Group: Social Services - Department of Human Services Agency: Human Services Line Item: Substance Abuse & Mental Health Function The Division of Substance Abuse and Mental Health (DSAMH) is the state's public mental health and substance abuse authority. It has the duty to consult and coordinate with local substance abuse and mental health authorities regarding programs and services. The DSAMH sets policy for programs funded with state and federal money by establishing rules and minimum standards for local substance abuse and mental health authorities. The DSAMH also oversees the Utah State Hospital in Provo.
State statute assigns the responsibility to provide substance abuse and mental health services to the local authorities (counties). The local authorities provide services directly or contract with private providers (such as Davis Behavioral Health in Davis County). Counties may elect to perform their local authority responsibilities singularly or through an interlocal agreement between multiple counties. In Utah, counties are currently organized as thirteen (13) local mental health authorities and thirteen (13) local substance abuse authorities. Counties are required to provide at a minimum the services mandated by state statute and must provide matching funds equal to at least twenty percent (20%) of most state General Fund. The Public Local Mental Health Authority System The state public mental health system serves adults with serious mental illness and children with serious emotional disturbances. Many of the recipients do not have private insurance and have limited financial resources. Local authorities, through consultation with the DSAMH, have established schedules that base fees on income levels and family size. Mental health services are funded by a variety of revenue streams including state General Fund revenue, county funds, Medicaid and Medicare, other third party payers, and client fees. Medicaid is the primary funding stream for mental health services. In addition, the state applies for and receives a federal Mental Health Services Block Grant (MHBG). Funding from the MHBG supplements other sources of revenue for mental health services in the state. Local mental health authorities review and evaluate the mental health needs and services of their local populations including those of incarcerated individuals. They prepare annual plans for mental health funding and service delivery for adults, youth, and children. These plans are submitted to and approved by the DSAMH and include the following services mandated by Utah Code: - Inpatient care and services;
- Residential care and services;
- Outpatient care and services;
- 24-hour crisis care and services;
- Psychotropic medication management;
- Psychosocial rehabilitation, including vocational training and skills development;
- Community supports, including in-home services, housing, family support services, and respite services;
- Consultation and education services, including case consultation, collaboration with other county service agencies, public education, and public information; and
- Services to incarcerated persons (UCA 17-43-301).
Local mental health centers also provide additional services including housing, clubhouses, consumer drop-in centers, employment and rehabilitation, services to the homeless, forensic evaluations, family respite, nursing home and hospital alternatives, and consumer education. The Public Local Substance Abuse Authority System The state public substance abuse system serves any person in need of substance abuse services. Local authorities are required to charge a fee for substance abuse services rendered. However, no individual may be refused service because of an inability to pay. Local authorities through consultation with the DSAMH have established schedules that base fees on income levels and family size. Because of funding limitations, individuals may experience delays in the availability of services.
Priorities for services include the following: - Pregnant women;
- Intravenous (IV) Drug Users;
- Women with dependent children; and
- All others.
In addition, to the priority populations listed above, significant public resources are focused on individuals in the criminal justice system (see also the separate section of this report on drug courts).
Annually, the state applies for and receives a federal Substance Abuse Prevention and Treatment (SAPT) Block Grant. Funding from this grant supplements the General Fund appropriations for substance abuse services in the state. This federal grant requires that the state, through the local substance abuse authorities, provide a continuum of the following services:
- Detoxification;
- Prevention services;
- Outpatient services;
- Intensive outpatient services; and
- Residential treatment programs.
Statutory Authority Utah Code Title 62A Chapter 15 describes the functions and responsibilities of Utah's public mental health and substance abuse treatment and prevention systems. Included in this chapter are the following: - Section 103: Creation and responsibilities of the Division of Substance Abuse and Mental Health including oversight of the Utah State Hospital
- Section 105: Authority and responsibilities of the DSAMH
- Section 107: Authority to assess fees
- Section 108: Formula for the allocation of funds to local substance abuse and mental health authorities
- Section 110: Contracts for substance abuse and mental health services (provisions and responsibilities)
- Section 201: Teen Substance Abuse Intervention and Prevention Act
- Section 301: Commitment of minors to drug or alcohol programs or facilities
- Section 401: Alcohol training and education including programs for DUI drivers
