ENGROSSED SENATE BILL 2012HOUSE APPROPRIATIONS

HUMAN RESOURCES DIVISIONREPRESENTATIVE JON NELSON, CHAIR

Northeast Human Service Center (NEHSC)Field Services DivisionRandy Slavens, Regional Director

2

3

NORTH DAKOTA DEPARTMENT OF HUMAN SERVICESNORTHEAST HUMAN SERVICE CENTER 143.1 FTE

EXECUTIVE DIRECTOR

CHRIS JONES

Tom EideDirector, Field

Services

Rosalie Etherington

Jeff Stenseth

Randy Slavens

Administration22.7 FTE

Behavioral Health82.4 FTE

Children & Family Services 4.5 FTE

Developmental Disabilities 18.5

FTE

Aging Services2 FTE

Vocational Rehabilitation

13 FTE

Tom SolbergDeputy Director

4

Administration, 22.7

Behavioral Health, 82.4

Children & Family Services,

4.5

Developmental Disabilities, 18.5

Aging, 2

Vocational Rehabilitation, 13

BREAKDOWN OF NEHSC 143.1 FULL TIME EQUIVALENT (FTE)

5

6

Direct Care Associates, 8.1

Mental Health Counselors, 15

Case Managers, 13Psychologists, 2

Addiction Counselors, 11

Program Administators, 4.9

Prescribers/Unclassified, 3.8

Nurses, 6.8Other, 2

A BREAKDOWN OF NEHSC BEHAVIORAL HEALTH 66.6 FTEexcluding Ruth Meiers PRTF

7

8

11%17% 15%

2016 2017 2018

Turnover Rate Northeast Human Service Center

9

Current vacancies

Position Number Work Site Job Class Vacant FTE VACANCY DATEANTICIPATED FILL

DATE STATUS

00003171 NORTHEAST HSC HUMAN RELATIONS CLSR 1.000 7/31/2018 3/4/2019 Filled

00003252 NORTHEAST HSC OFFICE ASSISTANT III 1.000 6/29/2018 NAPart of 19-21 reduction

00003464 NORTHEAST HSC DEV DIS CASE MGR II 1.000 11/23/2018 4/1/2019 Filled

00003844 NORTHEAST HSC OFFICE ASSISTANT III 0.600 5/1/2018 5/1/2019 Assessing

00004008 NORTHEAST HSC LIC PSYCHOLOGIST I 1.000 5/15/2015 4/1/2019 Currently recruiting

00004079 NORTHEAST HSC DIRECT CARE ASSOC III 1.000 1/6/2019 4/1/2019 Currently interviewing

00004092 NORTHEAST HSC ADDICTION COUNS II 1.000 12/15/2018 3/4/2019 Filled

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Current vacancies

Position Number Work Site Job Class Vacant FTE VACANCY DATEANTICIPATED FILL

DATE STATUS

00004268 NORTHEAST HSC DIRECT CARE ASSOC III 0.800 1/21/2019 3/1/2019 Filled

00004274 NORTHEAST HSC HSPA IV 1.000 1/1/2019 5/1/2019 Currently interviewing

00004344 NORTHEAST HSC ADMIN ASSISTANT I 1.000 1/4/2019 4/1/2019 Currently interviewing

00004352 NORTHEAST HSC ADVANCED CLINICAL SPEC 1.000 10/15/2018 3/4/2019 Filled

00004370 NORTHEAST HSC DIRECT CARE ASSOC III 1.000 2/22/2019 4/1/2019 Currently interviewing

00003520 NORTHEAST-VR SR VR COUNSELOR 1.000 9/28/2018 NAPart of 19-21 reduction

NOV 2017 DEC 2017 JAN 2018 FEB 2018 MAR 2018 APR 2018 MAY 2018 JUN 2018 JUL 2018 AUG 2018 SEP 2018 OCT 2018Client Count NE 997 961 1,000 989 1,017 1,001 1,054 1,000 960 976 971 1,033Hours NE 2,873 2,623 2,830 2,648 2,625 2,730 3,055 2,731 2,803 3,145 2,488 2,877Services NE 7,830 7,651 8,437 8,060 8,205 8,355 9,186 8,641 7,959 9,011 7,767 9,053

