COBI 2015 - State Substance Abuse Services

Overview
Issues
Performance
Background
Financials

Sources Uses

FY 2016 Appropriation

By state statute, DSAMH has the authority to retain a portion of federal and state dollars to fund statewide substance abuse programs. In addition, DSAMH has applied for and received a number of discretionary grants that it allocates to expand substance abuse services.

Funding History

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $6,940,500 from all sources for State Substance Abuse Services. This is a 4.2 percent increase from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $3,752,000 from the General/Education Funds, an increase of 35.2 percent from revised Fiscal Year 2015 estimates.

Appropriation Adjustments

In addition to statewide compensation and internal service fund cost increases, the following appropriation adjustments were made during the 2015 General Session:

DescriptionOngoingOne-Time Justice Reinvestment Initiative$375,000$100,000

OngoingOne-TimeFinancing Source

$375,000$0General Fund

$0$100,000General Fund, One-time

Over the past 18 months, leaders in state government collaborated with the Pew Charitable Trusts Public Safety Performance Project and the U.S. Department of Justice to examine and find solutions to Utah's recidivism rate and growing prison population. The Justice Reinvestment Initiative is the broad project to begin implementation of key recommendations from the study. Funding is provided for the Department of Corrections, Board of Pardons and Parole, Governor's Office (Commission on Criminal and Juvenile Justice); additional funding is provided for the Division of Substance Abuse and Mental Health.

Medication Assisted Addiction Treatment$0$500,000

OngoingOne-TimeFinancing Source

$0$500,000General Fund, One-time

Funding provides assistance for medication assisted addiction treatment.

Staff Analysis

For the most recent completed fiscal year, the following information represents the purposes for which the money was used:

State Substance Abuse Services Detailed Purposes

Percent of 12th graders within 30 days who have had alcoholic beverages

Percent of 12 to 17 year olds who perceive alcohol as a moderate to severe risk

Examples of the statewide services funded by DSAMH are:

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.
Women's Residential Treatment - includes four residential facilities located in Salt Lake, Weber, Utah, and Washington counties which serve women and children from all areas of the state.
Women's Treatment -- funding for outpatient and inpatient services for women is allocated on a formula to all local authorities.

Among the discretionary grants received by DSAMH are:

Award for Strategic Prevention Framework -- Partnerships for Success Grant (SPF-PFS) - the grant was awarded in September 2013 and focuses on addressing underage drinking and prescription drug abuse and misuse.
Access to Recovery Grant -- to provide client choice among substance abuse clinical treatment and recovery support service providers, expand access to a comprehensive array of clinical treatment and recovery support options (including faith-based programmatic options), and increase substance abuse treatment capacity).
Strategic Prevention Enhancement Grant - designed to strengthen and extend SAMHSA's national implementation of the Strategic Prevention Framework (SPF), so as to bring the SPF to scale and support communities of high need nationwide.
Bureau of Justice Assistance Drug Court Grant - the grant will focus on two areas 1) a statewide drug court process and outcome evaluation that will highlight areas where training and technical assistance are needed; and 2) increasing capacity and expanding services in eight of Utah's drug court programs to address the needs of specific offender populations with drug treatment. The funding will help promote the long-term sustainability of drug courts in Utah and build upon current state efforts to establish statewide performance measures.
Supported Employment Transformation Project - this project will initially provide supported employment services to adults with serious mental illness and co-occurring substance abuse conditions, coordinated by two local mental health authorities (LMHAs) across urban and rural communities. The LMHAs will provide training and technical support based on implementation science and professional consultation to ensure successful implementation of evidenced-based practice.
Cooperative Agreement to Benefit Homeless Individuals - the goal of the grant is to increase the number of individuals placed in permanent supportive housing and provide treatment and recovery supports for behavioral health. The program will use a Housing First approach to house individuals who have been or are extremely vulnerable and that have not been successful in accessing existing permanent supportive housing.

Intent Language

HB0003: Item 89

Under Section 63J-1-603 of the Utah Code, the Legislature intends that any remaining funds provided by Item 38, Chapter 13, Laws of Utah 2014 for the Drug Courts program within the Department of Human Services' Division of Substance Abuse and Mental Health line item not lapse at the close of Fiscal Year 2015. The use of any non-lapsing funds is limited to "other charges/pass through" expenditures consistent with the requirements found at UCA 63J-1-603(3)(b).

HB0003: Item 89

Under Section 63J-1-603 of the Utah Code, the Legislature intends that any remaining funds provided by Item 38, Chapter 13, Laws of Utah 2014 for State Substance Abuse Services and Local Substance Abuse Services within the Department of Human Services' Division of Substance Abuse and Mental Health line item not lapse at the close of Fiscal Year 2015. The use of any non-lapsing funds is limited to "other charges/pass through" expenditures consistent with the requirements found at UCA 63J-1-603(3)(b).