Utah Code Title 17, Chapter 43 describes the functions and responsibilities of the counties related to the public mental health and substance abuse treatment and prevention systems. Included in this chapter are the following: - Section 201: Responsibilities of the local substance abuse authorities
- Section 202: Requirements prior to distributing public funds
- Section 204: Requirement to charge fees for substance abuse services
- Section 301: Responsibilities of the local mental health authorities including the physical custody of minors committed by a judicial court
- Section 303: Responsibility for the oversight of public funds
- Section 304: Contracting for mental health services
- Section 306: Fees for services including authority to receive funds from other sources
- Section 308: Specific treatments prohibited
- Section 309: Powers and responsibilities of local mental health advisory councils
Intent Language Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $500,000 of appropriations provided for the Division of Substance Abuse and Mental Health line item for the Drug Courts and Drug Boards programs in Item 105 of Chapter 396 Laws of Utah 2009 not lapse at the close of Fiscal Year 2010. The use of any nonlapsing funds is limited to "Other Charges/Pass Through" expenditures. Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $500,000 of appropriations provided for the Division of Substance Abuse and Mental Health line item for State Substance Abuse Services and Local Substance Abuse Services in Item 105 of Chapter 396 Laws of Utah 2009 not lapse at the close of Fiscal Year 2010. The use of any nonlapsing funds is limited to "Other Charges/Pass Through" expenditures. Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $50,000 of appropriations provided for the Division of Substance Abuse and Mental Health line item in Item 105 of Chapter 396 Laws of Utah 2009 not lapse at the close of Fiscal Year 2010. The use of any nonlapsing funds is limited to computer equipment and software. The Legislature intends the Division of Substance Abuse and Mental Health and the Division of Aging and Adult Services forego site visits of county mental health, substance abuse, and aging programs during FY 2011 and conduct statutorily required monitoring through reports submitted by electronic or other means and report back to the Office of the Legislative Fiscal Analyst on or before January 1, 2011 concerning the outcome of this monitoring technique. All General Funds appropriated to the Division of Substance Abuse and Mental Health line item are contingent upon expenditures from Federal Funds - American Recovery and Reinvestment Act (H.R. 1, 111th United States Congress) not exceeding amounts appropriated from Federal Funds - American Recovery and Reinvestment Act in all appropriation bills passed for FY 2011. If expenditures in the Division of Substance Abuse and Mental Health line item from Federal Funds - American Recovery and Reinvestment Act exceed amounts appropriated to the Division of Substance Abuse and Mental Health line item from Federal Funds - American Recovery and Reinvestment Act in FY 2011, the Division of Finance shall reduce the General Fund allocations to the Division of Substance Abuse and Mental Health line item by one dollar for every one dollar in Federal Funds - American Recovery and Reinvestment Act expenditures that exceed Federal Funds - American Recovery and Reinvestment Act appropriations. Performance The Office of the Legislative Fiscal Analyst completed an in-depth budget review of the Department of Human Services in November, 2010. As part of that review, a five year history of each agency's output and outcome measures was documented on pages 65 through 74 of Appendix 3 of the report. Funding Detail For analysis of current budget requests and discussion of issues related to budgets covered by this subcommittee click here. | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $76,497,000 | $85,937,600 | $85,334,700 | $80,669,100 | $79,073,800 | | General Fund, One-time | $2,109,900 | $1,570,000 | $6,064,100 | $3,199,100 | $1,964,300 | | Federal Funds | $25,149,700 | $23,145,200 | $24,474,100 | $23,996,900 | $24,703,900 | | American Recovery and Reinvestment Act | $0 | $0 | $970,000 | $1,658,500 | $763,700 | | Dedicated Credits Revenue | $2,955,200 | $3,817,200 | $3,793,000 | $3,340,600 | $3,402,800 | | GFR - Intoxicated Driver Rehab | $1,500,000 | $1,500,000 | $1,500,000 | $1,500,000 | $1,500,000 | | GFR - Tobacco Settlement | $1,647,200 | $1,647,200 | $1,647,200 | $2,166,300 | $2,325,400 | | Transfers | $0 | $0 | $64,100 | $0 | $0 | | Transfers - Child Nutrition | $0 | $0 | $0 | $73,900 | $65,800 | | Transfers - Commission on Criminal and Juvenile Justice | $75,000 | $166,000 | $92,800 | $242,200 | $242,700 | | Transfers - H - Medical Assistance | $10,388,800 | $12,720,200 | $11,099,000 | $13,487,800 | $12,556,900 | | Transfers - Other Agencies | $122,300 | $105,900 | $2,700 | $700 | $19,700 | | Beginning Nonlapsing | $78,000 | $126,700 | $343,700 | $89,100 | $0 | | Closing Nonlapsing | ($126,700) | ($283,500) | ($89,100) | ($114,700) | $0 | | Lapsing Balance | ($291,800) | ($835,100) | ($243,600) | ($1,842,100) | $0 | | Total | $120,104,600 | $129,617,400 | $135,052,700 | $128,467,400 | $126,619,000 |
