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Program A: Administration and Support

Program Authorization: R.S. 36:258(E); R.S. 28:1-723; and Act 571 of the 1992 Regular Session

PROGRAM DESCRIPTION

The mission of the Administration and Support Program is to manage and support the statewide comprehensive array of mental health services that are delivered through an integrated system of directly operated and contracted community and inpatient hospital programs which form the Mental Health System.

The goal of the Administration and Support Program is to provide direction for the implementation of programs within the divisions of community-based services, hospital services, planning, development and evaluation services for both the community and hospital components of the Mental Health System.

The Office of Mental Health includes the following activities: Community Services, Inpatient Services, and Program Planning, Development and Evaluation, Human Resources, Fiscal Management, and Information Technology.

The state's integrated and interdependent service system consists of clinic-based treatment services, community-based acute inpatient, crisis services and other community support service, mental health rehabilitation services (delivered as an agent of Medicaid), contract programs, and intermediate/long-term inpatient services. These are provided through 43 state-funded CMHC's serving both urban and rural areas, 31 part-time outreach clinics, seven acute inpatient units (one in a Community Mental Health Clinic, one in a state hospital, and five in general hospitals), and five intermediate/long-term state psychiatric hospitals. All of these programs are directly operated by the Office of Mental Health. OMH also has agreements with five private hospitals for acute services for adults, ensuring statewide coverage. There are currently no private-licensed Community Mental Health Clinics.

OBJECTIVES AND PERFORMANCE INDICATORS

1. In FY 1998-99, the Administration and Support Program will plan, develop, evaluate and manage the community and hospitals components of the statewide mental health system.

1 Includes all means of financing.

2. In FY 1998-99, the Administration and Support Program will serve 56% of the adult prevalence population and 6% of the children and youth prevalence population with serious mental and emotional disorders, or at risk of such disorders, and which will enable them to function outside of inpatient or residential treatment institutions to the maximum extent of their capabilities.

1 Kessler, R.C., et al. The 12 month Prevalence and correlates of Serious Mental Illness (SMI). Mental Health, United States, 1996. Department of Health and Human Services pp. 59-70. The increase in the prevalence figure reflects the use of the updates, recently published by The United States Dept. of Health and Human Resources. Not a reduction in the number of persons served.

2 Friedman, R.M. et al. Prevalence of Serious Emotional Disturbance in Children and Adolescents. Mental Health, United States, 1996. U.S. Department of Health and Human Services pp. 71-89. The increase in the prevalence figure reflects the use of updated, higher rate (2.6%) recently published. Not a reduction in the total number of persons served.

3 Office of Mental Health Electronic Data Book, Regional Service System Statistics FY 96-97, LA Department of Health and Hospitals, Office of Mental Health. Does not include CAHSD as well as JPHSA for FY 98-99 column.

4 Office of Mental Health Electronic Data Book, Regional Service System Statistics FY 96-97, LA Department of Health and Hospitals, Office of Mental Health. Does not include CAHSD as well as JPHSA for FY 98-99 column.

5 Office of Mental Health Electronic Data Book, Regional Service System Statistics FY 96-97, LA Department of Health and Hospitals, Office of Mental Health. Does not include CAHSD as well as JPHSA for FY 98-99 column.

6 Adults served divided by the Prevalance of Adults with Serious Mental Illness.

7 Children/ Youth served divided by the Prevalance of Children/Youth with Severe Emotional/Behavior Disorders.

8 These indicators were revised to more accurately reflect tomorrow.

3. In FY 1998-99, the Administration and Support Program will increase the availability of resources in the community-based services component relative to the state hospital component to a 60%:40% mix.

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

The Administration and Support Program is funded with general fund and federal funds. Federal funds are derived from a two year federal grant awarded to improve the planning and decision making by integrating administrative data bases.

ANALYSIS OF RECOMMENDATION.

GENERAL FUND

TOTAL

T.O.

 

DESCRIPTION

 

 

 

 

 

$3,502,425

$3,632,425

36

 

ACT 18 FISCAL YEAR 1997-1998

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$3,502,425

$3,632,425

36

 

EXISTING OPERATING BUDGET - December 10, 1997

 

 

 

 

 

$2,500

$2,500

0

 

Equipment/Major Repairs Adjustments (Non-recurring: -$107,500; Replacement/New: +$110,000)

$29,193

$29,193

0

 

Annualization of 1997 -'98 Merit Pay Adjustment(s)

$35,652

$35,652

0

 

1998 -'99 Merit Pay Adjustment(s)

($73,822)

($73,822)

0

 

Reductions from various Expenditure Categories; Including Reductions to fully fund salaries

$19,643

$19,643

0

 

Attrition Adjustment(s)

($1,270)

($1,270)

0

 

Retirement Rate Adjustment(s)

($32)

($32)

0

 

Adjustment(s) for Civil Service, Training and Other Statewide Interagency Transfer Activities

$0

($130,000)

0

 

Elimination of non-renewable federal grant for decision support

$230,139

$230,139

0

 

Transfer from Office of the Secretary for 5 Extra Mile Contracts

$0

$99,939

0

 

Two year federal grant for planning/decision making by integrating administrative data bases

$0

$0

4

 

Transfer(2) positions from the Office of the Secretary and (2) positions from Medical Vendor - Administration

 

 

 

 

 

$3,744,428

$3,844,367

40

 

TOTAL RECOMMENDED

 

 

 

 

 

$242,003

$211,942

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 105.8% of the Existing Operating Budget. It represents 63.9% of the Total Request ($6,007,976). The major changes include: the elimination of a non-renewable federal grant for decision support in the amount of $130,000; a transfer of general fund in the amount of $230,000 for 5 "extra mile" contracts, and an increase of $99,939 in Federal Funds for a two (2) year Federal Grant for planning/decision making by integrating administrative data bases. The changes should have no significant impact on the delivery of these services.

PROFESSIONAL SERVICES

$325,309

 

On-site, acute psychiatric inpatient unit Quality Improvement inspections and consultations at selected acute units and continuing professional education workshops for OMH acute psychiatric unit physicians, clinicians, nurses and administrators.

 

 

 

$325,309

 

TOTAL PROFESSIONAL SERVICES

OTHER CHARGES

$231,317

 

The "Extra Mile" provides an Education Campaign of Mental Health Awareness geared to regional staff and to the public and provides a volunteer recruitment, placement and retention strategy for community-based programs.

$99,939

 

Two year federal grant used to improve the Office of Mental Health's planning and decision making through the integration of administrative data bases.

 

 

 

$331,256

 

TOTAL OTHER CHARGES

 

 

 

 

 

Interagency Transfers:

$90,891

 

Payments to the Department of Civil Service for personnel services

$9,272

 

Payments for Comprehensive Public Training Program for services

 

 

 

$100,163

 

TOTAL INTERAGENCY TRANSFERS

ACQUISITIONS AND MAJOR REPAIRS

$110,000

 

Recommended level of funding for the replacement and repairs of obsolete, inoperable or damaged equipment and buildings

 

 

 

$110,000

 

TOTAL ACQUISITIONS AND MAJOR REPAIRS


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