COUNTY BUDGET PRESENTATION
The Cuyahoga County Council Committee of the Whole Meeting held a budget presentation for the ADAMHS Board, outlining revenue sources, expenses, and cash balance for 2024. The Board's mission is to enhance mental health and addiction services in the community through funding and monitoring programs. The 2024 budget includes allocations from HHS levy funding, federal funding, state funding, and local funding, as well as utilization of cash reserves.
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Presentation Transcript
CALENDAR YEAR 2024/25 COUNTY BUDGET PRESENTATION Cuyahoga County Council Committee of the Whole Meeting Cuyahoga County Council Committee of the Whole Meeting Scott S. Osiecki, Chief Executive Officer Scott S. Osiecki, Chief Executive Officer Monday, October 23, 2023 Monday, October 23, 2023
ADAMHS Board of Cuyahoga County Established in the ORC:340 to plan, fund, and monitor Established in the ORC:340 to plan, fund, and monitor (or evaluate) mental health and addiction, prevention, treatment and recovery services. mental health and addiction, prevention, treatment and recovery services. (or evaluate) the local system of the local system of Enter contracts for the provision of certified mental health and addiction prevention, Enter contracts for the provision of certified mental health and addiction prevention, treatment and recovery services. treatment and recovery services. Within this contracting obligation the Board: Within this contracting obligation the Board: o Charged with considering cost Charged with considering cost- - effectiveness and quality of effectiveness and quality of services and supports. services and supports. Mission: Enhance the quality of life for our community through a commitment to excellence in mental health and addiction prevention, treatment and recovery services coordinated through a person-centered network of community supports. o Must consider continuity of care Must consider continuity of care for clients. for clients. o Be accountable to the public Be accountable to the public and ensure that federal, state, and ensure that federal, state, and local funds are effectively and local funds are effectively utilized. utilized. Vision: Mental health, addiction, prevention, treatment and recovery services will be available and accessible for every county resident in need and the ADAMHS Board will provide a preeminent, seamless and integrated system of care. 1 1
ADAMHS BOARD 2024 BUDGET - $90,407,195 Revenue: Revenue: $69,394,874 + $21,012,321= $90,407,195 $69,394,874 + $21,012,321= $90,407,195 HHS Levy Funding - $43,463,659 (Executive Recommended Allocation) Federal Funding - $12,851,187 State Funding - $9,880,028 Local Funding - $3,200,000 + Usage of available cash balance + Usage of available cash balance - - $21,012,321 $21,012,321 Expenses: Expenses: $90,407,195 $90,407,195 Provider Direct Services - $72,677,906 Administration - $8,388,412 Other Behavioral Health Services - $5,375,000 Programs funded by Grants - $3,965,877 2 2
ADAMHS BOARD CASH BALANCE $43,175,703 $43,175,703 $32,738,601 $32,738,601 Anticipate Using $10,437,102 of Cash Reserve Anticipate Using $10,437,102 of Cash Reserve to Balance 2023 Budget. to Balance 2023 Budget. Leaving a Cash Reserve of $32,738,601 to Leaving a Cash Reserve of $32,738,601 to end 2023. end 2023. $11,726,280 $11,726,280 Anticipate Using $21,012,321 of Cash Reserve Anticipate Using $21,012,321 of Cash Reserve to pass a Balanced Budget for 2024. to pass a Balanced Budget for 2024. Leaving an anticipated $11,726,280 of Leaving an anticipated $11,726,280 of Cash Reserve at the end of 2024. Cash Reserve at the end of 2024. 2024 2024 2023 2023 2022 2022 3 3
Statutory Statutory Requirements Requirements Continuum of Care: Continuum of Care: Prevention: Prevention: School-based; youth activities; education; awareness campaigns Crisis Services: Crisis Services: 24/7 hotline; mobile crisis team; crisis stabilization; child crisis beds; Treatment: Treatment: outpatient SUD/MH services; medication management; detoxification; residential treatment Recovery Supports: Recovery Supports: peer support; peer run organizations; faith-based; sober housing; mental health adult care facilities; employment 4 4
CHALLENGES Opiate Opiate- -related Drug Overdoses related Drug Overdoses Stressors related to the COVID Stressors related to the COVID- -19 Pandemic/ Demand for Services Increasing Demand for Services Increasing Suicide Suicide Behavioral Health Workforce Shortage Behavioral Health Workforce Shortage 19 Pandemic/ 5 5
INITIATIVES FOR 2024/2025 Crisis Services: Crisis Services: Short Short- -Term Residential Facility Term Residential Facility Behavioral Health Crisis/Diversion Center Behavioral Health Crisis/Diversion Center Care Response Teams Care Response Teams 6 6
Answers Answers Questions Questions 7 7