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

0

200

400

600

800

1,000

1,200

Coun

t of S

ervi

ces

and

Hou

rs

Uni

que

Coun

t of C

lient

sDuration (Hours) of Services, Count of Services, and Unique Count of Clients, NEHSC,

NOV 2017 - OCT 2018

11

1113

6

9

3

1112

8 810

13

5

3

2

2

32

1

41

2

0

2

4

6

8

10

12

14

16

APR 2017 MAY 2017 JUN 2017 JUL 2017 AUG 2017 SEP 2017 OCT 2017 NOV 2017 DEC 2017 JAN 2018 FEB 2018 MAR 2018

Count of Emergency Services Face-to-Face and Phone Calls, NEHSC, APR 2017 - MAR 2018

Phone Call Face-to-face 12

Phone Call, 109 84%

Face-to-face, 20 16%

Counts and Percentages of Face-to-Face and Phone Call Emergency Services, NEHSC from APR 2017 through MAR 2018

13

Supportive Therapy, 37%Safety Planning, 1%

Addiction Residential, 1%

Detox, 2%

Crisis Residence Unit, 1% Emergency Room, 12%

Hospital Admission, 9%ND State Hospital, 38%

Emergency Services Disposition NEHSC, APR 2017 - MAR 2018

14

JUL2017

AUG2017

SEP2017

OCT2017

NOV2017

DEC2017

JAN2018

FEB2018

MAR2018

APR2018

MAY2018

JUN2018

JUL2018

AUG2018

SEP2018

OCT2018

Triaged 65 74 85 57 69 88 83 80 98 75 94 82 93 73 56 77Assessed 50 50 54 30 51 48 55 53 63 51 61 50 52 52 32 52Referred Out 15 24 31 27 18 40 28 27 35 24 33 32 41 21 24 14

0

20

40

60

80

100

120Co

unt o

f Clie

nts

Open Access NEHSC by Month, JUL 2017 - OCT 2018

15

NOV 2017 DEC 2017 JAN 2018 FEB 2018 MAR 2018 APR 2018 MAY 2018 JUN 2018 JUL 2018 AUG 2018 SEP 2018 OCT 2018NE 13 28 14 16 29 24 14 21 30 20 21 28ND 538 491 600 507 570 649 550 617 618 718 702 893

0

100

200

300

400

500

600

700

800

900

1,000

Num

ber o

f Tel

ehea

lth S

essi

ons

Number of Telehealth Sessions Statewide and NEHSCNOV 2017 - OCT 2018

16

Region IV - Updates• Outreach at La Grave on First

• Adolescent Substance Use Disorder 3.1 program

• Tobacco Cessation Groups

• Therapist added to Juvenile Drug Court team

• Started a women's trauma group

• Started a men’s trauma group

17

533 566 579 577 586 589 593

237261 262 311 330 342 319

0

100

200

300

400

500

600

700

800

900

1000

2012 2013 2014 2015 2016 2017 2018

Coun

t of C

lient

s

State Fiscal Year

Unduplicated Count of Developmental Disability Program Clients: Northeast HSC

All Clients Over 3 years old All Clients Under 3 years old

18

OVERVIEW OF BUDGET CHANGES

19

Description2017-2019

BudgetIncrease/

(Decrease)2019-2021

Executive BudgetSenate

Changes

2019-2021 Budget to

HouseSalary and Wages 23,366,866 2,194,682 25,561,548 (291,444) 25,270,104 Operating 3,141,465 (363,985) 2,777,480 0 2,777,480 Grants 3,910,967 192,033 4,103,000 626,998 4,729,998 Total 30,419,298 2,022,730 32,442,028 335,554 32,777,582

General Fund 16,466,390 1,316,200 17,782,590 569,242 18,351,832 Federal Funds 10,984,189 483,831 11,468,020 (99,672) 11,368,348 Other Funds 2,968,719 222,699 3,191,418 (134,016) 3,057,402 Total 30,419,298 2,022,730 32,442,028 335,554 32,777,582

