Consolidated Behavioral Health Schedule And . - Texas

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Consolidated Behavioral HealthSchedule and ExceptionalItem ReviewFiscal Years 2022-23As Required bythe 2022-23 Legislative AppropriationsRequest Instructions and Requested bythe Senate Finance Committee.Statewide Behavioral Health Coordinating CouncilJanuary 202121D0298

Table of ContentsTable of Contents . ii1. Introduction . 12. Consolidated Behavioral Health Schedule Summary . 23. Consolidated Behavioral Health Schedule . 5Article I .5Office of the Governor .5Texas Veterans Commission .7Article II .9Department of Family & Protective Services .9Department of State Health Services . 10Health and Human Services Commission . 12Texas Civil Commitment Office . 25Article II . 26Higher Education Coordinating Board. 26Texas Tech University Health Science Center . 29University of Texas Health Science Center - Houston . 30University of Texas Health Science Center - Tyler . 31Article IV . 32Court of Criminal Appeals. 32Office of Court Administration . 33Supreme Court . 34Article V . 36Texas Commission on Jail Standards . 36Texas Department of Criminal Justice . 37Texas Juvenile Justice Department . 43Texas Military Department . 46Article VIII. 47Board of Dental Examiners . 47Board of Pharmacy .48Board of Veterinary Medical Examiners .49Optometry Board .50Board of Nursing .51Medical Board .524. Exceptional Item Review . 53Department of Family and Protective Services .53Health and Human Services Commission .54Higher Education Coordinating Board .56Texas Department of Criminal Justice .57Texas Juvenile Justice Department .58Board of Pharmacy.595. Statewide Behavioral Health Strategic Plan Key . 60List of Acronyms. 64ii

1. IntroductionThe Health and Human Services Commission (HHSC) submits the Consolidated Behavioral Health Schedule and Exceptional Item Review to the Legislative BudgetBoard (LBB) and the Office of the Governor pursuant to the 2022-23 Legislative Appropriation Request (LAR), Detailed Instructions for Agencies for the BienniumBeginning September 1, 2021, and a legislative request from the Senate Finance Committee.The 2022-23 LAR instructions require all state agencies requesting behavioral health-related funding to complete a behavioral health-funding schedule. These scheduleswere included in applicable agencies' LARs and submitted to HHSC for inclusion in a consolidated behavioral health schedule. Additionally, the Senate FinanceCommittee requested the Statewide Behavioral Health Coordinating Council (SBHCC) coordinate behavioral health exceptional items for the 87th Legislature, RegularSession, 2021. The council agencies were directed to avoid duplication of effort and coordinate services to ensure the goals of the Statewide Behavioral Health StrategicPlan were incorporated with the goals of each exceptional item request.The Consolidated Behavioral Health Schedule and Exceptional Item Review meets the requirements of the LAR instructions and the Senate Finance Committee requestby providing an overview of behavioral health funding requests and additional information specifically related to exceptional items. Overall, state agencies requested 4.5 billion in behavioral health funding for fiscal years 2022 and 2023. Exceptional item requests comprise 156 million of the overall funding requests for fiscal years2022-23. The SBHCC reviewed each behavioral health-related exceptional item to ensure requested services further the goals of the Statewide Behavioral HealthStrategic Plan, avoid duplication, and incorporate cross-agency collaboration when possible.The Consolidated Behavioral Health Schedule and Exceptional Item Review contains two attachments.1. Cover letter addressed to the Office of the Governor and the LBB2. Consolidated Behavioral Health Schedule and Exceptional Item Review components:a. Summaryb. Consolidated Behavioral Health Schedulec. Exceptional Item Reviewd. Statewide Behavioral Health Strategic Plan Key1

