5 Agency Presentation - Part IV of IV (pages 223-281) - DSS FY15 - - PDF document

NOTE: This is Part IV of IV of the Agency Presentation (Pages 223-281) Behavioral Health Human Services Center Division of Community/Correctional Behavioral Health Informational Boards

5 Agency Presentation - Part IV of IV (pages 223-281) - DSS FY15

Friday, January 24, 2014 9:03 AM

Behavioral Health

ub tan abu e di order

• It i comm n for p ople to have co-occurring m ntal health and ub tance

abu e condition

• Beha ioral health treatment i mo t effective when ervice are integrated

and provided inrnltaneou ly in the lea t re tricti e en ironment

What is a "Severe Mental Illness"?

• Severe mental illne

include both a diagno able mental di order and functional impainnent that ignificantly interfere with daily living

• Mood Di order
• 9.5% of th population in a gi en year
• Bipolar di ord r major depre ive di order dy thymic di order
• ften co-occur v ith anx_iety di order and ub tance abuse
• chizophrenia
• 1.1 % of the population in a gi en year
• ften appear in late adolescence or early adulthood

Pa c-22

Behavioral Health

Prevalence: Mental Disorders:

• An estimated 26.2 °/o of

Americans 18 and older - about 1 in 4 adults

• experience a diagnosable mental disorder in a given year
• Apprnx. 1 in 10 children have a diagnosable mental disorder in a

given year

• Although mental disorders are widespread in the population, about

1 in 17 people experience a severe mental illness

Prevalence: Substance Abuse Disorders:

• 2011

ational Survey on Drug Use and Health

• Estimated 20.6 million per ons (8% of

the population age 12 or

• ld r) had ubstance dependence or abuse diagnosis
• Of

the 20.6 million, 2.6 million were cla sified with dependence or abu e of alcohol and illicit drug and 14.1 million with only alcohol

Pa e 223

Behavioral Health

Behavioral Health Reorganization:

• Executive order in 2011 by Governor Daugaard moving behavioral

health services from DHS to DSS

• Division of

Mental Health, Division of Alcohol & Drug Abu e, Human Services Center

• Purpose was to create a more integrated approach and opportunities to:
• Le erage exi ting re ource
• Streamline variou proce e to minimize red tape
• Change the law to upport effective ervice delivery
• Created two new divisions and a program
• Di i ion of

Community Beha ioral Health

• Divi ion of

Conectional Behavioral Health

• Prevention Program

Pa e 224

Behavioral Health

Behavioral Health Workgroup:

• E tabli bed in 2011 by Governor Daugaard after reorganization of

behavioral health ervice reated to guide the long-term vision of the behavioral health y tern Workoroup Goals

• Increa e acce s to erv1ce tlu·oughout the tate
• Build the capa ity of lo al co1111mmitie to upp01t behavioral health erv1ce
• Develop a trntegic tatewide prevention plan
• Con ider the role of the Hmnan Se1vice Center
• Workgroup Subcommittee
• mmit:ment La,
• Essential Ser ice
• eriatri

erv1ce

• Prevention e1vices

For more information visit http: ds .. sd.gOl bcha, ioralhea//hse11·i<:es inde.r.asp

Pa c - 25

eaLE

FOURCHE RGlS RAPl>CITY

• Behavioral Health

Behavioral Health Regions

Page 226

Department of Social Services

DSS

String FamlUes • SHIii ak1ta's Foundation and aur Future

Human Services Center (HSC)

Pa c _27

Human Services Center

Who We erve:

• Individuals age 12 to end of life who are unable to be erved by other

providers

• Ale

re tricti e environment i not an option for care

• Voluntary and involuntary admi sions

ervices Provided:

• Licensed pecialty ho pital, tate' only public p ychiatric ho pital
• Adult & adole cent inpatient p ychiatric treatment
• Adult & adole ent inpatient ubstance abu e treatment
• eriatric p ychiatric treatment (nur ing facility)
• omt order d competency valuation and r toration

Page 229

Human Services Center

HSC Administration lnpaD0111 Psychmtn: Treaunem Inpatient Substance Abuse Treatment Genatrx:

C linital Ser\'.,Cs Faciky Opcrauons Bond PaymclllS TotalBSC Personal Scr\'iccs 0 peratmsz E."'P='c Total RSC General $32.959.982

