MENTAL HEALTH AND ADDICTION SERVICES ADMINISTRATION.


LEGAL AUTHORITY

Act No. 67 of August 7, 1993 as amended, known as the Mental Health and Anti-Addiction Services Administration Act, created the Administration and abscribed it to the Department of Health. In addition, Act. No. 408 of October 2, 2000 as amended, known as the Puerto Rico Mental Health Law, created the Bill of Rights for adults and minors that receive mental health services.

MISSION

To promote, conserve and restore the optimum mental health of the Puerto Rican people. At the same time, to guarantee and regulate the provision of prevention, treatment and rehabilitation services in the area of mental health so that they are accessible, cost effective and of optimum quality in a respectful and confidential setting.

VISION

To provide a comprehensive care system with services that are prompt, confidential, respectful and effective.

ORGANIZATIONAL STRUCTURE

The Mental Health and Anti-Addiction Services Administration is comprised of the following organizational units:

  • Auxiliary Administration for Prevention
  • Auxiliary Administration for Management Services
  • Auxiliary Administration for Treatment
  • General Council for Health
  • Legal Services Office
  • Auditing Office
  • Quality Office
  • Communications Office
  • Regulatory Organisms Office
  • Planning Office
  • Information Systems Office
  • Administrator's and Assistant Administrator's Offices

GEOGRAPHIC LOCATION

The Mental Health and Anti-Addiction Services Administration's central offices are located at Km. 8.2, Highway No. 2 in the former Mepsi Center Hospital in Bayamn. There are also facilities employing distinct modalities in the following municipalities: Aguadilla, Arecibo, Bayamn, Caguas, Carolina, Cayey, Coamo, Fajardo, Guayama, Humacao, Mayagez, Moca, Ponce, San Juan, Utuado, Vega Alta and Vieques.

PROGRAMMATIC STRUCTURE

POSITIONS FILLED

Authorized and Proposed Positions 2009 2010 2011 2012
Sept./08 Sept./09 Sept./10 Feb./11 Proj.

 

Total amount of positions 2,877 2,732 2,416 2,457 2,457

Data comes from the Agency's Certified Headcount Reports. Figures for Fiscal Year 2011-2012 were estimated during the budget formulation process.


PROGRAMS

Administration

Program Description

This program manages, coordinates and supervises administrative work that is provided to ASSMCA dependencies and offices. It supports the operations so that internal services are provided internally (to employees and officials) and externally (communities, private sector and non-profit entities) in an adequate way. This program includes: Fiscal Affairs and Auxiliary Services, Budget, Finances, Purchasing and Auxiliary Services and Human Resources and Labor Relations.

Objectives

  • Promote efficient, cost effective administrative services.
  • Guarantee the efficient and diligent functioning of the operations conducted in Agency offices and dependencies.
  • Analyze and project expenses that will allow for the use of state and federal funds and will ensure that programmatic commitments are met and maintained within the ASSMCA Strategic Work Plan.

Customers

Auxiliary administrators and their ASSMCA dependencies and offices.

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 46 50 43 43
Other staff 67 0 30 30
Planning, Budget, Statistics, Auditing, and Finance 40 42 35 35
Public Relations and Communications 2 2 1 1
Maintenance and General Services Staff 30 32 21 21
Families and Community Services Staff 0 0 1 1
Total, Positions 185 126 131 131

Ponce Psychiatric Hospital Administration

Program Description

It serves the population with mental health problems in accordance with Criminal Procedures Rules No. 240 and 241, as amended. It has 150 beds for patients of both sexes, over 18 years of age. It provides services using an interdisciplinary team comprised of psychiatrists, psychologists, generalist physicians, nursing staff, social workers and occupational therapists. The treatment approach is psycho-social and follows the Recovery model.

Objectives

  • Maximize the rehabilitation services being offered by integrating multidisciplinary services according to Criminal Procedure Rule No. 240, as amended.
  • Reduce to thirty or less, the number of hospitalization days by promoting integration into the community through psycho-social interventions.
  • Increase the collection capacity by 100%.

Statistical Data 2010 2011 2012

 

Customers served 0 278 289

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.

Customers

Adult patients over 18 years of age of both sexes that are not processable, with mental health problems referred by the justice system.

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 23 18 41 41
Other staff 39 14 16 16
Other Safety and Protection Staff 3 2 2 2
Food Services Staff 6 7 3 3
Planning, Budget, Statistics, Auditing, and Finance 4 6 5 5
Maintenance and General Services Staff 17 10 13 13
Families and Community Services Staff 22 19 3 3
Health Services 38 51 38 38
Total, Positions 152 127 121 121


Rio Piedras Psychiatric Hospital Administration

Program Description

It provides services to the entire population of Puerto Rico, admitting patients over 18 years of age with mental health problems in acute and sub-acute phases. It has 200 beds for hospitalization and a duly licensed evaluation and Screening Unit. In addition, it has acute and sub-acute care units, an emergency room for addressing physical and mental conditions, among other services. It offers emergency psychiatric services 24 hrs a day for which there are an additional 26 beds available and very importantly, it is the only public civic hospital in Puerto Rico.