2. Consolidated Behavioral Health Schedule SummaryFiscal Years 2020-21Fiscal Years 2022-23Base FundingAgencyGeneralRevenueBase RequestGeneralRevenueAll FundsExceptional ItemsGeneralRevenueAll FundsTotal RequestGeneralRevenueAll FundsAll FundsOffice of the Governor 2,226,506 94,213,430 - 92,779,146 - - - 92,779,146Texas VeteransCommission - 13,738,000 - 13,738,000 - - - 13,738,000 2,226,506 107,951,430 - 106,517,146 - - - 106,517,146Department of Family &Protective Services 37,358,101 60,489,153 37,358,101 60,557,089 10,609,020 10,609,020 47,967,121 71,166,109Department of StateHealth Services 5,109,011 5,617,940 2,528,484 3,478,674 - - 2,528,484 3,478,674Health and HumanServices Commission 2,393,726,863 3,690,409,523 2,390,970,349 3,320,330,881 37,049,853 64,174,776 2,428,020,202 3,384,505,657Texas Civil CommitmentOffice 309,222 309,222 309,222 309,222 - - 309,222 309,222Article I Subtotal 2,436,503,197 3,756,825,838 2,431,166,156 3,384,675,866 47,658,873 74,783,796Higher EducationCoordinating Board 99,000,000 99,000,000 99,000,000 99,000,000 19,508,272 Texas Tech UniversityHealth Science Center 5,000,000 5,000,000 5,000,000 5,000,000 -University of Texas HealthScience Center at Houston 16,000,000 16,000,000 16,000,000 16,000,000 -Article II Subtotal 2,478,825,029 3,459,459,66219,508,272 118,508,272 118,508,272 - 5,000,000 5,000,000 - 16,000,000 16,000,0002

Fiscal Years 2020-21Base FundingAgencyGeneralRevenueUniversity of Texas HealthScience Center at TylerFiscal Years 2022-23Base RequestGeneralRevenueAll FundsExceptional ItemsGeneralRevenueAll FundsTotal RequestGeneralRevenueAll FundsAll Funds 13,460,000 13,460,000 13,460,000 13,460,000 - - 13,460,000 13,460,000 133,460,000 133,460,000 133,460,000 133,460,000 19,508,272 19,508,272 152,968,272 152,968,272Court of Criminal Appeals 875,000 1,137,000 875,000 1,137,000 - - 875,000 1,137,000Office of CourtAdministration - 5,000,000 - 5,000,000 - - - 5,000,000Supreme Court 2,499,999 2,499,999 2,499,999 2,499,999 - - 2,499,999 2,499,999 3,374,999 8,636,999 3,374,999 8,636,999 - - 3,374,999 8,636,999Texas Commission on JailStandards 495,696 629,956 373,866 373,866 - - 373,866 373,866Texas Department ofCriminal Justice 520,474,663 525,563,705 520,474,663 525,563,705 14,220,392 14,220,392 534,695,055 539,784,097Texas Juvenile JusticeDepartment 177,258,159 180,940,159 180,055,997 183,737,997 47,329,627 47,329,627 227,385,624 231,067,624Texas Military Department 1,999,100 4,289,600 1,999,100 6,580,100 - - 1,999,100 6,580,100 700,227,618 711,423,420 702,903,626 716,255,668 61,550,019 61,550,019 764,453,645 777,805,687Texas State Board ofDental Examiners 264,480 264,480 264,480 264,480 - - 264,480 264,480Texas Board of Pharmacy 486,009 486,009 486,009 486,009 102,396 102,396 588,405 588,405Texas Board of VeterinaryMedical Examiners 87,004 87,004 90,000 90,000 - - 90,000 90,000Texas Optometry Board 72,000 72,000 94,000 94,000 - - 94,000 94,000Article III SubtotalArticle IV SubtotalArticle V Subtotal3

Fiscal Years 2020-21Fiscal Years 2022-23Base FundingAgencyGeneralRevenueBase RequestGeneralRevenueAll FundsExceptional ItemsGeneralRevenueAll FundsTotal RequestGeneralRevenueAll FundsAll FundsTexas Board of Nursing 2,010,916 2,010,916 2,010,916 2,010,916 - - 2,010,916 2,010,916Texas Medical Board 1,316,117 1,316,117 1,279,474 1,279,474 - - 1,279,474 1,279,474 4,236,526 4,236,526 4,224,879 4,224,879 102,396 102,396 4,327,275 4,327,275Article VIII SubtotalCross Article Total 3,280,028,846 4,722,534,213 3,275,129,660 4,353,770,558 128,819,560 155,944,483 3,403,949,220 4,509,715,0414