1.3%

FY14 Major Budget Area

FTE General Federal 57.0 $3,152,340 $967,760 266 0 Sl 1,040,765

S-1,359,459

48.0 $2,135,651 $688,795 91.0 $3,980,035 Sl ,188,959 55.5 SS,456,160 $2,810,744 48.5 $3,848,977 Sl ,561,004 0.0 $3.346,054

so

566.0 $32,959,982 Sll,576,721 566.0 $23,515,953 $9,222,051 0.0 $9,384,029 52,354,670 566.0 $32,959,982

Sll,576,721 Page 230

Other Total Sl86,323

S-1,306,423

so

SlS,400,224

so

Sl,824,446

so

SS, 168,994 S742,2 19 S9,009,123 SI00,748 SS.5 10,729

so

$3,346,054 Sl,029,290 $45,565,993 S49l,335 S33,l90,339 S536,955 $1 2.275,654

Sl,029,290 $45,565,993

Human Services Center

FYl 4 Funding Sources

Page 231 Medicaid & CHIP Medicare National School Lunch DOC Pharmacy H C Other Prescription Dru2 Plan Medical Faculty 51.31% 47.92% 0.77% 44.96% 27.89% 23.75% 3.40%

• Human Services Center

ervice Delivery:

Each patient is a signed a p ychiatrist who is re pon ible for coordination of treatment Treatment teams are used to plan, implement and evaluate treatment and include:

• Patient and hi /her family and/or ignificant other
• P ychiatri t
• Nur e
• So ial Worker
• Discharge plannino and arranoements for aftercare

Page 232

Human Services Center

HSC Staffing:

• Total HSC Budgeted Full Time Equivalent Staff - 566.0 FTE
• Nurses - 98.0 FTE
• Coun elors - 81.5 TE
• M ntal Health T chnicians/

Aides - 17

• 6. 5 TE
• cial Worker - 16.0 FTE
• Medical Profes ional - 25.5 FTE
• Facility Operations - 48.5 FTE
• Admini tration - 57.0 FTE
• Other - 63.0 FTE
• TuI"nove1· Rate
• FY 13 percent of

direct care staff 25.4%

• SFY13 percent of

total turnover 21.4%

Page 233

Human Services Center

HSC Admini tration:

General Federal Otner Total FTE Funds Funds Funds Funds

!

FY1 4 Budget 57 0

Sl,152,340

S967,760 S186,323 54,306,423 !

• Admini trative Service to operate HS
• Administration
• Business Office
• Warehou e
• Admi sion
• Medical Records
• Utilization Review
• Education
• Support Service

Page 234

Human Services Center

Admissions:

• 1,821 admis ion in FY13
• Adults
• Voluntary admi ion (not court or board ordered) - 20%
• Involuntary admi ion -

0%

• Type of admi ion
• Adult acute - 1 365 individual
• Adult ub tance abuse - 1 4 individual
• Adole cent p y hiatri - 215 individual
• Adolescent sub tance abuse - 57 indi iduals
• Primary Diagnosis at time of admission:
• Depre ive Di order - 19.25%
• chizophrenic Di order - 1 .05%
• pi odic Mood Di order - 16.44%
• Alcohol Dependence Syndrome- 7.34%
• All other diagno i - 38.92%
• FY13 average o t per day: $4

74.4 7

Page 23

Human Services Center

Inpatient P ychiatric Treatment:

General Federal Other Total FTE Funds Funds Funds Funds

!

FY14 Budget 266 0 S11,040 765 $4,359,459

S15,400 224 !

• Psychiahic Treatment (SFY13)
• Adult ervices
• Acute

rv1c

• 6 b d
• SFY

13

erage length of tay - 13 day

• SFY13 A erage total co t per day: $524.40
• Long Tenn Service - 66 bed
• FY13 A erage length of tay- 152 day
• Y13 A erage total cost per day: $400.34
• Adolescent ervice - 54 bed
• Acute Intermediate and ong Term
• SFY13 A erage length of tay - 36 day
• SFY13 A erage total o t per day: $507.18
• School op rated on ite for youth - appro ed educational program

Page 236

Human Services Center

Inpatient Substance Abuse Treatment:

General Federal

• ther

Total fTE

F unds Funds Funds F unds

!

FY1 4 Budget 480 52,135,651 5688,795 SO S2.824,446 !

