Alcoholism and Substance Abuse Services, Office of

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Agency Web Site: http://www.oasas.ny.gov/Link to External Website

Mission

The mission of the Office of Alcoholism and Substance Abuse Services (OASAS) is to improve the lives of all New Yorkers by leading a comprehensive premier system of addiction services for prevention, treatment, and recovery.

Organization and Staffing

The Executive Budget recommends a total workforce of 738 FTEs, unchanged from FY 2018. OASAS is responsible for planning, developing and regulating the State's system of substance use disorder (SUD) services, and gambling treatment and prevention programs. As part of this mission, OASAS certifies, funds and supervises over 1,600 local government and community-based programs and operates 12 State Addiction Treatment Centers (ATCs).

Budget Highlights

The FY 2019 Executive Budget recommends $787 million in All Funds appropriations, including $562 million for Aid to Localities, $135 million for State Operations and $90 million for Capital Projects, an increase of $80 million from FY 2018. To conform the budgeting of program operations with Generally Accepted Accounting Principles (GAAP), the FY 2019 Budget shifts appropriations and spending from the Mental Hygiene Program Fund and Patient Income Account to the General Fund. Spending for fringe benefits and indirect costs will be paid for centrally from General Fund appropriations; however, OASAS will maintain appropriations for these expenses to ensure sufficient authority is available for statewide allocation purposes.

The Executive Budget provides operating and capital support for OASAS to continue to enhance prevention, treatment and recovery programs targeted toward chemical dependency, residential service opportunities, and public awareness and education activities. Over $200 million in funding is being used to address the heroin and opioid crisis, roughly double the amount OASAS spent on opiate addiction in FY 2011. The Budget will fund the following:

  • Residential Treatment Beds. Starting in FY 2018 and continuing through FY 2019, the State will add over 200 new residential beds. These new beds are integral for ensuring widespread service availability for those in need of inpatient care. An additional 235 beds are in capital development and are expected to open over three fiscal years;
  • Opioid Treatment Program (OTP) Slots. The State will add 350 new OTP slots, which will provide individuals with the medications they need, including buprenorphine, to help with the State’s whole-patient approach to services and care;
  • Community Coalitions/Regional Addiction Resource Centers. Ten new regional coalitions and partnerships will be fully operational in FY 2019, which will allow families, service providers, educators, law enforcement, State agencies and local leaders to increase cross-sector collaboration on the prevention and treatment of SUDs;
  • Family Support Navigators. All 18 family support navigator programs, begun in FY 2018, will be fully operational in FY 2019. Navigators assist and inform those seeking treatment and their families of options for insurance coverage and OASAS treatment systems;
  • Peer Engagement. Twenty peer engagement programs, a doubling of the program, will be fully operational during FY 2019. These programs help individuals in need of treatment make connections from hospital emergency rooms to the OASAS treatment system, putting them on the path to recovery;
  • Adolescent Clubhouses. These safe, welcoming spaces will help teens and young adults who are in recovery or are at-risk for SUDs to develop social skills that promote long-term health, wellness, recovery, and a drug-free lifestyle. The Budget supports four new Clubhouses, for a total of 15 statewide, including five in New York City, two in the Mohawk Valley and one in each of the remaining eight Economic Development regions;
  • Recovery Community and Outreach Centers. These facilities provide recovery supports in a comfortable environment to individuals and their families that are in, or seeking, recovery from SUDs. The Budget supports full annual funding for 14 centers statewide, including the five new centers that were added in FY 2018, which provide information and education on how to access treatment supports and wellness activities, and they extend peer supports and volunteers to assist in all areas of the Centers’ operations;
  • 24/7 Open Access Centers. Eleven Open Access Centers, which received start-up funding in FY 2018, will be fully operational throughout the State in FY 2019. These centers offer round-the-clock access to SUD treatment services and will help alleviate traditional “work day” delays in linking clients with appropriate treatment;
  • Certified Peer Recovery Advocates (CPRAs). Recovery Peer Advocates are individuals in recovery from SUD who use their life experience to assist others struggling with addiction. The Budget continues the scholarship program begun in FY 2018 to provide financial assistance for peer advocates to attain their certification. In FY 2019, State funds will support 500 CPRAs in retaining and 250 new peers in attaining their certification.

Other investments in OASAS services include:

  • Problem Gambling Resource Centers. The new Problem Gambling Resource Centers will serve as the hub for coordinating referrals for problem gambling services in each region. They will coordinate with local gambling facilities to ensure information and referrals are available, if needed. The Budget provides funding for seven new Problem Gambling Resource Centers statewide.
  • Capital Projects. Capital spending of more than $55 million in FY 2019 will be used to support the development of new beds/treatment slots, and maintain and renovate the OASAS-funded community-based programs and State-operated facilities, which provide residential, inpatient, outpatient, crisis, and other services to individuals struggling with SUDs.
  • Homelessness Prevention. The Budget also expands on-site peer-delivered substance abuse treatment services at 14 existing homeless shelters across the State.

