Budget Progression Report * Query Name:BPRo1 * Account Current - - PowerPoint PPT Presentation
FYLT/L8 Behavioral Health Services Current Level Budget Source of Funds Use of Funds Personnel Other SUTS Contracts Acute Psych & Custody County General Fund AB109 Federal Sgg.qm s16.3 $27.2m 576.4 S172.om S13.4m S126.sm lntraCount
FYLT/L8 Behavioral Health Services Current Level Budget
SUTS Contracts
$27.2m Acute Psych & Custody 576.4 County General Fund S172.om State S8.¿m
Source of Funds
AB109 S13.4m Other 5s.om
Use of Funds
Personnel Sgg.qm Other s16.3 Federal S126.sm lntraCount y Overhead s28.2 MH Contracts s2s3.2 Realignment Sgt.om MHSA S90.2m
Budget Progression Report
* Query Name:BPRo1 *
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520 530 55{t 560 570 SUBEXP 590 NETEXP TOTREV NETCST Salaries and Employee Benefits Serv¡c€s and Supplies Other Charges Fixed Aseets Operating Equity Transfers
Rçervee
Subtotal Expenditures Expenditure Transfers Total Net Expenditures Total Revenues Net Saving (Cost) 88,489,580 411,300,435 54,000l 352,15€, 5æ,196,174
¡f88,¡O3,¿{87
32r,399,538
90,658,892 412,008,336l 54,000 352,159 5()3,073,387
489,671,257 329,060,406
93,992,580
:405,246,879 i
l
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352,159 | ¡199,591,6'18
¿f86,083,871 326, I 55,937
95,709, r48 413,217,710
352,r59 509,279,017
195,771,270 327,570,O20
Account Group Description Total Recommênded Budget Current Level Based Budget Until REC 20't7 CMB
2017 Approved Budget
ß2
600 500 400 300 200 100 800
700 600
500 400 300 200 377.8
FY 14
450.0 411.4
FY 15 FY 16 TY 17
Gross Appropriation Trend
Behavioral Health Services
s00.2 509.3
571.S 591.5
100
631.1 638.1
667,6
FY 17 FY .I8 FY 18 FY 15 FY 16
Staffing Trend
Substance Use Detox and Residential Services Acute Psychiatric Hospital Care Criminal Justice
Jail Diversion Community Crisis Services Supportive Housing
Services lntensive Wraparound Services Peer and Family Support Communlty Clinics Across the Lifespan Community Training Suicide Prevention Substance Use Prevention School Based Services
Department of Behavioral Health Services
T.Tullys, Director FY.I4
Sectlon 4: Santa Clara Valley Health and Hospital System Behavioral Health Services
County of Santa Clara
FY 1 7-1 I Recommended Budget
¿183
Description of Major Services The County of Santa Clara provides an array of
behavioral health services to residents with menta.l health issues, serious mental illness, and substance use
lifespan and have been developed for every age group, from newborns to the elderþ Direct care services are provided to residents with Medi-Cal benefìts or those who are without insurance. Crisis and suicide lines are available by phone 24 hours per day for all residents. Approximately 35,000 clients are served annually. Community-based clinics provide a continuum of mental health and substance use treatment services
based on client needs. The Department provides
culturally and language specific services in community clinics strategically located within the county to allow for easy client and family access. Community-based crisis services include mobile crisis teams, crisis residential facilities, crisis stabilization
units, and the Mental Health Urgent Care Center. Individuals who need acute crisis services can go to
Santa Clara Valley Medical Center's psychiatric
emergency services. The Department works closely
with several acute psychiatric facilities to coordinate
care for hospitalized clients. Children in crisis can be treated in a2417 Crisis Stabilization Unit.