Full Time Equivalent (FTE) 140.10 3.00 143.10 0.00 143.10

OVERVIEW OF BUDGET CHANGESBudget Analysis

20

2015-17 BienniumExpenditures

2017-19 BienniumAppropriation

2019-21 ExecutiveBudget Request

2019-21 Budget toHouse

Grants 4,007,954 3,910,967 4,103,000 4,729,998Operating Expenses 3,108,335 3,141,465 2,777,480 2,777,480Salaries and Wages 21,984,388 23,366,866 25,561,548 25,270,104FTE 140.65 140.1 143.1 143.10

0

20

40

60

80

100

120

140

160

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

35,000,000

MAJOR SALARY AND WAGES DIFFERENCES

21

MAJOR OPERATING DIFFERENCES

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MAJOR GRANTS DIFFERENCES

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OVERVIEW OF FUNDING

2015-17 BienniumExpenditures

2017-19 BienniumAppropriation

2019-21 ExecutiveBudget Request

2019-21Budget To

HouseSpecial Funds 2,203,923 2,968,719 3,191,418 3,057,402State General Fund 18,347,927 16,466,390 17,782,590 18,351,832Federal Funds 8,548,827 10,984,189 11,468,020 11,368,348

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000Th

ousa

nds Funding Sources

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OVERVIEW OF BUDGET CHANGES BY EXPENSE CATEGORY

25

Expense Category2015-2017 Expenses

2017-2019 Budget

2017-2019 YR1

Increase/ (Decrease)

2019-2021 Executive

BudgetSenate

Changes

2019-2021 Budget to

House51x Salaries & Benefits 21,984,388 23,366,866 10,728,855 2,194,682 25,561,548 (291,444) 25,270,104 Salaries and Wages 21,984,388 23,366,866 10,728,855 2,194,682 25,561,548 (291,444) 25,270,104 52x Travel 403,815 459,080 200,462 (48,421) 410,659 410,659 53x Supplies 281,090 234,282 114,276 (1,241) 233,041 233,041 54x Postage & Printing 42,904 38,158 15,632 (3,640) 34,518 34,518 55x Equipment under $5,000 29,174 17,619 17,619 (5,619) 12,000 12,000 56x Utilities 41,595 29,160 14,584 - 29,160 29,160 57x Insurance 696 696 348 (696) - - 58x Rent/Leases - Bldg./Equip 1,292,110 1,359,487 678,573 (396) 1,359,091 1,359,091 59x Repairs 48,496 36,883 16,146 3,246 40,129 40,129 60x IT Services 162,998 164,933 81,268 (1,613) 163,320 163,320 61x Professional Development 26,440 29,141 9,785 (1,569) 27,572 27,572 62x Fees - Operating & Professional 779,017 772,026 299,300 (304,036) 467,990 467,990 Operating Expenses 3,108,335 3,141,465 1,447,993 (363,985) 2,777,480 - 2,777,480 71x Grants, Benefits & Claims 4,007,954 3,910,967 1,944,718 192,033 4,103,000 626,998 4,729,998 Grant Expenses 4,007,954 3,910,967 1,944,718 192,033 4,103,000 626,998 4,729,998

29,100,677 30,419,298 14,121,566 2,022,730 32,442,028 335,554 32,777,582

OVERVIEW OF BUDGET CHANGES BY FUNDING SOURCE

26

Expense Category2015-2017 Expenses

2017-2019 Budget

2017-2019 YR1

Increase/ (Decrease)

2019-2021 Executive

BudgetSenate

Changes

2019-2021 Budget to

HouseF_9991 General Fund 18,347,927 16,466,390 7,756,542 1,316,200 17,782,590 569,242 18,351,832 F_9992 Federal Funds 8,548,827 10,984,189 5,162,535 483,831 11,468,020 (99,672) 11,368,348 F_9993 Other Funds 2,203,923 2,968,719 1,202,489 222,699 3,191,418 (134,016) 3,057,402 Total HSC's/Institutions 29,100,677 30,419,298 14,121,566 2,022,730 32,442,028 335,554 32,777,582

29,100,677 30,419,298 14,121,566 2,022,730 32,442,028 335,554 32,777,582