMH.
The Executive proposes continued funding for a number of community-
based program initiatives. The Assisted Outpatient Treatment Program
(Kendra's Law) provides intensive services to persons who are
seriously mentally ill and who might constitute a danger to themselves
or others if they were not treated, but who are able to live in the
community if they follow their treatment plans. The Medication Grants
Program screens persons being released from hospitals, jails or
prisons to determine their need for community mental health services.
Persons in need of mental health services are referred to community-
based providers and are enrolled in a program to provide psychotropic
medication while their eligibility for Medicaid coverage is
determined. The Enhanced Community Services Program uses revenues from
the Health Care Reform Act (HCRA 2000) to support 500 new residential
placements and additional case management services for adults as well
as a number of community-based services for children. The New York/New
York II Program will add 150 supportive housing units in the
community. In addition, State Fiscal Year (SFY) 2002-03 will see the
opening of 150 Community Mental Health Reinvestment funded beds. An
additional 1,900 beds are in the "pipeline" at various stages of
development. The Executive proposal does not include an appropriation
for new bed development.
The Executive's proposal includes plans to go forward with year two
of a three-year plan to downsize the State-operated system. During SFY
2002-03, 395 beds would be eliminated, resulting in $18,280,000 in
General Fund savings, in addition to $6,550,000 in savings derived
from bed closures in SFY 2001-02. Although the landmark Community
Mental Health Reinvestment Act expired on September 30, 2001, the
Executive offers no proposal to extend or to replace this law.
Without the needed statutory authority directing savings from bed
closures to community-based services, any savings derived from bed
closings since the expiration date of the statute inure to the General
Fund. The Executive's lack of initiative comes despite past
recognition of the desperate need of the non-for-profit community and
municipal mental health providers for an increase in base funding in
order to address a growing workforce crisis.
The Executive proposes to move forward with planned capital projects
at adult and children's psychiatric centers that had been recommended
for closure or co-location with other facilities in SFY 2001-02.
Various projects will be undertaken at the Hutchings and Middletown
Psychiatric Centers, as well as at the Queens, Rockland, Sagamore and
Western New York Children's Psychiatric Centers.
In SFY 2001-02, the Executive proposed Article VII legislation to
shift to county control $12,271,000 in State Operations funding which
supported 215 shared staff positions. The proposal was not enacted
into law. In SFY 2002-03, the Executive retains funding for shared
staff positions in the State Operations budget, but limits funding to
the 155 filled positions and takes savings for the vacant positions.
The Agency is included in the Health, Mental Hygiene and Environmental
Conservation appropriation bill.
State Operations
The Executive recommends a net All Funds appropriation of
$1,163,371,000, an increase of 1.6 percent. Within State Operations,
Special Revenue Fund Other support increases by $80,675,000, primarily
due to a $80,400,000 increase to the Patient Income Account (PIA).
Growth in the PIA is essentially due to a substantial increase in
Federal disproportionate share payments to OMH for care provided in
State psychiatric centers and to increased Medicaid revenues derived
from OMH's Prepaid Health Plan. As patient care revenues increase,
less General Fund support is required for State-provided mental health
services.
The Executive recommends a net decrease in General Fund support of
$62,940,000 which results from the following actions:
-- A $59,203,000 General Fund increase from: negotiated salary
increases totaling $38,924,000; an increase of $14,284,000 from
the restoration of 42 FTE positions in the Forensic Program and
increases in nonpersonal service related to energy and
pharmaceutical costs; and $5,995,000 for nonpersonal service
inflation adjustments.
-- Decreases totaling $122,143,000 from: savings of $80,428,000
derived from increased patient care revenues; $18,280,000 in
savings from the closure of 395 beds; $8,195,000 in savings
from a freeze on filling vacant positions; $6,550,000 in
savings as bed closures from SFY 2001-02 are annualized;
$4,805,000 in nonpersonal Service reductions; $1,800,000 in
savings from elimination of 30 unfilled shared staff positions;
$1,230,000 in savings from elimination of 20 vacant positions
in Administration and Finance; and $855,000 in miscellaneous
savings.
Aid to Localities
The Executive recommends a net All Funds appropriation of
$809,665,000, an increase of $33,327,000, or 4.3 percent. The funding
increase results from the following recommended changes:
-- A net increase of $565,000 in General Fund support representing
$6,384,000 for increases for the Medication Grants Program,
Supportive Employment, Residential Treatment Facilities, and
Mental Health Reinvestment, which is offset by $5,819,000 in
decreases from Medicaid maximization and increased Federal
support;
-- An increase of $26,200,000 for the Enhanced Community Services
Program, funded from HCRA 2000; and
-- A $6,562,000 increase in Federal support, primarily for housing
grants.
Capital Projects
The Executive proposes a net All Funds appropriation of $162,880,000,
an increase of $35,029,000, or 27.4 percent. The increase is due
primarily to resumption of plans for repair and renovation at adult
and children's psychiatric centers that had been targeted for closure
or co-location to other campuses in the SFY 2001-02 capital plan.
Article VII Proposals
The Executive proposes Article VII legislation which would eliminate
the Youth Opportunity Program that provides part-time employment in
voluntary operated agencies for disadvantaged young persons who are
in danger of dropping out of school. The Program is funded and
administered by the Office of Mental Retardation and Developmental
Disabilities, but OMH - licensed agencies also participate and would
be affected by elimination of the Program.
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