Behavioral Health contracts with more than 50
community-based agencies to provide direct services to County residents, The department works closely with Santa Clara County's Office of Education and School
Districts to provide school-based prevention and
treatment services to children, youth, and families. In addition, the department supports the Santa Clara
County Chapter of the National Aìliance for the
Mentally lll, which offers an array of training, programs,
and indMdual supports for consumers and family
members, Services include:
r 24 hours a day crisis line r 24 hours a day crisis stabilization unit for children
and youth
r Mental health urgent care r Adult mobile crisis teams r Three adult crisis residential facilities r 24 hours a day suicide line r Suicide prevention speaker's bureau r Substance use prevention services for youth
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FY 1 7-1 I Recommended Budget
Sectlon 4: Santa Clara Valley Health and Hosp¡tal System Behavioral Health Services
M
r School Linked Services in 191 schools (106 elemen-
tary schools, 34 middle schools, 8 kindergarten-8th
grade schools and 41 high schools)
¡ FIRST 5 services for children from birth to age 5 r Mental health first aid training ¡ Wellness recovery action planning training r Crisis intervention training for law enforcement r Tlvo peerled Wellness Centers for mental health
consumers
¡ Ethnic and cultural peer outreach r Ethnic and cr-rltural treatment services r LGBTQ services for youth r Mental health and substance use community clinics
across the county
r Case management and care coordination teams r Supportive housing services for the homeless and
individuals with serious mental illness
r Jail diversion programs for individuals with mental
illness and substance use issues
r Intensive ouþatient services for children and adults r Children and adult acute hospital liaisons r 24 Hour Care Team r Adult social detoxification services r Short-term residential substance use recovery
services for adults and youth Communi$ Based Organizat¡ons (CBO): The following
are Community Based Organizations that currently
have contracts with this department:
r Abode Services r Advent Group Ministries,Inc r Alum Rock r AsianAmerican Communitylnvolvement r Bayfront ¡ BillWilson r Caminar r Catholic Charities r Chamberlains Community Center r Children's Health Council r City of SanJose/Grace Baptist r Community Solutions r Countywide Alcohol and Drug Services, Inc. r Crossroads r DependencyAdvocacyCenter r Eastfield Ming Quong Families First r Family & Children Services r Fred Finch ¡ Gardner Family Care Corporation r Goodwill r Health Trust r Healthright 360 r HomeFirst r HOPE Rehabilitation Services r Horizons Services, Inc. r Indian Health Care r Kidango r LifeMoves r Mekong Community Center r MH Advocacy Project - SC Co Bar Association r Momentum r Parisi House On The Hill r Pathway Society r Peninsula r PATH r Project Ninety r Rebekah Children's Services r Seneca r Solace Supportive Living r St, Vincent r Ujima Adult & Family Services r Unity Care r Victor Treatment
Section 4: Santa Clara Valley Health and Hospltal System Behavioral Health Services
County of Santa Clara
FY 1 7-1 B Recommended Budget
¿185
Learning Organization
Creating Trauma Informed Systems to Support
Individuals and Families.
Trauma and MentalHealth Trauma is a physical health
and mental health issue that impacts more than an individual; it can have a ripple effect on others. Some communities are disproportionateþ affected by trauma due to poverty, a history of intergenerational trauma
and health inequities, Trauma affects systems, as well as
communities and individuals. A systemic preventive
approach is needed to address trauma, which includes
shared learning, a foundational understanding of
trauma, and an understanding of the nature and impact
Trauma lnformed Systems Regional lnitiative Trauma
Transformed - known as T2 - is a regional initiative bringing together seven Bay Area counties to build a
trauma-informed system of care that improves
understanding, response and care for trauma. Funded
by a Substance Use Mental Health Services
Administration grant, the T2 Oversight Commitlee includes policy, operations, care coordination and media teams, youth and family voice, and a robust
evaluation.