Objectives

  • To maximize hospital services to patients, recertifying them using the Joint Commission.
  • To promote the patient's recovery and their return to the community in a minimum amount of time. Following an individualized treatment for managing their care according to the levels of services required.
  • Facilitate and develop opportunities for reintegration into scenarios of greater independence to hospitalized people in the Psychiatric Hospital. Increase collections for services.

Statistical Data 2010 2011 2012

 

Customers served 0 1,200 1,255

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.

Customers

Patients over 18 years of age with mental illnesses in the acute and sub-acute phases that require hospitalization

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 113 76 76 76
Other staff 59 72 77 77
Public Relations and Communications 0 0 1 1
Maintenance and General Services Staff 9 7 6 6
Families and Community Services Staff 38 17 15 15
Health Services 150 142 119 119
Total, Positions 369 314 294 294


Forensic Psychiatric Hospital Administration

Program Description

Provide evaluation services on the processability of the adult male population with mental disorders in the acute phase that have been through the judicial system for the commission of a crime and have been referred by any of the courts of original pleas. It has 24 beds and serves court referrals requesting the evaluation and treatement of patients under the 1974 Puerto Rico Penal Code Rules No. 240, as amended. In addition, it offers services using an interdisciplinary team comprised of psychiatrists, psychologists, general physicians, nursing staff, social workers and occupational therapists. Once the patient is evaluated as processable, the court is notified for its final determination. It also serves, through contracts with Administration Juvenile Institutions (AJI), male minors between the ages of 18 through 21 providing psychiatric evaluation and treatment that require acute hospitalization.


Objectives

  • Maximize hospital services that are offered by integrating multidisciplinary services according to the Puerto Rico Penal Code, Rule No. 240.
  • Reduce hospital stays to 30 days or less and consider the hospitalization acute services for minors referred by the AJI
  • Maximize the collections for services provided when referred by the AJI.


Statistical Data 2010 2011 2012

 

Customers served 0 291 280

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.


Customers

Adult male patients 18 or older with mental health diagnoses or concurrence and that are referred by the courts for treatment while their processability is being determined in accordance with the 1974 Puerto Rico Penal Code Rule No. 240, as amended.


Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 12 10 25 25
Other staff 22 16 15 15
Maintenance and General Services Staff 2 1 1 1
Families and Community Services Staff 23 13 3 3
Health Services 20 43 28 28
Total, Positions 79 83 72 72

Quality of Services

Program Description

Examine, analyze, process and provide operational follow up on services offered by the mental health and substance abuse care facilities. In addition, calibrate and endeavor to obtain improvement in the facilities and services organizational performance and performance indicators such as: access, acceptability, appropriate care, continuity of care, professional competence, cultural sensitivity, effectiveness, efficiency and promptness, among others. It encompasses a Systematic Performance Monitoring Plan with periodic evaluations of quality of Public Health and the Support Network, ASSMCA Centers, Management Behavior Health Organizations (MBHO) and external entities. It acts as the evaluator and oversight entity for services provide in the centers, as well as the mental health and substance abuse facilities ensuring services are being offered according to the standards of quality and efficiency.

Objectives

  • Develop and implement a Performance Follow Up and ASSMCA Services Quality Oversight Plan, support network, MBHO's, as well as the external agencies in the field of mental health and substance abuse.
  • Strengthen the institutional quality component by using results measurement models.
  • Create and implement new measuring instruments based on mastery, process indicators and results.
  • Empower a continuous and integrated mental health and anti-addiction service model that encompasses all of the modalities as well as the levels of care.
  • Provide prompt and adequate attention to complaints and patient claims in collaboration with external entities.


Statistical Data 2010 2011 2012

 

Customers served 0 26,544 26,999

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.

Customers

Public health (mental health) insurance participants

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 0 0 2 2
Planning, Budget, Statistics, Auditing, and Finance 18 5 4 4
Health Services 0 3 3 3
Total, Positions 18 8 9 9


General Management and Administration

Program Description

It acts in the nominal function and is responsible for interpreting and establishing the public policy that controls the programs as well as projects that provide mental health and substance abuse services. It directs, supervises and administers everything to do with prevention, treatment and rehabilitation in general. This program includes the auditing offices that are responsible for determining if the fiscal and compliance operations are in accordance with applicable law and regulations; legal assessment, being in charge of ensuring the legality of all Agency processes, contract review and certification, legal representation in administrative and judicial forums; and Communications and Community Relations, that is in charge of disseminating the plan through the communication media to facilitate the flow of public information.

