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2008 Session

Budget Bill - HB29 (Chapter 847)

Department of Mental Health, Mental Retardation and Substance Abuse Services

Item 310

Item 310 (Not set out)

It is the intent of the General Assembly that the Department of Mental Health, Mental Retardation and Substance Abuse Services proceed in transforming its system of care into a model that embodies best practices and state-of-the art services.  The consumer-driven system of services and supports shall promote self-determination, empowerment, recovery, resilience, health, and the highest possible level of consumer participation in all aspects of community life. The transformed system shall include investments in a suitable array and adequate quantity of community-based services, with an emphasis on consumer choice and the appropriate use of facility resources. State facilities shall be redesigned to ensure high quality care, efficient operation, and capacity necessary for persons most in need of such care. Amounts authorized herein, and in related legislation, shall be used to support the transformation of the system of care and to promote the provision of mental health, mental retardation and substance abuse services in the most efficient and appropriate setting.  The Department of Mental Health, Mental Retardation and Substance Abuse Services may consider the use of public-private partnerships to deliver mental health and mental retardation services as part of the comprehensive mental health and mental retardation system of care, in facilities that are being planned for renovation or replacement.   These partnerships may include contracts with private entities for facility operations, unless the Department of Mental Health, Mental Retardation and Substance Abuse Services can demonstrate that continued state operation of the facility is at least as cost effective and provides at least an equivalent or higher level quality care than operation by a private entity.  The authorized amounts, which are included in the affected items 302, 308, 311, 312, 316, and 321, include the following:


 


 

FY 2007

FY 2008

Community Investment

 

 

 

 

 

Statewide Initiatives

 

 

Mental Retardation Waiver Rate Increases

$34,710,014

$34,710,014

Mental Retardation, Developmentally Disabled and Day Support Waiver Rate Differential for Northern Virginia

$0

$10,594,276

Mental Retardation Waiver Slots to Eliminate Urgent Care Waiting List for Children Under Age Six

$4,937,498

$5,755,628

Mental Retardation Waiver Diversion Slots

$7,652,250

$28,407,296

Mental Retardation Waiver Diversion Slots Start-up

$580,000

$276,000

Mental Retardation Guardianship Program

$720,000

$1,341,000

Part C, Early Intervention Services for Children

$4,078,366

$4,078,366

Mental Health Discharge Assistance

$2,880,000

$2,880,000

Mental Health for Children and Adolescents

$2,000,000

$2,778,475

Mental Health Community-Based Recovery

$4,784,000

$4,784,000

Substance Abuse Crisis Stabilization Services

$4,678,568

$4,678,568

Licensing Positions

$248,128

$248,128

 

 

 

Facility-Specific Investments

 

 

Architecture and Engineering Positions

$285,541

$285,541

Eastern State Hospital

$4,796,640

$6,928,480

Western State Hospital

$6,575,000

$6,575,000

Southeastern Virginia Training Center

$1,000,772

$3,396,348

Central Virginia Training Center

$1,309,644

$5,130,528

 

 

 

Total Community Investment

$81,236,421

$122,847,648

General Fund

$56,475,108

$78,954,379

Nongeneral Funds

$24,761,313

$43,893,269

 

 

 

Facility Savings Generated From Replacement

 

 

Eastern State Hospital

($1,552,034)

($3,360,484)

Western State Hospital

0

($633,065)

Southeastern Virginia Training Center

0

$0

Central Virginia Training Center

($1,645,763)

($5,304,551)

 

 

 

Total Facility Savings

($3,197,797)

($9,298,100)

General Fund

($2,374,916)

($6,645,825)

Nongeneral Funds

($822,882)

($2,652,276)

 

 

 

Estimated Facility Replacement Costs

 

 

Eastern State Hospital

$59,715,369

 

Western State Hospital

$80,471,415

 

Southeastern Virginia Training Center

$55,375,312

 

Central Virginia Training Center

$94,371,777

 

 

 

 

Total Replacement Costs

$289,933,873