Elimination of Psychiatric Leadership Funding in SFY 2016- Dollar Amounts Lost by IDHS Contracted Community Mental Health Service Providers

One of the major line item cuts in Governor Rauner’s FY 2016 Illinois Department of Human Services (IDHS) Community Mental Health Program budget is the elimination of $27 million in Psychiatric Leadership Capacity Grants.[1]  These program funds have been used by many mental health service vendors to help cover the cost of psychiatry services[2] – psychiatrist salaries, support programs, etc. The scope of service provided under this program is described in the attachment.

Psychiatric Leadership funds are not covered under any consent decree or mandated by any federal law. Without a budget approving the expenditure of these funds, vendors will not have this money to help pay for their psychiatry programs.

How many mental health service providers are directly affected by the elimination of these funds and how much did each receive in SFY 2015?[3]

109 Illinois vendors were identified that received psychiatric leadership awards in 2015. They are listed in the attached spreadsheet (two received awards under two different contract numbers).[4] The total FY 2015 expenditure for these 109 vendor programs was $26.5M ($27M). [5]

Two agencies received more than $1 million each in FY 2015 (Chestnut Health Systems, Inc $1,145,846 and Rosecrance, Inc.$1,217,237).

27 Chicago area community mental health service providers have received annual Psychiatric Leadership awards in the range of $28,507 (Children’s Home & Aid Society) to $860,904 (Community Counseling Centers of Chicago C4).[6]

The total amount of psychiatric leadership program funds awarded to Chicago-based vendors in FY 2015 was $8,155,949.

The City of Chicago Department of Public Health received $53,560.

The Senate Bill 2046 (Senate Amendment 1) that passed in the Illinois Senate last week would restore some IDHS mental health funding but it’s not clear exactly how much funding would go towards Psychiatric Leadership or whether the legislation, if ratified by the House, will survive the Governor’s veto.[7] Perhaps you know more about this.

Calls for the city to turn over management of city mental health services to vendors have become more aggressive perhaps as a result of the current state budget mess. Sustained loss of Psychiatric Leadership funding may cause significant financial strain on several city and state vendors and impact their ability to provide services.

Some vendors would like the city to replace lost state funding with city funds.

*****

For several years IDHS has attached performance measures to its community mental health service contracts. For your review, a copy of the psychiatric services performance measures and deliverables from the FY 2014 CDPH contract are attached. The same measures and deliverables were required of other vendors and in previous fiscal years. Advocates should ask IDHS for the outcomes of this data collection.

jk

[1] See IDHS 2016 Budget Presentation online here http://www.dhs.state.il.us/page.aspx?item=76664

[2] Also known as 350-Psychiatrist Services in Mental Health Center/ SM00-350-0000/ Cost Center 350

[3] Just about all these 107 vendors received the same award in SFY 2014 and before.

[4] The source for this list comes from IDHS and Illinois Comptroller’s Awards Database.

[5] It is unknown whether there were others. Still the total adds up to just about $27M so the list is pretty complete.

[6] The Chicago provider organizational locations are mapped here https://chicagomentalhealth.wordpress.com/2015/07/18/idhs-funded-chicago-cmh-agencies-with-sfy-15-psychiatric-leadership-awards/

[7] Senate Bill 2046 (Senate Amendment 1) can be found here http://www.ilga.gov/legislation/99/SB/PDF/09900SB2046eng.pdf

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