3. Consolidated Behavioral Health ScheduleArticle IOffice of the anceAbuseTreatment1Service TypeSubstanceUse DisorderServices InterventionSubstanceUse DisorderServices InterventionSummary DescriptionProvides grant funding to specialtycourts as described in Chapters 121126, and 129 of the Texas GovernmentCode.Provides grant funding to state andlocal governments in the developmentand implementation of substance usetreatment programs in correctional anddetention 2,2.5.2,4.2.21.1.1,1.1.3,2.3.2,2.5.2,4.2.2FundType 12022-23Requested forSubstanceAbuseServices2022-23Requested forMental HealthServices2020-21 Base2022-23 TotalRequestBiennialDifferencePercentChangeGR 2,226,506 - (2,226,506)-100% - -GR-D 14,410,425 16,000,000 1,589,57511% - 16,000,000FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 16,636,931 16,000,000 (636,931)-4% - 16,000,000GR - - -0% - -GR-D - - -0% - -FF 5,640,795 5,379,146 (261,649)-5% - 5,379,146IAC - - -0% - -Other - - -0% - -Subtotal 5,640,795 5,379,146 (261,649)-5% - 5,379,146There are five types of fund types: General Revenue (GR), General Revenue-Dedicated (GR-D), Federal Funds (FF), Interagency Contract (IAC), and Other.5

ProgramNameJuvenileJustice ervice TypeMentalHealthServices OtherMentalHealthServices OtherMentalHealthServices OtherMentalHealthServices OtherSummary DescriptionProvides grant funding to units of localgovernment and non-profit corporationsto improve the juvenile justice systemthrough increased access to mentalhealth and substance abuse services.Provides grant funding to states andlocal governments to improve theadministration of the criminal justicesystem to include substance abusetreatment and mental health services.Provides grant funding to localgovernments and non-profitcorporations to provide mental healthservices to victims of crime.Provides grant funding to localgovernments and non-profitcorporations to provide mental healthservices to victims of e of the Governor, SubtotalFundType 12020-21 Base2022-23 TotalRequestBiennialDifferenceGR - - GR-D 1,056,707 1,000,000 FF 400,836 - IAC - - Other - -Subtotal 1,457,543 GR - GR-D -FF PercentChange-2022-23Requested forSubstanceAbuseServices2022-23Requested forMental HealthServices0% - -(56,707)-5% - 1,000,000(400,836)-100% - --0% - - -0% - -1,000,000 (457,543)-31% - 1,000,000- -0% - - - -0% - -401,459 200,000 (201,459)-50% 200,000 -IAC - - -0% - -Other - - -0% - -Subtotal 401,459 200,000 (201,459)-50% 200,000 -GR - - -0% - -GR-D - - -0% - -FF 69,896,993 70,000,000 103,0070% 70,000,000 -IAC - - -0% - -Other - - -0% - -Subtotal 69,896,993 70,000,000 103,0070% 70,000,000 -GR - - -0% - -GR-D - - -0% - -FF 179,709 200,000 20,29111% 200,000 -IAC - - -0% - -Other - - -0% - -Subtotal 179,709 200,000 20,29111% 200,000 - 94,213,430 92,779,146 (1,434,284)-2% 70,400,000 22,379,1466