Objectives

  • Ensure the uniformity as well as the dissemination of the principles, mission, vision, values, policies, and statutes that control and empower ASSMCA's employees and functionaries.
  • Promote excellence in providing mental health and substance abuse services that are offered in ASSMCA centers and facilities.
  • Strengthen services in the mental health and substance abuse sectors of the population needed them through periodic interventions, consultation services, analyses, evaluations and recommendations about activities conducted.
  • Provide orientation and prevention mechanisms to functionaries as well as employees about ethics and sound public administration in order to avoid findings from administrative forums.

Customers

Auxiliary administration employees and functionaries with their respective ASSMCA dependencies and offices.

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 20 67 15 15
Other staff 14 3 4 4
Total, Positions 34 70 19 19

Technology and Information Systems

Program Description

It provides the equipment, network and communications infrastructure as well as the systems or programs necessary to facilitate the functions that result in offering effective services to patients.

Objectives

  • Effectively direct the needs and requests of users to facilitate access to integrated information and programmatic systems as well as the other existing technological resources.
  • Implement new business intelligence technologies to capture, analyze, integrate and present statistical data to support administrative decision making and the improvement of services offered to patients through the treatment areas.
  • Reorganized the Information Office's organizational structure to attend to new ASSMCA operational and administrative necessities in accordance with the transformation in the Agency's existing technology.


Statistical Data 2010 2011 2012

 

Customers served 0 1,923 1,663

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.

Customers

726 active employee accounts with access to electronic equipment and information systems throughout the units that comprise ASSMCA's organizational structure at the central level and the service sites throughout the Island.

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 7 11 4 4
Other staff 0 0 2 2
Information Systems 8 4 8 8
Total, Positions 15 15 14 14

Regulatory office

Program Description

It plans, directs, administers and oversees compliance with the provisions established in Act. No. 4 of June 23, 1971, as amended, known as the Puerto Rico Controlled Substances Act. This law regulates the manufacture, distribution and dispatching of controlled substances. In addition, it issues registration certificates for inspected locations that provide controlled substances, collects controlled substances and investigates losses, breaks and leaks of controlled substances, among its other functions. It also take custody of and destroys controlled substances confiscated by the Puerto Rico Police Department (cases without accusation), Department of Correction and Rehabilitation, Department of Justice, Institute of Forensic Sciences as well as controlled substances collected and given to ASSMCA investigators through pharmacies, hospitals, drug wholesalers, and others from I through V according to Act No. 4, supra. It also conducts drug tests on Agency personnel and new employees by service contract with the public sector Forensic Sciences Institute and the private sector as well in order to maintain a drug work environment. The aforementioned functions and responsibilities, are discharged by the Drugs and Narcotics Control Division. There is also the Certificate, Licensing and Security Division that is a part of this program, that oversees compliance with the law as well as applicable regulations in the licensing and certification processes for all of the public and private facilities. They endeavor to provide services for prevention, non-medical treatment and rehabilitation of people with mental disorders, addiction or dependence on sedating substances or stimulants that includes alcohol, and the Puerto Rico employee assistance program.


Objectives

  • Continue to oversee registered establishments so that they are in compliance with the law and regulations.
  • Continue to investigate the diversion of controlled substances as well as illegal medical practices in coordination with state and federal agencies.
  • Oversee and guarantee that all licensed and certified facilities comply with the provisions of current regulations and law.
  • Establish coordination mechanisms between the Regulatory Organisms Office and the Office of Quality to guarantee excellence in the ASSMCA service centers.

Statistical Data 2010 2011 2012

 

Customers served 0 19,800 14,330

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.

Customers

Natural or legal people that are devoted to the manufacture, distribution and dispatching of controlled substances with medical uses in Puerto Rico that are registered through September 30, 2007 with the Division. This includes physicians, pharmacies, hospitals, veterinarians, drug wholesalers, manufactures and public and private institutions and methadone treatment centers. In addition, current and new Agency personnel.

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Sciences and Environment staff 1 1 1 1
Managerial,Technical, Administrative, and Office Staff 23 28 18 18
Other staff 34 26 18 18
Education and Recreational Services Professionals 0 0 5 5
Families and Community Services Staff 1 0 0 0
Health Services 2 6 5 5
Total, Positions 61 61 47 47

Planning

Program Description

Analyze and research new courses of action, review Agency programmatic, administrative and operational processes. It also validates research that is presented as assigned with statistical information and reliable data. The Office is comprised of working teams such as: Planning and Programming, Fiscal and Programmatic Oversight, Statistics and Data Analysis, Research and Evaluation, and Managerial Analysis. It acts as a consultant to the Administrator, offers technical support to the dependencies and other working units in the formulation of short, medium and long range plans.

