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Department of Social and Health Services - Mental Health

  Annual FTEs General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Estimated Expenditures 1,148.0 984,017 784,178 1,768,195

2017-19 Maintenance Other Changes

Hospital Revenue Adjustment 0.0 3,034 (3,034) 0
Maintain Safe Secure Facilities 0.0 742 0 742
Trueblood Fines 0.0 47,017 0 47,017
Decertification Revenue Adjustment 0.0 53,218 (53,218) 0
Technical Corrections 0.0 2,032 (2,032) 0
2017-19 Maintenance Other Changes Total 0.0 106,043 (58,284) 47,759

2017-19 Maintenance Transfers Changes

2017-19 Maintenance Transfers Changes Total 0.0 0 0 0
Total Maintenance Changes 0.0 106,043 (58,284) 47,759
2017-19 Maintenance Level 1,148.0 1,090,060 725,894 1,815,954

2017-19 Policy Other Changes

BHA Administration Support 3.2 893 0 893
ESH Office Relocation 0.0 296 0 296
State Hospital Operations 196.0 43,102 0 43,102
Trueblood Fines 0.0 (28,000) 0 (28,000)
Psychiatric Intensive Care Unit 9.4 2,460 0 2,460
WSH Safety Response 10.7 3,551 0 3,551
Ross Lawsuit Compliance 6.7 1,797 0 1,797
Forensic Competency Restoration 0.0 1,282 0 1,282
SILAS Implementation 0.80 260 0 260
Leased Facilities One-Time Costs 0.0 847 0 847
2017-19 Policy Other Changes Total 226.8 26,488 0 26,488
Total Policy Changes 226.8 26,488 0 26,488
2017-19 Policy Level 1,374.8 1,116,548 725,894 1,842,442

Policy Changes

Trueblood Fines

A settlement agreement was reached in the Trueblood et. al v. DSHS lawsuit in August 2018 which proposes the suspension of fines beginning December 2018, provided the state maintains substantial compliance with the terms in the settlement agreement. The agreement was approved by the U.S. District Court - Western District on December 11, 2018. Appropriations are adjusted to reflect the suspension of fines beginning in December 2018.

BHA Administration Support

Funding is provided to adequately staff the core business functions and processes of the Behavioral Health Administration (BHA). This includes oversight of daily operations, tribal relations, policy development and analysis, and records management.

ESH Office Relocation

Funding is provided to relocate staff at Eastern State Hospital (ESH) from wards that are currently being renovated for forensic placements.

State Hospital Operations

Funding is provided to maintain the current level of spending at the state psychiatric hospitals.

Psychiatric Intensive Care Unit

Funding is provided for a Psychiatric Intensive Care Unit (PICU) to serve assaultive patients at Eastern State Hospital. The PICU will house high acuity patients for short-term stays with a transition back to a standard ward after stabilization. These patients will receive specialized patient care and treatment.

WSH Safety Response

Funding is provided to implement a multi-faceted approach to reduce violence and increase patient and staff safety at Western State Hospital. A STAR and Step Up unit will open to serve up to 20 of the highest acuity patients with evidence-based best practices. Other initiatives include increased security and staff training and enclosed nurses stations.

Ross Lawsuit Compliance

As part of the settlement agreement in Ross v. Lashway, funding is provided to improve the quality and timeliness of treatment for patients found not guilty by reason of insanity.

Forensic Competency Restoration

Funding is increased to cover the cost of operating the Yakima Competency Restoration Program and the Maple Lane Competency Restoration Program. These two facilities provide 54 beds for the statewide forensic competency restoration system.

SILAS Implementation

Funding is provided to integrate a scheduling, time, and leave system that will standardize and modernize staff management processes at Western State Hospital in Lakewood.

Leased Facilities One-Time Costs

One-time relocation and project costs for leased facilities are provided.