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| | Programs: | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Administration | $2,891,700 | $3,121,400 | $3,213,000 | $2,905,600 | $2,826,400 | | Community Mental Health Services | $7,010,600 | $6,430,100 | $5,432,700 | $4,689,700 | $4,793,900 | | Mental Health Centers | $24,069,300 | $29,270,900 | $29,984,800 | $27,341,300 | $24,703,900 | | Residential Mental Health Services | $2,417,600 | $925,300 | $965,100 | $958,000 | $986,600 | | State Hospital | $50,585,400 | $54,237,800 | $54,398,600 | $54,190,500 | $55,936,000 | | State Substance Abuse Services | $3,870,100 | $5,333,200 | $6,797,400 | $6,556,800 | $6,787,800 | | Local Substance Abuse Services | $24,770,300 | $24,459,500 | $24,626,200 | $24,283,800 | $23,400,900 | | Driving Under the Influence (DUI) Fines | $1,474,800 | $1,474,900 | $1,479,700 | $1,468,200 | $1,500,000 | | Drug Offender Reform Act (DORA) | $0 | $0 | $3,566,800 | $2,096,500 | $2,039,500 | | Drug Courts | $2,664,200 | $4,013,700 | $4,413,200 | $3,659,900 | $3,644,000 | | Drug Boards | $350,600 | $350,600 | $175,200 | $317,100 | $0 | | Total | $120,104,600 | $129,617,400 | $135,052,700 | $128,467,400 | $126,619,000 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Personnel Services | $41,923,600 | $44,898,600 | $46,364,900 | $45,681,800 | $46,446,300 | | In-state Travel | $148,600 | $166,900 | $41,000 | $32,000 | $41,200 | | Out-of-state Travel | $59,700 | $62,300 | $30,400 | $11,400 | $29,100 | | Current Expense | $12,507,700 | $13,861,000 | $12,163,300 | $11,622,300 | $13,088,200 | | DP Current Expense | $2,282,700 | $2,624,600 | $2,394,400 | $2,384,500 | $2,386,400 | | DP Capital Outlay | $5,400 | $0 | $8,500 | $8,300 | $0 | | Capital Outlay | $16,600 | $104,400 | $0 | $144,900 | $0 | | Other Charges/Pass Thru | $63,160,300 | $67,899,600 | $74,050,200 | $68,582,200 | $64,627,800 | | Total | $120,104,600 | $129,617,400 | $135,052,700 | $128,467,400 | $126,619,000 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 804.2 | 801.8 | 796.6 | 825.2 | 825.2 | | Vehicles | 48 | 78 | 48 | 48 | 48 |
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Subcommittee Table of ContentsProgram: Administration Function The Division of Substance Abuse and Mental Health (DSAMH) coordinates all public substance abuse prevention and treatment programs as well as all public mental health programs in the state. The DSAMH also provides consultation and technical assistance to the local authorities and centers, administers state and federal grants, collects data, evaluates programs, and prepares required reports. It is responsible for development of administrative, fiscal, and service standards for local mental health centers and substance abuse authorities. The DSAMH also has general oversight of the State Hospital and works with the State Office of Education and other agencies for the establishment of substance abuse prevention programs. It also administers the Driving under the Influence (DUI) Education program and the alcohol servers program. Funding Detail | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $1,047,100 | $1,588,100 | $1,665,400 | $1,507,500 | $1,344,400 | | General Fund, One-time | $210,000 | $0 | $0 | ($64,400) | $0 | | Federal Funds | $1,447,400 | $1,440,200 | $1,448,800 | $1,331,200 | $1,405,500 | | Dedicated Credits Revenue | $60,000 | $30,700 | $68,400 | $50,900 | $57,700 | | Transfers - H - Medical Assistance | $37,600 | $37,500 | $34,700 | $33,000 | $18,800 | | Transfers - Other Agencies | ($3,100) | $0 | $0 | $700 | $0 | | Beginning Nonlapsing | $0 | $50,000 | $0 | $50,000 | $0 | | Closing Nonlapsing | ($50,000) | $0 | $0 | ($3,300) | $0 | | Lapsing Balance | $142,700 | ($25,100) | ($4,300) | $0 | $0 | | Total | $2,891,700 | $3,121,400 | $3,213,000 | $2,905,600 | $2,826,400 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Personnel Services | $2,419,200 | $2,669,800 | $2,776,300 | $2,597,700 | $2,439,300 | | In-state Travel | $41,800 | $42,100 | $30,000 | $26,100 | $30,100 | | Out-of-state Travel | $29,600 | $36,200 | $21,200 | $6,800 | $19,900 | | Current Expense | $267,500 | $260,800 | $282,400 | $192,400 | $234,000 | | DP Current Expense | $133,600 | $112,500 | $103,100 | $82,600 | $103,100 | | Total | $2,891,700 | $3,121,400 | $3,213,000 | $2,905,600 | $2,826,400 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 33.0 | 33.8 | 33.5 | 31.2 | 31.2 |
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Subcommittee Table of ContentsProgram: Community Mental Health Services Function The Community Mental Health Services program develops, coordinates, and evaluates mental health services. The program is funded with the following federal grants: - Information Systems Grant: This federal grant is used to develop common data indicators across all of the mental health centers that are consistent, compatible, and conform to national indicators.
- Homeless Mentally Ill: The division distributes this federal PATH grant to mental health centers for specialized services to the homeless mentally ill. This is an annual grant.
- Mental Health Block Grant: This grant, most of which is passed through to the local mental health authorities on a formula basis, provides funding for the development of a statewide system of care for adults with serious mental illness and children with serious emotional disturbances.
- Passages Grant: A new SAMHSA grant awarded to DSAMH on October 1, 2009 for the development of transitional services for young adults with serious emotional disturbance in two of Utah's most rural counties - San Juan and Tooele.
The following state-funded programs are also budgeted in this program: - Competency Evaluations: The state is responsible for determining an individual's competency to stand trial for a crime.
- Omnibus Budget Reconciliation Act (OBRA) of 1987: This act requires the state to assess the appropriateness of placement for mentally ill persons residing in nursing facilities. This assessment is done using the Preadmission Screening and Resident Review (PASRR).
- Pre-school Autism Program: This program provides funds to several areas of the state to develop and operate programs for pre-school children with autism.
