Review of 2023 proposed Chicago Mental Health Budget – updated 10/27/2022
33 – 2023 Proposed Chicago City Budget Departmental Opening Statements:
Chicago Mayor’s 2023 City Budget statements
Mayor’s 2023 budget message
2023 Chicago Budget Documents
CDPH section from the 2023 Aldermanic Budget Book
Of all CDPH purchases the year (total): $211,375,951
4.7% went to Minority and/or Women businesses in the first half of 2022.
This is up from 3.9% in 2021 and 2.2% in 2020.
As of September 26, 2022, there were 500 vacant jobs in CDPH.
Questions for the DHR commissioner:
Why did it take almost six months to advertise vacant clinical therapist jobs? Why have you removed the posting for the clinical therapist positions when there are still many unfilled positions?
Why aren’t all vacant CDPH mental health positions currently posted?
What do you do to recruit people to fill direct service clinical positions such as the clinical therapists, psychiatrists, psychologists, etc.?
What’s needed to create a mental health peer recovery support specialist job?
To-date, how much money has the city “salvaged” in 2022 through unfilled mental health service jobs, unfilled CDPH jobs, unfilled city jobs?
Should the city waive the residency requirement to expand the pool of applicants to fill chronically vacant direct service mental health jobs?
No new or additional positions for mental health services are added in the Mayor’s 2023 Recommended Budget.
Clinical therapists recommended for 2023:
The 2023 City of Chicago Mayor’s Recommended Budget includes 56 Clinical Therapist III positions (including one “Clinical Therapist III- Excluded”) distributed across four city departments: Chicago Department of Public Health (CDPH=31), Chicago Fire Department (CFD=2), Chicago Police Department (CPD=22), and Department of Human Resources (DHR=1).
Also continued in 2023 are 5 Mental Health Crisis Clinicians and one Senior Director of Crisis Services.
The 2023 CDPH budget removes one of two Senior Data Entry positions.
From the 2023 Overview Glossary (page 185)
Contractual Services: Comprised of costs incurred related to services provided to the City that are dictated by a contractual agreement, such as information technology or auditing services.
Delegate Agencies: Organizations that provide services on behalf of the City through a grant contract.
So delegate funding through grants (appropriation account 135) is a form of contractual service.
The Glossary doesn’t define Professional and Technical Services (appropriation account 140).
The City Council Office of Financial Analysis (COFA) puts Delegate and Professional and Technical Services together in its fact sheets as Contractual Services (01). Putting these two together, then, contractual services is where most of CDPH money can be found or about 80% (Delegate Agencies 12.4% and Professional & Technical Services 66.8%). Contractual services represent $767M of the 2023 CDPH proposed budget of $964M. By comparison, CDPH Personnel (00) accounts for about 16% or $150M.
Most CDPH funding is going to pay for services performed by nongovernmental entities [whose workers are not required to be city residents].
What is the relationship between CDPH’s budget by program view and OBM’s Overview of CDPH program budget? Please see attached.
Recently, CDPH introduced a different way of categorizing its funding that’s not in the published budget documents. The proportions in the new categories do not match or add up to the ones found in the published Overview.
It’s not that their new categories are wrong. But CDPH hasn’t shown the money behind the pieces of its new pie.
Their new budget pie shows behavioral health (inclusive of mental health, substance use, and violence prevention) with 13%. But the Overview shows behavioral health with 18% of the budget pie, mental health 7%, and substance use ~1%, for a total of 26%. Which is correct, 13% or 26%?
CDPH hasn’t made public the funds, divisions, sections, accounts, appropriation authorities, titles that make up its new groupings of programs and bureaus.