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DEPARTMENT OF HUMAN SERVICES
SENIOR ADULT MENTAL HEALTH SERVICES
PROGRAM MISSION: To promote, or enhance, the clients'
independent living through the stabilization of their mental illness or
emotional disturbance, thereby preventing premature institutionalization (both
psychiatric hospitalization and nursing home) due to mental illness.
The mission is
achieved by providing a multi-disciplinary team approach to psychiatric
treatment. Services include
comprehensive assessments (including mental health assessments for at-risk
adult protective services clients who may need guardianships); medication
services; individual, group, and family psychotherapy; case coordination; and
collaboration with other service providers.
Staff also provides home based services to homebound or treatment
resistant clients, and consultation with families and service providers.
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Senior Adult
Mental Health Services
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|
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FY 2002
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FY 2003
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FY 2004
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% Change:
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|
|
Actual
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Adopted
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Proposed
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'03 to '04
|
|
Personnel
|
$330,198
|
$355,816
|
$400,529
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13%
|
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Non-Personnel
|
87,055
|
107,943
|
96,089
|
-11%
|
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Total Expenditures
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417,253
|
463,759
|
496,618
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7%
|
|
|
|
|
|
|
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Fees
|
27,854
|
80,352
|
79,490
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-1%
|
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Medicaid
|
1,328
|
5,700
|
1,300
|
-77%
|
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Medicare
|
18,337
|
22,500
|
18,000
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-20%
|
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State Funds
|
3,875
|
-
|
14,296
|
-
|
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Federal Block
Grant
|
-
|
-
|
5,004
|
-
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Total Revenues
|
51,394
|
108,552
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118,090
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9%
|
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Net Tax Support
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$365,859
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$355,207
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$378,528
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7%
|
|
|
|
|
|
|
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Authorized FTEs
|
5.5
|
5.5
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5.8
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|
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Funded FTEs
|
5.5
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5.5
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5.8
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SIGNIFICANT BUDGET HIGHLIGHTS:
-
Personnel expenses include normal step increases and
the reallocation of 0.3 FTE from within the Department to become a part-time
psychiatrist. The funding for this
position ($36,327) was transferred from
the non-personnel expenses in the Senior Adult Mental Health budget.
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Non-Personnel expenses reflect the reallocation of
funds for the part-time psychiatrist position to personnel expenses ($36,327);
the reallocation of funds from Nursing Case Management ($100), Adult Day
Programs ($625), and Adult Services ($1,415) for psychiatric consultation
services which are offered to all Aging and Disability Services program
staff. Senior Adult Mental Health staff
coordinate consultation services. Also
included is a rent increase ($1,294) and a reduction in telephone charges
($6,324). In addition, $19,300 has been included to reflect new revenue
supported funding for additional psychiatric services.
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Medicaid and Medicare revenue were decreased based on
levels collected in prior years.
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FY 2004 reflects new revenues received from the state
($14,296) and a federal block grant ($5,004) to fund additional psychiatric
hours of service to senior adults.
-
DHS staff and the Arlington Community Services Board
are undergoing a comprehensive review of all mental health, mental retardation
and substance abuse service client fees, and will be developing a new fee scale
based on current service costs. The
review will be completed by early February.
PERFORMANCE MEASURES:
Objective: To improve and/or stabilize functioning in 90
percent of persons served and enable 85 percent of those diagnosed as seriously
mentally ill (SMI) to avoid hospitalization for mental illness during the
fiscal year.
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FY
2001
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FY
2002
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FY
2003
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FY
2004
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FY
2004
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|
Actual
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Actual
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Estimate
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Estimate
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Target
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Mission Outcome Measures
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Number/percent of treatment cases not
psychiatrically hospitalized
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96/84%
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167/93%
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162/90%
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162/90%
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162/90%
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Number/percent of treatment cases maintained in
the community and out of a nursing home
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NA
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NA
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162/90%
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162/90%
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162/90%
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Number/percent of treatment cases whose GAF
(global assessment of functioning) score is stable or improved during the
assessed year
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147/90%
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162/90%
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162/90%
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162/90%
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162/90%
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Number/percent of clients surveyed who report
satisfaction with service delivery
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19/90%
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22/100%
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25/90%
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25/90%
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25/90%
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Workload/Efficiency Measures
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|
|
|
|
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Total number of clients served
(assessment and treatment)
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217
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223
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220
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220
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220
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Total number of homebound clients
served
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N/A
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33
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35
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35
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35
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Number of home visits per year
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N/A
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269
|
500
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500
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500
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In FY 2002, the total number of treatment clients was 180.
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In FY 2002, the total number of new referrals was 119
clients.
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The Global
Assessment of Functioning, measured at intake and discharge (or the beginning
of the new fiscal year for persons continuing in treatment) for each client,
identifies stable or improved level of functioning.
FUTURE BUDGET CONSIDERATIONS:
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As
persons with serious mental illness age, staff is identifying ways to address
their changing needs, such as psychosocial day programming and supportive
housing. In addition, there is an
increasing need for services for non-English speakers.
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