Funding Detail | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $2,764,900 | $2,641,900 | $2,710,800 | $2,585,600 | $2,495,300 | | General Fund, One-time | $1,500,000 | $700,000 | $113,900 | $19,800 | $0 | | Federal Funds | $2,031,800 | $2,255,900 | $1,982,000 | $1,434,000 | $1,732,100 | | Dedicated Credits Revenue | $29,800 | $112,000 | $74,200 | $55,600 | $29,000 | | Transfers - H - Medical Assistance | $479,800 | $520,400 | $551,100 | $599,200 | $520,500 | | Transfers - Other Agencies | $3,400 | $12,300 | $0 | $0 | $17,000 | | Beginning Nonlapsing | $78,000 | $76,700 | $15,700 | $0 | $0 | | Closing Nonlapsing | ($76,700) | ($23,800) | $0 | $0 | $0 | | Lapsing Balance | $199,600 | $134,700 | ($15,000) | ($4,500) | $0 | | Total | $7,010,600 | $6,430,100 | $5,432,700 | $4,689,700 | $4,793,900 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Personnel Services | $56,300 | $62,100 | $60,200 | $58,600 | $67,000 | | In-state Travel | $91,800 | $115,000 | $4,200 | $3,600 | $4,300 | | Out-of-state Travel | $8,200 | $3,600 | $6,100 | $3,700 | $6,100 | | Current Expense | $1,772,700 | $2,960,400 | $2,101,700 | $1,755,800 | $1,968,600 | | DP Current Expense | $387,900 | $136,600 | $127,900 | $143,200 | $119,900 | | DP Capital Outlay | $0 | $0 | $8,500 | $0 | $0 | | Other Charges/Pass Thru | $4,693,700 | $3,152,400 | $3,124,100 | $2,724,800 | $2,628,000 | | Total | $7,010,600 | $6,430,100 | $5,432,700 | $4,689,700 | $4,793,900 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 0.1 | 0.8 | 0.7 | 1.0 | 1.0 |
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Subcommittee Table of ContentsProgram: Mental Health Centers Function State statute assigns mental health local authority responsibility to each county. Counties may elect to perform their local authority responsibilities singularly or through an interlocal agreement between multiple counties. Currently, there are thirteen (13) local mental health authorities. The Division of Substance Abuse and Mental Health (DSAMH) is the state's public mental health authority. DSAMH has the duty to consult and coordinate with local mental health authorities regarding programs and services. The DSAMH also sets policy for programs funded with state and federal money and accomplishes this objective by establishing rules and minimum standards for local mental health authorities. DSAMH establishes minimum quality standards, funding formulas for distribution of public funds, and other public mental health services with input from various stakeholders. Following is a list of mental health local authorities, the counties served, and the agency or organization through which services are provided:
- Interlocal agreement between Box Elder, Cache, and Rich counties known as District 1 Mental Health Authority - services provided through Bear River Mental Health, a private, not-for-profit entity
- Interlocal agreement between Carbon, Emery, and Grand counties - services provided by Four Corners Community Mental Health Center, Inc, a private, not-for-profit entity
- Interlocal agreement between Juab, Millard, Piute, Sevier, Wayne, and Sanpete counties - services provided by Central Utah Mental Health Substance Center doing business as Central Utah Counseling Center, a governmental entity formed via the interlocal agreement
- Davis County - services provided through a contract with Davis Behavioral Health Inc, a private, not-for-profit entity
- Salt Lake County, Division of Behavioral Health Services - services provided through a contract with Valley Mental Heath, Inc, a private, not-for-profit entity
- San Juan County - services provided through San Juan County Substance Abuse/Mental Health Special Service District operating as San Juan Counseling, a service district organized under the Utah Special Services District act
- Interlocal agreement between Beaver, Garfield, Iron, Kane, and Washington counties - services provided by Southwest Behavioral Health Center also known as Southwest Center, a governmental entity formed via the interlocal agreement
- Summit County - services provided through a contract with Valley Mental Health, Inc, a private, not-for-profit entity
- Tooele County - services provided through a contract with Valley Mental Health, Inc, a private, not-for-profit entity
- Interlocal agreement between Daggett, Duchesne, and Uintah counties - services provided by Uintah Basin Tri-County Mental Health and Substance Abuse Local Authority doing business as Northeastern Counseling Center, a governmental entity
- Wasatch County - services provided by Heber Valley Counseling, a department of Wasatch County
- Utah County - services provided by Wasatch Mental Health Services Special Service District, organized under the Utah Special Services District Act and operating as Wasatch Mental Health
- Interlocal agreement between Morgan and Weber counties - services provided by Weber Human Services, a governmental entity formed via the interlocal agreement
Funding Detail Counties obtain funds from various sources including State General Fund, the federal community mental health block grant, federal Medicaid funds, private pay insurance, and client fees. Counties are required to 'match' (i.e. - provide from county resources) no less than twenty percent (20%) of an amount equal to most of the General Fund received from the state division of Substance Abuse and Mental Health [UCA 17-43-301(4)(a)(x)] | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $21,741,700 | $27,027,300 | $25,022,200 | $22,372,400 | $21,846,400 | | General Fund, One-time | $0 | $0 | $2,736,000 | $2,725,300 | $613,900 | | Federal Funds | $2,327,600 | $2,243,600 | $2,242,100 | $2,243,600 | $2,243,600 | | Lapsing Balance | $0 | $0 | ($15,500) | $0 | $0 | | Total | $24,069,300 | $29,270,900 | $29,984,800 | $27,341,300 | $24,703,900 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Other Charges/Pass Thru | $24,069,300 | $29,270,900 | $29,984,800 | $27,341,300 | $24,703,900 | | Total | $24,069,300 | $29,270,900 | $29,984,800 | $27,341,300 | $24,703,900 |
