TENNESSEE DEPARTMENT

OF MENTAL HEALTH

Commissioner E. Douglas Varney

Budget Hearing:

November 15, 2011

2

DEPARTMENTAL OVERVIEW

Provides support and community treatment services for persons diagnosed with serious mental illness and alcohol and drug issues

Operate 5 regional mental health institutes 660 beds Over 10,000 admissions

Provide over $135 million in both mental health and alcohol and drug abuse community services 450 contracts with over 200 agencies Serving more than 250,000 individuals

Provide a safety net of core behavioral health services for poor people diagnosed with serious mental illness Behavioral Health Safety Net: 32,058 served Crisis Services: 115,776 served Crisis Stabilization Units: 8,551 admitted Community Psychiatric Inpatient Services: approximately 800 admissions

3

CURRENT BUDGETFY 2011-2012

Total Budget $305,269,200

Community Mental Health Services $81,018,700 Community Alcohol and Drug Abuse Services $54,380,000 Regional Mental Health Institutes $152,029,200

Lakeshore $27,252,600 Middle Tennessee $42,186,500 Western $34,601,700 Moccasin Bend $25,409,000 Memphis $22,579,400

Administrative Services $17,391,300 Major Maintenance $450,000

4

5% REDUCTION TARGET AND VACANCIES

Position Vacancies to support overappropriations $478,400 (7 positions)

Position Reductions at Regional Mental Health Institutes $2,000,000 (No Bed Reductions)

Western MHI (15 positions) Memphis MHI (13 positions)

Targeted Community Funding Reductions $6,629,500

_______________TOTAL REDUCTION: $9,107,900

5

NON-RECURRING COMMUNITY SERVICES-$10,567,600

Non-Recurring Loss $4,335,800

Crisis Services $311,300 Alcohol and Drug Abuse Treatment $1,133,400 Peer Support Centers $2,377,300 Alcohol and Drug Counseling $53,600

In Schools Child Care Consultation $163,000 Planned Respite Services $114,000 Teen Screen $115,000 Respite Voucher Program $68,200

Cost Enhancement Requests $6,231,800

Behavioral Health Safety Net $904,400 Crisis Services $1,000,000 Alcohol and Drug Abuse Treatment $813,400 Criminal Justice MH & A&D Liaisons $373,600 Children and Special Populations $1,125,400 Mental Health Recovery Services $2,015,000

6

REDUCTIONS AND NON-RECURRING LOSS SUMMARY

FY2012-2013 BUDGETAPPROVED FY 2011-2012 BUDGET $305,269,200

5% Budget Reduction Amount ($8,629,500) Vacant Position Reduction ($478,400)

Requested position restoration $368,300

Non-Recurring State Funds ($10,567,600) Cost Enhancement Requests $6,231,800

Non-Recurring Federal Funds ($5,768,600)

____________

*Total Reductions and Non-Recurring Loss $18,844,000 +/-42,000 individuals impacted

BUDGET AFTER REDUCTIONS $286,425,200

*Without cost enhancements, reductions/loss would equal $24,965,700

7

Reductions and Non-Recurring In the FY2012-2013 Budget

State

$170,303,200

56%

Federal

$58,830,100

19%

Other

$50,691,800

17%

*Federal Non-

Recurring

$5,768,600

2%

*State Non-Recurring

$10,567,600 3%

*Reductions

$9,107,900

3%

*Total 8% Cut

8

General Fund Reductions and Non-Recurring in the FY2012-2013 Budget

State Recurring$170,303,200

89%

*State Non-Recurring$10,567,600

6%

*Reductions$8,822,200

5%

*Total 11% Cut

9

Reductions and Non-Recurring in FY2012-2013 Community Services Budget

Community MH

$64,427,00048%Community

A&D$48,006,000

35%

*Federal Non-Recurring$5,768,600

4%

*State Non-Recurring$10,567,600

8%

*Reductions$6,629,500

5%

*Total 17% cut

10

PHASE 2: SYSTEM TRANSFORMATION

Private Nonprofit Inpatient Services

Community Residential Treatment Services

State Inpatient Safety Net Community Outpatient Services

No prosed bed reductions in other

state hospitals

Private Nonprofit Inpatient Providers $5,391,600

Intensive Supportive Services (32Beds) $1,140,000

16 Bed Crisis Stabilization Unit $2,196,200

Medically Monitored Crisis Detox $1,525,100

MTMHI 25-Bed Acute Unit & Transportation

$3,141,200

Behavioral Health Safety Net $500,000

Targeted Community Funding Reductions ($6,629,500)

Lakeshore Mental Health Institute $20,523,600

*State General Funds

11

FY 2011-2012

$100,000,000

$110,000,000

$120,000,000

$130,000,000

$140,000,000

$150,000,000

$160,000,000

Community Institutes

FY 2012-2013

$100,000,000

$110,000,000

$120,000,000

$130,000,000

$140,000,000

$150,000,000

$160,000,000

Community Institutes

Community and Institutional Services

12

PROPOSED BUDGETFY 2012-2013

Total Budget $280,393,000

Community Mental Health Services $85,702,700 Community Alcohol and Drug Abuse Services $50,344,500 Regional Mental Health Institutes $126,504,500

Lakeshore $0 Middle Tennessee $45,980,200 Western $33,480,200 Moccasin Bend $25,381,800 Memphis $21,662,300

Administrative Services $17,391,300 Major Maintenance $450,000

*TDMH Budget is $24,876,200 less for fiscal year 2012-2013