Objectives
  • To encourage and guarantee well thought out decisions.
  • To offer an integrated and systematic vision of the programs and projects in the area of mental health and substance abuse.
  • To promote the discussion and holding of activities and processes that support the development of new strategies that are well suited to the current state of a changing society.

The Planning Office stopped collecting data on services that due to the nature of its functions, that it constantly provides through: external applications for information and data by telephone, e-mail and general correspondence; requests for evaluation related to service and research proposals and a diversity of studies presented by governmental agencies, private organizations and from the academic sector; internal requests for technical support and requests for data and statistics from governmental agencies.

Customers

Agency personnel, governmental institutions, the university community, the private sector and non-profit entities


Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 8 6 1 1
Other staff 1 4 4 4
Planning, Budget, Statistics, Auditing, and Finance 4 3 2 2
Total, Positions 13 13 7 7


Prevention and Health Promotion

Program Description

It designs, develops, implements and evaluates the prevention and health promotion plan based on the Agency's public policy. It uses effective research strategies and promotes the establishment of programs as well as services based on effective models. In addition, it offers priority services to the following populations: children and youth at risk, teaching personnel (public and private), volunteer leaders, public and private sector employees, families or women as heads of households.

Through the services offered, the Program will be able to act as a facilitator in training, assessment and offering technical assistance to public and private organizations. It will also serve community based organizations that implement programs, activities or prevention services and the promotion of mental health in Puerto Rico.

Objectives

  • To reduce the incidence of bio-psychosocial problems associated with the use of alcohol, tobacco and other drugs as well as other mental disorders in Puerto Rican society. The aforementioned concern leads us to propose the design, development and implementation of a plan based on the logic model intended to produce results and on a scientific base following the risk factors and protection model.
  • To plan, implement and evaluate different effective strategies for promoting mental health, the prevention of mental disorders with special attention to the use and abuse of alcohol, tobacco and other substances in schools, communities and treatment centers.
  • Establish an efforts and results measurement system for all prevention services and mental health promotion.
  • To promote the active participation of the community in preventive tasks through a training plan and following up with young leaders, volunteers, school personnel and community based communities.
  • Enforce the protection of children, youth, families and the schools and communities served by prevention personnel.
  • Continue providing services through the Preventive Information Resource Centers (CRIP) to all community requests and serving as a consultant to prevention centers and community programs.
  • Encourage reducing the use of tobacco and the sales and distribution of tobacco products to minors.
  • Design and implement relevant action to establish a prevention infrastructure supporting the Strategic Prevention Conceptual Framework. This will be done based on the following contexts: epidemiological research, capacity, planning, implementation, evaluation, oriented toward the reduction of problems associated with the use and abuse of alcohol, tobacco and other drugs (ATUD), and taking sustainability as a foundation as well as cultural competence.
  • Integrate mental health and prevention efforts about the use of alcohol, tobacco and other substances made in Puerto Rico by public and private sectors starting with a strategic plan, sharing the same vision and establishing collaboration networks through the 12 existing Regional Prevention Centers.

Statistical Data 2010 2011 2012

 

Customers served 0 140,500 139,500

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.

Customers

Children, adolescents, families, youth, leaders, volunteers, special community and public housing residents, employees, merchants and the university community.

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 51 95 34 34
Other staff 73 10 80 80
Other Safety and Protection Staff 0 1 1 1
Maintenance and General Services Staff 0 3 3 3
Families and Community Services Staff 79 23 3 3
Total, Positions 203 132 121 121

Outreach Services and Community Support

Program Description

Provide counseling and intervene in crisis, coordinate services, manage cases, identify homeless people and place them in shelters and coordinate temporary housing. The services included in transitional housing are: psychological and psychiatric evaluation; development and implementation of an individualized treatment plan; medical and nursing evaluation; routine toxicology; counseling and individual or group therapy. The greatest contribution is made by the social work component to reinforce the following up and case management. Services are offered through a dedicate line (1-800-981-0023) available 24/7 staffed by a multidisciplinary professional team. It serves the population identified as homeless or people at risk of losing their homes, through the Aid to Homeless People (Project PATH). It directs all outreach with case managers or interagency coordinators for the adult, child and adolescent populations. It also provides services designed for homeless people with acute health conditions. It coordinates efforts for homeless people obtaining housing and integration into the community for them.


Objectives

  • Strengthen the integration of all services in the area of treatment for mental health and substance abuse.
  • Guarantee the continuity of services for patients encompassing all modalities and levels of care in the area of treatment for mental health and substance abuse.
  • Maximize the performance and expertise of the human resources in the direct service areas for citizens.
  • Provide access to mental health and substance dependence services to homeless people to improve their quality of life. Coordinated efforts with the public and private sectors and non-profit entities.


