Suppo rting a Be tte r T o mo rro wOne Pe rso n at a T ime - PowerPoint PPT Presentation

Suppo rting a Be tte r T o mo rro w…One Pe rso n at a T ime Mississippi De par tme nt of Me ntal He alth F Y20 Budge t Re que st

Suppo rting a Be tte r T o mo rro w… Pr ogr e ss with F Y19 L e ve l State Sour c e F unding  DMH furthe r e xpa nde d c o mmunity-b a se d se rvic e s b y shifting a n a dditio na l $13.3 millio n fro m institutio na l b udg e ts to the Se rvic e Budg e t to re duc e the re lia nc e o n institutio na l c a re .  DMH imple me nte d the Sta te Pe rso nne l Bo a rd’ s no n-a ppro pria te d jo b c la ss re a lig nme nt re c o mme nda tio n in the Dire c t Ca re Se rie s e ffe c tive June 1, 2018.

Suppo rting a Be tte r T o mo rro w… F unding Shift to Community  $8 millio n fo r e xpa nsio n o f c risis se rvic e s inc luding 42 a dditio na l c risis sta b iliza tio n b e ds in the c o mmunity, c o urt lia iso ns, c risis c o unse lo rs, a nd a n a dditio na l PACT te a m. With this, c r isis stabilization be ds will now be available to all 14 Community Me ntal He alth Ce nte r s.  $4 millio n to e xpa nd the I D/ DD Ho me a nd Co mmunity Ba se d Wa ive r.  $900,000 to c o ntinue / e xpa nd the de ve lo pme nt o f Be ha vio ra l He a lth Ho me s fo r individua ls tha t ha ve b e e n re c e iving c o ntinue d tre a tme nt se rvic e s a t Mississippi Sta te Ho spita l.  $400,000 to c o ntinue / e xpa nd the ja il-b a se d c o mpe te nc e re sto ra tio n pro je c t

Suppo rting a Be tte r T o mo rro w… Mobile Cr isis Re sponse T e ams Mo b ile Crisis Re spo nse T e a ms 30,000 26,322 25,000 23,168 22,768 19,660 18,651 20,000 15,668 15,442 15,000 9,701 9,421 10,000 5,000 2,733 0 F Y14 F Y15 F Y16 F Y17 F Y18 Ca lls F a c e -to -Fa c e Visits 34% inc r e ase in c alls sinc e F Y15 92% inc r e ase in fac e - to- fac e visits sinc e F Y15

Suppo rting a Be tte r T o mo rro w… Pr ogr ams of Asse r tive Community T r e atme nt (PACT ) PACT T e a ms 450 384 400 328 350 300 248 250 200 173 150 100 50 0 F Y15 F Y16 F Y17 F Y18 T wo additional PACT T e ams in F Y19 122% inc r e ase in numbe r se r ve d sinc e F Y15

Suppo rting a Be tte r T o mo rro w… Ne w E nrollme nt ID/ DD Wa ive r 250 237 200 168 166 150 133 123 105 96 100 89 88 81 69 56 39 50 5 0 F Y 2012 F Y 2013 F Y 2014 F Y 2015 F Y 2016 F Y 2017 F Y 2018 # fro m I nstitutio ns # fro m Pla nning L ist 1,455 ne w e nr olle e s sinc e F Y12 46% inc r e ase in e nr ollme nt sinc e F Y12

Suppo rting a Be tte r T o mo rro w… Moving T owar ds a Community- Base d Syste m of Car e In F Y18…  4,610 se rve d a t DMH’ s b e ha vio ra l he a lth pro g ra ms  27% de c re a se in numb e r re c e iving a c ute psyc hia tric se rvic e s a t sta te ho spita ls sinc e F Y12  3,513 se rve d a t Crisis Sta b iliza tio n Units; 91.85% dive rsio n ra te  42 ne w c risis sta b iliza tio n b e ds to b e a dde d in F Y19  964 se rve d in I DD Re g io na l Pro g ra ms  32% re duc tio n in numb e r se rve d a t I DD Re g io na l Pro g ra ms  82% o f pe o ple with I DD se rve d in the c o mmunity  2,682 se rve d o n I D/ DD Wa ive r  46% inc re a se in I D/ DD Wa ive r e nro llme nt sinc e F Y12

