Vermont Department of Mental Health FY2021 BUDGET PRESENTATION SARAH SQUIRRELL, COMMISSIONER MOURNING FOX, DEPUTY COMMISSIONER SHANNON THOMPSON, FINANCIAL DIRECTOR February 1, 2020 "There is no health without mental health." 1
Proposed Agenda DEPARTMENT OVERVIEW DEPARTMENTAL BUDGET RESULTS BASED ACCOUNTABILITY (RBA) 2 February 1, 2020 "There is no health without mental health."
Departmental Overview DEPARTMENT RESPONSIBILITIES SYSTEM OF CARE COMMUNITY PROGRAMS MAP OF SYSTEM BED CAPACITY 3 February 1, 2020 "There is no health without mental health."
Overview Budget $279M Oversight and Designation with: 10 Designated Agencies 2 Specialized Service Agencies 5 Designated Hospitals Operations of Vermont Psychiatric Care Hospital (25 beds) Operations of Middlesex Therapeutic Care Residence (7 beds) 269 staff, 207 at the facilities, 62 at Central Office Central Office Units: Administrative Support, Financial Services, Legal Service, Research & Statistics, Clinical Care Management, Operations, Policy & Planning, Quality Management, Child, Adolescent & Family, Adult Mental Health Services 25,000 people served through the DA/SSA system with even more served through Community Outreach, Emergency Services and Inpatient Care Additional programming and supports through grants with community mental health partners 4 February 1, 2020 "There is no health without mental health."
Designated Providers Designated Hospitals (5) Designated Agencies (10) • Brattleboro Retreat • Clara Martin Center • Central Vermont Medical Center • Counseling Services of Addison County • Rutland Regional Medical Center • Health Care and Rehabilitation Services of Southeastern • University of Vermont Medical Center Vermont • Vermont Psychiatric Care Hospital (State-run) • Howard Center • White River Junction VA Medical Center • Lamoille County Mental Health Services • Windham Center (Only Voluntary) • Northwestern Counseling and Support Services • Northeast Kingdom Human Services • Rutland Mental Health Services • United Counseling Service • Washington County Mental Heath Services Specialized Services Agencies (2) State Secure Residential (1) • Pathways Vermont • Middlesex Therapeutic Community Residence • Northeastern Family Institute 5 February 1, 2020 "There is no health without mental health."
Provider Capacity Designated Agencies Designated Hospitals • Adult Crisis Beds: 38 beds • Adult – Level 1 involuntary: 45 beds • Youth Crisis Beds: 12 beds • VPCH 25 • Adult Intensive Residential: 42 beds • Brattleboro Retreat 14 • RRMC 6 • Adult – Non-Level 1 (involuntary and voluntary): 156 beds • CVMC 14 • RRMC 17 • UVMMC 28 Peer Service Agencies • Windham Center 10 • VA Medical Center 12 • Brattleboro Retreat 75 • Adult Crisis Beds: 2 beds • Adult Intensive Residential: 5 beds • Children and Youth: 30 beds • Adolescent 18 • Children 12 Physically Secure Residential • Middlesex Therapeutic Community Residence: 7 beds 6 February 1, 2020 "There is no health without mental health."
Vermont Department of Mental Health Psychiatric Beds in Adult System of Care Level 1 Non Level 1 Springfield Secure Unit Crisis Beds Intensive Residential Secure Residential Peer Supported Residential 300 275 250 Total Number of Beds 225 200 175 150 125 100 75 50 25 0 Pre-Irene September June July July December December December 2012 2013 2014 2015 2017 2018 2019 5 temporary beds at Springfield Secure for displaced VSH patients 7 February 1, 2020 "There is no health without mental health."
