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Agency 300030
Mental Health
RCW 10.77, 71.05, .24, .34, 72.23

Request

$986,110,008

Net change from current biennium

$109,467,585

Increase

Percent change from current biennium

12.5%

Increase

The goal of Washington State's mental health system is to ensure that people of all ages experiencing mental illness can better manage their illness; achieve their personal goals; and live, work, and participate in their community.

A primary function of the Mental Health Division is to ensure a full range of treatment and rehabilitation services are provided for customers with adequate local flexibility to assure access to the least-restrictive treatment alternative and continuity of care through all phases of treatment. Implement managed care to provide services and supports to the right consumers, in the right amount, at the right time, and for the right amount of money. Another primary function is to support state hospitals as a center of professional expertise and as a source for treating consumers with the most clinically complex illnesses or in need of a secure treatment facility.

Links to Category Level Detail

Community Services

State Facilities Services

Civil Commitment

Special Projects

Program Support

Program Level Summary

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Operating Budget: Summary by Object

					1994-95 Actual			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Salaries And Wages				93,600,527			94,342,009			93,230,588			96,150,686			96,389,635
Employee Benefits				28,966,293			28,767,294			28,522,917			29,137,976			29,373,002
Personal Service Contracts				254,591			258,459			193,500			263,500			263,500
Goods And Services				21,885,102			22,748,327			22,369,118			24,152,536			24,858,454
Travel				397,661			393,902			375,374			392,765			399,647
Capital Outlays				1,514,735			2,068,450			589,495			1,355,888			1,165,088
Grants, Benefits & Client Services				343,440,723			296,390,381			281,235,489			331,277,074			349,322,984
Debt Service				308,529			424,931			482,327			413,284			413,284
Interagency Reimbursements				(722,986)			(1,673,204)			(396,311)			(333,311)			(334,311)
Intra-Agency Reimbursements				(33,755)			5,597,652			721,725			711,051			737,276

Annual Total				489,611,420			449,318,201			427,324,222			483,521,449			502,588,559

Operating Budget: Category Summary

					1994-95 Actual			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Community Services/RSN				338,595,872			296,204,869			278,992,567			330,387,135			350,376,135
State Facility Services				139,754,206			137,817,772			136,857,412			139,361,945			139,694,408
Civil Commitment				3,290,342			3,578,960			3,609,905			5,604,450			6,422,928
Special Projects				4,911,294			7,751,063			4,716,923			2,185,473			1,641,222
Program Support				3,059,706			3,965,537			3,147,415			5,982,446			4,453,866
Annual Total				489,611,420			449,318,201			427,324,222			483,521,449			502,588,559
Fiscal Year 1993-94				344,481,891
Biennium Total				834,093,311			876,642,423						986,110,008

Operating Budget: Change from Preceding Biennium

				1993-95 Actual								1995-97 Estimated								1997-99 Proposed
				Amount			Percent				Amount					Percent			Amount					Percent
Community Services/RSN			86,349,369			19.3%				40,840,850					7.6%			105,565,834					18.4%
State Facility Services			(3,243,688)			(1.1)%				(5,001,785)					(1.8)%			4,381,169					1.6%
Civil Commitment			1,799,207			40.8%				980,796					15.8%			4,838,513					67.3%
Special Projects			1,611,171			31.0%				5,660,984					83.2%			(8,641,291)					(69.3)%
Program Support			(874,746)			(11.0)%				68,267					1.0%			3,323,360					46.7%

Total			85,641,313			11.4%				42,549,112					5.1%			109,467,585					12.5%

Employment Summary

			1994-95 Actual			1995-96 Estimated		1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
FTE Staff Years			2,757.0		2,671.8			2,694.6				2,739.6				2,746.2
Average FTE Staff Year Costs			33,950			35,310		34,599				35,097				35,099

Source of Funds

					1994-95 Actual			1995-96 Estimated				1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
General Fund - Basic Account - State				216,954,540			227,580,062				232,152,502			237,176,789			244,484,196
General Fund - Basic Account - Federal				229,168,072			7,604,565				8,880,436			7,258,473			6,713,222
General Fund - Basic Account - Federal Unanticipated				21,699,997
General Fund - Basic Account - Private/Local				16,331,040			13,860,575				23,256,000			20,104,283			20,145,861
General Fund - Basic Account - DSHS Medicaid Federal							190,227,689				152,816,594			207,081,904			219,048,280
Industrial Insurance Premium Refund - State				1,170,000			373,501				373,499
Health Services Account - State				4,287,771			9,671,809				9,845,191			11,900,000			12,197,000