T2 is offering a regional plan for dissemination of the Trauma-Informed Systems (TIS) Train the Trainer Program, intended to be part of a larger system transformation process that incorporates trauma- informed principles and practices across the region. The TIS Train the Trainer Program uses the principles of implementation science to ensure knowledge is transferred with structures that support commitment
to change, embedded champions, alignment and
collaboration within and across systems and sectors,
Ieadership participation and continuous evaluation,
T2 in Santa Clara Coun$ In Santa Clara County, the
Behavioral Health Services Department (BHSD) has taken the regional initiative to the local level and leads the T2 effort, which includes a broad range of county and community partners. The BHSD is collaborating with the County's Departments of Family and Children's Services, Public Health, Juvenile Probation, Crimina"l Justice, Santa Clara Valley Medical Center and First 5 Santa Clara County. In addition, several community
consumer voice participate. Efforts are underway to develop and implement trauma informed care and infuse trauma-informed practices at all levels within an
integration and collaboration of trauma-informed
practices across systems and sustaining change in
Trauma lnformed Systems 101 Training The
initial training Trauma Informed Systems (TIS) 101, is the first
component of a mr-rlti-pronged approach to developing and sustaining a trauma informed focus, The intent is to create a team of cross system trainers lo disseminate
knowledge throughout the County's system of
designed to help participants understand how trauma
and stress impacts developing bodies and brains,
communities, organizations and systems, The training
focuses on the following six principles:
r understanding trauma and stress r compassion and dependability r safety and stability r collaboration and empowerment r cultural humility and responsiveness r resilience and recovery
The training goal is to develop a cohort of lead trainers
within Santa Clara County who will train others within their organizations, as well as be available for cross-
systems training. In fall 2016, the fìrst training cohort completed the training and currently provides trainings
twice a month in their organizations. In June 2017, a second Train the Trainer series will be held, to add additional trainers, because the department wants to
assure sustainability in Santa Clara County. In FY 17-18,
the system goal is that all BHSD and contracled
community-based provider direct service staff will complete the TIS 101 training.
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FY 17-18 Recommended Budget
Section 4: Santa Clara Valley Health and Hospltal System Behavioral Health Services
48S
Measure of Success
Readmission Rate: The Behavioral Health Services
Department (BHSD) will work to lower the use of psychiatric hospital services for adult mental health
consumers who are readmitted to the hospital within 30
readmissions of patients who have been discharged from acute psychiatric hospitals within the past 30 days. BHSD will implement a practice management solution
to improve data capture at the Barbara A¡ons Pavilion and contract hospitals to allow for more efficient
community that supports their wellness and recovery
and minimizes the need for acute psychiatric
hospitalization.
Behavioral Health Services Department
FY13-14 FY14-15 FYfs-16 FY16-17 FY17-18
Measure of Success Actual 12.0T0 Actual
13.20/o
Actual
10,90/o
Anticlpated
10.00/o
Targeted
9.0o/o
Readmission Rate
Gounty Executive's Recommendat¡on
Summary of Gounty Executive's Recommendat¡ons
Maintain lnformation Systems Staffing Enhance Clinical Risk Management
a
ô
Allocate Resources for School-Linked Services Enhance FIRST 5 KidConnections Service Capacig Enhance ABI 09 Faith-Based Reentry Center Services Enhance Behavioral Health Billing Staff Enhance Medication Assisted Treatment Service Physician Allocate Resources for 0utreach to Homeless lndividuals No irnpact on services
To develop and update
standards, policies, and procedures as well as develop and manage a Risk Management
Plan, To continue the School-Linked Services program. To address the urgent needs of young children. To allow for additional slots for Faith-Based Reentry Centers to meet demand. To enhance infrastructure to manage day{o-day billing
and support the Practice Management System, To provide addiction specialty services, To provide outreach to homeless individuals in Palo Alto, downtown San Jose, & South County. 1,0 11.5 1.0 2.0 $181,352 $557,002 $169,069 ($42,267)
$1 ,216,514
$469,21 1 ($46,036) ($65,684) ($45,338)
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Position lmpact
FY 201 I
0ngoing Net Cost/(Savings)
FY 2018
0ne-ïime Net
Cost/(Savings) lmpact on Services lmpact Description
'ô-'Èntrancel a-Modified -t fòChinge Û-Reducod tr-Eliminated
Sect¡on 4: Santa Clara Valley Health and Hospital System Behavioral Health Services County of Santa Clara
FY 1 7-1 8 Recommended Budget
ß7
Recommended Action: Allocate 9557,002 to maintain 4,0
FTE Information Systems positions previously funded
by the Mental Health Services Act (MHSA). Service lmpact The additional funding will allow the Behavioral Health Services Department (BHSD) to keep these positions to support ongoing BHSD information
technology needs. In FY 2017-18, the Department will
ímplement Healthlink for clinical documeniation,
several interfaces to Community Based Operations and
a new Practice Management Solution for billing,
claiming managed care and State reporting. Healthlink
will enable BHSD to share client data, contribute to a
single care plan and align care coordínation across the Health and Hospital System. Without these resources, it
will not be possible to move forward with these
technology initiatives.
