The mission of Mental Health services is to provide individuals and families who experience mental illness, alone or in combination with substance abuse problems, the support they need in order to achieve their personal goals.
Community-Based Mental Health Services
Over the past 14 years the state has moved mental health services from a primarily institutional based system to a system that seeks to provide services through community settings. This effort has resulted in increased funding for the development of community-based programs and services, as well as increased coordination, collaboration, and integration between Community Mental Health Centers (CMHCs) and state hospitals.
A SUCCESS STORY
Mr. P is a 40 year-old male who has an extensive history of hospitalizations due to violence and disoriented thinking. He was admitted to Rainbow Mental Health Facility after he pushed his case manager and attempted to break into the case manager's home. Through the course of his treatment at RMHF, he began to stabilize and show significant improvement. He eventually was discharged and referred to a mental health center to provide support to him in the community. The mental health center reports that since his discharge, Mr. P. has made remarkable progress and is presently taking college courses. He has been stable for over a year and successfully living independently in the community.
The primary local coordinating agency for Community-based mental health services is the licensed Community Mental Health Center (CMHC) (see provider list). There are 26 CMHCs in Kansas and two licensed affiliates. The licensed affiliates specialize in services to children and their families. There is a greater emphasis on the delivery of services to persons with the most serious illness - the target population. In Kansas, our target populations are adults with severe and persistent mental illness (SPMI) and children with serious emotional disturbance (SED).
Outcome measures are tracked to determine the impact of these services, such as the extent to which adults with SPMI are living and working in the community, and the extent to which children with SED remain at home and in school.
Mental Health State Aid
Actual Expenditures---SFY 2006 $10,233,298
State General Funds $10,233,298
Mental Health Grants
Actual Expenditures---SFY 2006 $42,988,493
State General Funds $33,637,212
Children's Initiative Funds $6,114,000
Fee Funds $259,714
Community Mental Health Center Services---Medicaid Regular Medical
Average Monthly Persons 16,818
Actual Expenditures---SFY 2006* $16,861,136
State General Funds $17,023,635
Fee Funds $2,062,810
*FY 06 expenditure includes FY 06 expenses paid in FY 07
Community Mental Health Center Services ---Medicaid Child Welfare
Average Monthly Persons 2,106
Actual Expenditures --FY 2006* $16,861,136
State General Funds $6,650,032
*FY 06 expenditure includes FY 06 expenses paid in FY 07
Total Persons Served
Adults with Severe Mental Illness 14,574
Children with Serious Emotional Disturbance (not on SED waiver) 19,670
Serious Emotional Disturbance Waiver
The Home and Community-Based Services (HCBS) Waiver for children with SED provides intensive wraparound support for children and their families in their home communities. Eligible children are those who would otherwise be admitted to a state hospital. The SED waiver redirects Medicaid funding that would have been used in the hospital setting to therapeutic, intensive community-based services.
Serious Emotional Disturbance Waiver
Average Monthly Persons 2,073
Actual Expenditures---SFY 2006* $25,441,367
State General Funds $6,234,075
Children's Initiative Funds $3,800,000
*FY 06 expenditure includes FY 06 expenses paid in FY 07
Consumer-Run Organizations
Consumer Run Organizations (CRO) are not-for-profit organizations that are run by current and former consumers of mental health services. The CRO network consists of 20 SRS-funded organizations. CROs provide peer support, education, and evening and weekend activities and support for adults with SPMI during their recovery process. Peer support is provided by people who have also experienced symptoms of mental illness. (see CRO list)
Consumer-Run Organizations
Actual Expenditures---SFY 2006 $992,661
State General Funds $570,438
State General Funds $10,104,455
Nursing Facilities for Mental Health
SRS funds 11 nursing facilities for mental health (NFMH) that are licensed by KDOA. NFMHs are skilled nursing homes that specialize in serving individuals with Severe and Persistent Mental Illness who need nursing facility level of care. Community Mental Health Centers work with the NFsMH to assist each consumer to move to a less restrictive community living situation as soon as clinically possible and when treatment in a NFMH is no longer medically necessary.
Nursing Facilities for Mental Health
Average Monthly Persons 568
Actual Expenditures---SFY 2006* $12,025,228
Psychiatric Residential Treatment Facilities
SRS will begin funding 18 Psychiatric Residential Treatment Facilities (PRTF) in 2007. PRTFs provide comprehensive mental health treatment to children and adolescents who, due to mental illness, substance abuse, or severe emotional disturbance, are in need of treatment that can most effectively be provided in a psychiatric residential treatment facility. All other ambulatory care resources available in the community have been identified, and if not accessed, determined to not meet the immediate treatment needs of the youth.
PRTF programs are designed to offer a short term, intense, focused treatment program to promote a successful return of the child or adolescent to the community. Specific outcomes of the mental health services include the resident returning to the family or to another less restrictive community living situation as soon as clinically possible and when a PRTF is no longer medically necessary. The residential treatment facility is expected to work actively with the family, other agencies, and the community to offer strengths-based, culturally competent, medically appropriate treatment designed to meet the individual needs of the resident, including those residents identified with emotional and behavioral issues.
State Mental Health Hospitals
The primary goal of State Mental Health Hospitals (SMHH) is the stabilization of consumers in a safe and therapeutic environment who are experiencing acute symptoms. The combined budgeted bed capacity for these SMHHs is 535.
Larned State Hospital
Average Daily Census* 190
Actual Expenditures---SFY 2006 $36,343,719
*Psychiatric services only - excludes State Security Hospital and Sexual Predator Treatment program
Osawatomie State Hospital
Average Daily Census 166
Actual Expenditures---SFY 2006 $23,469,339
Rainbow Mental Health
Average Daily Census 41
Actual Expenditures---SFY 2006 $7,864,088
"I don't know if I or my family member qualifies for special services as an individual in the target population. Where do I go to find out?"
"I receive services at a CMHC, but have not been able to get the amount or kind of services I need. How can I get these services?"
"I have a relative living in an NFMH who wants to live in more independent housing in the community, but I'm not sure the services are available to meet their needs. How do I find out what is available?"
There are several ways to get assistance in answering these questions. You can either contact your local CMHC (see provider list) or Mental Health Field Staff (MHFS) at the nearest regional SRS office (see regional office listings). SRS staff can assist in resolving complaints, monitoring CMHC compliance with contracts and licensing regulations, and helping individuals access services.
"Do I have to pay to receive services at a CMHC?"
The answer depends on a number of factors and circumstances. If you are not Medicaid eligible, you may be assessed a fee based on a sliding scale adopted locally by each CMHC. Your private insurance can also be used at the CMHC in many cases.