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County
Behavioral Wellness
Recommended Expenditures
By Program 2017-18 Recommended Change from 2016-17 Adopted
Adminstration & Support
 
$11,497,188
10%
$679,535
6.3%
Mental Health Inpatient Services
 
$14,597,723
13%
$1,289,840
9.7%
Quality Care Management
 
$3,436,938
3%
$529,319
18.2%
Mental Health Outpatient & Community
 
$70,340,179
62%
$1,375,089
1.9%
Alcohol & Drug Progams
 
$12,779,252
11%
$115,139
0.9%
Total Department
 
$112,651,280
100%
$1,008,466
0.9%
Mission Statement

Promote the prevention of and recovery from addiction and mental illness among individuals, families, and communities, by providing effective leadership and delivering state-of-the-art, integrated, accessible, and culturally competent services.

About the Department

The Department of Behavioral Wellness promotes the prevention of, and recovery from, addiction and mental illness among individuals, families and communities, by providing effective leadership and delivery of state of the art, culturally competent services. In FY 15-16, 9,747 individuals of all ages received specialty mental health services throughout three key age groups: Children, Transition Age Youth and Adults, and 4,500 people served were in our Alcohol and other Drug programs. A variety of tailored services are offered including inpatient, outpatient and crisis.

 

In June 2013, at the direction of the Board of Supervisors, a comprehensive “Systems Change” initiative began and remains active, using a continuous quality improvement (CQI) approach to address problems documented by the comprehensive reports.  The unprecedented Countywide “Systems Change” effort has focused on access to services, welcoming clients, increasing cultural competence, the integration of peer staff, improved services for children and individuals in crisis, and enhanced forensic services.  In February of 2016, resulting from System Change efforts, the name and identify of the department changed to Behavioral Wellness. The department continues to be guided by System Change recommendations and anticipates completing this process within the next two years.

Recommended Changes and Operational Impact

 

Staffing

Decrease staffing levels by 2.52 FTEs that primarily supported administration.  The positions will be vacated in FY2016-17 and the department will reassign the duties of these positions to other staff.  Attrition of staff is due to retirement or resignation. Duties of positions vacated have been assigned to other department staff.

Expenditures

Net operating expenditure increase of $1,008,466

o+$2,002,049 increase in Salaries and Employee Benefits due to overall salary and benefit rate increases.

o-$1,088,235 decrease in Services and Supplies primarily due to lower Non-MediCal Instituted for Mental Disease costs.

o+$94,652 increase in Other Charges due to Liability Insurance rate increases and communication services.

 

Net non-operating expenditures increase of $1,199,734 primarily due to:

o+$821,000 increase in capital assets for Structure Improvements due to a grant award to develop a new 6-bed Crisis Residential Treatment (CRT) program.

o+$226,933 increase in the Other Financing Uses due to increase in MHSA Quality Assurance, Access, and Assessment.

o+$228,065 increase in Intrafund Expenditure Transfers that allocates clinical supervision to programs.

o-$76,264 decrease in contribution to Restricted funds.

 

These changes result in Recommended operating expenditures of $112,651,280 non-operating expenditures of $8,412,231 and total expenditures of $121,063,511. Non-operating expenditures primarily include capital assets, transfers, and increases to fund balances. 

Revenues

Net operating revenue increase of $1,996,865:

o-$13,527 decrease in Use of Money and Property

o-$565,801 decrease in Intergovernmental Revenue primarily due to State Realignment revenues.

o-$246,784 decrease Misc. revenues.

o+$2,822,977 increase in Charges for Services primarily due to Medi-Cal revenue. 

 

Net non-operating revenue increase of $211,335 primarily due to:

o-$1,194,095 decrease in one-time General fund contribution and Inter-departmental transfer for Quality Case Management of +$502,793, for Inpatient System of Care and Laura’ Law Pilot program, due to a lack of General funding, and 

o+$228,065 increase in Intrafund Expenditure Transfers that allocates clinical supervision to programs.

o-$185,335 decrease in the Department’s use of fund balances, and

o+$1,362,700 increase in General Fund Contribution for Institute for Mental Disease (IMD) beds from 28 to 47 per day.

 

These changes result in recommended operating revenues of $105,822,234 non-operating revenues of $15,241,277 and total revenues of $121,063,511.  Non-operating revenues primarily include General Fund Contribution, transfers, and decreases to fund balances.

Proposed Changes and Operational Impact

 

Expenditures

Net operating and non-operating expenditures decrease of $3,659,821 primarily due to:

o+$196,934 increase in Salary and Benefit costs, 

o-$2,965,057 decrease Services and Supplies, 

o+$59,973 increase Other Charges,

o-$1,100,000 decrease in Capital Assets, and

o-$36,916 decrease Other Financing Uses.

 

These changes result in Proposed operating expenditures of $109,943,130 non-operating expenditures of $7,460,560 and total expenditures of $117,403,690. Non-operating expenditures primarily include capital assets, transfers, and increases to fund balances.

Revenues

 

Total operating revenues decrease of $3,328,487  and non-operating revenues decrease of $2,686,536 for a combined net total revenue decrease of $6,015,023 primarily due to:

o-$2,426,683 decrease in State Grant funding for Crisis Triage 

o-$663,133 decrease in State Other

o+$734,948 increase Charges for Service from higher Mental Health and Drug Medi-Cal revenue.

o-$107,000 decrease in Other Financing Sources

o-$1,607,700 decrease in General Fund Contribution

o+$121,164Restricted Fund Balance due to a increase in the Department’s use of fund balances in FY 2018-19.

 

These changes result in Proposed operating revenues of $102,493,747 non-operating revenues of $14,909,943 and total revenues of $115,048,488.  Non-operating revenues primarily include General Fund Contribution, transfers, and decreases to fund balances.

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