Department of Mental Health and Substance Abuse Services Budget - - PowerPoint PPT Presentation

Department of Mental Health and Substance Abuse Services

Budget Request FY 2020-2021

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About the Department

• In partnership with local consumer, provider, family-led, and faith-based agencies, provide a

comprehensive array of services for children, youth, and adults with or at risk of serious and persistent mental illness, serious emotional disturbance, and substance-related disorders

• Coordinate, license, and provide leadership to a system of approximately 300 community

service providers, operate four Regional Mental Health Institutes (RMHIs), and contract for three private inpatient facilities in order to serve more than 300,000 individuals a year

• Operate Behavioral Health Safety Net, Crisis Continuum, System of Care, Clinical Substance

Abuse Treatment Continuum, Recovery Courts, Criminal Justice, Faith-Based Initiatives and

• ther life-saving programs
• Substance Abuse Services,

$98,420,800

• Mental Health Services,

$123,446,300

Community Services: $221,867,100 Administration: $24,888,900 Regional Mental Health Institutes: $157,731,100

• Middle TN, $55,418,200
• Western TN, $39,717,200
• Moccasin Bend, $41,207,500
• Memphis, $20,938,200
• Major Maintenance, $450,000

FY2021 Base Budget

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$223 $253 $260 $290 $306

$0 $50 $100 $150 $200 $250 $300 $350 FY17 FY18 FY19 FY20 FY21 Millions

Change in Appropriations

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1,845 1,846 1,855 1,858 1,870

500 1,000 1,500 2,000 FY17 FY18 FY19 FY20 FY21

Change in Positions

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Substance Use Prevalence Data

2018 Tennesseans, ages 12+:

385,000 were estimated to have a substance use disorder

(6.7% of 5,777,403 Tennesseans, all estimates rounded to nearest 1,000)

Sources: (1) National Survey on Drug Use and Health 2016-2017; (2) U.S. Census population and insurance estimates for Tennessee 2018. Notes: (1) Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

39,000 (10.1%)

Estimated number with no insurance

346,000 (89.9%)

Estimated number eligible to be served through private or public insurance

21,000

Tennesseans served by TDMHSAS treatment and recovery services in FY19

18,000

Estimated Gap Population

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Mental Health Prevalence Data

2018 Tennesseans, ages 9+:

473,000 were estimated to have a serious mental illness or serious emotional disturbance (7.87% of 6,013,911 Tennesseans, all estimates rounded to nearest 1,000)

Sources: (1) National Research Institute, 2018. (2) U.S. Census population estimates 2018. Note: NRI prepares estimated counts annually by state. SED is estimated for ages 9-17. SMI is estimated for ages 18+

48,000 (10.1%)

Estimated number with no insurance

34,450

Tennesseans served by Behavioral Health Safety Net in FY19

6,550

Estimated Gap Population

425,000 (89.9%)

Estimated number eligible to be served through private or public insurance

7,000

Estimated Tennesseans served by new BHSN funds in FY20

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Cost Increases

Total State Federal Other Pos. 1. Substance Abuse Clinical Treatment Enhancement $6,000,000 $6,000,000 $0 $0 2. Children’s Behavioral Health Safety Net 7,571,800 7,571,800 3. Mobile Crisis Services Expansion 354,300 354,300 4. Creating Jobs Initiative Expansion 900,000 900,000 5. Addiction Recovery Program Enhancement 1,000,000 1,000,000 6. Criminal Justice Liaison Expansion 625,000 625,000 7. School Based Behavioral Health Liaison Expansion 3,014,300 3,014,300 1

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Cost Increases

Total State Federal Other Pos. 8. System of Care Across Tennessee (SOCAT) $330,700 $330,700 $0 $0 3 9. Director of School Engagement 119,000 119,000 1 10. The Office of Housing and Homeless Services Program Manager 83,200 83,200 1 11. Suicide Prevention Programs Program Director 101,300 101,300 1 12. Juvenile Justice Program Director 125,300 125,300 1 13. Major Maintenance 250,000 250,000 14. Facilities Revolving Fund Rent for new Regional Intervention Program facility 238,700 238,700 Total Cost Increases $20,713,600 $20,713,600 $0 $0 8

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Efficiency Plan

Total State Federal Other Pos. 1. Reduce funding for contract staff at the Regional Mental Health Institutes ($595,000) ($595,000) ($0) ($0) (0) 2. Convert a contracted Revenue Cycle Manager to a full-time position (65,000) (65,000) (0) (0) 1 3. Recognize operational efficiencies in travel, supplies, etc. in the Central Office (95,000) (95,000) (0) (0) (0) 4. Transition from contractor oversight to internal oversight for Tennessee Move Initiative (75,000) (75,000) (0) (0) (0) Total Efficiency Plan ($830,000) ($830,000) ($0) ($0) 1

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