2003 Yellow Book
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Commission on Quality of Care for the Mentally Disabled
(Summary)
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Adjusted
Appropriation
2002-03
Executive
Request
2003-04
Change Percent
Change

AGENCY SUMMARY

General Fund 3,180,000 2,853,000 (327,000) -10.3%
Special Revenue-Federal 5,387,000 6,414,000 1,027,000 19.1%
Special Revenue-Other 3,155,000 3,279,000 124,000 3.9%
Enterprise 20,000 20,000 0 0.0%

Total for AGENCY SUMMARY: 11,742,000 12,566,000 824,000 7.0%

 

ALL FUNDS PERSONNEL
BUDGETED FILL LEVELS
Fund Current
2002-03
Requested
2003-04
Change

General Fund: 37 34 (3)
All Other Funds: 56 56 0

TOTAL: 93 90 (3)


Budget Highlights

The three member Commission on Quality of Care for the Mentally Disabled (CQC) is an oversight agency independent of the three other State mental hygiene agencies: the Office of Mental Health (OMH), the Office of Mental Retardation and Developmental Disabilities (OMRDD), and the Office of Alcoholism and Substance Abuse Services (OASAS). In State Fiscal Year (SFY) 2003-04, the CQC will employ a staff of 90 to monitor care of persons served by the mental hygiene system, as well as to investigate complaints of abuse, and reports of injuries and deaths of persons served within the system. In addition, the CQC administers the Surrogate Decision Making Committee Program which acts on behalf of persons in the mental hygiene system who are not competent to make medical care decisions for themselves. The program has expanded over recent years so that its services are now available statewide. Federal funds support agency staff and contracts with not-for-profit agencies to implement protection and advocacy programs for the developmentally disabled, persons with mental illness, those with severe disabilities, and certain beneficiaries of Social Security. Commission programs providing protective services are: Technology Related Protection and Advocacy, Protection and Advocacy for the Developmentally Disabled, Protection and Advocacy for Individuals with Mental Illness, Client Assistance, Protection and Advocacy for Beneficiaries of Social Security, and Protection and Advocacy of Individual Rights. The Commission also monitors care in Adult Homes and conducts mental hygiene service provider audits, which have generated savings for the mental hygiene system.

A recent report of the Adult Homes Work Group, appointed by the Commissioner of Health, documented the appalling conditions existing in certain Adult Homes that house persons who are mentally disabled and recommended certain remedies. In response, the Executive proposes that CQC, OMH, the Department of Health (DOH) and the State Office for the Aging (SOFA) work together to implement the Work Group's recommendations. The Executive further recommends an $8 million appropriation in DOH, with funds available for transfer to all the participating agencies, to initiate the following steps: conducting client assessments, improving medication management, enhancing service coordination, providing advocacy services, and expanding social and recreational activities.

This agency is included in the Health and Mental Hygiene appropriation bill.

State Operations

The Executive requests an All Funds appropriation of $12,053,000, a net increase of $879,000, or 7.9 percent. The increase is achieved from savings of $227,000 from the loss of three administrative positions offset by increases in federal and special revenue funds, totaling $1,106,000. The increase in federal funds for protection and advocacy services is the result of a redistribution to New York of funds not used by other states.

Aid To Localities

The Executive proposes an All Funds appropriation of $513,000, a net decrease of $55,000, or 9.7 percent. The change occurs as an increase of $45,000 for support of the Surrogate Decision Making Committee program is offset by the elimination of a grant of $100,000 that supported advocacy for persons in adult homes.


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