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 Butte County Department of Behavioral Health (BCDBH) is to establish a wide spectrum of health promotion and treatment services for individuals and families at-risk of, or currently suffering from, acute psychological and/or serious mental illness, as well as substance abuse. This will be accomplished through collaborative programs and partnerships with key segments of our community. 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, client intake and access services, 24-hour residential treatment services, crisis stabilization services, psychiatric inpatient, outpatient treatment services, and administrative services. The focus of the services is on prevention, recovery and resiliency. Approximately thirty-six 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 Behavioral Health Department for fiscal year is to maintain the highest level of services in a fiscally prudent and publically accountable manner. Department Budget BEHAVIORAL HEALTH Actuals Adopted Requested Recommended Fines, Forfeits, Penalties 126,786-29,268 29,268 Use of Money and Property 114, State Revenues 28,448,274 43,550,700 31,147,175 32,149,241 Federal Revenues 16,602,841 6,360,771 17,698,984 17,698,984 Other Governmental Revenues 413, , , ,000 Charges For Services 2,320,211 2,003,436 1,993,271 1,993,271 Miscellaneous Revenues 93, , Total Revenues $ 48,120,145 $ 52,840,946 $ 51,419,698 $ 52,421,764 Salaries and Employee Benefits 24,403,994 25,757,645 26,222,540 25,920,954 Services and Supplies 20,534,242 23,038,789 22,945,607 22,945,607 Other Charges 3,531,254 3,332,175 2,530,252 2,530,252 Fixed Assets 116,179 6,488 6,488 6,488 Total Direct Expenditures $ 48,585,669 $ 52,135,097 $ 51,704,887 $ 51,403,301 Total Expenditures $ 48,585,669 $ 52,135,097 $ 51,704,887 $ 51,403,301 Use of GPR/Restricted Fund Balance $ 465,524 $ (705,849) $ 285,189 $ (1,018,463) 2011/12 Recommended Use of GPR $ 285, /12 Recommended Use of Restricted Fund Balance $ (1,303,652) 95

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 the 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 improve the cash flow situation (discussed more below). Rest. Fund Balance -2% Recommended Source of Funds (Revenues) $51,403,301 GPR 1% Other Govt. 1% Federal 33% General purpose revenues (GPR) is the required transfer from the General Fund to the Behavioral Health Fund as required by statute. State 59% Fines, Forfeits, Penalties <1% Charges for Services 4% 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 Benefits 50% Recommended Use of Funds (Expenditures) $51,403,301 Services and Supplies 45% Other Charges 5% Fixed Assets <1% [This space intentionally left blank] 96

3 Anne Robin, Director Behavioral Health Department Summary Summary of Budget Request and Recommendation Salaries & Employee Benefits Requested The Department budget request includes the elimination of four vacant positions. Recommended The recommendation includes the elimination of four vacant positions: one Psychiatrist, one Supervisor, Mental Health Clinician, and two Behavioral Health Education Specialists. 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 4/12/11 Services & Supplies Requested The Department budget request includes minor adjustments to various services and supplies accounts from fiscal year based on the requirements of grant funds. Recommended The recommendation includes the requested services and supplies. Fixed Assets Requested The department budget request does not include any fixed assets. Recommended The recommendation does not include any fixed assets. The recommendation includes a transfer of $285,180 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 $334,022, of 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. The recommend expenditures are $1 million 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. On June 30, 2010, the cash flow gap for the department was $6.9 million. It is anticipated that the cash flow gap will be narrowed to $6 million by June 30, 2011 and to $5 million by June 30,

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