Department of Mental Health
Long-Term Care / State Hospitals


CURRENT YEAR
 The May Revision reflects decreased funding for long-term care and state hospitals of $25.9 million General Fund due to the following major adjustments:

  • State Hospital Population - A decrease of $24.9 million General Fund to reflect a reduction in the Judicially Committed/Penal Code population of 487 patients, including a decrease of:
    • 71 Incompetent to Stand Trial (IST) patients
    • 68 Not Guilty by Reason of Insanity (NGI) patients
    • 106 Mentally Disordered Offenders (MDOs)
    • 242 Sexually Violent Predators (SVPs)
  • The decrease across commitment categories is primarily due to staffing shortages within the state hospitals and a re-estimation of the impact of Chapter 337, Statutes of 2006 (SB 1128) and Jessica's Law, resulting in a reduction of 50 percent in the number of SVP commitments estimated in the Governor's Budget.
  • SVP Evaluations and Court Testimony - An increase of $366,000 General Fund for SVP evaluation services, based on actual data from implementation of SB 1128 and Jessica's Law, and a decrease of $527,000 General Fund for headquarters positions and consultant services in the Sex Offender Commitment Program.

BUDGET YEAR
 Funding for long-term care and state hospitals is anticipated to decrease by a net $12.4 million (a decrease of $12.6 million General Fund and an increase of $176,000 Realignment reimbursement) in 2007-08. The change is comprised of the following adjustments:

  • State Hospital Population - A net decrease of $10.4 million (a decrease of $10.6 million General Fund and an increase of $176,000 in Realignment reimbursement):
    • An increase of $4.4 million General Fund to reflect an anticipated increase in the Judicially Committed/Penal Code population of 38 patients, including an increase of 158 IST patients, 46 NGI patients, 54 MDOs, and a decrease of 220 SVPs. The increase in IST, NGI, and MDO patients is based on an anticipated increase in staffing resulting from recent salary increases. The decrease in the SVP population reflects the revised estimated impact of SB 1128 and Jessica's Law.
    • A decrease of $28.2 million General Fund to reflect full-year impact of the current year reduction in the state hospital population of 487 patients. This decrease is in addition to the $21.7 million General Fund reduction previously requested in an April Finance Letter.
    • An increase of $5.9 million ($5.8 million General Fund and $144,000 in Realignment reimbursement) to provide funding for salary increases. This request funds salary increases ranging from 66 to 74 percent for psychiatrists and senior psychologists and salary increases ranging from 10 to 40 percent for all other impacted mental health classifications. Budget Bill language also is proposed to allow for increased funding for these salaries if more vacancies than anticipated are filled, or for contract costs for registry funding, if necessary.
    • An increase of $1.6 million ($1.6 million General Fund and $32,000 in Realignment reimbursement) to provide all budgeted Department of Mental Health dental staff with salary increases ranging from 36 to 58 percent.
    • An increase of $4.3 million General Fund to contract for competency restoration services. Contracting for local beds will expedite services, reduce the average length of stay, and address state hospital capacity issues. Additionally, the May Revision includes $696,000 General Fund for four Level-of-Care positions and associated costs to run an 18 bed unit at the Salinas Valley Psychiatric Program for IST patients too dangerous to reside within state hospitals.
  • Forensic Conditional Release Program (CONREP) - The May Revision includes an increase of $929,000 General Fund, to increase CONREP capacity by 30 beds. This will free up 30 additional state hospital beds by addressing the current backlog of patients waiting to enter CONREP and fund a projected increase in the number of hospital liaison visits.
  • SVP Evaluations and Court Testimony - The May Revision includes a net decrease of $2.9 million General Fund, primarily for SVP evaluation services based on actual data from implementation of SB 1128 and Jessica's Law.
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CHAPTER HIGHLIGHTS for Health and Human Services Back to Top

 May Revision Adjustments-Highlights
 Department of Alcohol and Drug Programs
 Department of Health Care Services
 Department of Public Health
 Managed Risk Medical Insurance Board
 Department of Developmental Services
 Department of Mental Health
 image of black pointing arrowLong-Term Care / State Hospitals
  Community Mental Health Services
 Department of Social Services
PRINTABLE BUDGET DOCUMENTS Back to Top
Revised Budget Summary - Health and Human Services (pdf * - 42K) -
Provides the entire Health and Human Services Chapter in pdf format.
ADDITIONAL INFORMATION Back to Top
Revised Budget Detail - Health and Human Services
Displays Revised Budget Detail information for Health and Human Services.

Proposed Budget Summary - Health and Human Services (January 2007)
Displays Proposed Budget Summary information for Health and Human Services.