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2014 Session

Budget Amendments - HB30 (Committee Approved)

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Report on Community Services Boards Operations and Funding (language only)

Item 308 #2h

Item 308 #2h

Health and Human Resources
Grants To Localities

Language
Page 272, after line 48, insert:
"CC.  The Department of Behavioral Health and Developmental Services shall conduct a review of community services boards and behavioral health authority operations and funding to improve access to services, quality of services and outcomes for individuals in need of services.  The review shall describe and analyze the operations and funding of community services boards and behavioral health authority and, where appropriate, make recommendations for improvement in the following areas:  (i) responsiveness to individuals receiving services and their families; (ii) relationships with local governments, state facilities, departments of social services, school divisions, health departments, local hospitals and other private provides; (iii) effectiveness, including state hospital readmissions, state hospital bed utilization, engagement and retention of individuals in services and other outcome measures, addressing unmet need for services, proportion of individuals with serious disabilities served, and length of time between requests for and receipt of services; (iv) implementation of preadmission and discharge planning responsibilities; (v) provision of emergency and case management services; (vi) practices related to the purchase of local psychiatric inpatient services; (vii) implementation of crisis stabilization programs and drop-off centers, including acceptance of individuals under emergency custody orders and temporary detention orders; (viii) allocation and use of funds provided for discharge assistance for individuals residing in state hospitals who have been determined clinically ready for discharge; (ix) consistent availability of public safety net services across Virginia; (x) provision of services to children and older adults; (xi) acting as the single point of entry into publicly funded mental health, developmental and substance abuse services; and (xii) stewardship of public funds.  As part of the review, the Department shall develop service access standards for emergency, outpatient and casement management services in order to reduce or eliminate waiting lists for or long delays in receiving these services.
In conducting this review, the Department shall seek input from and participation by community services boards and behavioral health authority, individuals receiving services and their family members, other affected state agencies, local governments, private providers and other stakeholders.  The Department shall present an interim report of the review to the Chairmen of the House Appropriations and Senate Finance Committees by December 1, 2014 and a final report of its review by Decemeber 1, 2015.


Explanation
(This amendment adds language requiring the Department of Behavioral Health and Developmental Services to conduct a comprehensive review of community services boards/behavioral health authority operations and funding to improve access to services, quality of services and outcomes for individuals in need of services. Language requires the Department to review and make recommendations to improve 12 areas of concern. Further, language requires an interim and final report on this review to be provided to the Chairmen of the House Appropriations and Senate Finance Committees.)