File #: BC 19-063    Name: BHB Increase revenue and appropriations
Type: Budget Committee Status: Agenda Ready
File created: 6/7/2019 In control: Budget Committee
On agenda: 6/14/2019 Final action:
Title: a. Support Request to Amend Fiscal Year (FY) 2018-19 Health Department Budget 023-4000-8410-HEA012 to increase revenue and appropriations in the amount of $4,750,000 to meet increased demand for behavioral health services; and b. Support authorizing and directing the Auditor-Controller's office to incorporate, and the County Administrative office to reflect, these approved modifications in the FY 2018-19 adopted budget.
Attachments: 1. Budget Committee Report
Title
a. Support Request to Amend Fiscal Year (FY) 2018-19 Health Department Budget 023-4000-8410-HEA012 to increase revenue and appropriations in the amount of $4,750,000 to meet increased demand for behavioral health services; and
b. Support authorizing and directing the Auditor-Controller's office to incorporate, and the County Administrative office to reflect, these approved modifications in the FY 2018-19 adopted budget.
Report
RECOMMENDATION:
It is recommended that the Budget Committee:
a. Support Request to Amend Fiscal Year (FY) 2018-19 Health Department Budget 023-4000-8410-HEA012 to increase revenue and appropriations in the amount of $4,750,000 to meet increased demand for behavioral health services; and
b. Support authorizing and directing the Auditor-Controller's office to incorporate, and the County Administrative office to reflect, these approved modifications in the FY 2018-19 adopted budget.

SUMMARY/DISCUSSION:
The Health Department seeks the Budget Committee's support to amend the Behavioral Health Bureau's (BHB), 023-4000-8410-HEA012, FY 2018-19 Adopted Budget to increase appropriations and corresponding revenues in the amount of $4,750,000. The recommended change will provide the level of resources required to meet the increased demand for behavioral health services.

The BHB has experienced an increased demand for mental health and substance use disorder services. Pertaining to mental health, higher levels of acuity in the client population have required more intensive treatment, which has resulted in the need to expand service agreements to meet the clients' needs. On the substance use disorders system of care, in July of 2018, the BHB implemented the Substance Use Disorder Organized Delivery System (SUD ODS). The SUD ODS is a new delivery model for the provision of substance use disorder treatment services, which implements evidence-based practices in substance abuse treatment and coordinates with other systems of care to provide more...

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