• Substance Abu e Treatment ( FY13)
• Adult Services - 24 Beds
• SFY13 Average length of tay - 26 days
• SFY13 Average total co t per day: $445.76
• Adolescent Services - 20 Beds
• Accredited by ommi ion on Accreditation of

Rehabilitation Facilitie (CARF)

• SFY13 Average length of tay - 68 day

FYI 3 Average total co t per day: $489 .39

Page 237

Human Services Center

G

General Federal Olher Total F1E Funds Fun<ls Funds Funds

!

FY 14 Budget 91 0 $3,980,035 $1.188,959

so

55,168994 I

• Ge1iatric P ychiatric Treatment - 69 b d
• 5- tar rated nur ing facility
• SFY13 Average length of tay in - 283 day
• SFY13 Average total o t per day: $457.05
• Working with community nur ing facilitie to de elop the

capacity to erve individual with dementia and chall nging beha ior in the community

• HS

consulting team to pro ide psychiatric review/con ultation to nur ing facilitie

• Training to community nur ing facilitie

Page 238

Human Services Center

Clinical Services:

GeneraJ

ne

Funas

I

55.5

• Provide medical ervices on site whenever possible
• ur mg
• Laboratory
• Specialty Clinic
• Radiology
• Dental
• peech Therapy
• Medical ervices
• Psychology
• Pharmacy

Page 239

Human Services Center

Facility Operations:

General

Federal Other Total

rn

Funas Funas Funas Funas

I

FY14 suaoet 48.5 SJ,848,977 S1.561,004 s100.74s S5,510,n9 I

• Plant Operations
• Laundry
• Custodial
• ecmity
• Food Service
• U e Department of

Con-ection tru tie for labor

• HSC provide meal for tru tie

Page 240

Human Services Center

Bonds:

General Federal Other Total

FTE

F unas F unas F unas

Funas

I

FY 14 Buagel SJ,346,054

so so

SJ.346.054 I

• MC Bond Payment
• Dietary Bond Payment

Page 241

Human Services Center

Outcome :

• Patient Satisfaction Survey (compared to Western P ychiatric

tate Hospital Association averaoe)

• Patient Dignity

(83% H : 77% WPSHA)

• Patient Right

(71 % HSC : 51 % WPSHA)

• Care Environment

(76% H C : 64% WPSHA)

• Patient utcome

(75% H : 71 % WP HA

• Patient Participation (7 % H

: 62% WP HA)

Page 242

2.3%

Human Services Center

FY14 Budget

FY14 Operating Budget

General S32,959,982 72.3°0

• mpared to FY15

2.4%

FY15 Recommended Budget

General S30.101,966 70.8%

Total: 45,565,993 and 566.0 FTE

~IAJOR BUDGET ~ CREASES AND DECREASES

Total: 42,527,510 and 566.0 FTE

GE~'ERAL FEDERAL OTHER TOTAL Fl\IAP - Federal Iedical Assistance Percentai:e: $223.159 ($:!13.159) $0 $0 Inflation: Inflation for prescription drugs and medical consultants. S46,509 Sll ,943

so

S58,452 "tility Costs: Based on utilization and projected rates from the S112,948 $16,606

so

Sl- 9,554 Office of the late Engineer. Food Sen·ice: Increase based on the projected cost per meal. $54.641 $0

so

S54,641 Other Reduction ncreases: Decrease in bond payments and $32.201 $14,061 S82 S-16.344 increa cs due to change in bureau billing . IC)[ Bond: Reduction of bond payment to pay off exi ting bond . (S2,870.:!99)

so so

( 2,870.:!99) Dietary Bond: Reduction of bond payment to pay off existing bonds. (S-157.1 )

so so

(S-15 .I 5) Totals: ( 2,858,016) ($180.549) 82 ( 3,038.483) Page 243

Human Services Center

FY15 Funding ources

Other Fund Source

Page 244 Medicaid & CffiP Medicare 'atioual School Lunch DOC Pharmacy H Other Pre crlptloo Drui: Plan Medical Faculty 52.09% 47.13% 0.78% 44.96% 27.89% 23.75% 3.40%

Department of Social Services

DSS.

