Public Health Fund Summary of Public Health Fund Activity The Public Health Fund was created by an Interlocal Agreement between Gallatin County and the City of Bozeman. The agreement sets forth the criteria for operation of the Fund, including authorization to levy taxes inside the City of Bozeman. The Fund had a mill levy of 5.01 from FY 2003 through FY 2010, but was reduced for FY 2011 and 2012 to 4.69 for City/County Health Activity. However, with the return of Mental Health into the fund, the number of mills of the fund is set at 5.52 mills. The Fund is separated into four activities: 1) City/County Health Administration, 2) Human Services, 3) Environmental Health, and 4) Mental Health. The first three activities are under the authority of the City/County Health Board with the City/County Health Officer being responsible for the daytoday activity. The City/County Health Department assesses risks to public health and monitors and develops appropriate policies, rules and regulations and creates public health strategies. The City / County Health Officer supervises the activities of the Human Services and Environmental Health divisions, along with all grants used by the Department. The Health Officer is charged with the responsibility of assuring that the Department complies with requirements for each grant as set forth in individual contracts. Department Goals Prevent epidemics and the spread of disease. Diagnose, investigate and address health problems, including environmental hazards, communicable disease outbreaks, and chronic diseases. Inform, educate, and empower people to improve their health. Prevent injuries. Monitor health status of the community and promote and encourage healthy behaviors. Prepare for and respond to disasters and assist communities in recovery. Evaluate and assure the quality and accessibility of health services. Support efforts to reduce risk of acute and chronic disease. Assess community health needs, evaluate public health services, and mobilize community partnerships. Enforce laws and regulations that protect the public health. Recent Accomplishments Public Health Fund FY 2016 Became one of first 100 local health departments in the nation to achieve national accreditation through the Public Health Accreditation Board. Sustained organizational focus and effort to identify and address wastewater systems of concern to mitigate potential public health threats. Awarded major grant through the ENVIRONMENTAL 36% Substance Abuse and Mental Health Services Administration and DPHHS to improve the system for serving families with children dealing with social and emotional issues. MENTAL HEALTH 10% ADMINISTRATION 23% HUMAN SERVICES 31% Awarded grant from WK Kellogg Foundation to provide breastfeeding services and supports in rural areas of Gallatin County. Facilitated community effort to prepare and respond to potential cases of Ebola Virus Disease. 133
Public Health Fund Fund Budget Personnel $ 1,356,874 $ 1,468,599 $ 1,376,990 $ 1,552,122 $ 1,594,513 $ 1,589,182 Operations 393,917 500,288 429,645 605,457 605,457 605,457 Debt Service 66,097 120,095 107,656 118,415 118,415 141,076 Capital Outlay 2,246 295,195 28,645 332,938 304,700 358,124 Transfers Out Total $ 1,819,134 $ 2,384,177 $ 1,942,936 $ 2,608,932 $ 2,623,085 $ 2,693,839 General Fund $ $ $ $ $ $ Special Revenue Funds 1,819,134 2,354,677 1,942,936 2,589,432 2,603,585 2,659,339 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds 29,500 34,500 34,500 34,500 Trust & Agency Funds Total $ 1,819,134 $ 2,384,177 $ 1,942,936 $ 2,623,932 $ 2,638,085 $ 2,693,839 Tax Revenues $ 1,334,473 $ 1,396,222 $ 1,374,379 $ 1,396,222 $ 1,396,222 $ 1,312,222 NonTax Revenues 390,658 595,354 534,616 680,698 690,199 $ 680,699 Cash Reappropriated 94,003 392,601 33,942 547,012 551,664 700,918 Total $ 1,819,134 $ 2,384,177 $ 1,942,936 $ 2,623,932 $ 2,638,085 $ 2,693,839 Fund Personnel FTE (See individual activity pages for Breakdown of Personnel ) 134