For more information on this agency's budget recommendations located in the Executive Budget Briefing Book, click on the following link:

Program Highlights

New York State has one of the nation's largest addiction services systems. OASAS offers a wide range of services, which fall into the following three main categories:

  • Prevention: Prevention services seek to prevent substance use and abuse, and compulsive gambling in individuals, families and communities. Prevention services include education, environmental strategies, community capacity building, positive alternatives and information dissemination. These services are delivered by approximately 160 providers in a variety of settings, including schools and community-based organizations, reaching approximately 336,000 youth annually.
  • Treatment: Treatment programs are various clinically appropriate services for individuals with problem gambling or SUDs, including crisis, residential, outpatient and opioid treatment programs (OTP). Treatment includes individual and group counseling, medication-assisted treatment, educational services, case management, vocational assessment, and training for job skills, employment readiness, parenting, personal, and social and community living skills.
  • Recovery: Recovery programs assist individuals in recovery with emotional, informational, and social support services to help initiate and sustain recovery from SUDs, as well as provide support to family members. Services are provided through Recovery Community Centers, Youth Clubhouses and Permanent Supported Housing.
ALL FUNDS
APPROPRIATIONS
(dollars)
Category Available
FY 2018
Appropriations
Recommended
FY 2019
Change From
FY 2018
Reappropriations
Recommended
FY 2019
State Operations 127,662,000 135,472,000 7,810,000 18,073,000
Aid To Localities 501,048,000 561,500,000 60,452,000 158,026,000
Capital Projects 78,000,000 90,000,000 12,000,000 501,522,000
Total 706,710,000 786,972,000 80,262,000 677,621,000

ALL FUND TYPES
PROJECTED LEVELS OF EMPLOYMENT BY PROGRAM
FILLED ANNUAL SALARIED POSITIONS
Program FY 2018
Estimated FTEs
03/31/18
FY 2019
Estimated FTEs
03/31/19
FTE Change
Community Alcoholism and Substance Abuse Facilities (CCP)
Capital Projects Funds - Other 15 15 0
Executive Direction
General Fund 283 283 0
Institutional Services
General Fund 440 440 0
Total 738 738 0

STATE OPERATIONS
ALL FUNDS FINANCIAL REQUIREMENTS BY FUND TYPE
APPROPRIATIONS
(dollars)
Fund Type Available
FY 2018
Recommended
FY 2019
Change
General Fund 112,722,000 121,832,000 9,110,000
Special Revenue Funds - Federal 8,310,000 7,010,000 (1,300,000)
Special Revenue Funds - Other 6,630,000 6,630,000 0
Total 127,662,000 135,472,000 7,810,000
Adjustments:
Transfer(s) From
Alcoholism and Substance Abuse Services, Office of
Special Revenue Funds - Other
(Aid To Localities) (6,500,000)
Special Revenue Funds - Other (112,722,000)
Transfer(s) To
Alcoholism and Substance Abuse Services, Office of
General Fund 112,722,000
Appropriated FY 2018 121,162,000

STATE OPERATIONS
ALL FUNDS FINANCIAL REQUIREMENTS BY PROGRAM
APPROPRIATIONS
(dollars)
Program Available
FY 2018
Recommended
FY 2019
Change
Executive Direction
General Fund 44,539,000 49,545,000 5,006,000
Special Revenue Funds - Federal 7,100,000 5,800,000 (1,300,000)
Special Revenue Funds - Other 6,630,000 6,630,000 0
Institutional Services
General Fund 68,183,000 72,287,000 4,104,000
Special Revenue Funds - Federal 1,210,000 1,210,000 0
Total 127,662,000 135,472,000 7,810,000

STATE OPERATIONS - GENERAL FUND
SUMMARY OF PERSONAL SERVICE APPROPRIATIONS AND CHANGES
FY 2019 RECOMMENDED
(dollars)
Program Total Personal Service Regular
(Annual Salaried)
Amount Change Amount Change
Executive Direction 23,732,000 3,154,000 23,697,000 3,149,000
Institutional Services 36,119,000 2,349,000 33,190,000 2,150,000
Total 59,851,000 5,503,000 56,887,000 5,299,000
STATE OPERATIONS - GENERAL FUND
SUMMARY OF PERSONAL SERVICE APPROPRIATIONS AND CHANGES
FY 2019 RECOMMENDED CONTINUED
(dollars)
Program Temporary Service
(Nonannual Salaried)
Holiday/Overtime Pay
Amount Change Amount Change
Executive Direction 0 0 35,000 5,000
Institutional Services 811,000 58,000 2,118,000 141,000
Total 811,000 58,000 2,153,000 146,000

