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 |
| 2019-21 Maintenance Level | 1,272.9 | 776,728 | 140,782 | 917,510 |
| Difference from 2017-19 | 124.9 | (207,289) | (643,396) | (850,685) |
| % Change from 2017-19 | 10.9% | (21.1%) | (82.0%) | (48.1%) |
2019-21 Policy Other Changes |
||||
| RTF Staffing - Building 27 | 43.9 | 9,352 | 0 | 9,352 |
| BHA Administration Support | 10.0 | 2,618 | 0 | 2,618 |
| Direct Care and Support - Unit 1N3 | 68.1 | 16,963 | 0 | 16,963 |
| State Hospital Operations | 362.3 | 82,136 | 0 | 82,136 |
| Direct Care and Support - Unit 3N3 | 68.1 | 16,963 | 0 | 16,963 |
| Trueblood Fines | 0.0 | (96,000) | 0 | (96,000) |
| Community Competency Evaluations | 0.0 | (462) | 0 | (462) |
| Civil Capacity Project Manager | 1.0 | 280 | 0 | 280 |
| Psychiatric Intensive Care Unit | 40.7 | 10,164 | 0 | 10,164 |
| WSH Safety Response | 77.9 | 22,200 | 0 | 22,200 |
| Trueblood Settlement Agreement | 61.5 | 16,494 | 0 | 16,494 |
| Consolidated Maintenance/Operations | 13.4 | 2,296 | 0 | 2,296 |
| CSTC - New Cottage Operating Costs | 47.1 | 10,816 | 0 | 10,816 |
| Ross Lawsuit Compliance | 22.9 | 6,188 | 0 | 6,188 |
| Forensic Competency Restoration | 0.0 | 3,124 | 0 | 3,124 |
| Leased Facilities One-Time Costs | 0.0 | 129 | 9 | 138 |
| 2019-21 Policy Other Changes Total | 816.9 | 103,261 | 9 | 103,270 |
2019-21 Policy Comp Changes |
||||
| State Public Employee Benefits Rate | 0.0 | 40 | 2 | 42 |
| WFSE General Government | 0.0 | 27,378 | 1,898 | 29,276 |
| State Rep Employee Benefits Rate | 0.0 | 481 | 33 | 514 |
| Coalition of Unions | 0.0 | 9,869 | 693 | 10,562 |
| Non-Rep General Wage Increase | 0.0 | 2,648 | 180 | 2,828 |
| Non-Rep Targeted Pay Increases | 0.0 | 100 | 6 | 106 |
| SEIU 1199 General Government | 0.0 | 6,473 | 454 | 6,927 |
| Orca Transit Pass - Outside CBAs | 0.0 | 218 | 16 | 234 |
| PERS & TRS Plan 1 Benefit Increase | 0.0 | 631 | 43 | 674 |
| Non-Rep Salary Schedule Revision | 0.0 | 30 | 0 | 30 |
| State Tax - Wellness Gift Card | 0.0 | 4 | 0 | 4 |
| 2019-21 Policy Comp Changes Total | 0.0 | 47,872 | 3,325 | 51,197 |
2019-21 Policy Transfers Changes |
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| Orca Transit Pass Funding Transfer | 0.0 | (1,046) | (72) | (1,118) |
| Health Coalition FSA Fund Transfer | 0.0 | (990) | 0 | (990) |
| 2019-21 Policy Transfers Changes Total | 0.0 | (2,036) | (72) | (2,108) |
| Total Policy Changes | 816.9 | 149,097 | 3,262 | 152,359 |
| 2019-21 Policy Level | 2,089.8 | 925,825 | 144,044 | 1,069,869 |
| Difference from 2017-19 | 941.8 | (58,192) | (640,134) | (698,326) |
| % Change from 2017-19 | 82.0% | (5.9%) | (81.6%) | (39.5%) |
Policy Changes
RTF Staffing - Building 27
A new 30-bed residential treatment facility (RTF) will open on the grounds of Western State Hospital as part of the Trueblood, et. al. v. DSHS lawsuit. Funding is provided for staff to operate these new forensic competency restoration beds.
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.
Direct Care and Support - Unit 1N3
As part of the Trueblood, et. al. v. DSHS lawsuit, funding is provided for additional forensic competency restoration beds at Eastern State Hospital. Funding is provided for staff to fully operate an additional 25 beds.
State Hospital Operations
Funding is provided to maintain the current level of operations at the two state adult psychiatric hospitals, Western State Hospital in Lakewood and Eastern State Hospital in Medical Lake.
Direct Care and Support - Unit 3N3
As part of the Trueblood, et. al. v. DSHS lawsuit, funding is provided for additional forensic competency restoration beds at Eastern State Hospital. Funding is provided for staff to fully operate an additional 25 beds.
Trueblood Fines
A settlement agreement was reached between the parties of 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 laid out in the settlement agreement. The settlement 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.