Texas Veterans ervices PreventionMentalHealthServices OtherSummary DescriptionProvides training to coordinators andpeers connecting veterans and theirfamilies to resources to address militarytrauma issues (Military Veteran PeerNetwork); trains community-basedtherapists and community and faithbased organizations, and coordinatesservices for justice-involved veterans(IAC from HHSC to TVC).Provides assistance to veterans, theirfamilies, and survivors by makinggrants to local nonprofit organizationsand units of local governmentsproviding direct services.StrategicPlanStrategies1.1.2,1.1.3, 2.4,3.2.11.1.2,1.1.3, 2.4,3.2.1FundType2020-21 Base2022-23 TotalRequestBiennialDifference2022-23Requested forSubstanceAbuseServices2022-23Requested forMental HealthServicesPercentChangeGR - - -0% - -GR-D - - -0% - -FF - - -0% - -IAC 533,285 461,544 (71,741)-13% 461,544 -Other - - -0% - -Subtotal 533,285 461,544 (71,741)-13% 461,544 -GR - - -0% - -GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other 11,650,000 11,650,000 -0% 11,650,000 -Subtotal 11,650,000 11,650,000 -0% 11,650,000 -7

talHealthDepartmentServiceTypeStaffEducation &TrainingSummary DescriptionProvides training to coordinators andpeers connecting veterans and theirfamilies to resources to address militarytrauma issues (Military Veteran PeerNetwork); trains community-basedtherapists and community and faithbased organizations, and coordinatesservices for justice-involved veterans(IAC from HHSC to TVC).Provides training to coordinators andpeers connecting veterans and theirfamilies to resources to address militarytrauma issues (Military Veteran PeerNetwork); trains community-basedtherapists and community and faithbased organizations, and coordinatesservices for justice-involved veterans(IAC from HHSC to ,2.5.1Texas Veterans Commission, SubtotalFundType2020-21 Base2022-23 TotalRequestBiennialDifference2022-23Requested forSubstanceAbuseServices2022-23Requested forMental HealthServicesPercentChangeGR - - -0% - -GR-D - - -0% - -FF - - -0% - -IAC 1,467,958 1,556,456 88,4986% 1,556,456 -Other - - -0% - -Subtotal 1,467,958 1,556,456 88,4986% 1,556,456 -GR - - -0% - -GR-D - - -0% - -FF - - -0% - -IAC 86,757 70,000 (16,757)-19% 70,000 -Other - - -0% - -Subtotal 86,757 70,000 (16,757)-19% 70,000 - 13,738,000 13,738,000 -0% 13,738,000 -8

Article IIDepartment of Family & Protective atmentServicesOther al HealthServicesService TypeMentalHealthServices OtherSubstanceUse DisorderServices OutpatientMentalHealthServices OutpatientMentalHealthServices OtherSummary DescriptionPayments to contractors for short-termresidential behavioral health services toprovide families with critical supports topromote permanency and reduce reentry into the foster care system anddissolution of consummated adoptions.Payments to contractors for substanceabuse prevention and treatmentservices (education, counseling, andtreatment) delivered to individuals tomeet their needs, where not met byHHSC services.Payments to contractors for counselingand therapeutic services delivered toindividuals to meet their service planneeds, where not met by STAR Healthor other services.Payments to contractors for mentalhealth services to individuals to assesscapacity and meet their service planneeds where services are not alreadyprovided through other 2.5.4,3.2.23.2.23.2.22.3.2,2.5.2Department of Family & Protective Services, SubtotalFundTypePercentChange2022-23Requested forMental HealthServices2022-23Requested forSubstanceAbuseServices2020-21 Base2022-23 TotalRequestBiennialDifferenceGR 2,540,684 2,540,684 -0% 2,540,684 -GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 2,540,684 2,540,684 -0% 2,540,684 -GR 7,708,323 11,007,130 3,298,80843% - 11,007,130GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 7,708,323 11,007,130 3,298,80843% - 11,007,130GR 27,010,104 34,320,317 7,310,21327% 34,320,317 -GR-D - - -0% - -FF 22,854,050 22,921,986 67,9360% 22,921,986 -IAC - - -0% - -Other - - -0% - -Subtotal 49,864,154 57,242,303 7,378,14915% 57,242,303 -GR 98,990 98,990 -0% 98,990 -GR-D - - -0% - -FF 277,002 277,002 -0% 277,002 -IAC - - -0% - -Other - - -0% - -Subtotal 375,992 375,992 -0% 375,992 - 60,489,153 71,166,109 10,676,95618% 60,158,979 11,007,1309