Ongoing Net Cost: $557,002
0ngoing Object 2: $1 81 ,31 3 Ongoing reduction in MHSA revenue: $738,315
Recommended Action: Add 1.0 FTE Senior Heaith Care
Program Manager position for Clinical Risk
Management
Service lmpact The Senior Health Care Program
Manager will serve as the Clinical Risk Prevention Manager, This position will develop and update standards, policies and procedures consistent with State and Federal reguìations, develop and manage a
Risk Management Plan, respond to and address service delivery risks,lead State audits and reviews, and provide
training to County staff and contract providers on risk management and prevention.
Since January 20L5, the BHSD has focused on building management infrastructure to support the expansion of
services, improve the quality of caÍe for
clients/consumers and strengthen core administrative
and managed care functions. This additional senior manager position will assist in leading critical
administrative functions as the BHSD implements the l115 Waiver for the Substance Use Organized Delivery System, and continues to expand substance use, crisis,
care coordination and jail diversion services. Positions Added: 1.0 FTE 0ngoing Cost: $169,(F9 0ne-time Savings: 942,267
Salary savings reflecting time for recruitment
Recommended Action: Allocate $1.2 million in one-time
funding to continue the School-Linked Services
program.
Service lmpact The School-Linked Services (SLS)
program is currentþ in the second year of a three-year
pilot to address the achievement gap for children and youth in Santa Clara County negatively impacted by
social, environmental and economic disparities, These disparities are closely tied to poor school performance, excessive absence, behavioral problems and failure to
department to complete the pilot program,
In 2014, funds were allocated to implement a single
model of SLS services in fìve school districts, leveraging
the two key components. The single model would
assure a consistent and targeted investment in these services, support parallel evaluation ofservices at these sites, and provide information about the impact of these services for children and families in a uniform manner.
It would aJso provide the basis for a pre and post pilot
program evaluation,
One-Time Cost: 91,216,514
Partially offset by $91 3,258 in 201 2 Measure A Funds
Becommended Action: Add 11.5 FTE positions for the FIRST 5 KidConnections program.
Services
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County of Santa Clara
FY 17-18 Recommended Budget
Section 4: Santa Clara Valley Health and Hosp¡tal System Behavioral Health Services
488 P93 c83 D2E
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Summary of Position Changes
Class Description
FTE
Clinical Psychologist Health Care Program Manager ll Health Services Representative Mental Health Office Supervisor Mental Health Peer Support Worker Psychiatric Social Worker ll Psychosocial 0ccupational Therapist Rehabilitation Counselor
Total 11.5
Service lmpact: Creation of a County-operated team
will address the urgent needs of young children from birth through age 5 and their families. The BHSD is
responsible for the oversight of the FIRST 5 System of Care (KidConnections) program. This program gives
families with children ages zero to fìve, access to developmental specialist consultation, home visitation and therapeutic services. Families are referred through the BHSD Call Center, creating a seamless access point
for mental heaith service delivery. Positions Added: 11.5 FTE 0ngoing Net Cost $0
0ngoing Cost in Salaries & Benefits: $1,450,050 0ngoing reduction in Services & Supplies: $386,468 0ngoing increase in Revenue: $1,063,582
0ne-time Net Cost $0
0ne-time Cost in Services and Supplies: $55,200 0netime Revenue: $55,200
Recommended Action: Allocate $1.5 million in one-time
funding for additional Faith-Based Reentry Center
services to support reentry clients referred by reentry stakeholders. Service lmpact Additional funding will allow for an
additionai 35 slots for each of the four Faith-Based Reentry Centers (FBRC) to meet the demand from key reentry stakeholders such as the Offìce of the Sheriff, Custody Health, Probation, and Pretrial Services. This
wíll expand case-managed service slots from the
current 50 per FBRC to 85 per year,for a total 340 slots annually.
