Office of Mental Health
The enacted budget makes the following changes to the Executive Budget (analysis as of April 2, 2007):
- Reduces by $9,900,000 the OMH All Funds budget. This includes a personal services reduction of $10.1 million in the Adult Services program, offset by $2.9 million in additional funding for Nathan Kline and NY Psychiatric Institute.
- Reduces the Adult Services program by $12.8 million, including $10.1 million in personal service and $2.7 million in nonpersonal service. The personal service reduction includes $9.5 million in regular personal services. We assume that the impact will be a reduction of approximately 103 FTEs from the projected 335 additional FTEs in the Executive Budget. All of these positions were associated with the Sexual Offender Treatment Program, and may reflect a lower revised estimate of the number of civil commitments to OMH under the civil commitment bill enacted this session.
- Adds $2.9 million to the Research in Mental Illness program, including $400,000 for 5 research scientist positions at NYS Psychiatric Institute (NYPI) for the Magnetic Resonance Imaging Facility and $500,000 for 5 research scientist positions at Nathan Kline Institute (NKI), and $2 million for grants to NYPI and NKI for development of a program at each facility promoting the development of best practices in the delivery of culturally and linguistically competent mental health services.
- Adds Article VII language to provide that the 5.07 Comprehensive Plan include recommendations on the provision of state and local mental health services based on the development of best practices by programs promoting culturally and linguistically competent mental health services. Further provides that OMH provide technical and financial support to two programs promoting culturally and linguistically competent mental health services operated collaboratively with the Nathan Kline Institute and the New York State Psychiatric Institute, academia, providers, interested communities and private and public sector parties.
The Senate and Assembly recommend (analysis as of March 16, 2007):
Senate:
- Reduces by $5 million personal and nonpersonal service funding.
- Adds $500,000 for 5 research positions at Nathan Kline
- Adds $400,000 for 5 research positions at NYS Psychiatric Institute
Assembly:
- Adds $2 million to Nathan Kline and NYS Psychiatric Institute for the development of a program at each facility promoting the development of best practices in the delivery of culturally and linguistically competent mental health services.
- Adds $400,000 to NYS Psychiatric Institute for 5 research scientist positions for the Magnetic Resonance Imaging Facility.
The Executive Budget recommends (analysis as of February 1, 2007):
A FY 2007-08 workforce of 17,670. This is an increase of 405 FTEs from the adjusted FTE level for FY 2006-07. The following chart identifies adjustments in current fiscal years FTEs along with the recommended differences in FY 2007-08 FTEs by program (if the FTE’s are the same the program is not listed):
Program
FY 2006-07 Adjustment
FY 2007-08 Difference
Administration and Finance
0
+17
Adult Services
-250
+335
Forensic
0
+38
Research
+9
+15
- The total appropriation for Personal Service is $1,076,184,000 (an increase of 6% from SFY2006-07.
- An All Funds increase of $47,665,000 (3.7%) from SFY 2006-07.
- There are no closures identified in the budget, however the budget calls for inpatient services to be “right sized in order to be more cost effective and to better meet regional needs.” This will “require the full cooperation of all key stakeholders, including…State employee unions”.
- Provides an increase of $2 million for additional mental health services in DOCS, including the development of a Regional Mental Health Unit for those with serious and persistent mental illness. The increase of 38 FTEs in the Forensic Program is associated with these services. According to the Senate Finance Committee, the new 100 bed Special Housing Unit will be at Marcy Correctional Facility in Oneida County.
- Provides $46 million for treatment of sexually violent persons (SVPs). According to the Senate Finance Committee and the Assembly Ways and Means Committee $19.2 million in additional funding is available for this purpose. Calls for additional legislation (not Article VII) to allow civil commitment. The FTE increase of 335 corresponds to increased services for the Sexual Offender Treatment Program (SOTP). It is likely that the reduction of 250 FTEs in SFY2006-07 is related to delayed expansion of the SOTP program in the current fiscal year. This should be clarified at Labor/Management.
- According to the Senate and Assembly, $1.5 million is added for 10 FTEs at Nathan Kline Institute and 5 FTEs at NYS Psychiatric Institute.
- OMH is expecting to employ an estimated 1,145 consultant contract employees in SFY2007-08, an increase of 2 from SFY2006-07. The estimated cost of these contract employees is $37.2 million, or an average cost of $32,502 per contract position, an increase of 2% over FY 2006-07. OMH has over one third of the General Fund supported contract employees (1,065). Most of these contract employees are likely to be nurses or IT staff. The purpose and use of these contract employees and whether they can be replaced by state employees should be clarified at statewide labor management
- Provides $1.3 million for additional staff for a joint initiative with the Department of Health to expand Psychiatric Clinical Knowledge Enhancement System medication management (with an estimated savings of $4.3 million). We believe the funding for this initiative is included in the Administration and Finance program and is reflected in the increase in FTEs for that program. According to the Senate, 11 FTEs are added for this purpose.
