Decision Package
792_Increase the number of clinical training sites among state-operated facilities
AgencyMental Health Treatment Centers (792)
Biennium2024-2026
Budget RoundInitial Bill
Bill VersionRegular Session
CategoryNew general fund spending initiatives
DPB InitiatedNo
Exclude from Bud DocNo
Source of RequestAgency
RegionMultiple Regions
Approp. Act Language Required?No
Legislation Required?No
Enterprise Strategy
Last Saved10/3/202303:36 PM
 
Agency Description
This budget request provides $887,865 in the FY 2025 and $857,865 in the second year to establish formal partnerships between academic institutions and the DBHDS state operated facilities to serve as clinical training sites for medical residents, nurses, nurse practitioners, physician assistants, and other licensed mental health professionals.  This request is part of a package of requests that includes agencies 720 and 792. This request is for items in agency 792 totaling $741,989. The rest of the funds are in a request in 720.

Consequences of not funding/Justification
One-time funding of $30,000 in FY 2025 and ongoing support of $857,865 to establish and support formal partnerships between academic institutions and three DBHDS state-operated facilities to serve as clinical training sites for medical residents, nurses, nurse practitioners, physician assistants, and other licensed mental health professionals. Academic institutions that train behavioral health professionals report challenges with having access to adequate clinical space and obtaining enough clinical faculty to support the educational needs of their students and/or to grow their programs to support the high demand for behavioral health services.

Increasing access to clinical training sites and clinical faculty/preceptors will allow more BH students to complete the clinical requirements for academic programs that lead to licensure, thus growing the BH workforce pipeline. Due to the high number of patient encounters and administrative burden related to documentation, referrals, admissions, discharges, and other processes, combined with the limited number of clinical personnel available to address client needs, licensed providers need to be incentivized to take on the additional duty of supervising a student or pre-licensure candidate as it adds a time-consuming element to provider’s schedule.
Alternatives considered (must list at least one)
Partially fund this request: Provide funding to establish two clinical training sites rather than three. The cost to fund two sites would be $640,535 per fiscal year.

Do Nothing: The Department will be unable to establish clinical training sites in state facilities.
Explanations and Methodologies

Item

Description

FY 25 – FY26

Environmental modifications and Supplies for up to 3 additional sites

Required workspace needs for clinical trainees.

$30,000 (one time)

Clinical trainee Recruitment

Advertising and interviewing of prospective candidates.

$7,500 (ongoing)

Technological Support

Laptops, Vita support, state cell phones for clinical trainees

$20,000 (ongoing)

Trainee Educational Support

Books, Scholarly subscriptions, conferences, professional development, scholarly activities.  

$10,000 (ongoing)

Academic Faculty at State Facilities

Up to 15% Salary increase per physician or Licensed Individual Practitioner identified as faculty, based on teaching and academic productivity time, training associated committee, supervision, and scholarly activity.  The cost covers 15 faculty across 3 additional sites

$640,582 (ongoing)

Central Office Clinical Training Director

Salary and fringe for a clinical training director at DBHDS Central Office coordinate requirements between academic institutions and state facilities, establishing MOUs or contracts, and facilitating job placement in the public mental health system post-training.

$145,876 (ongoing)

Administrative Support

20% salary increase for clinical services administrative manager to include critical clinical site coordinator function to coordinate requirements between academic institutions and the state facility for up to 3 additional sites and contracting costs.

$33,907 (ongoing)



TOTAL

$887,865



Role

Average Role Compensation

Cost of Salary Increase

Total Cost with Fringe

Number of Positions

Total Cost

Academic Faculty (MD/NP/PA)

$227,435

$34,115

$42,705

15

$640,582

Administrative Support (AOS III)

$45,144

$9,029

$11,302

3

$33,907



Position

Salary

Fringe

Non Personnel

Total

Central Office Clinical Training Director

$100,000

$40,876

$5,000

$145,876

 
Object TypeFY 2025 ReqFY 2026 ReqFY 2027 ReqFY 2028 ReqFY 2029 ReqFY 2030 Req
General Fund Dollars$741,989$711,989$0$0$0$0
Nongeneral Fund Dollars$0$0$0$0$0$0
General Fund Positions0.000.000.000.000.000.00
Nongeneral Fund Positions0.000.000.000.000.000.00
General Fund Transfers$0$0$0$0$0$0
General Fund Revenue$0$0$0$0$0$0
Layoffs000000
Additions to Balance$0$0$0$0$0$0
 
More Details
Program CodeProgram NameFY 2025 ReqFY 2026 Req
430State Health Services$741,989$711,989
Totals$741,989$711,989
 
Fund CodeFund NameFY 2025 ReqFY 2026 Req
01000General Fund$741,989$711,989
Totals$741,989$711,989
 
More Details
Program CodeProgram NameFY 2025 ReqFY 2026 Req
Totals
 
File NameFile SizeUploaded ByUpload DateComment
720,792_Increase the number of clinical training sites among state-operated facilities (4).docx45,044Colleen Grady10/3/2023