Suppo rting a Be tte r T o mo rro w… Dir e c t Car e Se r ie s Re alignme nt  T he se fro nt line po sitio ns a re the mo st c ritic a l to pro viding q ua lity c a re in o ur pro g ra ms a nd ha ve the hig he st ra te o f turno ve r in sta te g o ve rnme nt – 48%.  T he re a lig nme nt a pplie d to a ll e mplo ye e s in the Dire c t Ca re Se rie s with e a c h e mplo ye e re c e iving a minimum a nnua l sa la ry inc re a se o f $2,300.  E mplo ye e s in the fo llo wing jo b c la sse s we re a ffe c te d: Dire c t Ca re T ra ine e , Dire c t Ca re Wo rke r, Dire c t Ca re Adva nc e d, Dire c t Ca re Alt Supe rviso r, Dire c t Ca re Supe rviso rs.

Suppo rting a Be tte r T o mo rro w… Dir e c t Car e Se r ie s Re alignme nt ST ART SAL ARY ST ART SAL ARY PRIOR T O AF T E R RE AL IGNME NT RE AL IGNME NT $15,898.24 $18,282.98 MH- DIRE CTCARE T RAINE E $17,408.94 $20,020.28 MH- DIRE CTCARE WORKE R $19,108.56 $21,974.84 MH- DIRE CTCARE ADVANCE D Due to the c o mpe titive na ture o f the he a lthc a re industry, DMH re spe c tfully re q ue sts the L e g isla ture fund a re a lig nme nt fo r the a g e nc y’ s re ma ining e mplo ye e s.

Suppo rting a Be tte r T o mo rro w… F ore nsic Se rvic e s  I n a dditio n, DMH is using a va ila b le re so urc e s (o ne -time funding a nd $1 millio n in b o nds) to re no va te b uilding 63 to b e c o me a 60-70 b e d F o re nsic Se rvic e s Unit.  Po te ntia lly do ub le the c urre nt F o re nsic Se rvic e s b e d c a pa c ity with o ne -time funding a s a re sult o f stre a mlining se rvic e s a nd prio ritizing a re a s o f ne e d.  Antic ipa te d sta rt da te : No ve mb e r 2019

Suppo rting a Be tte r T o mo rro w… F Y20 Budg e t Re que st Requested FY19 Estimate vs. Increase Above Total Request Funding Source LBR FY20 LBR FY20 LBR FY20 General $205,872,745 ($2,128,820) *$6,453,751 $212,326,496 State Source Special $18,951,886 - - $18,951,886 Other Special Source $313,051,210 ($44,937,565) $44,937,565 $357,988,775 Total $537,875,841 ($47,066,385) $51,391,316 $589,267,157 *General funds requested include: - LBR reduction being restored to FY19 level ($2,128,820) - PERS employer contribution increase ($1,824,931) - Expansion for mental health community-based services ($1,000,000) - Expansion for the Medicaid ID/DD Waiver for community-based IDD services ($1,500,000)

Suppo rting a Be tte r T o mo rro w… F Y20 DMH Budg e t Re que st  I nc re a se o f $6,453,751 is re q ue ste d fo r the fo llo wing :  L BR re duc tio n b e ing re sto re d to F Y19 le ve l ($2,128,820)  PE RS e mplo ye r c o ntrib utio n inc re a se ($1,824,931)  E xpa nsio n fo r me nta l he a lth c o mmunity-b a se d se rvic e s ($1,000,000)  E xpa nsio n fo r the Me dic a id I D/ DD Wa ive r fo r c o mmunity b a se d I DD se rvic e s ($1,500,000)  I nte rna l shift o f $2.5 millio n fro m I DD Re g io na l Pro g ra ms to the Se rvic e Budg e t fo r the Ho me a nd Co mmunity Ba se d Wa ive r.

Suppo rting a Be tte r T o mo rro w… Me dic aid Matc h for Home and Community Base d Waive r E stimate d E stimate d Slots by E xpe nditur e s Ye ar E nd 2,700 $32,176,558 F Y19 2,800 $33,676,558 F Y20 F Y19 e nro llme nt wa s 2,647 a s o f De c e mb e r 31, 2018. I n F Y20, DMH will shift $2.5 millio n fro m the I DD Re g io na l Pro g ra ms to he lp fund the Ho me a nd Co mmunity Ba se d Wa ive r. DMH a ntic ipa te s the ne e d fo r a g e ne ra l fund inc re a se in F Y21 in o rde r to c o ntinue e xpa nsio n.

Suppo rting a Be tte r T o mo rro w… Wor king T oge the r Mississippi Department of Mental Health www.dmh.ms.gov 601-359-1228