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Subcommittee Table of ContentsProgram: Residential Mental Health Services Function The purpose of this program is to provide community-based residential services to children and youth in order to prevent or reduce inpatient hospitalizations. Funding is allocated to mental health providers where adolescents and children are placed. Once children are stabilized, the funding is used to provide wrap-around services that will keep children and youth in their families and communities. The wrap-around services that are developed are specific to the child and family's needs. Funding Detail | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $2,819,800 | $1,115,000 | $1,045,300 | $1,038,500 | $986,600 | | Transfers - Other Agencies | $0 | ($9,800) | $0 | $0 | $0 | | Closing Nonlapsing | $0 | $0 | ($50,000) | $0 | $0 | | Lapsing Balance | ($402,200) | ($179,900) | ($30,200) | ($80,500) | $0 | | Total | $2,417,600 | $925,300 | $965,100 | $958,000 | $986,600 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Current Expense | $0 | $3,700 | $30,000 | $0 | $0 | | Other Charges/Pass Thru | $2,417,600 | $921,600 | $935,100 | $958,000 | $986,600 | | Total | $2,417,600 | $925,300 | $965,100 | $958,000 | $986,600 |
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Subcommittee Table of ContentsProgram: State Hospital Function The Utah State Hospital (USH) is an Institution for Mental Disease (IMD) that complements the local mental health centers by providing specialized services not available in community settings. The hospital's population includes adults and children for whom no appropriate, less restrictive environment is currently available. Various services are provided for four groups of people: 1) pediatric services for children and adolescents, 2) forensic services for those found not guilty of crimes by reason of insanity, guilty and mentally ill, or not competent to proceed with court actions, 3) specialty services for geriatric patients and patients being prepared for transfer into the community, and 4) services for adults. The adult patients in the Utah State Hospital are not eligible for Medicaid funding because of regulations associated with the federal Omnibus Reconciliation Act (OBRA) of 1987. These regulations define any nursing facility with 40 percent or more mentally ill residents as an IMD and then prohibit Medicaid funding for residents between the ages of 22 and 65 living in an IMD. The adult and geriatric services provide 182 beds to the community mental health centers as prescribed by state statute. The beds available for use by the local mental health centers are allocated according to population. UCA 62A-15-611 governs the adult allocation and UCA 62A-15-612 governs the pediatric allocation. The statute indicates that as the state population changes, the distribution of beds available to the local centers should be reviewed and reallocated. Funding Detail | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $37,682,300 | $39,385,600 | $39,872,000 | $40,620,600 | $40,415,400 | | General Fund, One-time | $399,900 | $0 | ($215,000) | ($2,373,900) | ($610,000) | | American Recovery and Reinvestment Act | $0 | $0 | $970,000 | $1,658,500 | $763,700 | | Dedicated Credits Revenue | $2,751,000 | $3,359,900 | $3,305,100 | $3,084,900 | $3,280,800 | | Transfers | $0 | $0 | $64,100 | $0 | $0 | | Transfers - Child Nutrition | $0 | $0 | $0 | $73,900 | $65,800 | | Transfers - H - Medical Assistance | $9,871,400 | $12,162,300 | $10,513,200 | $12,855,600 | $12,017,600 | | Transfers - Other Agencies | $87,000 | $69,400 | $2,700 | $0 | $2,700 | | Lapsing Balance | ($206,200) | ($739,400) | ($113,500) | ($1,729,100) | $0 | | Total | $50,585,400 | $54,237,800 | $54,398,600 | $54,190,500 | $55,936,000 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Personnel Services | $39,448,100 | $42,166,700 | $43,528,400 | $43,025,500 | $43,940,000 | | In-state Travel | $6,600 | $5,100 | $4,200 | $2,300 | $4,200 | | Out-of-state Travel | $20,100 | $19,000 | $2,000 | $900 | $2,000 | | Current Expense | $9,491,900 | $9,711,900 | $8,792,900 | $8,911,000 | $9,918,700 | | DP Current Expense | $1,596,700 | $2,230,700 | $2,071,100 | $2,069,300 | $2,071,100 | | DP Capital Outlay | $5,400 | $0 | $0 | $8,300 | $0 | | Capital Outlay | $16,600 | $104,400 | $0 | $144,900 | $0 | | Other Charges/Pass Thru | $0 | $0 | $0 | $28,300 | $0 | | Total | $50,585,400 | $54,237,800 | $54,398,600 | $54,190,500 | $55,936,000 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 771.1 | 767.2 | 762.4 | 793.0 | 793.0 | | Vehicles | 48 | 78 | 48 | 48 | 48 |
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Subcommittee Table of ContentsProgram: State Substance Abuse Services Function The DSAMH retains a portion of the federal funding received through the Substance Abuse Prevention and Treatment (SAPT) Block Grant to be used to fund statewide substance abuse programs. Typically this amount has been up to ten percent (10%) of the grant received or approximately $1.7 million, which is used to fund the following activities: - State Office of Education - provides curriculum and training in drug abuse prevention for Utah schools.
