To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
SUBJECT:
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Supplemental Budget for Behavioral Health Realignment Funds to be used for Support and Care of Clients (4/5 vote required)
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RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Adopt the Supplemental Budget for Behavioral Health Realignment Funds to be used for Support and Care of Clients for DHHS-Behavioral Health budget unit 1170424 (4/5 vote required).
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SOURCE OF FUNDING:
Behavioral Health Fund (1170)
DISCUSSION:
The Department of Health and Human Services (DHHS), Behavioral Health maintains professional service agreements with client residential services contractors to provide a variety of comprehensive, flexible, and recovery-oriented mental health services for serious mentally ill adults and Lanterman Petris Short Act (LPS) conservatees. These services minimize inappropriate or unnecessary acute hospitalization and are intended to promote independent living and provide clients with the skills necessary to succeed in transitioning back into their communities.
In fiscal year 2021-2022, DHHS-Behavioral Health engaged with an increased number of clients requiring the level of service provided by residential service contractors. Additionally, length of stay for services also exceeded previous levels. These increases are due to the rising number of individuals experiencing mental illness and being LPS conserved, requiring residential treatment or other placement. As a result, increased expenditure appropriation is necessary to meet service demand. DHHS-Behavioral Health has identified Realignment revenue receipts received in December 2021 and March 2022 from FY 2020-21 Sales Tax and Vehicle License Fee growth to accommodate the increase.
This item comes to your Board at this time due to challenges with access to timely records in the county’s accounting system.
FINANCIAL IMPACT:
Additional funding from Behavioral Health Realignment is available due to California State Controller’s Office distribution of growth funds. This supplemental budget request totals $1,650,000 for FY 2021-22 DHHS-Mental Health Administration budget unit 1170-424 and includes increased appropriation in Other Charges-Support and Care of Persons. Related revenue receipts transferred from realignment trust funds 3442000 and 3742000 have posted to DHHS-BH fund 1170424 for fiscal year 2021-22. Previously approved FY 2021-22 revenue appropriation for DHHS-BH Administration budget unit 1170424 in 2011 Realignment (line item 507085) is $6,377,083.00; actual revenue transfers for 2011 Realignment (line item 9101-Transfer In) are $9,370,296.23. Previously approved FY 2021-22 revenue appropriation for DHHS-BH Administration budget unit 1170424 in 1991 Realignment (line item 515001) is $5,888,518.00; actual revenue transfers for 1991 Realignment (line item 9101-Transfer In) are $7,182,742.83. As a result there is no impact to county General Fund.
DHHS plans to sustain the client placement program by means of effective use of Behavioral Health Realignment allocations, Mental Health Services Act and health care reform opportunities, cross-agency funding strategies and opportunities for redirection.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework by creating opportunities for improved safety and health and protecting vulnerable populations.
OTHER AGENCY INVOLVEMENT:
None.
ALTERNATIVES TO STAFF RECOMMENDATIONS:
Your Board could choose not to adopt the supplemental budget for DHHS-BH fiscal year 2021-22. However, this action could result in audit findings for actual expenditure in excess of appropriation.
ATTACHMENTS:
1. Supplemental Budget FY 2021-22
PREVIOUS ACTION/REFERRAL:
Board Order No.: none
Meeting of: none
File No.: none