2001 Session

Budget Amendments - SB800 (Committee Approved)

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Procedures for MH Restructuring (language only)

Item 323 #6s

Item 323 #6s

Health And Human Resources
Mental Health, Mental Retardation and Substance Abuse Services, Department of

Page 326, after line 26, insert:
"Q.1.  The Commissioner shall establish a community implementation and transition team consisting of Department staff and representatives of the jurisdictions surrounding and encompassing any institution proposed for restructuring, including local governing officials, consumers, family members of consumers, advocates, facility employees, community services boards, public and private service providers, local health department staff, local social services staff, sheriffs' office staff, and other interested citizens.  In addition, the members of the House of Delegates and the Senate of Virginia elected to serve the jurisdictions surrounding and encompassing the relevant institution shall serve on the community implementation and transition team for the relevant institution.  Each community implementation and transition team shall advise the Commissioner on (i) the types, amounts, and locations of new and expanded community services needed to successfully implement the restructuring of the mental health system in Virginia; (ii) the development of a detailed implementation plan designed to build community mental health infrastructure; (iii) the creation of new and enhanced community services prior to the restructuring of the relevant institution, the reduction in beds of the relevant institution, the conversion of the use of the relevant institution, or any changes in the services of the relevant institution; (iv) the transition of institutionalized patients to community services; and (v) resolution of issues relating to the restructuring transition process, including employment issues.
2.  At least nine months prior to a proposed restructuring, the community implementation and transition team shall submit a plan to the Joint Commission on Behavioral Health Care for review.
3.  The Commissioner shall ensure that each restructuring plan includes the following components:  (i) a plan for community education; (ii) state-of-the-art practice models, including such models for rural areas; (iii) a plan for assuring the availability of adequate professional treatment staff in the affected community; and (iv) an individual services plan for each patient being transferred or discharged as a result of the restructuring in compliance with § 37.1-197.1(A)(3), Code of Virginia.
4.  The Joint Commission on Behavioral Health Care shall make recommendations to the Governor on the relevant plan no later than six months prior to the proposed restructuring date.
5.  The Governor shall submit to the General Assembly such legislation and appropriations revisions as necessary to implement the plan.
6.  If the necessary legislation and appropriations revisions are enacted, the Commissioner shall ensure that the plan components required by paragraph Q.3 of this item are in place and may perform all tasks necessary to facilitate restructuring of the relevant facility."

(This amendment establishes a process for developing and implementing any proposed restructuring plan for state mental health facilities.)