Public Health Fund Health Administration Department Overview The Health Administration office oversees the fiscal, contractual and mandated regulatory responsibility of the Health Department. The staff administers the Public Health Emergency Preparedness (PHEP) grant and provides the critical administrative support necessary for other divisions in the Department to carry out core public health initiatives such as immunization clinics, communicable disease surveillance, cancer screening programs, and public health home visitation. The overriding goal of the Division is to support the Board of Health, and to maximize the capacities of the entire staff of the Gallatin CityCounty Health Department. Staff activities include assessing and monitoring the risks to public health; promulgating and enforcing policies, rules and regulations; and creating and implementing communitydriven public health strategies. It is recognized that this goal is dependent on dedicated staff, an engaged public, and stable funding. The Health Officer is the Department Head and supervises the activities of the Directors of Human Services and Environmental Health. The Health Officer is responsible for assuring that the Department complies with the requirements for each grant as set forth in individual contracts. Department Goals Prevent epidemics and the spread of disease. Diagnose, investigate and address health problems, including environmental hazards, communicable disease outbreaks, and chronic diseases. Inform, educate, and empower people to improve their health. Prevent injuries. Monitor health status of the community and promote and encourage healthy behaviors. Prepare for and respond to disasters and assist communities in recovery. Evaluate and assure the quality and accessibility of health services. Support efforts to reduce risk of acute and chronic disease. Assess community health needs, evaluate public health services, and mobilize community partnerships. Enforce laws and regulations that protect the public health. Recent Accomplishments Completed submission of documentation necessary to achieve national accreditation through the Public Health Accreditation Board. Collaborated with stakeholders and statelevel policymakers to support passage of legislation to make health insurance affordable for all Montanans and to reduce the risk of communicable disease outbreaks by improving immunization requirements in schools. Collaborated with several community partners to apply for and acquire a fiveyear grant to improve the system that helps parents identify and address social and emotional issues in children from birth to age 8. Continued agencywide effort to utilize performance management methods and tools initiatives to build a departmentwide performance management system that utilizes proven quality improvement methods. 135
Public Health Fund Health Administration Division Budget Administration Personnel $ 233,509 $ 226,868 $ 221,424 $ 252,196 $ 235,221 $ 234,548 Operations 35,862 74,495 76,785 54,042 54,042 54,042 Debt Service 15,316 69,314 56,875 69,314 69,314 69,314 Capital Outlay 291 170,920 4,000 161,881 148,643 221,567 Transfers Out Total $ 284,978 $ 541,597 $ 359,084 $ 537,433 $ 507,220 $ 579,471 General Fund $ $ $ $ $ $ Special Revenue Funds 284,978 541,597 359,084 537,433 507,220 579,471 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds Trust & Agency Funds Total $ 284,978 $ 541,597 $ 359,084 $ 537,433 $ 507,220 $ 579,471 Tax Revenues $ 373,719 $ 351,642 $ 346,141 $ 330,524 $ 304,435 $ 319,278 NonTax Revenues 60,635 88,984 54,661 104,776 102,319 105,642 Cash Reappropriated (149,376) 100,971 (41,719) 102,133 100,466 154,551 Total $ 284,978 $ 541,597 $ 359,083 $ 537,433 $ 507,220 $ 579,471 FTE FTE FTE 2014 2015 2016 1 Full Time Health Officer 1.00 1.00 1.00 1 Full Time Accreditation Coordinator 1.00 1.00 1.00 1 Full Time Accountant 1.00 1.00 1.00 3 Total Program 3.00 3.00 3.00 136