HB0003: Item 89

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $50,000 of appropriations provided for the Department of Human Services' Division of Substance Abuse and Mental Health line item in Item 38, Chapter 13, Laws of Utah 2014 not lapse at the close of Fiscal Year 2015. These funds are to be used for the purchase of computer equipment and software, capital equipment or improvements, equipment, or supplies.

SB0002: Item 82

The Legislature intends the Department of Workforce Services and the Administrative Offices of the Courts provide a report to the Office of the Legislative Fiscal Analyst no later than September 1, 2015. The report shall include, at a minimum: 1) a summary of efforts to improve coordination between the Drug Court program and DWS' Workforce Development Division in order to improve Drug Court success, 2) data indicating the success of the efforts including the implementation and reporting on measures of post program recidivism, and 3) any identified savings or additional funding of drug court recipients as a result of improved coordination efforts.

SB0002: Item 82

The Legislature intends that the one-time General Fund appropriation of $6,400,000 to the Department of Human Services for Local Authority Mental Health Medicaid Match is provided to assist local mental health authorities for one year until they can find ways to provide their own matching funds in the future. The Legislature further intends the local mental health authorities report their plans to provide their own matching funds in the future to the Office of the Legislative Fiscal Analyst by September 1, 2015.

SB0002: Item 82

The Legislature intends that the $300,000 in federal funds appropriated for Children's Mental Health Early Intervention for Children and Youth in the Department of Human Services in the Division of Substance Abuse and Mental Health line item is dependent upon the availability of and qualification for the Children's Mental Health Early Intervention for Children and Youth for Temporary Assistance for Needy Families federal funds.

SB0007S01: Item 9

The Legislature intends that the Department of Human Services report on the following performance measures for the Substance Abuse and Mental Health line item: (1) Local Substance Abuse Services - Successful completion rate (Target = 40%), (2) Mental Health Services - Adult Outcomes Questionnaire - Percent of clients stable, improved, or in recovery while in current treatment (Target = 70%), and (3) Mental Health Centers - Youth Outcomes Questionnaire - Percent of clients stable, improved, or in recovery while in current treatment (Target = 70%) by January 1, 2016 to the Social Services Appropriations Subcommittee.

SB0007S01: Item 27

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Funding Source

Expenditure Category

Appropriation Type:

Appropriation History by

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	2,794,500	2,794,500	2,774,100	2,770,500	2,774,800	0	2,774,800	377,000	3,151,800
General Fund, One-time	0	0	0	50,100	200	0	200	600,000	600,200
Federal Funds	4,663,100	4,776,200	4,460,600	3,278,300	5,758,900	(2,573,300)	3,185,600	(1,233,000)	1,952,600
Dedicated Credits Revenue	102,000	46,400	85,200	162,700	28,900	17,500	46,400	(10,500)	35,900
Transfers - Other Agencies	15,700	0	304,400	0	70,000	339,400	409,400	790,600	1,200,000
Beginning Nonlapsing	49,800	192,800	155,000	197,400	0	244,000	244,000	(244,000)	0
Closing Nonlapsing	(192,800)	(155,000)	(197,400)	(244,000)	0	0	0	0	0
Lapsing Balance	0	0	0	(100)	0	0	0	0	0
Total	$7,432,300	$7,654,900	$7,581,900	$6,214,900	$8,632,800	($1,972,400)	$6,660,400	$280,100	$6,940,500

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	287,100	411,300	405,900	382,600	437,600	(11,300)	426,300	452,000	878,300
In-state Travel	4,700	8,200	5,200	8,600	21,600	(3,300)	18,300	(2,000)	16,300
Out-of-state Travel	1,400	6,400	2,600	19,500	5,000	2,400	7,400	(1,600)	5,800
Current Expense	1,037,100	704,300	710,900	239,700	527,900	(184,200)	343,700	(74,700)	269,000
DP Current Expense	155,400	125,400	234,100	106,200	236,200	(85,400)	150,800	(87,800)	63,000
Other Charges/Pass Thru	5,946,600	6,399,300	6,223,200	5,458,300	7,404,500	(1,690,600)	5,713,900	(5,800)	5,708,100
Total	$7,432,300	$7,654,900	$7,581,900	$6,214,900	$8,632,800	($1,972,400)	$6,660,400	$280,100	$6,940,500

Show Table | Show Additional Information

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Budgeted FTE	0	0	5	5	5	(0.50)	4.50	0	4.50
Actual FTE	0	4.90	4.90	4.60	0	0	0	0	0

COBI contains unaudited data as presented to the Legislature by state agencies at the time of publication. For audited financial data see the State of Utah's Comprehensive Annual Financial Reports.