- Provides $300,000 for new OMH staff for expansion of Medicaid compliance and enforcement in conjunction with the Office of Medicaid Inspector General (OMIG) for estimated savings of $7.7 million. We believe the funding for this initiative is included in the Administration and Finance program and is reflected in the increase in FTEs for that program. According to the Senate, 6 FTEs are added for a new quality assurance and fraud unit.
- Creates demonstration programs in conjunction with DOH to coordinate health and mental health services (funding of $4.4 million in DOH budget).
- $7.7 million in capital funding is added for improvements to Nathan Kline Institute including a new children’s magnetic resonance imaging suite.
- According to the Senate and Assembly, $102 million in capital funding is added for phase two of construction of new adult and children’s facilities and a new transitional residence at Bronx PC.
- Senate and Assembly analysis also show a $25 million capital appropriation for phase two of rehabilitation of the Dunlap Building in Manhattan Psychiatric Center to accommodate Kirby Psychiatric Center.
Office of Mental Health Program Details-State Operations Enacted Proposed Enacted Change in Percent Program 2006-07 Budget 2007-08 Budget 2007-08 Budget Appropriation Change All Funds $1,303,249,000 $1,350,914,000 $1,341,014,000 $37,765,000 2.9% General Fund $772,557,000 $764,555,000 $754,655,000 ($17,902,000) -2.3% Special Revenue-Federal $1,358,000 $1,358,000 $1,358,000 $0 0.0% Special Revenue-Other $518,476,000 $573,867,000 $573,867,000 $55,391,000 10.7% Enterprise Fund $8,349,000 $8,514,000 $8,514,000 $165,000 2.0% Internal Service $2,509,000 $2,620,000 $2,620,000 $111,000 4.4% Personal Services $1,015,633,000 $1,076,184,000 $1,066,115,000 $50,482,000 5.0% Contractual Services $132,607,000 $131,326,000 Administration & Finance $82,183,000 $79,234,000 $79,234,000 ($2,949,000) -3.6% Personal Service $40,895,000 $43,462,000 $43,462,000 $2,567,000 6.3% Regular $42,049,000 $42,049,000 Temporary service $1,080,000 $1,080,000 Holiday/overtime compensation $333,000 $333,000 Nonpersonal Service $25,052,000 $19,410,000 $19,410,000 ($5,642,000) -22.5% Supplies and materials $1,081,000 $1,081,000 Travel $1,084,000 $1,084,000 Contractual Services $15,062,000 $15,062,000 Equipment $2,183,000 $2,183,000 Svcs & Exp Art 31 Study $150,000 $0 $0 ($150,000) -100.0% Special Revenue-Federal (SRF) $1,358,000 $1,358,000 $1,358,000 $0 0.0% Special Revenue-Other (SRO) $3,870,000 $3,870,000 $3,870,000 $0 0.0% Internal Service (ISF) $2,509,000 $2,620,000 $2,620,000 $111,000 4.4% Enterprise Fund (Ent) $8,349,000 $8,514,000 $8,514,000 $165,000 2.0% Federal Block Grant Fund (SRF) $1,358,000 $1,358,000 $1,358,000 $0 0.0% Personal Service $814,000 $814,000 $814,000 $0 0.0% Nonpersonal Service $178,000 $178,000 $178,000 $0 0.0% Fringe benefits $366,000 $366,000 $366,000 $0 0.0% OMH Gifts & Donations - (SRO) $500,000 $500,000 $500,000 $0 0.0% Nonpersonal services $500,000 $500,000 Supplies and materials $200,000 $200,000 Travel $35,000 $35,000 Contractual Services $125,000 $125,000 Equipment $140,000 $140,000 OMH Grants & Bequests - (SRO) $70,000 $70,000 $70,000 $0 0.0% Nonpersonal services $70,000 $70,000 Supplies and materials $70,000 $70,000 Cook/Chill Acct (SRO) $3,300,000 $3,300,000 $3,300,000 $0 0.0% Nonpersonal services $3,300,000 $3,300,000 Supplies and materials $1,650,000 $1,650,000 Contractual Services $1,650,000 $1,650,000 MH Sheltered Workshop Acct - (Ent) $5,753,000 $5,839,000 $5,839,000 $86,000 1.5% Personal Service $2,045,000 $2,045,000 $2,045,000 $0 0.0% Temporary service $2,045,000 $2,045,000 Nonpersonal Service $3,708,000 $3,794,000 $3,794,000 $86,000 2.3% Supplies and materials $757,000 $757,000 Travel $123,000 $123,000 Contractual Services $2,657,000 $2,657,000 Equipment $257,000 $257,000 MH Community Stores Acct - (Ent) $2,596,000 $2,675,000 $2,675,000 $79,000 3.0% Personal Service $551,000 $561,000 $561,000 $10,000 1.8% Regular $561,000 $561,000 Nonpersonal Service $2,045,000 $2,114,000 $2,114,000 $69,000 3.4% Supplies and materials $1,679,000 $1,679,000 Equipment $154,000 $154,000 Fringe benefites $252,000 $281,000 $281,000 $29,000 11.5% MH Revolving Acct - (ISF) $2,509,000 $2,620,000 $2,620,000 $111,000 4.4% Personal service $993,000 $1,012,000 $1,012,000 $19,000 1.9% Regular $1,012,000 $1,012,000 Nonpersonal service $1,516,000 $1,608,000 $1,608,000 $92,000 6.1% Supplies and materials $461,000 $461,000 Travel $7,000 $7,000 Contractual services $388,000 $388,000 Equipment $236,000 $236,000 Fringe benefits $448,000 $516,000 $516,000 $68,000 15.2% Adult Services $876,361,000 $917,013,000 $904,213,000 $27,852,000 3.2% Personal Service $686,587,000 $718,844,000 $708,775,000 $22,188,000 3.2% Regular $676,025,000 $666,556,000 Temporary service $5,038,000 $4,967,000 Holiday/overtime compensation $37,781,000 $37,252,000 Nonpersonal Service $186,609,000 $195,004,000 $192,273,000 $5,664,000 3.0% Supplies and materials $98,079,000 $96,705,000 Travel $2,798,000 $2,759,000 Contractual Services $91,438,000 $90,157,000 Equipment $2,689,000 $2,652,000 Maintenance Undist. $3,165,000 $3,165,000 $3,165,000 $0 0.0% Children and Youth $136,755,000 $139,610,000 $139,610,000 $2,855,000 2.1% Personal Service $120,284,000 $122,848,000 $122,848,000 $2,564,000 2.1% Regular $115,479,000 $115,479,000 Temporary service $2,429,000 $2,429,000 Holiday/overtime compensation $4,940,000 $4,940,000 Nonpersonal Service $16,471,000 $16,762,000 $16,762,000 $291,000 1.8% Supplies and materials $8,392,000 $8,392,000 Travel $488,000 $488,000 Contractual Services $7,284,000 $7,284,000 Equipment $598,000 $598,000 Enhanced Community Services $19,600,000 $19,600,000 $19,600,000 $0 0.0% Personal Service $15,700,000 $15,700,000 Regular $15,700,000 $15,700,000 Nonpersonal Service $3,900,000 $3,900,000 Supplies and materials $865,000 $865,000 Travel $72,000 $72,000 Contractual Services $2,940,000 $2,940,000 Equipment $23,000 $23,000 Maintenance Undist. $19,600,000 $0 $0 ($19,600,000) -100.0% Forensic $136,012,000 $140,714,000 $140,714,000 $4,702,000 3.5% Personal Service $122,401,000 $126,668,000 $126,668,000 $4,267,000 3.5% Regular $118,330,000 $118,330,000 Temporary service $2,280,000 $2,280,000 Holiday/overtime compensation $6,058,000 $6,058,000 Nonpersonal Service $13,611,000 $14,046,000 $14,046,000 $435,000 3.2% Supplies and materials $8,759,000 $8,759,000 Travel $609,000 $609,000 Contractual Services $4,461,000 $4,461,000 Equipment $217,000 $217,000 Maintenance Undist. $0 $0 $0 $0 Offset ($507,481,000) ($562,767,000) ($562,767,000) ($55,286,000) 10.9% Special Revenue-Other (SRO) $507,481,000 $562,767,000 $562,767,000 $55,286,000 10.9% HCRA Transfer Fund - (SRO) $19,600,000 $19,600,000 $19,600,000 $0 0.0% MH Patient Income Acct - (SRO) $487,881,000 $543,167,000 $543,167,000 $55,286,000 11.3% Research in MI $52,338,000 $54,743,000 $57,643,000 $5,305,000 10.1% Personal Service $39,148,000 $42,315,000 $42,315,000 $3,167,000 8.1% Regular $41,718,000 $41,718,000 Temporary service $55,000 $55,000 Holiday/overtime compensation $542,000 $542,000 Nonpersonal Service $5,065,000 $5,198,000 $5,198,000 $133,000 2.6% Supplies and materials $3,134,000 $3,134,000 Travel $69,000 $69,000 Contractual Services $1,937,000 $1,937,000 Equipment $58,000 $58,000 Extra Research Scientists $1,000,000 $0 $900,000 ($100,000) -10.0% Grants for NY Inst & Nathan Kline $0 $2,000,000 #VALUE! Special Revenue-Other $7,125,000 $7,230,000 $7,230,000 $105,000 1.5% OMH Research Recovery Acct - (SRO) $7,125,000 $7,230,000 $7,230,000 $105,000 1.5% Personal Service $1,915,000 $1,915,000 $1,915,000 $0 0.0% Regular $1,915,000 $1,915,000 Nonpersonal Service $5,210,000 $5,315,000 $5,315,000 $105,000 2.0% Contractual Services $4,665,000 $4,665,000 Fringe Benefits $650,000 $650,000 $650,000 $0 0.0%