Public Health Fund Environmental Health Services Division Overview Environmental Health Services (EHS) is the division of the Gallatin County City / County Health Department that is most directly responsible for protection of state waters, drinking water supplies, air quality, and health conditions within restaurants and other public establishments. EHS enforces state laws and regulations, and County rules and Regulations in a wide array of settings, including new housing developments, public drinking water systems, food service establishments, hotels and other public accommodations, body art establishments, and public pools. EHS carries out these efforts in a variety of ways. Statutes require the Department to inspect and enforce regulations within food establishments, public accommodations (such as hotels or vacation homes), day care centers, and trailer courts. EHS also issues permits and inspects septic systems within the County and assists other governmental agencies in the investigation and remediation of environmental health problems or issues. EHS performs site evaluations of proposed subdivisions to ensure compliance with the Sanitation in Subdivision Act and local septic regulations. In addition to these mandatory programs, EHS manages the local radon program. EHS also maintains extensive GPS capabilities and GIS databases to track information of public health importance at a geographical level. Department Goals Prevent epidemics and the spread of disease. Diagnose, investigate and address health problems, including environmental hazards, communicable disease outbreaks, and chronic diseases. Inform, educate, and empower people to improve their health. Prevent injuries. Monitor health status of the community and promote and encourage healthy behaviors. Prepare for and respond to disasters and assist communities in recovery. Evaluate and assure the quality and accessibility of health services. Support efforts to reduce risk of acute and chronic disease. Assess community health needs, evaluate public health services, and mobilize community partnerships. Enforce laws and regulations that protect the public health. Recent Accomplishments Implemented new software system to manage and more effectively manage and respond to complaints from Gallatin residents related to health issues of concern in the community. Became one of first 100 local health departments in the nation to achieve national accreditation through the Public Health Accreditation Board. Continued collaboration with Montana Department of Environmental Quality (DEQ) to identify and assess several large community wastewater treatment systems that utilize treatment lagoons. Sustained staff and managementlevel tracking of 30 to 40 wastewater or water systems of concern to identify potential health risks and work collaboratively with owners to assess risk and work toward solutions. Successfully performed at least one inspection on approximately 95 percent of restaurants, hotels and motels, body art businesses, and other establishments in Gallatin County. Kept up with rising workload associated with recovering economy and increasing number of establishments that are inspected by the Department. 137
