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SECTION G -- HUMAN SERVICES
AGING AND DISABILITY SERVICES
SENIOR ADULT AND MENTAL RETARDATION 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 (psychiatric hospitalization, nursing home, or state training
center) due to a mental illness.
The mission is achieved by
providing a multi-disciplinary team approach to psychiatric treatment for
seniors and for mental health priority population adults who are mentally
retarded/developmentally disabled and are in need of mental health
services. 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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FY 2004
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FY 2005
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FY 2006
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% Change:
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Actual
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Adopted
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Proposed
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'05 to '06
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Personnel
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$336,232
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$432,838
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$416,518
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-4%
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Non-Personnel
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111,015
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136,482
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145,016
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6%
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Total Expenditures
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447,247
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569,320
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561,534
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-1%
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Fees
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85,022
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81,784
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85,947
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5%
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Medicaid
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1,547
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1,300
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1,300
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-
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Medicare
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14,052
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18,000
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18,000
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-
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State Funds
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34,255
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49,732
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53,572
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8%
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Federal Block
Grant
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4,807
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5,004
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5,004
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-
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Total Revenues
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139,683
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155,820
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163,823
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5%
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Net Tax Support
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$307,564
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$413,500
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$397,711
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-4%
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Authorized FTEs
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6.3
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6.0
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6.0
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Funded FTEs
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6.3
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6.0
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6.0
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SIGNIFICANT BUDGET HIGHLIGHTS:
-
Personnel expenses include normal step increases and
reflect new staff hired at lower salaries.
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Non-Personnel expenses primarily reflect a rent
increase ($903), an increase in telephone charges ($752), and an increase in
County vehicle maintenance ($185). In
addition, funding for the Home Based Mental Health Program which is funded by
the Cherrydale Nursing Center lease payments increased by 3% ($2,363) as per
the terms of the lease agreement.
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Fees increased because the Cherrydale Nursing Center
lease payments increased by 3% ($2,363) as per the terms of the lease
agreement, and due to a projected
increase in insurance payments ($1,800).
-
State funds reflect an adjustment in LPACAP revenues
for the Mental Retardation Developmental Disabilities Dual Diagnosis Program
($3,840)
PERFORMANCE MEASURES:
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FY 2002
Actual
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FY 2003
Actual
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FY 2004
Actual
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FY 2005
Estimate
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FY 2006
Estimate
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FY 2006
Goal
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Mission
Outcome Measures
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Number/percent of elderly treatment cases not
psychiatrically hospitalized
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167/93%
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135/88%
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171/94%
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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 mental
retardation/developmental disability treatment cases not psychiatrically
hospitalized
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N/A
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N/A
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18/100%
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32/90%
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32/90%
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32/90%
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Number/percent of elderly treatment cases
maintained in the community and out of a nursing home
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NA
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143/93%
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154/90%
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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 mental
retardation/developmental disability treatment cases maintained in the
community including community based programs
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N/A
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N/A
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18/100%
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32/90%
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32/90%
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32/90%
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Number/percent of elderly treatment cases whose
GAF (global assessment of functioning) score is stable or improved during the
assessed year
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162/90%
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141/92%
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140/80%
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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 mental
retardation/developmental disability treatment cases whose GAF (global
assessment of functioning) score is stable or improved during the assessed
year
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N/A
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N/A
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17/94%
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32/90%
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32/90%
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32/90%
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|
|
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Customer
Measures
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Number/percent of elderly clients surveyed who report satisfaction with service
delivery
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22/100%
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26/100%
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35/100%
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25/90%
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25/90%
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25/90%
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Number/percent of mental
retardation/developmental disability clients surveyed who report satisfaction
with service delivery
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N/A
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N/A
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2/100%
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16/90%
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16/90%
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16/90%
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Number/percent of collateral resources for
Senior Adults surveyed who report satisfaction with service delivery
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N/A
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N/A
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20/90%
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20/90%
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20/90%
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20/90%
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Number/percent of collateral resources
for clients with mental retardation/ developmental disabilities who report
satisfaction with service delivery
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N/A
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N/A
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10/90%
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10/90%
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10/90%
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10/90%
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|
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|
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Workload Measures
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|
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Total number of elderly clients served
(assessment and treatment)
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223
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220
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200
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220
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220
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220
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Total number of mental
retardation/developmental disability clients served (assessment and
treatment)
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N/A
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N/A
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18
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35
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35
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35
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Total number of homebound clients
served
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33
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35
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36
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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 for
homebound seniors
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269
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682
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484
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500
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500
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500
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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.
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Staff
vacancies resulted in fewer home visits in FY 2004.
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The number
of clients seen in the Mental Retardation/Developmental Disabilities Mental
Health Program reflects six months of operation during FY 2004.
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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During FY 2005 a waiting list has been established for the Mental Retardation/Development
Disabilities Mental Health Program.
Three persons are on the list.
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