This increased number of slots will provide an
unparalleled opportunity for both the County and
Community Based Organizations to
foster collaboration among law enforcement agencies, faith-
based organizations and direct service providers. FBRCs are one-stop resource centers where clients can
access reentry services such as case management,
housing food assistance, clothing and post release
mentoring, and other reentry services. The centers link
individuals and their families to spiritual support, mentorship and immediate and long-term resources
and support, 0ne-Time Costr $0
0ne-time cost of $1 ,500,000 is offset by a Transfer ln from the AB1 09 Fund
Becommended Action: Allocate 9469,21I to fund 2.0 FTE
Patient Business Services Clerk positions requested in
Santa ClaraValley Medical Center (SCVI\4C) budget and 2.0 FTE Revenue Control Analyst positions previously funded by MHSA revenue. Service lmpact The Patient Business Services Clerk
requested in the SCVMC budget will enhance infrastructure to manage day-to-day billing operations, reduce Accounts Receivable, and support the new
Practice Management Systems (PMS) implementation. The two Patient Business Service Clerks positions will
focus on reducing Accounts Receivable and claim
denials, provide information and technical assistance
denials are addressed timely, In addition, these positions
will support the implementation of the new PMS. This
new system will facilitate State Reporting requirements and billing functions, and provide an interface for data
capture with the contracted, community-based
The two Revenue Control Analyst positions have been
funded through the Mental Health Services Act;
however, the funding for these positions will expire in June 2017. These two positions are essential to the day-
to-day operation of the Behaviora.l Health billing unit
0.5 1,0 1,0 1.0 2.0 3.0 2.0 1.0
Services
Sectlon 4: Santa Clara Valley Health and Hospltal System Behavioral Health Services Goung of Santa Clara
FY 17-18 Recommended Budget
¿189
which provides reports, tracks and updates changes to payor codes, addresses and resolves billing issues, and conducts research for financial audits. 0ngoing Cost $469,211 0ne-Time Savings: $46,036
Salary savings reflecting time for recruitment of lhe two positions in SCVMC
Recommended Action: Add 1.0 FTE Staff Physician II
position to provide addiction specialty services.
Service lmpact The addition of this addiction specialist
physician will provide the additional medical services and consultation needed or the implementation of the Drug Medical Organized Delivery System Waiver. The Waiver calls for increased use of Medication Assisted
Treatments to reduce physical and psychological cravings associated with withdrawal. Studies have
shor,rm these medication are effective in reducing the
likelihood the patient will return to the hospitaÌ or residential treatment and the likelihood of continued abstinence, This physician will also consult with primary care physicians on patients who are exhibiting
substance abuse or dependence and provide
consultation on how best to address the addiction with the other primary care medical issues, The position will improve the care and recovery of high risk patients who Behavioral Health Services Department- Budget Unit 415 Net Expenditures by Cost Center typically have co-occurring issues ofsubstance use and mental health issues that complicate the managing of chronic health conditions.
Positions Added: 1.0 FÍE Ongoing Cost: $0
0ngoing reduction in Services and Supplies; $261,890
One-Time Net Cost; $0
Salary savings reflecting time f0r recruitment $65,684 0ne-time increase in Services and Supplies: $65,684
Recommended Action: Add 2,0 FTE Mental Health
Community Worker positions to provide outreach
services to homeless individuals and families in Palo Alto, Downtown SanJose and South County.