Public Health Fund Environmental Health Services Division Budget Personnel $ 673,803 $ 693,912 $ 654,981 $ 735,585 $ 756,406 $ 753,420 Operations 86,529 111,440 95,518 136,035 136,035 136,035 Debt Service Capital Outlay 69,300 11,145 50,017 50,017 30,517 Transfers Out Total $ 760,332 $ 874,652 $ 761,644 $ 921,637 $ 942,458 $ 919,972 General Fund $ $ $ $ $ $ Special Revenue Funds 760,332 857,152 761,644 902,137 922,958 900,472 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds 17,500 19,500 19,500 19,500 Trust & Agency Funds Total $ 760,332 $ 874,652 $ 761,644 $ 921,637 $ 942,458 $ 919,972 Tax Revenues $ 386,407 $ 421,845 $ 415,245 $ 380,375 $ 389,385 $ 348,154 NonTax Revenues 256,276 319,179 334,652 404,224 414,573 403,289 Cash Reappropriated 117,649 133,629 11,747 137,037 138,500 168,529 Total $ 760,332 $ 874,652 $ 761,644 $ 921,637 $ 942,458 $ 919,972 FTE FTE FTE 2014 2015 2016 1 FullTime EHS Director 1.00 1.00 1.00 3 FullTime EHS Program Lead 3.00 3.00 3.00 5 FullTime EHS Specialist 4.00 4.00 4.92 1 FullTime Program Technical Assistant 1.00 1.00 1.00 1 FullTime Program Assistant 1.00 1.00 1.00 11 Total Program 10.00 10.00 10.92 138
Department Overview The Human Services (HS) division of the CityCounty Health Department provides an array of core public health programs in every community of the County. The Division is staffed by public health professionals whose duties include public health home visitation, immunization clinics, smoking cessation, cancer screening, disease surveillance, and administration of various disease screening and treatment programs. The staff serves on a variety of community and school advisory groups. This interface between the Health Department and the community is fundamental to providing adequate, relevant, and timely services. The HS division carries out mandated communicable disease (CD) surveillance and investigation duties, allowing the Department to identify and react to health needs and threats. To prevent the spread of disease, public health nurses run adult and child immunization clinics in Bozeman, Belgrade, West Yellowstone, Three Forks and schools. HS contracts with the State for HIV/AIDS and TB patients. Public Health Nurses provide daycare inspections to assure compliance. A variety of Federal preventive health grants are administered through HS including Women, Infant and Children (WIC) Nutrition Program; Breast and Cervical Health program; Colorectal Screening Program; Montana Tobacco Use Prevention Program; and Maternal Child Health (MCH) Block Grant services. The MCH Block Grant supports home visitation programs that target highrisk pregnant women and children up to the age of 1 year, breastfeeding support, prenatal and parenting classes, and some school health services. The HS staff works collaboratively with many organizations to create successful communitybased programs including the Partnership to Strengthen Families, which provides child abuse and neglect prevention services. The HS Division housed staff organizing the Departmentwide effort to complete a comprehensive community health assessment and community health improvement plan, and acted as a leader and fiscal agent for a program to improve collaboration within the County s early childhood services. Department Goals Prevent epidemics and the spread of disease. Diagnose, investigate and address communicable disease outbreaks, and chronic diseases. Inform, educate, and empower people to improve their health, and prevent injuries Monitor health status of the community and promote and encourage healthy behaviors. Prepare for and respond to disasters and assist communities in recovery. Evaluate and assure the quality and accessibility of health services. Support efforts to reduce risk of acute and chronic disease. Assess community health needs, evaluate public health services, and mobilize community. Enforce laws and regulations that protect the public health. Recent Accomplishments Became one of first 100 local health departments in the nation to achieve national accreditation. Worked with Deaconess Hospital to provide immunization and health screening services residents. Initiated strategic staff realignment on cancer screening and tobacco use prevention services. Awarded major grant through the Substance Abuse and Mental Health Services Administration and DPHHS to improve system for serving families with children dealing with social and emotional issues. Awarded grant from WK Kellogg Foundation to provide breastfeeding services and supports in rural areas of Gallatin County. Facilitated community effort to prepare and respond to potential cases of Ebola Virus Disease. 139