Statistical Data 2010 2011 2012

 

Number of participants 0 87,144 82,239

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.


Customers

The entire population including children, adults and the elderly with mental conditions or substance and alcohol users


Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Other staff 5 36 95 95
Total, Positions 5 36 95 95


Ambulatory Treatment Services

Program Description

This program integrates all ambulatory services for the treatment of mental disorders, addictions and concurrencies in the child, adolescent and adult populations from a bio-psychosocial perspective. It follows a service and level of care modality.

Under this concept, the Regional Community Mental Health Centers are grouped and by areas in Moca, Mayaguez, Arecibo and Fajardo. In addition, services are offered at different levels of ambulatory care: regular, intensive, partial hospitalization, specialized clinics and transitional services. On the other hand, the Rio Piedras Medical Services Center (CSM) and the Mayaguez Mental Health Center comprise a unit for the evaluations and referrals offering specialized services in the Evaluation Services Program and Employee Recuperation and a Compulsive Gamblers Program (PALC). Ambulatory treatment is also provided for addiction disorders under the Methadone Treatment Program with locations in San Juan, Bayamon, Caguas, Ponce, Aguadilla and Cayey. In addition, there are three mobile units in the Llorens-Torres and Monte Hatillo housing projects in San Juan, the Cantera Sector in Ponce and the Treatment and Diagnostic Center in Coamo. An alcoholism unit is available in the Rio Piedras Medical Center. There are also toxicology laboratories in San Juan and Ponce; diversion programs: Drug Courts in nine judicial regions and Treatment Alternative Street Crime (TASC) in thirteen judicial regions underAct. 67; Child and Adolescent Services in San Juan, Arecibo, Caguas, Ponce, Mayguez and Bayamon. On the other hand, as part of the programmatic commitments in the area of health and quality of life there are also: Integrated Health Care Centers in Coamo, Vega Alta and Vieques, the creation of regional psychiatric emergency rooms to improve access for mental health patients by increasing the number of beds and creating a mobile team oriented towards mental health patient service efficiency and effectiveness. ASSMCA has begun to implement Central Access entry points that facilitate patient access to mental health and substance abuse services offered through the new government health plan (My Health) service kits. There is also the promotion of using treatment modalities incorporating interdisciplinary approaches that include pharmacotherapy, and psychological and social interventions. Parts of the Program services are established through collaborative agreements, contracts with municipalities, the public and private sectors or non-profit corporations and through public-private alliances (APP).


Objectives

  • Encourage the development of abstinence in patients with dependence on opiates and other drugs.
  • Develop skills that improve the patient's quality of life and decrease health risk factors associated with the use and abuse of controlled substances.
  • Increase the access to treatment services for the population with controlled substance abuse identified through the Community Alliance Program.
  • Offer early prevention and intervention services for HIV/AIDS and other sexually transmitted diseases at the treatment centers.
  • Offer a drug court treatment to people addicted to drugs that will allow them to recover in a secure and safe environment that can decree their exoneration and follow-up without it being considered a conviction.
  • Provide services to patients from special communities with co-existing diagnoses using different levels of care designed to meet their needs.
  • Offer comprehensive treatment services for alcohol dependence using different levels of care according to their needs.
  • Complement the health services offered by the government health insurance card providing mental health and addiction services to beneficiaries. Identify and facilitate access to My Health coverage for mental health and controlled substance patients.


Statistical Data 2010 2011 2012

 

Number of participants 0 48,323 48,235

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.

Customers

The population that is four years old or older with mental health, drugs and alcohol problems

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Sciences and Environment staff 5 6 4 4
Managerial,Technical, Administrative, and Office Staff 200 292 226 228
Other staff 306 453 324 324
Maintenance and General Services Staff 147 99 79 79
Families and Community Services Staff 423 321 382 404
Health Services 267 233 206 223
Total, Positions 1,348 1,404 1,221 1,262

Internal Treatment Services

Program Description

This program provides residential, transitional, psychosocial residential and psychosocial ambulatory services. The primary objective is to attain effective integration in the community. The treatment home services are offered according to distinct categories whose services are organized according to the needs and strengths of the referred clientele. These homes are established through service contracts with organizations incorporated by the Department of State and community members interested in serving and helping with the recuperation of people. These services will be increased by twenty beds in Ponce and twenty beds in the metropolitan area.