Service lmpact The addition of these positions will
expand outreach and linkage services in Palo Alto, augment outreach in San Jose, and establish an
indMduals.
Positions Added: 2.0 FTE 0ngoing Cost: $181,352 0ne-time Savings: $45,338
Salary Savings reflecting time for recrultment
Services
Homeless lndividuals
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Cost Center Name
FY 2016
Actuals
FY 2017
Approved
FY 2018
Base Budget
FY 2018
Recommended Amount Chg From 2017 Approved % Chg From 2017 Approved
041501 MentalHealth 041502 Alcohol And Drug
$ 365,316,347 $ 434,574,980 $ 428,887,000 $ 438,580,534 $
52,313,789 53,828,508 57,196,871 57,190,736
4,005,554 3,362,228
0,970 6.20/o
Total ilet Expendltures $ 417,6Í¡0,136 $ 488'¿m3'¡187 $ 496,093,971 S 4%,n1,270 $ 7,367,782 1. %
County of Santa Clara FY 17-18 Recommended Budget Sectlon 4: Sanla Clara Valley Health and Hospltal System Behavioral Health Services
490
Behavloral Health Services Department- Budget Unit 415 Gross Expenditures by Cost Center cc
Cost Center Name
FY 2016
Actuals
lY 2017
Approved
FY 2018
Base Budget
FY 2018
Recommended Amount Chg From 2017 Approved % Chg From 2017 Approved
041501 MentalHealth 041502 Alcohol And Drug
$ 370,315,938 $ 440,599,416 $ 436,626,496 $
54,448,239 59,596,759 62,965,122
446,320,030 $ 62,958,987 5,720,614 3,362,228
1.3o/o
5.6% Totaf Gross Expenditures $ 424,7il,177 $ 5{n,196,174 $ 499,59f ,6f I S 509,279,017 $ 9,082,842 1.8Vo
Behavioral Health Services Department- Budget Unit 415 Expenditures by Object
Object
FY 2016
Actuals
FY 20',t7
Approved
FY 2018
Base Budget
FY 2018
Recommended Amount Chg From2017 Approved % Chg From 2017 Approved Salary and Benefits Services And Supplies
Fixed Assets 0peratin g/Eq uity Transf ers Reserves
$
78,741 ,158 $ 345,265,417 47,000 710,60'l
88,489,580 $ 411,300,435 54,000 93,992,580 $ 405,246,879 95,709,148 $ 413,217,710 7,219,568 1,917,274
(54,000)
B,2TO 0.50/o
352, r 59 352,1 59 352,1 59 Total Gross Expenditures $ 424,7U,177 $ 5{n,196,174 $ 499,591,618 $ 509,279,0T7 $ 9,082,842 1.8% Expenditure Transfers
(7,134,041) (11,752,6871 (13,507,747) (1s,507,747) (1,715,060) 14.50/o
Total Net Expendltures $ 417,630,136 $ 488,¡m3,¡187 t 486,083,871 $ 495,771,270 $ 7,367,782 1,5Vo
Behavioral Health Services Department- Budget Unit 415 Revenues by Cost Genter cc
Cost Center Name
FY 2016
Actuals
FY 2017
Approved
FY 2018
Base Budget
FY 2018
Recommended Amount Chg From 2017 Approved % Chg From 2017 Approved
041501 Mental Health 041502 Alcohol And Drug
$ 268,904,1 42 $ 297 ,497 J04 $
23,201,989 23,902,434
301,970,949 $ 303,385,032 $
24,1 84,988 24,184,988
5,887,928 282,s54
2.0o/o 1.20/o
TotalRevenues $ 292,106,131 $ 321,399,538 $ 326,155,937 $ 327,570,020 $ 6,170,482 1.9o/o
Sect¡on 4: Santa Glara Valley Health and Hosp¡tal System Behavioral Health Services County of Santa Clara
FY 17-18 Recommended Budget
491
Behavioral Health Services Department- Budget Unit 415 Revenues by Type
Type FY 2016