Stnll FIIIIIIIS ·

SIUUI Dlkata's FM1n1181101 lld Dir f111re

Division of Community/Correctional Behavioral Health

Page 24

Community Behavioral Health

Who We Serve:

• Children with serious emotional disturbance
• Adults with severe mental illness
• Adolescents and adults with substance abuse disorders
• Youth and young adults in need of p1·evention services

Services Provided:

• Individual, family, and group therapy
• Case management
• Assessment and evaluation
• Crisis assessment and intervention
• Psychiatric services
• Inpatient and outpatient substance abuse treatment services
• Prevention services

Services Eligibility:

• Income limit: 185% of the federal poverty le el ( 43,568 annually for a

family of four)

Page 246

Community Behavioral Health

Service Deliver :

• Contracts with 11 acnedited community mental health centers
• Contrncts with 43 accredited substance abuse and prevention prnviders

Numbers Served:

• 15,774 individuals served annually through community mental health

centers 13,128 individuals served annually through substance abuse providers

Page 247

Community Behavioral Health

FY14 Operating Budget:

General 30,649,078 1.0%

FY14 Major Budget Areas:

FTE c;....,J Comnmiy Bebavcra1Redh . .\dz:mi1tra~nm:1 Frid Std' 20.0

SJ)J-,Jol

Sm,us Emobcm.al Diiorbanc, (SEO) • M,mJ Huth 0.0 S.,JlJ,SlJ Con:vre~,'e ."-nlsta.a::e with R.eco·,'tt}' a!:11 Empowe:rmem (CARE) - ~1ema.1Hukh 0.0

SS, 6J,206 Ou,patJ<fl1 and Em<fg<n<:)' Sm.:" -1f<Dl!JHealth

0.0 SJ,S71.44!

TI!) • MemJ Hullh 0.0 so lndr,iduabz<d Mobllo Program, of A>sertr,~ C°""'""")' Tru""'1ll · !PACT)· Meml H,.-ii

00

SJ,S-l6,06J AJOtm, - M""'1Heill

00

S6S3,J99 Treatmem Sm'l:cs -Substacce Abuse

00

S7,0l6,Jl0 Tale liIX S"'""' · Sub~...:, Ab""

00

S2,J 7S,IIJ Cnroo.,I Juotit, hwatr,-. (CJ!)· Subra:x:, ,-\!,,,.,

00

2,36 ..

00 so

Totlll Community Behnion11I Hnhll 20.0 SJ0,6J9,078 P~c.1.ISen"res

!0.0 SSS!,19-

Opa-at:r.2E."tp~ 0.0 S29,766,SSI Toul ColUJllUalr,• Beh..-lo..J Hulth 20.0 SJ0.649,078

Page 248

Olm Sl64,•66 SJi0,30- Sl ,440,599 so Sl,99l,Si9 so

S746,626 so SlSS,000 so SU ,946 so S4!l,J92 so S4,6l3,l92 S27S,2SJ S3,00S,l7J so

so

so S6,6S4,027 SJ I0,6l3 $25,652,301 $SS6)~1 SJIS,065

S2S,!l4,ll6 SSS1.9J9

s:s 652.301

S556,241 Total SJ ,95~,liS S9,S9l,Jll SJ J,"ll,0Sl S!,lJ9,06S S!SS,000 Sl ,69J,007 s1.o-s,39J SJ l,9SS,12l SS,JS3,!SS Sl,6ll,367 S6,-94,6SO S56,l1S7,610 Sl,304,SSJ SSl,SSl,066 $56.857.620

Community Behavioral Health

FY14 Funding Sources

Federal Fund Source - Total 25,652,301

~

Medicaid & CHIP 49.36%

• --~ '

~

ubstance Abuse Pre\'ention & Treatment 23.23%

Other Fund ources - Total 556,241

Lottery

Page 249 Strate!!ic Pre,·ention Framework 14.75% Community ~lental Health Block Grant 3.38% TA..W 2.09% Projects for Assistance in Transition from Homelessness (PATH) 1.15% Other Fond ourres 6.04% Tobacco PreYention Lottery Deadwood Gaming Alcohol & Drui: Other Q~IHP Fees 47.63% 42.25% 6.29% 2.57% 1.26%

Community Behavioral Health

Community Behavioral Health Administration:

General Federal Other Total FTE Funds Funds Funds FUnds

I

FY14 Bud9et 20 0

S170,307 S1,952, 178 I

• 20.0 FTE located in Pierre, Sioux Falls, and Deadwood
• Conduct provider accreditation
• Manage contract with community provider
• Manage the indigent medication program
• R view of individual with mental illne

going into nur ing facilitie

• R view of

individual r fen-ed for IMPA T and inpatient sub tanc abu e treatment services

• Provide training to

ualified Mental Health Profe ional ( MHP)