Level One Inpatient 3 Facilities Inpatient Hospitalization 45 Beds Services for adults at risk of harm to self or General Inpatient others 6 Facilities 156 Beds Secure Residential Secure Residential 1 Facility Services for adults to support recovery in a secure environment 7 Beds Intensive Recovery Residential Peer-run Residential Intensive Residential Programs 5 Residences providing additional services to adults 1 Residences recently discharged to support recovery 42 Beds 5 Beds Mental Health Crisis Beds • Crisis assessment, support, and referral Crisis Supports and Response 12 Facilities • Continuing education and advocacy Services and supports for adults in crisis 38 Beds • Individual, family, and group therapy Group Community Mental Health Shelter & Care Residential • Clinical assessment, medical consultation and medication For adults seeking mental health Vouchers • Service planning and coordination Homes • Community supports & employment services DMH Housing services 19 Homes • Housing and home supports Vouchers • Peer programming 152 Beds Private Providers Designated Agencies and Specialized Services Agencies Peer-run Services Vermont Department Psychiatrists, Psychologist, Nurse Practitioners, private, non-profit service providers responsible for program delivery, local planning, service and Residential Social Workers Physician Assistants, Licensed Mental of coordination, delivery and monitoring outcomes within their geographic region. SSAs provide a Health Clinicians, Community Hospitals Care Mental Health (DMH) distinctive approach to service delivery or services that meet distinctive individual needs. . 8 March 19, 2019 "THERE IS NO HEALTH WITHOUT MENTAL HEALTH."
Department of Mental Health Adult Mental Health System of Care Community Mental Health Color Legend Providing an array of service and supports to adults seeking mental health services Department of Services Programs Mental Health (DMH) • Individual, family, and group therapy • Community Rehabilitation and Treatment • Medication and medical consultation • Adult Outpatient • Clinical assessment Designated Agencies • Service planning and coordination private, non-profit service providers that • Community supports are responsible for ensuring needed services • Employment services are available through program delivery, local • Housing and home supports planning, service coordination, and monitoring • Group residential living outcomes within their geographic region. • Individual support throughout the continuum of care • Peer programming Specialized Services Agencies private, non-profit service providers that provide a distinctive approach to service Emergency Mental Health delivery and coordination or provide services Providing services and supports to adults in crisis that meet distinctive individual needs. Services Programs • Mobile Crisis • Emergency Mental Health Private Providers • Crisis assessment, support, and • Team Two Psychiatrists, Psychologist, Nurse Practitioners, referral • Continuing education and advocacy Social Workers Physician Assistants, Licensed Mental Health Clinicians, Community Hospitals Crisis Beds Programs – providing extra support to adults in crisis to prevent hospitalization Inpatient Hospitalization – providing service to adults at risk of harm to self or others Intensive Residential Programs – providing additional services to adults recently discharged to support recovery Secure Residential Program – providing services to adults to support recovery in a secure environment Peer Run Residential Programs- providing individual support throughout the continuum of care 9 February 1, 2020 "There is no health without mental health."
10 February 1, 2020 "There is no health without mental health."
Children and Youth Residential Treatment 11 February 1, 2020 "There is no health without mental health."
People Served by Program DA Utilization by Primary Program CYFS AOP CRT ES 12,000 10,892 10,670 10,661 10,585 10,490 10,374 10,048 9,486 10,000 8,000 7,365 Number Served 6,905 6,826 6,752 6,681 6,566 6,541 6,366 6,773 6,000 6,567 6,487 6,348 6,306 6,225 5,873 5,791 4,000 2,952 2,769 2,000 2,752 2,726 2,718 2,654 2,640 2,628 0 2011 2012 2013 2014 2015 2016 2017 2018 Fiscal Year 12 February 1, 2020 "There is no health without mental health."
DMH Residen enti tial a and Design gnated ed Hospital (Inpati tien ent) t) Beds All Ages by County FY19 March 19, 2019 "There is no health without mental health." 13
Departmental Budget SUMMARY AND HIGHLIGHTS FY21 PROPOSED EXPENSES FY21 BUDGET REQUEST (UPS/DOWNS) 14 February 1, 2020 "There is no health without mental health."
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