Department Budget. BEHAVIORAL HEALTH Actuals Adopted Requested Recommended

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1 Anne Robin, Director Behavioral Health Department Summary Mission Statement The mission of the Butte County Department of Behavioral Health (BCDBH) is to partner with individuals, families, and the community for recovery from serious mental health and substance abuse issues and to promote wellness, resiliency, and hope. Department Description and Key Issues BCDBH provides a comprehensive continuum of care, meeting community needs related to mental health and/or substance abuse conditions. Services provided by the department may be placed in the following general categories: community education and prevention services, access services, residential treatment services, crisis stabilization services, psychiatric inpatient, assessment of substance abuse and mental health need, outpatient treatment services, and administrative services. The focus of these services is on prevention, treatment, recovery and resiliency. Approximately thirty-five percent of the department s budget is used to contract for mental health and/or substance abuse treatment services. The remaining services are provided by departmental staff or through interdepartmental collaborations. The focus of the department for fiscal year is to maintain the highest level of services in a fiscally prudent and publicly accountable manner. Department Budget BEHAVIORAL HEALTH Actuals Adopted Requested Recommended Fines, Forfeits, Penalties 111,661 29,268 15,000 15,000 Use of Money and Property 82, State Revenues 16,355,058 32,485,128 25,454,881 25,198,475 Federal Revenues 29,562,864 17,724,175 22,614,207 22,614,207 Other Governmental Revenues 761, , , ,000 Charges For Services 2,340,366 2,164,163 2,465,153 2,465,199 Miscellaneous Revenues 209, Other Financing Sources - - 2,436,699 2,436,699 Total Revenues $ 49,423,124 $ 52,953,734 $ 53,735,940 $ 53,479,580 Salaries and Employee Benefits 24,435,428 25,920,954 26,998,412 26,998,412 Services and Supplies 20,332,053 23,477,577 22,622,529 22,622,529 Other Charges 3,460,602 2,530,252 2,519,106 2,519,106 Capital Assets 286,412 6,488 60,000 60,000 Total Direct Expenditures $ 48,514,495 $ 51,935,271 $ 52,200,047 $ 52,200,047 Other Financing Uses 118, , ,000 Total Expenditures $ 48,632,863 $ 51,935,271 $ 52,700,047 $ 52,825,047 Net Costs/Use of Fund Balance $ (790,261) $ (1,018,463) $ (1,035,893) $ (654,533) 2012/13 Recommended Use of GPR $ 285, /13 Recommended Use of Restricted Fund Balance $ (939,722) 109

2 Anne Robin, Director Behavioral Health Department Summary Source of Funds (Revenues) State and federal revenues are the largest revenue source for the department. Charges for services are revenues from insurance companies and clients for services provided by the department. Use of restricted fund balance, which appears as a negative percentage in the graph, represents the revenue the department will set aside to continue to improve the cash status and create a reserve for future uncertainty. State Revenues 46% Recommended Source of Funds (Revenues) $52,825,047 Rest. Fund Balance -2% General purpose revenue (GPR) is the required transfer from the General Fund to the Behavioral Health Fund as required by State law. GPR 1% Federal Revenues 41% Other Financing Sources 4% Other Governmental Revenues 1% Charges For Services 5% Use of Funds (Expenditures) Salary and benefits is the largest expenditure category for the department. Services and supplies include contract services for hospitalization, residential/non residential care facilities, physicians, and other consultants. They also include office supplies, leases, utilities, and training. Other charges include costs for support services, which include Administration, Auditor, County Counsel, General Services, Human Resources, Information Systems, and Treasurer. Salaries and Employee Benefits 51% Recommended Use of Funds (Expenditures) $52,825,047 Services and Supplies 43% Other Financing Uses 1% Other Charges 5% Capital Assets <1% 110

3 Anne Robin, Director Behavioral Health Department Summary Summary of Budget Request and Recommendation Salaries & Employee Benefits Requested The department budget request includes a net increase of 11 positions. This includes the addition of seven Mental Health Clinicians, four Mental Health Workers, one Information Systems Program Manager, one Information Systems Analyst, and one Contract Specialist. It includes the elimination of a Supervising Information Systems Analyst, an Information Systems Technician, and the Medical Director. These changes will allow the department to improve services and increase federal and state revenues without impacting the General Fund. The department request includes funding to contract for a 0.3 full time equivalent Medical Director position. Recommended The recommendation includes funding for requested staffing levels. Services & Supplies Requested The department budget request includes funding to maintain current service levels. Recommended The recommendation includes funding for requested services and supplies. Capital Assets Requested The department budget request includes funding to replace three vehicles. The department budget request includes a transfer to the Capital Projects Fund to remodel a facility located at 560 Cohasset in Chico. This will allow the departmental moves to the new facility and will reduce lease costs in the future. Recommended The recommendation includes the requested capital assets. Full Time Equivalent (FTE) Positions Adopted Position Allocation Adopted Position Allocation Adopted Position Allocation Adopted Position Allocation Current Position Allocation* Recommended Position Allocation *As of 4/10/12 The recommendation includes a transfer of $285,189 from the General Fund to the Behavioral Health Fund for the Maintenance of Effort as required by State law. The recommendation includes a transfer of 5%, estimated to be $381,406, in realignment revenues from the Behavioral Health Fund to the Welfare Fund to reduce the General Fund contribution to the Department of Employment and Social Services. 111

4 Anne Robin, Director Behavioral Health Department Summary The recommended expenditures are approximately $940,000 less than expected revenues. This was recommended to continue improving the cash flow difficulties faced by the department as a result of delayed reimbursements from the State and to eventually create a reserve. 112

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