2010-2011 Executive Budget – Briefing Book

Mental Hygiene

I. Overview

The mental hygiene agencies provide services to individuals with mental illnesses, developmental disabilities, chemical dependencies, and problem gambling. These agencies — OMH, OMRDD, OASAS, DDPC, and one oversight agency, CQCAPD — are expected to serve nearly one million individuals in 2010-11, including more than 600,000 persons with mental illness, 260,000 persons with chemical dependencies or gambling problems, and 125,000 persons with developmental disabilities.

II. History/Context

The mental hygiene system currently operates 47 institutional facilities serving a State-operated inpatient residential capacity of 7,200 individuals. The State also provides funding to support approximately 86,000 community residential housing options. Additionally, the State supports numerous outpatient, employment, clinic, habilitative, and treatment programs in partnership with 4,300 not-for-profit provider agencies. There are three facilities dedicated to conducting state-of-the-art research into the causes of and appropriate treatments for serving adults and children with psychiatric and developmental disabilities.

The proposed Executive Budget for the mental hygiene system would total approximately $8.5 billion in 2010-11.

III. Proposed 2010-11 Budget Actions

The 2010-11 Executive Budget recommends $134 million in net savings actions for the mental hygiene agencies in addition to those ongoing actions reflected in the 2009-10 Deficit Reduction Plan and proposed via collective bargaining. Savings would be achieved by placing aggressive cost controls on agency operations; maximizing payments from third-party payers; reforming and restructuring State and local programs and administrative practices; reducing adult inpatient psychiatric center capacity; and delaying community bed development. In addition to these savings actions, the budget does not include any funding for a previously planned human services cost-of-living increase, but does propose legislation to forestall a 2.1 percent reduction that would otherwise occur, driven by the Consumer Price Index-based methodology in current law.

The Executive Budget recommendations support the development of approximately 2,600 new residential beds in 2010-11, including:

The budget includes funding to divert individuals from prison to treatment programs, consistent with recent reforms to the State’s drug laws, increases support for mental health services to adult home residents, and provides a Medicaid trend increase for OMRDD in 2009 and 2010.

IV. Summary of Spending (All Funds)

Category 2009-10
($ in millions)
($ in millions)
(in millions)
Total Mental Hygiene Spending 8,070 8,499 429 5.3
OMH 3,212 3,414 202 6.3
OMRDD 4,270 4,465 195 4.6
OASAS 565 597 32 5.7
CQCAPD 17 17 0 0.0
DDPC 4 4 0 0.0
DMH 2 2 0 0.0

The majority of the spending increase is attributable to increased Federal support of $223 million for a variety of ongoing State and local operated programs. General State Charges costs are projected to increase by $129 million.

V. Major Initiatives

Gap Closing Actions

Proposal 2010-11
($ in millions)
($ in millions)
OMRDD State Operations Efficiencies 25 28
OMRDD Local Restructuring 24 43
OMH State Operations Efficiencies 44 38
OMH Inpatient Restructuring 9 18
OMH Forensic/SOMTA Reforms 10 11
OMH Local Restructuring 18 13
OASAS Restructuring 3 3
CQCAPD Restructuring 1 1
Total 134 155

Other Budget Actions


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