• Provide training to law enforcement a ademy participant

Page 2 0

Community Behavioral Health

Serious Emotional Disturbance (SED)- Mental Health:

General Federal Other Total FTE F unds F und~ Funds

F unds

I

• S4,454,834

S5,440,599

so

S9,895,433 I

• Serious Emotional Disturbance (SED) - comprehensive, community

ba ed ervice pro ided to children und r the age of 18 who meet the ED criteria Eligibility:

• Mental disorder diagno i
• Functional impainnent
• Demon trated need for ser ices in addition to mental health services

SFY13 umbers Served:

• 5,462

Page 251

Community Behavioral Health

Comprehensive Assistance with Recovery & Empowerment

(CARE) - Mental Health:

General F ederal

• ther

Total FTE Funds Funds Funds Funds

I

FY 14 Budget

• SS,761,206

$2,993,879

so

$11,755,085 I

• Comprehensive Assistance with Recovery and Empowerment (CARE)-

person-centered recovery-focused services providing medically nece sary related mental health treatment rehabilitative and support ervi e to adult meeting Severe Mental Illne s (SMI) criteria Eligibility:

• Mental di order diagno i
• Functional impairment
• Demonstrated need for services in addition to mental health services

SFY13 umbers Served:

• 5,814

Page 252

Community Behavioral Health

Outpatient and Emergency Services - Mental Health:

General Federal Otner Total FTE Fonds Funds Funds F unds

I

FY1 4 Budget 51,572.442 5746,626 SO 52,319,068 !

• Outpatient Services- mental health ervice provided to individual who do

not meet full serious emotional disturbance ( ED) or severe mental illnes (SMI) criteria

• Emergency Services- available 24/7 for person experiencing a mental

health emergency or cri is SFY13 Numbe1·s Served:

• 4,251

Page 253

Community Behavioral Health

Projects for Assistance in Transition from Homelessness {PATID -Mental Health:

General Federal Other Total FTE Funds Fund~ Fund~ F unds

I

FY 14 Budoet

10 S288.000

SO £288,000

• Projects for Assistance in Transition from Homelessne s (PATH) -

federal grant to provide community-ha ed outreach, mental health and sub tance abu e ervice case management, and limited rental/security deposit a si tance

• 9 of

the 11 CMHCs pa1ticipate Eligibility:

• Indi iduals , ho are homeless or at imminent risk of

becoming homeles FFY12 Numbers Served:

• 489

Page 254

Communitv Behavioral Health

Individualized Mobile Programs of Assertive Community Treatment GMPACT) - Mental Health:

General Federal Other Total FTE Funds Funds Funds Funds

I

FY 14 Buooe1

· Sl,845,061 $847.946

$0 S2 694,007 I

• Individualized Mobile Programs of

sertive Community Treatment (IMP ACT)- highest level of

• utpatient treatment for adult meeting SMI

crit ria who can t be erv d in le s re trictive s rvice

• Ba ed on the A . ertive ommunity Treatment model and fidelity to the

model i monitored

• Highe t le el of
• utpatient treatment for adult meeting MI criteria who

can t be e1 ed in le re trictive ervice

• Organized as a mobile group of

mental health profe sional \ ithin one ervice delivery team

• Services similar to CARE but pro ided at a more inten i e level with a

team approach to tr atment and the total number erved i capped

Page 255

Community Behavioral Health

Individualized Mobile Programs of Assertive Community Treatment (IMPACT) - Mental Health - continued:

Eligibility:

• Sarne as ARE along with no other appropriate community-based

ervices available, multiple p ychiatric ho pitalizations or other inpatien re idential ervice SFY13 Numbers Served:

• 247

Page 256

Community Behavioral Health

Current IMPACT Program Locations

• m,
• ......
• R ION2

eaLE

""' ...

FOURCHE

H t H -

RAPl>CITY

• "'"""

CUSTER

,..,_

• MISSION
• Page 25

Community Behavioral Health

IMP A T Expansion:

• Expan ion reque t - IMPA T
• Behavioral Health ervice Workgroup recommended the developm nt of

IMPA T

n ic

in r gion 2 & and th dev lopm nt of supervi ed upp011ed hou ing services for tran ition-age youth

• Without adequate pecialized mental health er ice , more o tly type of

care are utilized for the e population

• In FY12 323 adult from the central and northeastern regions of SD were

ho pitalized at HSC (88 had two or more ho pitalization)

• 2 IMPA T program will serve 60 indi idual in no11hea t SD and 42

individual in central D

• 1 145,513 general· 521 221 fed ral =

1,666 734 total

Page 258

Community Behavioral Health

IMP ACT Expansion:

• IMPACT
• Case Example
• 39 year old female with a diagnosi of chizophrenia and sub tance

u e disorder.

nable to maintain table housing, lacked ocial upport in the community, truggled with ymptom of her mental illne . Many cri is contact and 7 ho pitalizations at HSC. Most recent involuntary commitment to HSC resulted in a need for a 6-month tay to tabilize her p ycho is and mania.