Division Budget HHS Personnel $ 449,562 $ 547,819 $ 500,585 $ 564,341 $ 602,886 $ 601,214 Operations 86,256 128,092 71,081 227,439 227,439 227,439 Debt Service Capital Outlay 1,955 52,778 13,500 118,843 103,843 103,843 Transfers Out Total $ 537,773 $ 728,689 $ 585,166 $ 910,623 $ 934,168 $ 932,496 General Fund $ $ $ $ $ $ Special Revenue Funds 537,773 716,689 585,166 910,623 934,168 917,496 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds 12,000 15,000 15,000 15,000 Trust & Agency Funds Total $ 537,773 $ 728,689 $ 585,166 $ 925,623 $ 949,168 $ 932,496 Tax Revenues $ 409,217 $ 453,984 $ 446,882 $ 514,826 $ 534,421 $ 479,478 NonTax Revenues 55,503 165,158 133,291 155,639 157,485 155,201 Cash Reappropriated 73,054 109,546 4,994 255,157 257,262 297,817 Total $ 537,773 $ 728,689 $ 585,166 $ 925,623 $ 949,168 $ 932,496 INCLUDES KELLOGG GRANT FTE FTE FTE 2014 2015 2016 1 FullTime Human Service Director 1.00 1.00 1.00 1 FullTime MCH Program Manager 0.75 0.75 0.57 1 FullTime MCH Home Health Visitor 0.00 0.00 0.50 1 FullTime Lead Data Mgmt Tech 1.00 1.00 1.00 3 FullTime Support Staff 3.20 2.80 4.05 1 PartTime Accreditation Coordinator 0.00 1.00 0.00 1 PartTime Public Health Nurse 0.51 0.30 0.00 1 PartTime Public Health Nurse 1.00 1.00 0.63 1 FullTime Social Worker 0.33 0.54 0.25 1 FullTime Chronic Disease Program Mngr 0.00 0.00 0.44 1 FullTime Lactation Educ. Program Cord. 0.00 0.00 1.00 13 Total Program 7.73 8.39 9.44 140
Division Budget Maternal Child Health (MCH), Pregnant & Parenting Teen (PPT), Maternal, Infant & Early Childhood Home Visiting (MIECHV) Infrastructure Development Personnel $ 130,433 $ 257,528 $ 263,760 $ 262,720 $ 294,507 $ 309,015 Operations 114,598 203,495 104,405 140,410 140,410 140,410 Debt Service Capital Outlay Transfers Out Total $ 245,031 $ 461,023 $ 368,165 $ 403,130 $ 434,917 $ 449,425 General Fund $ $ $ $ $ $ Special Revenue Funds 245,031 461,023 368,165 403,130 434,917 449,425 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds Trust & Agency Funds Total $ 245,031 $ 461,023 $ 368,165 $ 403,130 $ 434,917 $ 449,425 Tax Revenues $ $ $ $ $ $ NonTax Revenues 86,045 398,476 274,878 403,130 403,130 426,036 Cash Reappropriated 158,986 62,547 93,287 31,787 23,389 Total $ 245,031 $ 461,023 $ 368,165 $ 403,130 $ 434,917 $ 449,425 Operating Reserve: $69,267 FTE FTE FTE 2014 2015 2016 4 PartTime Public Health Nurse 1.00 2.60 2.55 1 PartTime Lead Social Worker 1.00 0.46 0.25 1 PartTime MCH Home Health Visitor 0 0 0.50 1 FullTime MCH Program Mgr 0.25 0.25 0.23 1 FullTime Engagement Specialist 1.00 0.75 1.00 8 Total Program 3.25 3.60 4.53 141
Division Budget Communicable Disease & MLC CHA/CHIP Accreditation Personnel $ 162,774 $ 145,202 $ 157,976 $ 131,823 $ 148,461 $ 149,480 Operations 363,104 417,113 324,803 417,816 401,178 401,178 Debt Service Capital Outlay 100,000 100,000 100,000 200,263 Transfers Out Total $ 525,878 $ 662,315 $ 482,779 $ 649,639 $ 649,639 $ 750,921 General Fund $ $ $ $ $ $ Special Revenue Funds 525,878 662,315 482,779 649,639 649,639 750,921 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds Trust & Agency Funds Total $ 525,878 $ 662,315 $ 482,779 $ 649,639 $ 649,639 $ 750,921 Tax Revenues $ $ $ $ $ $ NonTax Revenues 470,523 453,929 412,117 549,638 549,638 549,638 Cash Reappropriated 55,355 208,386 70,662 100,001 100,001 201,283 Total $ 525,878 $ 662,315 $ 482,779 $ 649,639 $ 649,639 $ 750,921 Operating Reserve: $114,509 FTE FTE FTE 2014 2015 2016 1 PartTime PHN Program Mgr 1.60 1.30 0.50 1 PartTime Public Health Nurses 0.50 0.80 0.80 1 FullTime Public Health Nurses 0.30 0.00 1.00 3 Total Program 2.40 2.10 2.30 142