Annual Total				489,611,420			449,318,201				427,324,222			483,521,449			502,588,559

Agency Local Funds

Institutional Stores Fund
This fund is for a retail outlet which provides grocery, cafeteria, and sundry items to patients, relatives, friends, and employees.
Institutional Residents' Deposit Fund
This fund consists of patients' personal funds.
Institutional Welfare/Betterment Fund
This fund is for donations from civic groups, organizations, and individuals. It is used for entertainment and recreation not provided through appropriated funds.

Statement of Local Fund Balances

			6/30/95 Fund Balance			6/30/97 Estimated Fund Balance			1997-1999 Estimated Revenues			1997-1999 Estimated Expenditures		6/30/99 Estimated Fund Balance
Non-Budgeted Funds
Institutional Stores Fund			85,689			57,029		584,531			585,917			55,643
Institutional Residents' Deposit Fund			735,743			762,871		3,034,954			2,996,868			800,957
Institutional Welfare/Betterment Fund			337,740			336,076		244,804			249,860			331,020
Total Non-Budgeted Funds			1,159,172			1,155,976		3,864,289			3,832,645			1,187,620

Community Services

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This category provides financial support and program direction for community mental health programs delivered by the Regional Support Networks and counties. These programs include mental health services that implement the Involuntary Treatment Act and mandated and optional mental health services for priority populations including the acutely mentally ill, chronically mentally ill, and seriously disturbed of all ages. Services include outpatient, inpatient, acute care, emergency, day treatment, consultation and education, employment services, and community support services, which include screening of voluntary referrals to state hospitals, discharge planning with the hospitals, crisis response, and case management for chronic clients in the community. In addition, this category includes residential programs that supervise, support, treat, and rehabilitate adults and children.

The objectives of Community Services include implementing a statewide integrated public managed mental health system to meet needs of consumers in a seamless fashion and a financially responsible manner; and to ensure the mental health system works for consumers who are low income, including those who are on Medicaid, regardless of ethnicity, age, sexual orientation, medical condition, legal status, and geographic circumstance.

Budget Unit Data

			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Regional Support Network		213,029,364			191,979,038			247,222,689			261,944,984
Voluntary Psychiatric Hospitilizati		46,686,649			55,188,280			45,756,067			49,565,280
Community Mental Health		19,664,911			13,762,768			18,735,411			19,695,903
Residential Services - Voluntary		9,103,516			9,672,968			9,914,968			10,182,968
Institute for Mental Illness								200,000			200,000
Involuntary Treatment Act		7,704,942			8,291,000			8,498,000			8,727,000
Bureau of Refugee Assistance		15,487			98,513			60,000			60,000

Category Employment

1994-95 Actual

1995-96 Estimated

1996-97 Estimated

1997-98 Proposed

1998-99 Proposed

FTE Staff Years

1.4

2.8

Average FTE Staff Year Costs

46,221

40,691

Expenditure Detail

				1994-95 Actual			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Salaries and Benefits			78,910			140,759
Grants and Subsidies			335,959,184			293,289,397			277,945,488			329,139,921			349,128,921
Other Operating Costs			2,557,778			2,774,713			1,047,079			1,247,214			1,247,214

Annual Total			338,595,872			296,204,869			278,992,567			330,387,135			350,376,135
Fiscal Year 1993-94			195,760,714
Biennium Total			534,356,586			575,197,436						680,763,270

Source of Funds

					1994-95 Actual			1995-96 Estimated				1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
General Fund - Basic Account - State				193,335,859			158,304,366				165,967,000			164,624,135			172,833,135
General Fund - Basic Account - Federal				141,946,885			4,810,487				4,893,513			4,853,000			4,852,000
General Fund - Basic Account - Private/Local				(974,643)			360,069				2,000,000			2,000,000			2,000,000
General Fund - Basic Account - DSHS Medicaid Federal							123,058,138				96,286,863			147,010,000			158,494,000
Health Services Account - State				4,287,771			9,671,809				9,845,191			11,900,000			12,197,000

Annual Total				338,595,872			296,204,869				278,992,567			330,387,135			350,376,135

Workload Indicators

1994-95 Actual

1995-96 Estimated

1996-97 Estimated

1997-98 Proposed

1998-99 Proposed

Community Mental Health

Average Monthly Persons Served

90,653

93,700

95,500

96,500

97,500

State Facilities Services

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This category includes the state psychiatric hospitals which are Eastern and Western State Hospitals, and the Child Study and Treatment Center. Services provided include inpatient psychiatric services for acutely and chronically mentally ill persons, mentally ill offenders, and geriatric patients at Eastern and Western State Hospitals, and inpatient psychiatric services for severely disturbed children and adolescents at the Child Study and Treatment Center.