Department of State Health ServicesProgramNameHIV CareServices,Ryan WhitePart B HIVGrantProgramHIV CareServices,Ryan WhitePart B HIVGrantProgramService TypeMentalHealthServices OutpatientSubstanceUse DisorderServices OutpatientSummary DescriptionMental Health Services are theprovision of outpatient psychologicaland psychiatric screening, assessment,diagnosis, treatment, and counselingservices offered to clients living withHIV. Services are based on a treatmentplan, conducted in an outpatient groupor individual session, and provided by amental health professional licensed orauthorized with the state to render suchservices.Substance Use Outpatient Care is theprovision of outpatient services for thetreatment of drug or alcohol usedisorders. Services include: Screening,Assessment, Diagnosis, and/or,Treatment of substance use disorder,including: pretreatment/recoveryreadiness programs, harm reduction,behavioral health counseling associatedwith substance use disorder, outpatientdrug-free treatment and counseling,medication assisted therapy, Neuropsychiatric pharmaceuticals, and/orrelapse prevention. Goals are to retainclients in care so they remain, or attain,viral suppression and improve tChange2022-23Requested forMental HealthServices2022-23Requested forSubstanceAbuseServices2020-21 Base2022-23 TotalRequestBiennialDifferenceGR 704,282 1,083,642 379,36054% 1,083,642 -GR-D - - -0% - -FF 266,760 731,160 464,400174% 731,160 -IAC - - -0% - -Other - - -0% - -Subtotal 971,042 1,814,802 843,76087% 1,814,802 -GR 45,907 30,538 (15,369)-33% - 30,538GR-D - - -0% - -FF 75,545 52,406 (23,139)-31% - 52,406IAC - - -0% - -Other - - -0% - -Subtotal 121,452 82,944 (38,508)-32% - 82,94410

ProgramNameMaternaland ChildHealthProgramsSpecializedHealth ce TypeResearchMentalHealthServices OtherMentalHealthServices InpatientSummary DescriptionThe Texas Maternal Mortality andMorbidity Review Committee reviewsmaternal death cases, including thoseinvolving maternal mental health andsubstance use disorders, and makesrecommendations to help reduce theincidence of pregnancy-related deathsand severe maternal morbidity inTexas. The Review Committeerecommendations include specificrecommendations related to behavioralhealth.Provide evidence-based technicalassistance to families and organizationsin need of behavioral health/disabilityservices, coordinate with local mentalhealth authorities & parents to conductrisk assessments if a client shows signsof need, and recruit for new behavioralhealth providers in underserved areasand coordinate with providers inpopulated areas to assist inunderserved area via Telehealth or inperson.Inpatient treatment compliance,ameliorate suffering from mentaldisorders, improve emotional-socialphysical functioning, enhance use ofhealthy coping behaviors, and deliverappropriate discharge planning withreferral to available medical ,2.4.31.1.1Department of State Health Services, SubtotalFundType2022-23Requested forSubstanceAbuseServices2022-23Requested forMental HealthServices2020-21 Base2022-23 TotalRequestBiennialDifferencePercentChangeGR 3,698,000 649,500 (3,048,500)-82% - 649,500GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 3,698,000 649,500 (3,048,500)-82% - 649,500GR - - -0% - -GR-D - - -0% - -FF - - -0% - -IAC 166,624 166,624 -0% 166,624 -Other - - -0% - -Subtotal 166,624 166,624 -0% 166,624 -GR 660,822 764,804 103,98216% 655,604 109,200GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 660,822 764,804 103,98216% 655,604 109,200 5,617,940 3,478,674 (2,139,266)-38% 2,637,030 841,64411