Page 259

Community Behavioral Health

IMP A T Expansion:

• Expansion reque t - IMPA T Transition ·
• me individual are unable to live independently, particularly young

adult , ith v r m ntal illne tran itioning into th community from

• ut-of-home placements
• Need specialized mental health ervice and housing

uppo11 /independent li ing er ice

• Independent living ervice

unently provided through Child Protection ervice

• IMPACT tran ition program will erve 12 individual
• 391 621 general· 15 539 federal = 545 160 total

Page 260

Community Behavioral Health

IMP A T Expansion:

• a e Example
• 21 year old male with a diagno i of . chizoaffective di order

p ychotic di order depre ion, and attention deficit hyperacti ity di order. Had been receiving treatment in a p y hiatric re idential treatment facility for 7 year prior to di charge. Tran iti ned into community mental health ervice near hi

• ister. Thi was hi only

family contact. The MH provided int n ive mental health rvice ; ho e er he truggled to make connection in the conununity and i olated him elf in hi apartment. He al o truggled with hi p ycho i which ultimately re ulted in encounter with the poli e, admis ions to the emergency room, and multiple admis ion to HSC.

Page 261

Community Behavioral Health

Treatment Services - Substance Abuse:

General Federal Other Total FTE F unds Funds Funds FUnds

I

FY14 Budge! 57 056,450 $4,653 392 S275,281 S11.985, 123 I

• Outpatient Sen rices - early inter ention, as e ment erv1ce

indi idual and group coun eling

• Numbers Served - 9 516
• Low Intensity Services -

ervices in a residential setting that include indi idual and group coun ling fan1ily coun eling and education for family member and ca e planning

• Numb rs erved - 1 041
• Inpatient ervices - residential ervice that provide a medically-

monitored and tructured inten i e treatment program

• Number Served - 583

Page 262

Community Behavioral Health

Treatment Services - Substance Abuse - continued:

• Specialized substance abuse treatment for pregnant women and

individuals with methamphetamine dependence

• Numb r

erved - 24 9

• Detoxification e1-vices
• Numbers erved - 1,650
• Gambling e1-vices
• Numbers erved - 89

Page 263

Community Behavioral Health

Title XIX Services- Substance Abuse:

General Federal Otner Total FTE Funds Funds Funds Funds

!

FY1 4 Budget 52,475.114 SJ,008,174 SO S5.483,288 !

• Medicaid funding for substance abuse services is limited to

pregnant women & adolescents

• Outpatient Services - early intervention, a es ment erv1ce

individual and group coun eling

• Inpatient ervices - re idential ervice · that provide a medically-

monitored and tructur d inten ive tr atment program

• Low Intensity ervices - services in a re idential etting that

include individual and group counseling family counseling and education for family member and ca e planning

Page 264

Community Behavioral Health

Criminal Justice Initiative (Cfil - Substance Abuse:

General Federal Otner Total FTE F

• nds

F unds Funds F unds

I

FY1 4 Budget 52,612.367 SO SO 52,612,367 !

• Substance abuse treatment services targeted to people in the

criminal justice system

• Substance abuse services for 500 new individuals on probation and
• parole
• Behavioral h alth a se m nt erv1ce
• ub tance abu e treatment ervice
• gnitive behavioral therapy to addr s criminal thinking
• Rural pilot program
• ub tance abuse tr atment ervices for 100 individuals

Page 26

Community Behavioral Health

Criminal Justice Initiative (CJD - Substance Abuse - continued:

• Geographically targeted Request for Propo als were issued and RFP

award were announced in eptember

• Excellent re pon

rate from provider

• 13 RFP were awarded for ubstanc abu e treatment erv1c
• 3 RFP were awarded for cognitive behavioral th rapy/criminal

thinking programming

• nabl to elect provider for the rural pilot ba ed on RFP re pon e -

will rei ue the RFP

• Extensive provider training on the evidence-based programming
• DSS worked with UJS and DOC to develop referral process
• Provider began accepting referrals in mid- r
• vember