The objective of State Facilities Services is to maintain an adequate physical and operational capacity at the state hospitals to appropriately serve mandated populations.

Budget Unit Data

			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Hospital Revenue and Projects		1,613,873			1,528,345			576,000			583,417
Eastern State Hospital		32,003,151			32,018,466			32,587,124			32,659,570
Western State Hospital		95,105,018			94,232,511			96,985,855			97,230,261
Child Study & Treatment Center		5,629,670			5,574,920			5,878,113			5,887,611
Institute for Mental Illness		200,000			200,000
Consolidated Services		3,266,060			3,303,170			3,334,853			3,333,549

Category Employment

			1994-95 Actual			1995-96 Estimated		1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
FTE Staff Years			2,667.3		2,572.2			2,592.8				2,597.6				2,597.6
Average FTE Staff Year Costs			33,683			35,151		34,633				34,808				34,821

Expenditure Detail

				1994-95 Actual			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Salaries and Benefits			117,775,824			118,112,353			117,237,183			118,192,249			118,392,738
Grants and Subsidies			2,566,589			53,666			62,262			42,204			42,205
Other Operating Costs			19,411,793			19,651,753			19,557,967			21,127,492			21,259,465

Annual Total			139,754,206			137,817,772			136,857,412			139,361,945			139,694,408
Fiscal Year 1993-94			139,922,763
Biennium Total			279,676,969			274,675,184						279,056,353

Source of Funds

					1994-95 Actual			1995-96 Estimated				1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
General Fund - Basic Account - State				16,981,744			58,059,643				58,829,238			63,259,973			62,487,961
General Fund - Basic Account - Federal				84,296,779
General Fund - Basic Account - Federal Unanticipated				20,000,000
General Fund - Basic Account - Private/Local				17,305,683			13,500,506				21,256,000			18,104,283			18,145,861
General Fund - Basic Account - DSHS Medicaid Federal							65,884,122				56,398,675			57,997,689			59,060,586
Industrial Insurance Premium Refund - State				1,170,000			373,501				373,499

Annual Total				139,754,206			137,817,772				136,857,412			139,361,945			139,694,408

Statistical Summary--Mental Health Institutions
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Expenditures					132,247,443			133,724,698			134,210,857				133,776,349			133,837,423
FTE Staff Years					2,596.6			2,536.4			2,537.4				2,537.4			2,537.4
Average Daily Census					1,046			1,335			1,285				1,285			1,285
FTE Staff Years Per Resident					1.85			1.90			1.97				1.97			1.97
Daily Per Capita Cost					257.70			274.43			286.15				285.22			285.35
FTE Staff Years
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Eastern State Hospital					655.1			611.7			611.7				611.7			611.7
Western State Hospital					1,825.3			1,805.6			1,805.6				1,805.6			1,805.6
Child Study and Treatmrnt Center					116.2			119.1			120.1				120.1			120.1
Total					2,596.6			2,536.4			2,537.4				2,537.4			2,537.4
Average Daily Census
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Eastern State Hospital					308			302			287				287			287
Western State Hospital					1,052			988			952				952			952
Child Study and Treatmrnt Center					46			45			46				46			46
Total					1,406			1,335			1,285				1,285			1,285
FTE Staff Years Per Resident
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Eastern State Hospital					2.13			2.03			2.13				2.13			2.13
Western State Hospital					1.74			1.83			1.90				1.90			1.90
Child Study and Treatmrnt Center					2.53			2.65			2.61				2.61			2.61
Total					1.85			1.90			1.97				1.97			1.97
Daily Per Capita Costs
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Eastern State Hospital					300.24			289.82			305.63				304.56			304.70
Western State Hospital					242.44			266.66			278.06				277.18			277.31
Child Study and Treatmrnt Center					321.78			341.81			332.02				331.03			331.11
Total					257.70			274.43			286.15				285.22			285.35