In addition, residential services are provided for rehabilitation in the Integrated Recuperation Service Centers in Cayey and Trujillo Alto that offered psychosocial rehabilitation services in transitory installations; men's residences in San Juan and in Ponce for women in San Juan. This modality is designed to offer treatment to those participants with substance abuse problems that need to be in therapeutic environments for eight to twelve months. This includes psychological services, group therapy, occupational and recreational therapy, among others. The Adolescent Residential Services Program offers residential treatment to adolescents from 13 to 17 years old with severe emotional disturbances and with substance use problems. It has a twenty participant capacity.

The area of internal services serves its clientele in the Dr. Ramn Marina-Fernndez Psychiatric Hospital in Ro Piedras, the Ponce Forensic Psychiatric Hospital and the San Juan Psychiatric Hospital.

Objectives

  • Reduce relapses and re-hospitalizations of patients with mental health problems and help them to reincorporate themselves into society as productive citizens.
  • Promote and facilitate the recuperation process so that people with severe mental disorders using and abusing substances benefitting from internal services, improve their quality of life, attain higher degrees of independence and access to services that allow for their integration into the community.
  • Incorporate residents or participants in the transitional service provision system through scientifically supported alternative treatments.
  • Develop an individualized and personalized recuperation schedule focused on the participant and the family guaranteeing the right to have an Individualized Recuperation Plan for severe mental illnesses through the provision of services.
  • Encourage the re-integration into the community increasing changes towards greater autonomy in people with severe mental disorders that reside in alternative residences.
  • Redouble efforts to develop housing and employment options with support services for the reintegration into the community of transitional service participants.

Statistical Data 2010 2011 2012

 

Number of participants 0 2,390 2,030

The statistical data was provided by the Agency during the Fiscal Year 2011-2012 budget formulation process.

Customers

Adult patients 18 or older of both genders with mental health conditions or substance use problems that need acute hospitalization and ambulatory or residential psychosocial services. In the case of minors between the ages of thirteen to seventeen, those that need residential transitional services are included for mental health or substance use.

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 58 39 83 83
Other staff 76 162 86 86
Other Safety and Protection Staff 8 0 0 0
Maintenance and General Services Staff 19 26 22 22
Families and Community Services Staff 77 51 38 38
Health Services 157 65 36 36
Total, Positions 395 343 265 265

FISCAL YEAR 2011-2012 ADOPTED BUDGET

The adopted consolidated budget for Fiscal Year 2011-2012 is $139,523,000. This funding includes: $93,039,000 from the Joint Resolution General Fund, $7,951,000 from Special Appropiations General Fund, $34,883,000 in federal grants $3,550,000 from Revenue from Internal Sources and $100,000 from Other Incomes.

Operational Expenses reflect an increase of $4,047,000 in comparison with the funds allocated for Fiscal Year 2010-2011. This increase guarantees that direct services will be provided to patients. The Joint Resolution General Fund will provide for the offering of prevention, treatment and rehabilitation services in the area of mental health in Puerto Rico.

The State Special Funds will be distributed by contributions and non governmental entities such as the Sor Isolina Ferre Centers at Ponce Beach ($1,250,000) and in Caimito ($250,000), Crea Homes, Inc. ($2,100,000), Teen Challenge ($500,000). In addition, funds are assigned to pay for services provided and comply with the fourth payment of $3,151,000 for the rent of the central facilities.

Federal grants will allow for the offering of services to continue for Agency clients. Contributing federal programs are: Block Grants for Community Mental Health Services, Housing Opportunities for Persons with AIDS and Block Grants for Prevention and Treatment of Substance Abuse.

Revenue from Internal Sources are generated from the collection for services provided and will allow for the partial payment of operational expenses.

SUMMARY OF AVAILABLE RESOURCES

Consolidated Budget  (thousands $) 2009 2010 2011 2012

 

Program  
Operational Expenses Actual Actual Budget Adopted
Administration 9,162 8,552 6,991 5,815
Ambulatory Treatment Services 53,463 56,966 45,628 48,069
Forensic Psychiatric Hospital Administration 5,806 5,797 5,074 5,532
General Management and Administration 4,652 9,896 6,163 7,977
Internal Treatment Services 24,436 22,640 18,515 18,807
Managerial Data Systems 850 825 691 755
Outreach Services and Community Support 3,605 3,953 3,842 4,397
Planning 552 359 308 306
Ponce Psychiatric Hospital Administration 8,139 8,205 6,978 7,245
Prevention and Health Promotion 6,020 9,661 9,931 8,656
Quality of Services 551 614 660 652
Regulatory Office 2,612 2,442 2,345 2,401
Ro Piedras Psychiatric Hospital Administration 24,191 24,430 23,550 24,111
Subtotal, Operational Expenses 144,039 154,340 130,676 134,723
 
Subsidies, Incentives and Donations
General Management and Administration 4,800 4,800 4,800 4,800
Planning 1 0 0 0
Subtotal, Subsidies, Incentives and Donations 4,801 4,800 4,800 4,800
Total, Program 148,840 159,140 135,476 139,523
 
Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 110,213 72,033 56,932 93,039
Special Appropriations - General Fund 0 0 0 3,151
Federal Grants 29,443 34,603 34,590 34,883
Other Income 0 0 0 100
Revenues from Internal Sources 4,383 8,963 3,500 3,550
Local Stabilization Fund 0 38,741 35,654 0
Subtotal, Operational Expenses 144,039 154,340 130,676 134,723
 
Subsidies, Incentives and Donations  
Special Appropriations - General Fund 4,800 4,800 4,800 4,800
Revenues from Internal Sources 1 0 0 0
Subtotal, Subsidies, Incentives and Donations 4,801 4,800 4,800 4,800
Total, Funding Sources 148,840 159,140 135,476 139,523
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 75,790 70,438 63,135 59,647
Rent and Utilities 12,106 11,231 11,262 7,983
Purchased Services 10,738 12,164 12,247 12,950
Donations, Subsidies, and Distributions 372 1,726 1,655 1,761
Transportation Expenses 681 304 267 466
Professional Services 21,677 27,986 20,260 25,391
Other Expenses 14,836 16,824 12,708 14,922
Non Distributed Allocations 0 349 0 0
Previous Years Debt Payments 0 4,930 200 3,351
Equipment Purchases 470 600 225 166
Federal Grants Matching Allocation 264 299 523 515
Office Supplies and other Materials 7,079 7,474 7,881 7,568
Advertising and Media Expenses 26 15 313 3
Subtotal, Operational Expenses 144,039 154,340 130,676 134,723
 
Subsidies, Incentives and Donations  
Contributions to Non Governmental Entities 4,801 4,800 4,800 4,800
Subtotal, Subsidies, Incentives and Donations 4,801 4,800 4,800 4,800
Total, Expense Category 148,840 159,140 135,476 139,523



SUMMARY OF RESOURCES BY PROGRAM

Administration

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Federal Grants 1,100 1,106 1,100 1,106
Joint Resolution - General Fund 6,992 2,890 1,216 3,908
Local Stabilization Fund 0 3,585 3,314 0
Revenues from Internal Sources 1,070 971 1,361 801
Subtotal, Operational Expenses 9,162 8,552 6,991 5,815
Total, Funding Sources 9,162 8,552 6,991 5,815
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 6,669 5,942 5,342 3,931
Rent and Utilities 1,254 865 246 243
Purchased Services 305 962 319 385
Donations, Subsidies, and Distributions 0 6 0 0
Transportation Expenses 37 18 10 7
Professional Services 523 342 528 709
Other Expenses 287 308 504 500
Equipment Purchases 25 19 0 0
Office Supplies and other Materials 61 89 41 40
Advertising and Media Expenses 1 1 1 0
Subtotal, Operational Expenses 9,162 8,552 6,991 5,815
Total, Expense Category 9,162 8,552 6,991 5,815
 

Ponce Psychiatric Hospital Administration

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 8,070 5,232 3,840 7,245
Local Stabilization Fund 0 2,973 3,138 0
Revenues from Internal Sources 69 0 0 0
Subtotal, Operational Expenses 8,139 8,205 6,978 7,245
Total, Funding Sources 8,139 8,205 6,978 7,245
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 4,069 3,685 3,486 3,476
Rent and Utilities 139 182 191 188
Purchased Services 846 908 725 781
Transportation Expenses 54 3 3 2
Professional Services 684 627 467 724
Other Expenses 508 764 316 311
Equipment Purchases 3 18 0 0
Office Supplies and other Materials 1,836 2,018 1,790 1,763
Subtotal, Operational Expenses 8,139 8,205 6,978 7,245
Total, Expense Category 8,139 8,205 6,978 7,245
 



Rio Piedras Psychiatric Hospital Administration

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 21,835 23,010 22,979 20,389
Revenues from Internal Sources 2,356 1,420 571 571
Special Appropriations - General Fund 0 0 0 3,151
Subtotal, Operational Expenses 24,191 24,430 23,550 24,111
Total, Funding Sources 24,191 24,430 23,550 24,111
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 10,258 8,497 8,324 8,301
Rent and Utilities 5,732 5,672 5,485 2,299
Purchased Services 877 943 1,249 1,222
Donations, Subsidies, and Distributions 300 0 0 0
Transportation Expenses 68 4 141 139
Professional Services 4,734 5,808 5,367 6,051
Other Expenses 1,266 1,907 1,623 1,598
Previous Years Debt Payments 0 0 0 3,151
Equipment Purchases 43 42 0 0
Office Supplies and other Materials 913 1,557 1,361 1,350
Subtotal, Operational Expenses 24,191 24,430 23,550 24,111
Total, Expense Category 24,191 24,430 23,550 24,111
 