Page 266

Community Behavioral Health

SD Public Safety Improvement Act:

• 2:

··-

District I: Lewi> • lark Belia, ioral HC11llh

• crviccs. Dakou, Cow1sc:ling Institute

Distnct 2 lory Hou,c. Volw11«

r

ucn

• Kc. rouc Trc:atrucnt Center. Clll'1' IJ lrutitutc

Di tric1 J. ommuni

• uu ctin Services. Human

cney Dtstri t I: Olllp,15 P int Di>tri t 5: , cro L Luke Distnct 6. opital Arca Counsc:lto~ Distn t 7. City, owtt)' Al oh I Dnii, Program. Addi lion Rcco,cry enter

Page 267

Community Behavioral Health

SD Public Safety Improvement Act continued:

JI Providers for

• gnitive Therapy/ riminal Thinking

...

,., ... -

;---...1,,1uulct 4:

• ,

.. -

Dtstnct 1. Lutheran Socaal cn'lccs Distnct 2: Volunteers Of America Dlstn l 3. Lutheran oc1al avicn

a.. •

Doslrict ~: City, ouniy Jcoh I Dru!! Prop,un Di tnct : VOA

D, tnct 6: OA

Di tnct : c,iy Couniy Alcohol & Dru! Proyam

• -

Page 268

2:

Communi Behavioral Health

Prevention Services:

• ene,al

F ederal Other

Total FTE Funds Funds Funds Funds

!

FY14 Budoet

so ss.684 021 s110 65) $6.794.680

• Prevention ervices
• 22 pre ention coalition /pro ider a ro

the tate

• Pro ide direct prevention ervi e
• 3 pr vention r ourc center
• Pro ide training and assistance on e idence-based programs to the coalitions
• Evidence-ba ed pre ention ervice in ommunitie and chool
• Life kill Trainino ( chool ba ed cu1Ticulum)
• Project Success (school based cu1Ticulum)
• trenothenino Familie Program
• Brief Alcohol creening and Inte1 ention for college tudent
• American Indian Life Skill Developmen Suni Life kills De elopment
• Tobacco compliance urvey ofretailer elling tobacco product
• Federal requirement to maintain compliance rate below 20%
• SD · rate - 10.4%

Page 269

Community Behavioral Health

FY14 Budget Compared to FY15

FY14 Operating Budget

Federal S25,652,301 45.1% General 30,649,078 53.9°0 Other 556,241 1.0% ~M.JOR BUDGET INCREASES AND DECREASES FMAP - Federal Medical Assistance Percentage: Inflation: Community Behavioral Health Pro\·iders, etc. Adult CARE Waiting List (MH): Expansion to sen·e 94 adults on waiting lists. IMPACT Program E pan ion: Expan ion to en·e 60 indi\·idual in northeast SD and expansion to sen·e 42 indiYiduals in central SD. IMP CT Transitions Program: Expansion to ser.-e 12 indi\·iduals. Other Reductions/lncrea e : lncrea e due to change in bureau billings. Totals: Page 270

FY15 Recommended Budget

General 33,820,009 55.8%

Total: $60,645,986 and 20.0 FTE

GENERAL FEDERAL OTHER $428,560 ($428.560) $0 Sl.055,88 $335,070 $0 $148,999 $32,139 $0 Sl,145, 13 $ 21,221

so

$391,621 $1 3,539

so

$351 $4,026

so

3,170,931 617,435

so

TOTAL $0 $1,390,95 $181 ,138 Sl,666,734 $545,160 S4,3 3,788,366

Community Behavioral Health

FY15 Funding ources

Other Fund Sources - Total S556,241

Lottel'y

Page 271 Medicaid & CHIP ubstance Abuse PreYention & Treatment Strate..-ic Pre,·ention Framework Community :\lental Health Block Grant TA..'\'F Projects for Assistance in Transition from Homelessness (PATH) Other fund ources Tobacco Pre,·ention Lottery Deadwood Gaming Alcohol & Drua Other Q:\IHPFees 50.54% 22.69% 14.40% 3.31

• /o

2.04% 1.12% 5.90% 47.63% 42.25% 6.29% 2.57% 1.26%

Correctional Behavioral Health

Who We erve:

• Inmate with mental health needs
• Approximately Yi of

incoming inmate d a having ome degree of mental health i ue

• Approximately 1/3 of incoming inmate require on-going mental health

upport

• 3. 6 % of the total inmate population i identified with a eriou mental

illne

ervices Provided:

• Mental health & substance abuse treatment services within the state's

correctional facilitie

ervice Delivery:

• Within adult and juvenile conectional facilitie in South Dakota

Page 272

Correctional Behavioral Health

Services Provided:

• Assessment and evaluation
• Crisis assessment and intervention
• Psychiatric services - contracted services
• Evidence based substance abuse treatment services
• Evidence based programs for individuals with mental illness
• Transition coordination for offenders with severe mental illness and/or

substance abuse disorders when they retu1·n to the community

• Behavioral health training for staff who work in the correctional

facilities

Page 273

Correctional Behavioral Health

M ental Health Adult Facilities Adolescent Facilitie ubs ta nee Abuse Adult Facilities Adol:sceut Facilities Total on-ectional Behavioral Health Personal Scrvice.s nse

FY14 Operating Budget:

General $2,850,145 69.1°.

Total: 4,123,976 and 61.0 FTE

FY14 Major Budget Areas:

FIB

General Federal 17.0 $400,003

so

15.0 $194,991 $0 2.0 $20 ,01 $0 44.0 2,450,142 $132,030 35.0 $2,03 ,621 $0 9.0 $412,521 $132,030 61.0 2,850,145 $132,030 61.0 $2,344,070 $125,075 0.0 $ 06,075 $6,95 61.0 2,850,145 $132,030 Page 274

Other Sl,141,801

Sl,141,801 $0 $0 $0 1,141,801 $859,362 $282,439 1,141,801 Total Sl,541,804 Sl,336, 92 $205,012 2,582,172 $2,037,621 $544,551 4 123,976 53,328,507 $795,469 4,123,976

Correctional Behavioral Health

FY14 Funding Sources

Federal Fund ource - Total 132,030

Substaoct'

~

Abuse Trt>atJnt>ot

Other Fund ources - Total 1,141,801 DOC

Meotal Bt>alth

Page 27 ub,taoce Abuse T1"eatmeot DO Mental Health 100.00% 100.00%

Correctional Behavioral Health

FY14 Budget ompared to FY15

FYU Operating Budget

General 2.850,145 69.1%

Total: 4,123,976 and 61.0 FTE

3.2 o/o :\L<\.JOR BUDGET ~CREASES AND DECREASES loOatioo: Psychiatric Consultants. Other Reductloos/locreases: Iocrca e due to change in bureau billings. Totals: Page 276

FY15 Recommended Budget

Other 1,151,757 27.8% 3.2%

Total: 4 139,348 and 61.0 FTE

GE~tR<\L FEDERAL OTHER TOTAL $1,439

so

S9,690

Sll,129

$3,918 $59 $266 S4,243 $5,357 59 S9,956 15,372

Correctional Behavioral Health

FY15 Funding Sources

Federal Fund ource - Total 132,089

Substaoct'

~

Abuse Trt>atJnt>ot

Other Fund ources - Total 1,151,757 DOC

Meotal Bt>alth

Page 277 Substance Abuse Treatment DO Mental Health 100.00% 100.00%

Department of Social Services

DSS

Stnll FIIIIIIIS ·

Slutb lklll'S FM1nlla1lo1 8111 Dir f111re

BOARDS - Informational

Page 278

Boards - Informational

FY14 Budget Compared to FY15

E.xa.minen S92,643

FY14 Operating Budget

Board of Addiction &

428,148 and 1.3 FTE

L<\JOR BUDGET ~CREA E • ND DECREA E Board of Cournelor Examiners: Increases due to chanoes in bureau billings. Board of P ~ ·chology E amloers: lncrea cs due to changes in bureau billings. Board of ocial Work E:xamioers: Increa es due to changes in bureau billings.

FY15 Recommended Budget

Total: 423,111 and 1.3 FTE GE~tRAL FEDERAL

OTHER $0 $0 $76 $0

so

$48 $0

so

$65 Board of Addiction & Prevention Professionals: Reduction in contractual sen·iccs and increase due to changes in bureau billings. $0

so

($ 5 226) Totals:

so

( 5,037) Page 279

Board of Addiction & Prevention Professionals 152,375

TOTAL $76 $48 $65 ($5.226) ($5,037)