Actuals
FY 2017
Approved Fy 2018 Base Budget
FY 2018
Recommended Amount Chg From 2017 Approved % Chg From 2017 Approved Charges For Services $ Other Financing Sources Aid From Government Agencies -
Federal Aid From Government Agencies - State Revenue From 0ther Government Agencies
6,615,508 8,977 ,862
6,033,571 $ 152,516,545
'126,940,507
3,146,490 $
191 ,851 ,480
117,423,706 3,464,855 $ 190,867,666 122,212,000 8,383,606 1,227,810 3,464,855 $
191 ,162,967
122,911,239 8,803,149 1,227,810 318,365 (688,513) 5,487,533 (174,713) 1,227,810
10.10/o '0.4o/o 4.7o/o
nla TotalRevenues $ 292,1ffi,131 $ 321,399,538 $ 326,155,937 $ 327,570,0m $ 6,170,¡182 1,9o/o
Mental Health - Cost Center 041501 Major Changes to the Budget
Positions Appropriations Revenues ü)01-General Fund (Fund Number 0(X)1) Current level Budget
FY 2017 Approved Budget Board Approved Adjustments During FY 201 7 Cost to Maintain Current Program Services Salary and Benefit Adjustments lntraCounty Adjuslments Other Adjustments
460.6 $
13.0
434,574,980 $
2,240,849 2,458,881 67,098 (10,454,808) 297,497J04 7,811,252 (3,783,814) 446,407
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473.6 $
428,887,000 $
301,970,949 Recommended Changes for FY 2018 lntra0ounty Adjustments Decision Packages Reduce PERS by $7M due to prepayment of UAL 415.2 Enhance Clinical Risk Management
41 5.7 Enhance FIRST 5 KidConnections Service Capacity
SCC.03 Enhance 48109 Faith-Based Reentry Center Services '168.10 Allocate Resources for Outreach to Homeless lndividua
41 5.6 Allocate Resources for School-Linked Services
lnformation Technology FYl8 Behavioral Health Services PMS Capital $
367,067 $
295,301 '1,1.18,782 1.0
1 1.5
(1s8,872) 126,802 1,118,782 1,500,000
136,01 4
1,216,514 5,367,227 2.0 Subtotal (Recommended Changes)
14.5 $
9,693,534 $
1 ,414,083
Recommended Budget
488.1 $
¿S9,580,534 $
303,385,032 Coung of Santa Clara
FY 17-18 Recommended Budget
Section 4: Santa Glara Valley Health and Hospital System Behavioral Health Services
492
Alcohol And Drug - Gost Genter 041502 Major Ghanges to the Budget
Positions Appropriations Revenues ü)01-General Fund (Fund Number (X)01) Current Level Budget
Fl 2017 Approved Budget
Board Approved Adjustments During FY 201 7 Cost to Maintain Current Program Services Salary and Benefit Adjustments lntraCounty Adjustments Other Adjustments
178,5 $
53,828, 283 508 699 $ 23,902,434 282,554 800,906 1,751,293 532,465 Subtotal (Current Level Budget)
178.5 $
57,196,871 $
24,184,988 Recommended Changes for FY 2018 lntra0ounty Adjustments Decision Packages Reduce PERS by $7M due to prepayment of UAL 415.3 Enhance Medication Assisted Treatment Service Physicia lnformation ïechnology Capital $
47,497 $
(53,632) 1,0
Subtotal (Recommended Ghanges)
1,0 $
(6,1:lS) $
Recommended Budget
179.5 $
57,190,736 $ 24,18/.,W
Section 4: Santa Clara Valley Health and Hospital System Behavioral Health Services County of Santa Clara
FY 1 7-1 I Recommended Budget