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Home » Budget » State budgets » 2023-25 Gov. Inslee's proposed budgets » Agency recommendation summaries » Agency recommendation summaries » Department of Social and Health Services - Mental Health

Department of Social and Health Services - Mental Health

  Average Annual FTEs Near General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Current Budget 4,363.4 884,618 205,096 1,089,714
2023-25 Maintenance Level 4,344.1 1,064,013 84,330 1,148,343
Difference from 2023-25 Original (19.3) 179,395 (120,766) 58,629
% Change from 2023-25 Original (0.4%) 20.3% (58.9%) 5.4%

2023 Policy Other Changes

Facility Maintenance Costs 0.0 564 0 564
WiFi Services 0.0 270 0 270
Disproportionate Share Hospital 0.0 (75,144) 75,144 0
Competency Evaluations 26.0 7,646 0 7,646
KC Forensic Evaluation Pilot Site 3.0 1,474 0 1,474
Neuropsychological Evaluations 2.0 976 0 976
Maple Lane Campus 46.7 7,717 5,964 13,681
DSHS RTF - Vancouver Campus 161.1 47,391 0 47,391
Barriers to Discharge 21.0 6,351 297 6,648
Restore WSH Civil Ward 61.9 15,725 0 15,725
Violence Reduction Team 66.0 17,618 924 18,542
Savings from STAR Ward Closure (65.5) (19,134) 0 (19,134)
Jail-based Behavioral Health 3.0 10,364 0 10,364
Personal Protective Equipment 0.0 2,784 0 2,784
State Hospital Direct Care Staffing 80.1 13,831 1,042 14,873
Phase 2 Trueblood 6.0 2,484 0 2,484
Phase 3 Trueblood 19.0 5,656 0 5,656
Trueblood Court Monitor 0.0 830 0 830
Facility One-time Costs 0.0 1,100 0 1,100
2023 Policy Other Changes Total 430.3 48,503 83,371 131,874

2023 Policy Comp Changes

State Employee Benefits 0.0 154 8 162
WFSE General Government 0.0 69,395 5,233 74,628
Rep Employee Health Benefits 0.0 1,633 119 1,752
Non-Rep Recruitment/Retention 0.0 386 19 405
Coalition of Unions 0.0 7,704 359 8,063
Non-Rep General Wage Increase 0.0 5,605 258 5,863
SEIU 1199 General Government 0.0 38,949 2,410 41,359
PERS & TRS Plan 1 Benefit Increase 0.0 797 53 850
Vaccine Booster Incentive 0.0 334 16 350
2023 Policy Comp Changes Total 0.0 124,957 8,475 133,432
Total Policy Changes 430.3 173,460 91,846 265,306
2023-25 Policy Level 4,774.4 1,237,473 176,176 1,413,649
Difference from 2021-23 411.0 352,855 (28,920) 323,935
% Change from 2023-25 Original 9.4% 39.9% (14.1%) 29.7%

Policy Changes

Facility Maintenance Costs

Funding is provided to contract for fire damper inspections at the state hospitals in accordance with RCW 19.27.720. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)

WiFi Services

Funding is appropriated for Wi-Fi services from WaTech and other equipment necessary to provide reliable coverage at the state hospitals. (General Fund - State)

Disproportionate Share Hospital

Payments made to states under the Disproportionate Share Hospital grant program are intended to offset the costs of uncompensated care for Medicaid and uninsured patients. Enacted federal legislation has directed changes in federal grants to states for Disproportionate Share Hospitals (DSH). State and federal appropriations are adjusted to reflect estimated changes in this federal revenue. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - Local CRC Oregon, other funds)

Competency Evaluations

Funding is provided to perform more competency evaluation referrals to respond to recent increases in demand. (General Fund - State)

KC Forensic Evaluation Pilot Site

Funding is appropriated to create a forensic evaluation pilot site at the King County Correctional Facility to reduce delays and create efficiencies for Trueblood class members requiring competency evaluations. (General Fund - State)

Neuropsychological Evaluations

Funds are provided to increase the timeliness and availability of neuropsychologist assessments at the state hospitals. (General Fund - State)

Maple Lane Campus

The department will use this funding to support the expansion of the Maple Lane campus. (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)

DSHS RTF - Vancouver Campus

This funding will provide direct care and operation of the Vancouver Residential Treatment Facility (RTF) campus, including the delivery of services by the department for all 48 beds at this site. (General Fund - State)

Barriers to Discharge

Funding is appropriated to reduce barriers for hard-to-place patients residing at the state hospitals who are ready and appropriate for discharge to a community setting. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)

Restore WSH Civil Ward

Funding is restored for a civil ward at Western State Hospital previously used for the Specialized Treatment Assessment and Recovery (STAR) ward. The department's strategy for violence reduction and prevention has evolved, making this resource available for civil populations. (General Fund - State)

Violence Reduction Team

Funds are provided to implement a violence reduction and prevention strategy at the state hospitals. (General Fund - State, General Fund - Cash, General Fund - Medicaid Federal, other funds)

Savings from STAR Ward Closure

Savings are captured for the closure of the Specialized Treatment Assessment and Recovery (STAR) ward. Funds are reinvested to reopen a civil ward at Western State Hospital and implement a new violence reduction team to reduce and prevent violence. (General Fund - State)

Jail-based Behavioral Health

This funding will support behavioral health and stabilization services at the King County South Correctional Entity (SCORE). (General Fund - State)