Community Competency Evaluations
RCW 10.77.073 requires the department to reimburse counties that appoint qualified experts to complete in-jail competency evaluations. Savings are assumed due to the June 30, 2019 expiration date specified in statute.
Civil Capacity Project Manager
Governor Inslee laid out his vision for behavioral health transformation which includes transitioning all civil commitments from the two state psychiatric hospitals, Eastern State Hospital and Western State Hospital, to the community where patients can stay connected to their home communities. To coordinate, plan and implement this vision, funding is provided for a project manager.
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
A multi-faceted approach to reducing violence and increasing patient and staff safety at Western State Hospital is funded. Two new units will be established to serve the highest acuity patients through evidence-based best practices: a Specialized Treatment Assessment and Recovery (STAR) unit will serve up to 10 patients at a time and a Step Up unit will serve up to 20 patients as a transition from the STAR unit to a standard ward. Other initiatives include increased security and staff training and enclosed nurses stations.
Trueblood Settlement Agreement
A settlement agreement has been approved in the Trueblood. et. al. v. DSHS lawsuit. Implementation of the agreement will occur in phases within different regions of the state with the first phase including Pierce and Spokane counties and the southwest region. The agreement outlines five key areas of investments: competency evaluations, competency restoration, crisis diversion and supports, education and training, and workforce development.
Consolidated Maintenance/Operations
Ongoing funding is provided for Consolidated Maintenance and Operations staff to perform preventative maintenance at Western State Hospital and Eastern State Hospital.
CSTC - New Cottage Operating Costs
Funding is provided for staff to operate a new 18-bed cottage at the Child Study and Treatment Center (CSTC). CSTC serves the most acute children in the state in the Children’s Long-term Inpatient Program (CLIP). This new cottage increases state CLIP bed capacity by over 38 percent.
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 to the statewide forensic competency restoration system.
Leased Facilities One-Time Costs
One-time relocation and project costs of leased facilities are provided.
State Public Employee Benefits Rate
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 $977 per employee per month for fiscal year 2020 and $978 per employee per month for fiscal year 2021.
WFSE General Government
Funding is provided for a collective bargaining agreement with the Washington Federation of State Employees - General Government. The agreement includes a general wage increase of 3 percent, effective July 1, 2019; a general wage increase of 3 percent, effective July 1, 2020; premium, shift, and other special pay changes, and increases in targeted job classifications. Employee insurance included in the agreement is displayed in a separate item.
State Rep Employee Benefits Rate
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 $977 per employee per month for fiscal year 2020 and $978 per employee per month for fiscal year 2021.
Coalition of Unions
Funding is provided for a collective bargaining agreement with the Coalition of Unions. The agreement includes a general wage increase of 3 percent, effective July 1, 2019; a general wage increase of 3 percent, effective July 1, 2020; increases in premium pay and increases in targeted job classifications. Employee insurance included in the agreement is displayed in a separate item.
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 3 percent, effective July 1, 2019, and a general wage increase of 3 percent, effective July 1, 2020. This item includes both general government and higher education workers.
Non-Rep Targeted Pay Increases
Funding is provided for classified state employees who are not represented by a union for pay increases in specific job classes in alignment with other employees.
SEIU 1199 General Government
Funding is provided for a collective bargaining agreement with the Service Employees’ International Union Local 1199 NW. The agreement includes a general wage increase of 3 percent, effective July 1, 2019; a general wage increase of 3 percent, effective July 1, 2020; premium pay changes; and increases in targeted job classifications. Employee insurance included in the agreement is displayed in a separate item.
Orca Transit Pass - Outside CBAs
This funds transit passes (ORCA cards) for state employees (outside of higher education) in King, Pierce, and Snohomish counties, other than those in certain collective bargaining agreements.
PERS & TRS Plan 1 Benefit Increase
For eligible Public Employees' and Teachers' Retirement Systems Plan 1 members, this item provides a one-time, ongoing increase of 3 percent, up to a maximum of $62.50 per month.
Non-Rep Salary Schedule Revision
This funds a revised salary schedule for non-represented employees in information technology jobs, in alignment with other state employees.
State Tax - Wellness Gift Card
Some employees are eligible to earn a $25 gift card after completing a health risk assessment. This item provides funding to agencies to pay the employer's share of Social Security and Medicare taxes on gift cards for additional employees who are eligible for the gift cards.
Orca Transit Pass Funding Transfer
This moves funding for employee transit passes from agencies to WSDOT, which administers the program. The transfer includes both funding added in 2019-21 for expanded access, as well as funding that was provided in the 2017-19 budget.
Health Coalition FSA Fund Transfer
This moves funding for negotiated medical flexible spending arrangements (FSA) from individual agency budgets. It will be provided to the Health Care Authority, which will administer the benefit.