Division Budget Women, Infants & Children (WIC) & Breastfeeding Peer Counselor (BFC) Personnel $ 204,960 $ 230,620 $ 257,734 $ 273,624 $ 275,665 $ 274,301 Operations 64,527 81,390 32,070 82,324 80,283 80,283 Debt Service Capital Outlay 3,000 3,000 3,000 Transfers Out Total $ 269,487 $ 312,010 $ 289,804 $ 358,948 $ 358,948 $ 357,584 General Fund $ $ $ $ $ $ Special Revenue Funds 269,487 312,010 289,804 358,948 358,948 357,584 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds Trust & Agency Funds Total $ 269,487 $ 312,010 $ 289,804 $ 358,948 $ 358,948 $ 357,584 Tax Revenues $ $ $ $ $ $ NonTax Revenues 271,409 307,549 307,549 358,948 358,948 359,154 Cash Reappropriated (1,922) 4,461 (17,745) (1,570) Total $ 269,487 $ 312,010 $ 289,804 $ 358,948 $ 358,948 $ 357,584 Operating Reserve: $44,196 FTE FTE FTE 2014 2015 2016 1 FullTime WIC Program Manager 1.00 1.00 1.00 1 FullTime Nutrition Technician 1.00 1.00 1.00 1 PartTime Nutrition Technician 0.80 0.82 0.82 1 PartTime Registered Dietitian 0.25 0.37 0.37 1 PartTime WIC Administrative Aide 0.42 1.00 0.75 1 FullTime WIC CPA 0.00 0.00 0.92 1 PartTime Lactation Specialist 0.00 0.00 0.25 5 Total Program 3.47 4.19 5.11 143
Division Budget Cancer Prevention Fund Personnel $ 88,814 $ 103,821 $ 88,025 $ 97,904 $ 106,904 $ 101,375 Operations 22,091 79,717 23,239 43,295 43,295 43,295 Debt Service Capital Outlay 108,899 104,649 95,649 214,716 Transfers Out Total $ 110,905 $ 292,437 $ 111,264 $ 245,848 $ 245,848 $ 359,386 General Fund $ $ $ $ $ $ Special Revenue Funds 110,905 292,437 111,264 245,848 245,848 359,386 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds Trust & Agency Funds Total $ 110,905 $ 292,437 $ 111,264 $ 245,848 $ 245,848 $ 359,386 Tax Revenues $ $ $ $ $ $ NonTax Revenues 86,045 91,577 80,499 147,200 147,200 147,200 Cash Reappropriated 24,860 200,860 30,765 98,648 98,648 212,186 Total $ 110,905 $ 292,437 $ 111,264 $ 245,848 $ 245,848 $ 359,386 Operating Reserve: $119,332 FTE FTE FTE 2014 2015 2016 1 PartTime Health Program Coordinator 0.80 1.00 1.00 0 FullTime Administrative Asst 1.00 0.00 0.00 1 PartTime Chronic Disease Program Manager 0.00 0.86 0.86 0 FullTime WIC/Administration 0.16 0.00 0.00 3 Total Program 1.96 1.86 1.86 144
Division Budget Public Health Emergency Preparedness (PHEP) Personnel $ 69,197 $ 74,518 $ 60,820 $ 76,900 $ 78,910 $ 78,472 Operations 30,136 74,162 20,817 37,558 37,558 37,558 Debt Service Capital Outlay 133,760 11,325 133,760 131,750 141,818 Transfers Out Total $ 99,333 $ 282,440 $ 92,962 $ 248,218 $ 248,218 $ 257,848 General Fund $ $ $ $ $ $ Special Revenue Funds 99,333 282,440 92,962 248,218 248,218 257,848 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds Trust & Agency Funds Total $ 99,333 $ 282,440 $ 92,962 $ 248,218 $ 248,218 $ 257,848 Tax Revenues $ $ $ $ $ $ NonTax Revenues 109,235 161,058 77,736 114,458 114,458 114,458 Cash Reappropriated (9,902) 121,382 15,226 133,760 133,760 143,390 Total $ 99,333 $ 282,440 $ 92,962 $ 248,218 $ 248,218 $ 257,848 Operating Reserve: $76,841 PHEP FTE FTE FTE 2014 2015 2016 1 PartTime PHN Program Mgr 0.80 0.80 0.80 1 Total Program 0.80 0.80 0.80 145
Division Budget Launch Personnel $ $ 61,166 $ 58,108 $ 119,757 $ 80,123 $ 79,616 Operations 121,788 115,699 417,340 456,974 435,813 Debt Service Capital Outlay 2,113 2,113 2,500 2,500 2,500 Transfers Out Total $ $ 185,067 $ 175,919 $ 539,597 $ 539,597 $ 517,929 General Fund $ $ $ $ $ $ Special Revenue Funds 185,067 175,919 539,597 539,597 517,929 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds Trust & Agency Funds Total $ $ 185,067 $ 175,919 $ 539,597 $ 539,597 $ 517,929 Tax Revenues $ $ $ $ $ $ NonTax Revenues 185,067 175,919 539,597 539,597 539,597 Cash Reappropriated (21,668) Total $ $ 185,067 $ 175,919 $ 539,597 $ 539,597 $ 517,929 Operating Reserve: $24,192 Launch FTE FTE FTE 2014 2015 2016 1 FullTime MCH Program Mgr 0.00 0.00 0.24 1 FullTime MCH Home Health Visitor 0.00 0.00 1.00 2 Total Program 0.00 0.00 1.24 146