STATE OPERATIONS - GENERAL FUND
SUMMARY OF NONPERSONAL SERVICE AND MAINTENANCE UNDISTRIBUTED
APPROPRIATIONS AND CHANGES
FY 2019 RECOMMENDED
(dollars)
Program Total Supplies and Materials
Amount Change Amount Change
Executive Direction 25,813,000 1,852,000 345,000 5,000
Institutional Services 36,168,000 1,755,000 5,570,000 69,000
Total 61,981,000 3,607,000 5,915,000 74,000
STATE OPERATIONS - GENERAL FUND
SUMMARY OF NONPERSONAL SERVICE AND MAINTENANCE UNDISTRIBUTED
APPROPRIATIONS AND CHANGES
FY 2019 RECOMMENDED CONTINUED
(dollars)
Program Travel Contractual Services
Amount Change Amount Change
Executive Direction 534,000 8,000 7,001,000 111,000
Institutional Services 69,000 1,000 7,182,000 88,000
Total 603,000 9,000 14,183,000 199,000
STATE OPERATIONS - GENERAL FUND
SUMMARY OF NONPERSONAL SERVICE AND MAINTENANCE UNDISTRIBUTED
APPROPRIATIONS AND CHANGES
FY 2019 RECOMMENDED CONTINUED
(dollars)
Program Equipment General State Charges
Amount Change Amount Change
Executive Direction 112,000 2,000 16,756,000 1,659,000
Institutional Services 329,000 4,000 22,021,000 1,527,000
Total 441,000 6,000 38,777,000 3,186,000
STATE OPERATIONS - GENERAL FUND
SUMMARY OF NONPERSONAL SERVICE AND MAINTENANCE UNDISTRIBUTED
APPROPRIATIONS AND CHANGES
FY 2019 RECOMMENDED CONTINUED
(dollars)
Program Special Departmental Charges
Amount Change
Executive Direction 1,065,000 67,000
Institutional Services 997,000 66,000
Total 2,062,000 133,000

STATE OPERATIONS - OTHER THAN GENERAL FUND
SUMMARY OF APPROPRIATIONS AND CHANGES
FY 2019 RECOMMENDED
(dollars)
Program Total Personal Service
Amount Change Amount Change
Executive Direction 12,430,000 (1,300,000) 2,530,000 (2,690,000)
Institutional Services 1,210,000 0 518,000 (352,000)
Total 13,640,000 (1,300,000) 3,048,000 (3,042,000)
STATE OPERATIONS - OTHER THAN GENERAL FUND
SUMMARY OF APPROPRIATIONS AND CHANGES
FY 2019 RECOMMENDED CONTINUED
(dollars)
Program Nonpersonal Service
Amount Change
Executive Direction 9,900,000 1,390,000
Institutional Services 692,000 352,000
Total 10,592,000 1,742,000

AID TO LOCALITIES
ALL FUNDS FINANCIAL REQUIREMENTS BY FUND TYPE
APPROPRIATIONS
(dollars)
Fund Type Available
FY 2018
Recommended
FY 2019
Change
General Fund 345,175,000 405,327,000 60,152,000
Special Revenue Funds - Federal 145,160,000 145,160,000 0
Special Revenue Funds - Other 10,713,000 11,013,000 300,000
Total 501,048,000 561,500,000 60,452,000
Adjustments:
Transfer(s) From
Alcoholism and Substance Abuse Services, Office of
Special Revenue Funds - Other (317,400,000)
Transfer(s) To
Alcoholism and Substance Abuse Services, Office of
General Fund 317,400,000
Special Revenue Funds - Other
(State Operations) 6,500,000
Appropriated FY 2018 507,548,000

AID TO LOCALITIES
ALL FUNDS FINANCIAL REQUIREMENTS BY PROGRAM
APPROPRIATIONS
(dollars)
Program Available
FY 2018
Recommended
FY 2019
Change
Community Treatment Services Program
General Fund 293,835,000 329,484,000 35,649,000
Special Revenue Funds - Federal 116,160,000 116,160,000 0
Prevention and Program Support
General Fund 51,340,000 75,843,000 24,503,000
Special Revenue Funds - Federal 29,000,000 29,000,000 0
Special Revenue Funds - Other 10,713,000 11,013,000 300,000
Total 501,048,000 561,500,000 60,452,000

CAPITAL PROJECTS
ALL FUNDS FINANCIAL REQUIREMENTS BY PROGRAM
APPROPRIATIONS
(dollars)
Comprehensive Construction Program Available
FY 2018
Recommended
FY 2019
Change Reappropriations
FY 2019
Design and Construction Supervision
Capital Projects Fund 5,000,000 5,000,000 0 8,681,000
MH Capital Improvements - Authority Bonds 1,000,000 1,000,000 0 1,052,000
Facilities Maintenance and Operations
Capital Projects Fund 3,000,000 3,000,000 0 2,514,000
Community Alcoholism and Substance Abuse Facilities
Capital Projects Fund 10,000,000 4,000,000 (6,000,000) 32,028,000
MH Capital Improvements - Authority Bonds 42,000,000 65,000,000 23,000,000 400,225,000
Institutional Services Program
Capital Projects Fund 1,000,000 1,000,000 0 6,928,000
MH Capital Improvements - Authority Bonds 15,000,000 10,000,000 (5,000,000) 50,094,000
Non-Bondable
Capital Projects Fund 1,000,000 1,000,000 0 0
Total 78,000,000 90,000,000 12,000,000 501,522,000

Note: Most recent estimates as of 01/16/2018