Personal Protective Equipment

The department will cover the increased costs incurred for personal protective equipment (PPE) during the COVID-19 pandemic. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)

State Hospital Direct Care Staffing

Funding is provided to phase in the Hospital Acuity Resource Tool (HART), an acuity-based direct care staffing model, at Western State Hospital. Direct care staff include registered nurses, mental health technicians, psychiatric security attendants, and licensed practical nurses. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - State, other funds)

Phase 2 Trueblood

Funding is appropriated for costs incurred in King County for Trueblood et. al v. DSHS lawsuit. (General Fund - State)

Phase 3 Trueblood

This item funds costs incurred for phase 3 of the Trueblood et. al v. DSHS lawsuit, including the expansion to the Thurston/Mason and Salish regions. (General Fund - State)

Trueblood Court Monitor

Ongoing funding is provided for court monitor costs related to the Trueblood et. al v. DSHS lawsuit. (General Fund - State)

Facility One-time Costs

Funding is provided for one-time relocation and project costs to support the Department of Social and Health Services' leased facilities strategic plan. (General Fund - State, General Fund - Medicaid Federal, General Fund - Federal, other funds)

State Employee Benefits

Health insurance funding is provided for state employees who are not represented by a union, who are covered by a bargaining agreement that is not subject to financial feasibility determination, or who are not part of the coalition of unions for health benefits. The insurance funding rate is $1,160 per employee per month for fiscal year 2024 and $1,233 per employee per month for fiscal year 2025. (General Fund - State, General Fund - Federal, General Fund - Medicaid Federal, other funds)

WFSE General Government

Funding is provided for a general wage increase of 4%, effective July 1, 2023; a general wage increase of 3%, effective July 1, 2024; targeted job classification base range increases; recognition and retention lump sum payments for employees employed on or before July 1, 2022 and continuously employed through July 1, 2023; shift premium increase for eligible shifts from $1 to $2.50 per eligible hour; a COVID-19 booster incentive of $1,000; supplemental shift premium increases for nurse classifications; 5% premium pay for employees who are assigned to a facility that provides direct care to residents, patients and/or clients and whose duties are required to be performed on location; and an increase of $250 to the annual lump sum payment for Labor and Industries risk classes 7200/7201. (General Fund - Federal, General Fund - State, General Fund - Medicaid Federal, other funds)

Rep Employee Health Benefits

This provides health insurance funding as part of the master agreements for employees who bargain for health benefits as part of a coalition of unions. The insurance funding rate is $1,160 per employee per month for fiscal year 2024 and $1,233 per employee per month for fiscal year 2025. (General Fund - Federal, General Fund - State, General Fund - Medicaid Federal, other funds)

Non-Rep Recruitment/Retention

Funding is provided for recognition and retention lump sum payments for employees employed on or before July 1, 2022 and continuously employed through July 1, 2023. (General Fund - Federal, General Fund - State, General Fund - Medicaid Federal, other funds)

Coalition of Unions

Funding is provided for a general wage increase of 4%, effective July 1, 2023; a general wage increase of 3%, effective July 1, 2024; targeted job classification base range increases; recognition and retention lump sum payments for employees employed on or before July 1, 2022 and continuously employed through July 1, 2023; shift premium increase for eligible shifts from $1 to $2.50 per eligible hour; and a COVID-19 booster incentive of $1,000. The agreement also includes a supplemental shift premium increases for nurse classifications; 5% premium pay for employees who are assigned to a facility that provides direct care to residents, patients and/or clients and whose duties are required to be performed on location; and a $500 annual lump sum payment for L&I codes 7200/7201. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)

Non-Rep General Wage Increase

Funding is provided for wage increases for state employees who are not represented by a union or who are covered by a bargaining agreement that is not subject to financial feasibility determination. It is sufficient for a general wage increase of 4 percent, effective July 1, 2023 and a general wage increase of 3 percent, effective July 1, 2024. This item includes both general government and higher education workers. (General Fund - State, General Fund - Federal, General Fund - Medicaid Federal, other funds)

SEIU 1199 General Government

Funding is provided for a general wage increase of 4%, effective July 1, 2023; a general wage increase of 3%, effective July 1, 2024; targeted job classification base range increases; recognition and retention lump sum payments for employees employed on or before July 1, 2022 and continuously employed through July 1, 2023; shift premium increase for eligible shifts from $1 to $2.50 per eligible hour; and a COVID-19 booster incentive of $1,000. The agreement includes supplemental shift premium increases for nurse classifications; 5% premium pay for employees who are assigned to a facility that provides direct care to residents, patients and/or clients and whose duties are required to be performed on location; and an ARNP ANCC Board certification incentive of $2,500. In addition, this agreement includes preceptor premium pay increase, increase in training dollars, additional retention incentive of $1,500, and $500 annual lump sum payment for L&I codes 7200/7201. (General Fund - State, General Fund - Medicaid Federal, General Fund - Federal, other funds)

PERS & TRS Plan 1 Benefit Increase

For eligible Public Employees' and Teachers' Retirement Systems Plan 1 members, this item provides an increase of 3%, up to a maximum of $110 per month. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)

Vaccine Booster Incentive

Funding is provided for a $1,000 lump sum COVID-19 booster incentive for non-represented employees. This funding does not cover institutions of higher education. (General Fund - Medicaid Federal, General Fund - Federal, General Fund - State, other funds)