Division Budget Grant Summary Personnel $ 656,178 $ 811,689 $ 828,315 $ 842,971 $ 904,447 $ 992,259 Operations 594,456 855,877 505,334 721,403 702,724 1,138,537 Debt Service Capital Outlay 342,659 11,325 341,409 330,399 562,297 Transfers Out Total $ 1,250,634 $ 2,010,225 $ 1,344,974 $ 1,905,783 $ 1,937,570 $ 2,693,093 General Fund $ $ $ $ $ $ Special Revenue Funds 1,250,634 2,010,225 1,344,974 1,905,783 1,937,570 2,693,093 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds Trust & Agency Funds Total $ 1,250,634 $ 2,010,225 $ 1,344,974 $ 1,905,783 $ 1,937,570 $ 2,693,093 Tax Revenues $ $ $ $ $ $ NonTax Revenues 1,023,257 1,412,589 1,152,779 1,573,374 1,573,374 2,136,083 Cash Reappropriated 227,377 597,636 192,195 332,409 364,196 557,010 Total $ 1,250,634 $ 2,010,225 $ 1,344,974 $ 1,905,783 $ 1,937,570 $ 2,693,093 FTE 2014 (See individual activity pages for Breakdown of Personnel) FTE 2015 FTE 2016 Total Program 10.48 12.55 15.84 147
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Public Health Fund Mental Health Department Overview Mental Health activities show expenses associated with the County s compliance with State law for people needing support. The FY 2003 Budget moved expenses for Mental Health from the City / County Health Fund to a separate fund consistent with State laws. The Mental Health activities include $186,261 in support for the Western Montana Mental Health Services Association out of Missoula. Mental Health Local Advisory committee, appointed in FY 2001 by the County Commission, continues to review the needs of the mental health community and make recommendations to the Commission. The Advisory Committee is supported through the County General Fund. The Committee meets on a monthly basis with a County Commissioner attending and Commission staff responsible for the administrative needs of the Committee. For the FY 2016 budget, the Commission maintains funding for crisis stabilization and weekend coverage as outlined in the contract with Western Mental Health Center. The County moved the Mental Health Activity into the County Public Health Fund in FY 2012 thereby eliminating the separate fund previously maintained. This will decrease the amount of reserves needed to support a separate Mental Health Fund. Department Goals Continue assessment of community mental health needs. Improve the quality of life for individuals with behavioral health needs through quality services, consumer involvement, community collaboration and resource management. Provide a Crisis Stabilization Center. Provide weekend emergency support. Support the Mental Health Advisory Council. Recent Accomplishments Consumers and Providers in the community met with State Addictive and Mental Disorder Division (AMDD) to discuss their perceived needs. Received $500,000 grant from the Gilhousen Family Foundation to start a new psychiatric facility. 5 acre piece of land was donated by Bozeman Deaconess Hospital. 149
Public Health Fund Mental Health Department Budget Personnel $ $ $ $ $ $ Operations 185,270 186,261 186,261 187,941 187,941 187,941 Debt Service 50,781 50,781 50,781 49,101 49,101 71,762 Capital Outlay 2,197 2,197 2,197 2,197 Transfers Out Total $ 236,051 $ 239,239 $ 237,042 $ 239,239 $ 239,239 $ 261,900 General Fund $ $ $ $ $ $ Special Revenue Funds 236,051 239,239 237,042 239,239 239,239 261,900 Debt Service Funds Capital Project Funds Enterprise Funds Internal Service Funds Trust & Agency Funds Total $ 236,051 $ 239,239 $ 237,042 $ 239,239 $ 239,239 $ 261,900 Tax Revenues $ 165,130 $ 168,751 $ 166,111 $ 170,497 $ 167,982 $ 165,312 NonTax Revenues 18,245 22,033 12,012 16,058 15,821 16,566 Cash Reappropriated 52,677 48,455 58,919 52,684 55,436 80,022 Total $ 236,051 $ 239,239 $ 237,042 $ 239,239 $ 239,239 $ 261,900 Department Personnel FTE Services provided through contracted services Total Program 0 150