Health and Human Services CommissionProgram NameCommunityMental HealthServices-Adults(Outpatient)CommunityMental HealthServices-Adults(Inpatient)CommunityMental HealthServices-Adults(All Other)ServiceTypeMentalHealthServices OutpatientMentalHealthServices InpatientMentalHealthServices OtherSummary DescriptionIncludes an array of communitybased services designed tosupport adults' movement towardindependence and recovery, suchas medication-related services,rehabilitation services,counseling, case management,peer support services, crisisintervention services, and specialprograms such as Clubhouses.Supports the purchase ofpsychiatric bed-days from localgeneral or private psychiatrichospitals. These funds are notspecifically designated forinpatient services, but localauthorities may use them tofacilitate access to neededinpatient care for individualsexperiencing acute psychiatriccrises.Other funded activities supportthe mental health service deliverysystem, including communitycenter training, statewide claimsprocessing, centralized programsupport, and performancecontract management and qualitymanagement support costs. Alsoincluded are services providedthrough the Texas TargetedOpioid Response d forMental HealthServices2022-23Requested forSubstanceAbuseServices2020-21 Base2022-23 TotalRequestBiennialDifferenceGR 609,856,096 609,456,288 (399,808)0% 609,456,288 -GR-D - - -0% - -FF 92,788,333 79,910,110 (12,878,223)-14% 79,910,110 -IAC - - -0% - -Other - - -0% - -Subtotal 702,644,429 689,366,398 (13,278,031)-2% 689,366,398 -GR 9,115,320 9,115,320 -0% 9,115,320 -GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 9,115,320 9,115,320 -0% 9,115,320 -GR 38,018,649 38,418,460 399,8111% 38,418,460 -GR-D - - -0% - -FF 52,717,954 49,754,160 (2,963,794)-6% 49,754,160 -IAC - - -0% - -Other 276,285 274,724 (1,561)-1% 274,724 -Subtotal 91,012,888 88,447,344 (2,565,544)-3% 88,447,344 -12

Program NameCommunityMental HealthServices Children(Outpatient)CommunityMental HealthServices Children(Inpatient)CommunityMental HealthServices Children (AllOther)ServiceTypeMentalHealthServices OutpatientMentalHealthServices InpatientMentalHealthServices OtherSummary DescriptionIncludes an array of communitybased services to supportrecovery and resilience of childrenand families, such as medicationrelated services, skills training,counseling, case management,family support services, and crisisintervention services.Supports the purchase ofpsychiatric bed-days from localgeneral or private psychiatrichospitals. These funds are notspecifically designated forinpatient services, but localauthorities may use them tofacilitate access to neededinpatient care for individualsexperiencing acute psychiatriccrises.Other funded activities supportthe mental health service deliverysystem, including communitycenter training, contractedactivities that directly relate tomental health communityservices, statewide claimsprocessing, centralized programsupport, and performancecontract management and qualitymanagement support FundType2022-23Requested forMental HealthServices2022-23Requested forSubstanceAbuseServices-1% 107,886,738 -2020-21 Base2022-23 TotalRequestBiennialDifferencePercentChangeGR 108,539,708 107,886,738 GR-D - - -0% - -FF 54,643,105 43,251,332 (11,391,773)-21% 43,251,332 -IAC - - -0% - -Other - - -0% - -Subtotal 163,182,813 151,138,070 (12,044,743)-7% 151,138,070 -GR 1,522,420 1,522,420 -0% 1,522,420 -GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 1,522,420 1,522,420 -0% 1,522,420 -GR 16,316,494 16,969,464 652,9704% 16,969,464 -GR-D - - -0% - -FF 4,864,871 4,495,792 (369,079)-8% 4,495,792 -IAC - - -0% - -Other - - -0% - -Subtotal 21,181,365 21,465,256 283,8911% 21,465,256 -(652,970)13