- University of Utah - provides counseling education, clinical services, evaluation, and data analysis and operates the Utah School of Alcoholism and Other Drug Dependencies.
- Drug Free Schools and Communities - a specific federal grant to local authorities to provide prevention and education.
- Award for Strategic Prevention Framework - State Incentive Grant (SPF-SIG) - received by DHS September of 2006. The grant is to: 1) prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking, 2) reduce substance abuse related problems in the community, and 3) build the infrastructure and capacity of prevention programs at the state and community level. This grant provides funding of $2.1 million annually through September 2011.
Funding Detail | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $516,200 | $2,929,300 | $1,249,100 | $2,839,100 | $2,794,500 | | General Fund, One-time | $0 | $0 | $1,589,100 | $0 | $0 | | Federal Funds | $3,204,700 | $2,212,100 | $3,485,100 | $3,618,300 | $3,958,000 | | Dedicated Credits Revenue | $114,400 | $314,600 | $345,300 | $149,200 | $35,300 | | Transfers - Other Agencies | $35,000 | $6,000 | $0 | $0 | $0 | | Beginning Nonlapsing | $0 | $0 | $128,800 | $0 | $0 | | Closing Nonlapsing | $0 | ($128,800) | $0 | ($49,800) | $0 | | Lapsing Balance | ($200) | $0 | $0 | $0 | $0 | | Total | $3,870,100 | $5,333,200 | $6,797,400 | $6,556,800 | $6,787,800 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | In-state Travel | $8,400 | $4,700 | $2,600 | $0 | $2,600 | | Out-of-state Travel | $1,800 | $3,500 | $1,100 | $0 | $1,100 | | Current Expense | $975,600 | $864,900 | $956,300 | $763,100 | $966,900 | | DP Current Expense | $164,500 | $144,800 | $92,300 | $89,400 | $92,300 | | Other Charges/Pass Thru | $2,719,800 | $4,315,300 | $5,745,100 | $5,704,300 | $5,724,900 | | Total | $3,870,100 | $5,333,200 | $6,797,400 | $6,556,800 | $6,787,800 |
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| | Other Indicators | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Budgeted FTE | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
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Subcommittee Table of ContentsProgram: Local Substance Abuse Services Function State statute assigns substance abuse local authority responsibility to each county. Counties may elect to perform their local authority responsibilities singularly or through an interlocal agreement between multiple counties. There are currently organized thirteen (13) local substance abuse authorities. The Division of Substance Abuse and Mental Health (DSAMH) is the state's public substance abuse authority. It has the duty to consult and coordinate with local substance abuse authorities regarding programs and services. The DSAMH sets policy for programs funded with state and federal money. It accomplishes this objective by establishing rules and minimum standards for local substance abuse authorities. It establishes minimum quality standards, funding formulas for distribution of public funds, and other public and substance abuse policies with input from various stakeholders. Following is a list of substance abuse local authorities, the counties served, and the agency or organization through which services are provided: - Interlocal agreement between Box Elder, Cache, and Rich counties known as District 1 Substance Abuse Authority - services provided through Bear River Health District
- Interlocal agreement between Carbon, Emery, and Grand counties - services provided by Four Corners Community Mental Health Center, Inc., a private, not-for-profit entity
- Interlocal agreement between Juab, Millard, Piute, Sevier, Wayne, and Sanpete counties - services provided by Central Utah Mental Health Substance Center doing business as Central Utah Counseling Center, a governmental entity formed via the interlocal agreement
- Davis County - services provided through a contract with Davis Behavioral Health Inc., a private, not-for-profit entity
- Salt Lake County, Division of Behavioral Health Services - services provided by the county mainly through subcontracts with private substance abuse service providers
- San Juan County - services provided through San Juan County Substance Abuse/Mental Health Special Service District operating as San Juan Counseling, a service district organized under the Utah Special Services District Act
- Interlocal agreement between Beaver, Garfield, Iron, Kane, and Washington counties - services provided by Southwest Behavioral Health Center also known as Southwest Center, a governmental entity formed via the interlocal agreement
- Summit County - services provided through a contract with Valley Mental Heath, Inc., a private, not-for-profit entity
- Tooele County - services provided through a contract with Valley Mental Heath, Inc., a private, not-for-profit entity
- Interlocal agreement between Daggett, Duchesne, and Uintah counties - services provided by Uintah Basin Tri-County Mental Health and Substance Abuse Local Authority doing business as Northeastern Counseling Center, a governmental entity
- Wasatch County - services provided by Heber Valley Counseling, a department of Wasatch County
- Utah County - services provided by Utah County Division of Substance Abuse through subcontracts with private substance abuse service providers
- Interlocal agreement between Morgan and Weber counties - services provided by Weber Human Services, a governmental entity formed via the interlocal agreement
Funding Detail Counties obtain funds from various sources including state General Fund and the federal Substance Abuse Prevention and Treatment (SAPT) block grant. Counties are required to 'match' (i.e. - provide from county resources) no less than twenty percent (20%) of an amount equal to most of the state General Fund received from the Division of Substance Abuse and Mental Health [UCA 17-43-201(4)(k)] | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $9,490,000 | $9,945,400 | $9,719,100 | $8,836,200 | $8,836,200 | | General Fund, One-time | $0 | $0 | $391,000 | $882,900 | $0 | | Federal Funds | $15,280,300 | $14,514,100 | $14,516,100 | $14,564,700 | $14,564,700 | | Total | $24,770,300 | $24,459,500 | $24,626,200 | $24,283,800 | $23,400,900 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Other Charges/Pass Thru | $24,770,300 | $24,459,500 | $24,626,200 | $24,283,800 | $23,400,900 | | Total | $24,770,300 | $24,459,500 | $24,626,200 | $24,283,800 | $23,400,900 |
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Subcommittee Table of ContentsProgram: Driving Under the Influence (DUI) Fines Function The DSAMH oversees the Intoxicated Driver Rehabilitation Account. A seven and one half percent (7½ %) surcharge is levied on every fine assessed upon persons convicted of either a felony or a class A or class B alcohol related misdemeanor. These fees on fines are appropriated to the DSAMH and distributed to each county by formula based on county population. These funds are to be used to support education and provide intervention and treatment services for drivers convicted of driving under the influence. Funding Detail | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | GFR - Intoxicated Driver Rehab | $1,500,000 | $1,500,000 | $1,500,000 | $1,500,000 | $1,500,000 | | Lapsing Balance | ($25,200) | ($25,100) | ($20,300) | ($31,800) | $0 | | Total | $1,474,800 | $1,474,900 | $1,479,700 | $1,468,200 | $1,500,000 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Other Charges/Pass Thru | $1,474,800 | $1,474,900 | $1,479,700 | $1,468,200 | $1,500,000 | | Total | $1,474,800 | $1,474,900 | $1,479,700 | $1,468,200 | $1,500,000 |
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Subcommittee Table of ContentsProgram: Drug Offender Reform Act (DORA) Function Senate Bill 202, Drug Offender Reform Act (DORA), was passed during the 2009 General Session of the Legislature reducing the scope of DORA from a statewide initiative for both probationers and parolees to serving probationers only in six local substance abuse authority areas. DORA was designed to expand offender access to treatment, provide for smarter sentencing by judges, and provide increased community supervision. This legislation was predicated on a three-year DORA pilot program, created in 2005, which operated in the Third Judicial District Court in Salt Lake County as well as a statewide initiative enacted in 2007 via Senate Bill 50 of the same title. Senate Bill 202 requires the Utah Substance Abuse and Anti-Violence Coordinating Council (USAAV) to provide ongoing oversight for implementation and program functioning, evaluation of impacts and results, development of an implementation plan, and approval of plans submitted by local substance abuse authorities for DORA. The Department of Human Services then allocates funds for approved plans and monitors contracts according to approved plans and contractual requirements. Funding Detail The Legislature appropriated approximately $2.9 million for Fiscal Year 2011 for DORA treatment and supervision. Of that amount, $2,039,500 was allocated to the Department of Human Services for the purposes of assessing and treating drug offenders in the substance abuse authority areas identified by USAAV which include Cache, Weber, Davis, Salt Lake, Utah, and Washington/Iron counties. These funds were appropriated with $79,100 in ongoing funds and $1,960,400 in one-time funds. | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $0 | $0 | $2,843,300 | $83,300 | $79,100 | | General Fund, One-time | $0 | $0 | $700,000 | $2,009,400 | $1,960,400 | | Beginning Nonlapsing | $0 | $0 | $68,300 | $0 | $0 | | Lapsing Balance | $0 | $0 | ($44,800) | $3,800 | $0 | | Total | $0 | $0 | $3,566,800 | $2,096,500 | $2,039,500 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Other Charges/Pass Thru | $0 | $0 | $3,566,800 | $2,096,500 | $2,039,500 | | Total | $0 | $0 | $3,566,800 | $2,096,500 | $2,039,500 |
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Subcommittee Table of ContentsProgram: Drug Courts Function Utah's first drug court was started in 1996 in Salt Lake County with funds from the U.S. Department of Justice, Salt Lake County, and other sources. Currently, 29 of the 35 drug courts operating in the state receive funding from the Department of Human Services. Drug Courts is a judicial process that offers nonviolent drug abusing offenders intensive court-supervised drug treatment as an alternative to jail or prison. The local area substance abuse authorities and private contractors provide treatment services. Each drug court has its own eligibility criteria. However, most look at both a potential participant's legal history as well as the clinical severity of the addiction. In most drug courts, offenders enter a guilty plea which is then held in abeyance for the duration of the program. The charges are then dismissed upon successful completion of the program. Drug court participants are enrolled in the program for approximately 73 weeks. Treatment counselors develop individualized treatment plans. The participants are randomly tested for drug use from one to four times a week. The drug court judge reviews compliance with the treatment plan during weekly court reviews. In most programs, participants must be clean for at least six months to graduate. Failure to comply with any element of the program or having a positive drug test may result in immediate court action such as being taken to jail. Compliance and progress in the program are rewarded with praise from the court and a gradual