Program NameDepartment ofFamily andProtectiveServices (DFPS)RelinquishmentSlotsMedicaidServicesCapacity forHigh-NeedsChildrenCommunityHealth CrisisServices(Outpatient)CommunityHealth Services OutpatientMentalHealthServices OutpatientMentalHealthServices OutpatientMentalHealthServices InpatientSummary DescriptionIntensive residential treatmentfor children and youth referred toDFPS who are at risk for parentalrelinquishment of rights due to alack of mental health resources tomeet the needs of children withsevere emotional disturbancewhose symptoms make it unsafefor the family to care for the childin the home.Funding to increase access totargeted case management andpsychiatric rehabilitative servicesfor high-needs children in thefoster care system via a grantprogram for LMHAs and othernonprofit entities.Provide psychiatric assessment inthe community for individuals incrisis, stabilization in the leastrestrictive environment, crisisresolution, linkage to services,and reduction of inpatient and lawenforcement interventions.Services include crisis hotlines,mobile crisis outreach teams,facility-based stabilization, andother projects.Provide community-based crisisstabilization services in 24-hourfacilities, diverting individualswith mental illness fromunnecessary incarceration dTypePercentChange2022-23Requested forMental HealthServices2022-23Requested forSubstanceAbuseServices2020-21 Base2022-23 TotalRequestBiennialDifferenceGR 10,893,224 10,893,224 -0% 10,893,224 -GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 10,893,224 10,893,224 -0% 10,893,224 -GR - - -0% - -GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal - - -0% - -GR 115,417,938 115,245,958 (171,980)0% 115,245,958 -GR-D - - -0% - -FF 3,262,761 3,261,654 (1,107)0% 3,261,654 -IAC - - -0% - -Other - - -0% - -Subtotal 118,680,699 118,507,612 (173,087)0% 118,507,612 -GR 89,710,768 89,710,768 -0% 89,710,768 -GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 89,710,768 89,710,768 -0% 89,710,768 -14

Program NameCommunityHealth CrisisServices xas Veteransand FamilyAllianceProgramCommunityMental HealthGrant ProgramMental HealthServiceTypeMentalHealthServices OtherMentalHealthServices OtherMentalHealthServices OtherMentalHealthServices OtherMentalSummary DescriptionSupport activities such as crisistransportation, crisis flexiblebenefits, and services providedthrough TTOR.Pilot project to providecompetency restoration servicesto individuals in a county jailsetting.Provides grants to supportcommunity programs offeringmental health care services andtreatment to veterans and theirfamilies and coordinating mentalhealth care and other 5.4,4.1.32.3.22.1.1,2.5.1,2.5.2,2.5.3,4.1.1Funding to improve and increasethe availability of and access tomental health services andtreatment for individuals withmental illness and coordinatemental health care services withother transition support servicesthrough a matching grantprogram.2.3.2Funding to reduce recidivism2.3.2FundType2020-21 Base2022-23 TotalRequestBiennialDifferenceGR 42,466,768 42,638,748 GR-D - -FF 3,632,349 3,798,172IAC - Other -Subtotal GR GR-DPercentChange2022-23Requested forMental HealthServices2022-23Requested forSubstanceAbuseServices42,638,748 -171,9800% -0% - - 165,8235% 3,798,172 -- -0% - - - -0% - -46,099,117 46,436,920 337,8031% 46,436,920 -1,743,000 1,743,000 -0% 1,743,000 - - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 1,743,000 1,743,000 -0% 1,743,000 -GR 20,000,000 20,000,000 -0% 20,000,000 -GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 20,000,000 20,000,000 -0% 20,000,000 -GR 40,000,000 40,000,000 -0% 40,000,000 -GR-D - - -0% - -FF - - -0% - -IAC - - -0% - -Other - - -0% - -Subtotal 40,000,000 40,000,000 -0% 40,000,000 -GR 50,000,000 50,000,000 -0% 50,000,000 -15

Program NameGrant Programfor ubstanceAbusePreventionServiceTypeHealthServices OtherSubstanceUseDisorderServices OtherSubstanceUseDisorderServices PreventionSummary DescriptionStrategicPlanStrategiesrates, arrests, and incarcerationamong individuals with mentalillness and reduce wait times forforensic commitments through amatching grant program.Programs to initiate, promote, ormaintain a person’s

Texas Board of Pharmacy 486,009 486,009 486,009 486,009 102,396 102,396 588,405 588,405 Texas Board of Veterinary Medical Examiners 87,004 87,004 90,000 90,000 - - 90,000 90,000 Texas Optometry Board 72

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The National Behavioral Health Quality Framework is designed to be a living and evolving guide for the Nation as it continues its progress toward measuring and improving behavioral health and behavioral health care quality. The Framework explicitly recognizes that in the end, all behavioral health care is local.