decrease in supervision. Statutory Authority During the 2000 General Session, the Legislature passed uncodified material in HB 281, Drug Courts and Drug Board Pilot Project, defining the drug court program, allowing for its expansion, setting criteria for participation in the program, and establishing reporting requirements. It also created a coordinated disbursement process involving the executive directors of the departments of Human Services and Corrections as well as the State Court Administrator. Utah has four distinct drug court models In Utah, four distinct drug court models exist. In addition to the adult felony drug courts, there are programs that focus on juveniles, adult misdemeanants, and parents involved in civil child welfare custody cases. Adult Felony Drug Courts: Utah has nineteen functioning adult drug courts located in Carbon, Emery, Grand, Weber, Davis, Iron, Juab, Millard, Tooele, Salt Lake, Utah, Washington, Box Elder, Cache, Uintah, Wasatch, Sanpete, San Juan, and Sevier counties. Eighteen of these programs receive funding from the Department of Human Services. Juvenile Drug Courts: There are four juvenile drug courts in Utah, Weber, Tooele, and Salt Lake counties. Juvenile drug courts involve parents and the schools in the creation of the treatment plan. All four of these programs receive funding from the department. Misdemeanor Drug Courts: Six misdemeanor drug courts have been established in Salt Lake and Davis counties. These programs are operated at the justice court level. These programs focus on offenders who have been arrested on alcohol or marijuana charges. None of these programs receive funding from the department. Dependency Drug Courts: Seven dependency drug courts deal with cases where a parent's substance abuse could result in loss or restriction of parental rights. Their primary purpose is to assist in determining whether reasonable efforts have been made in reunification cases involving substance-abusing parents. They operate similarly to adult and juvenile drug courts. There are operational dependency courts in Salt Lake, Grand, Emery, Weber, Carbon, Washington, and Utah counties. All seven dependency drug courts receive funding from the Department of Human Services. Allocation from Tobacco Settlement Funds UCA 51-9-201 allocates funds from the General Fund Restricted - Tobacco Settlement Account first to the Department of Health for the Children's Health Insurance Program, second to the Department of Health for alcohol, tobacco, and other drug programs, then to drug courts, and finally to the University of Utah Health Sciences Center. Funding Detail Drug courts also receive funding directly from federal and local agencies. | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | General Fund | $435,000 | $1,305,000 | $1,207,500 | $785,900 | $275,900 | | General Fund, One-time | $0 | $870,000 | $749,100 | $0 | $0 | | Federal Funds | $857,900 | $479,300 | $800,000 | $805,100 | $800,000 | | GFR - Tobacco Settlement | $1,296,300 | $1,296,300 | $1,471,700 | $1,815,400 | $2,325,400 | | Transfers - Commission on Criminal and Juvenile Justice | $75,000 | $166,000 | $92,800 | $242,200 | $242,700 | | Transfers - Other Agencies | $0 | $28,000 | $0 | $0 | $0 | | Beginning Nonlapsing | $0 | $0 | $130,900 | $38,800 | $0 | | Closing Nonlapsing | $0 | ($130,900) | ($38,800) | ($27,500) | $0 | | Total | $2,664,200 | $4,013,700 | $4,413,200 | $3,659,900 | $3,644,000 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Current Expense | $0 | $59,300 | $0 | $0 | $0 | | Other Charges/Pass Thru | $2,664,200 | $3,954,400 | $4,413,200 | $3,659,900 | $3,644,000 | | Total | $2,664,200 | $4,013,700 | $4,413,200 | $3,659,900 | $3,644,000 |
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Subcommittee Table of ContentsProgram: Drug Boards Function Drug Boards provide community-based services to drug involved parolees to help them reintegrate into their communities after release from prison. Drug Boards is a program similar to drug courts, but is offered by the correctional system to individuals leaving prison and entering parole. Instead of judges and a courtroom, the official in charge is a representative from the Board of Pardons and the location is a hearing room. In this case, the potential punishment is the threat of having parole lifted and returning to prison. Progress in the program is rewarded with praise from the board and support from peers and continued parole. Funding for this program was eliminated in the 2010 General Session of the Legislature as part of required budget reductions. Funding Detail The 2000 Legislature appropriated a total of $510,000 from the Tobacco Settlement Restricted Account to start a pilot drug board program in Davis and Weber counties. This amount included $77,400 to the Board of Pardons, $81,700 to the Department of Corrections, and $350,900 to the Department of Human Services. This program was eliminated in the 2010 General Session of the Legislature as part of required budget reductions. | Sources of Finance | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | GFR - Tobacco Settlement | $350,900 | $350,900 | $175,500 | $350,900 | $0 | | Beginning Nonlapsing | $0 | $0 | $0 | $300 | $0 | | Closing Nonlapsing | $0 | $0 | ($300) | ($34,100) | $0 | | Lapsing Balance | ($300) | ($300) | $0 | $0 | $0 | | Total | $350,600 | $350,600 | $175,200 | $317,100 | $0 |
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| | Categories of Expenditure | 2007
Actual | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Approp | | Other Charges/Pass Thru | $350,600 | $350,600 | $175,200 | $317,100 | $0 | | Total | $350,600 | $350,600 | $175,200 | $317,100 | $0 |
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Subcommittee Table of Contents |