Forensic Psychiatric Hospital Administration

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 5,806 4,046 3,167 5,532
Local Stabilization Fund 0 1,720 1,907 0
Revenues from Internal Sources 0 31 0 0
Subtotal, Operational Expenses 5,806 5,797 5,074 5,532
Total, Funding Sources 5,806 5,797 5,074 5,532
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 2,406 2,138 2,120 2,114
Rent and Utilities 1,180 967 1,043 1,027
Purchased Services 885 889 769 821
Transportation Expenses 27 2 3 2
Professional Services 795 825 460 899
Other Expenses 249 685 503 495
Equipment Purchases 5 28 0 0
Office Supplies and other Materials 259 263 176 174
Subtotal, Operational Expenses 5,806 5,797 5,074 5,532
Total, Expense Category 5,806 5,797 5,074 5,532
 

Quality of Services

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 551 311 238 652
Local Stabilization Fund 0 303 422 0
Subtotal, Operational Expenses 551 614 660 652
Total, Funding Sources 551 614 660 652
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 444 409 469 468
Purchased Services 4 5 5 5
Transportation Expenses 10 6 7 4
Professional Services 93 194 177 173
Office Supplies and other Materials 0 0 2 2
Subtotal, Operational Expenses 551 614 660 652
Total, Expense Category 551 614 660 652
 

General Management and Administration

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 4,502 8,889 4,299 7,684
Local Stabilization Fund 0 888 1,721 0
Other Income 0 0 0 100
Revenues from Internal Sources 150 119 143 193
Subtotal, Operational Expenses 4,652 9,896 6,163 7,977
 
Subsidies, Incentives and Donations  
Special Appropriations - General Fund 4,800 4,800 4,800 4,800
Subtotal, Subsidies, Incentives and Donations 4,800 4,800 4,800 4,800
Total, Funding Sources 9,452 14,696 10,963 12,777
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 1,394 1,187 1,914 1,229
Rent and Utilities 70 88 195 192
Purchased Services 2,899 3,403 3,893 3,884
Donations, Subsidies, and Distributions 42 0 0 100
Transportation Expenses 4 5 1 1
Professional Services 228 113 101 151
Other Expenses 10 10 8 2,369
Non Distributed Allocations 0 349 0 0
Previous Years Debt Payments 0 4,730 0 0
Office Supplies and other Materials 5 7 50 50
Advertising and Media Expenses 0 4 1 1
Subtotal, Operational Expenses 4,652 9,896 6,163 7,977
 
Subsidies, Incentives and Donations  
Contributions to Non Governmental Entities 4,800 4,800 4,800 4,800
Subtotal, Subsidies, Incentives and Donations 4,800 4,800 4,800 4,800
Total, Expense Category 9,452 14,696 10,963 12,777
 



Managerial Data Systems

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 669 293 141 709
Local Stabilization Fund 0 513 504 0
Revenues from Internal Sources 181 19 46 46
Subtotal, Operational Expenses 850 825 691 755
Total, Funding Sources 850 825 691 755
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 586 581 559 558
Rent and Utilities 32 31 54 54
Purchased Services 16 18 13 79
Transportation Expenses 5 5 3 2
Professional Services 180 0 46 46
Other Expenses 13 15 1 1
Equipment Purchases 14 140 0 0
Office Supplies and other Materials 4 35 15 15
Subtotal, Operational Expenses 850 825 691 755
Total, Expense Category 850 825 691 755
 


Regulatory office

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 2,600 780 574 2,379
Local Stabilization Fund 0 1,602 1,749 0
Revenues from Internal Sources 12 60 22 22
Subtotal, Operational Expenses 2,612 2,442 2,345 2,401
Total, Funding Sources 2,612 2,442 2,345 2,401
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 2,135 2,078 1,944 1,939
Rent and Utilities 71 50 82 81
Purchased Services 248 211 225 290
Transportation Expenses 41 34 5 3
Other Expenses 82 46 79 78
Equipment Purchases 2 8 0 0
Office Supplies and other Materials 13 9 10 10
Advertising and Media Expenses 20 6 0 0
Subtotal, Operational Expenses 2,612 2,442 2,345 2,401
Total, Expense Category 2,612 2,442 2,345 2,401
 

Planning

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Federal Grants 91 68 60 60
Joint Resolution - General Fund 460 205 91 246
Local Stabilization Fund 0 84 157 0
Revenues from Internal Sources 1 2 0 0
Subtotal, Operational Expenses 552 359 308 306
 
Subsidies, Incentives and Donations  
Revenues from Internal Sources 1 0 0 0
Subtotal, Subsidies, Incentives and Donations 1 0 0 0
Total, Funding Sources 553 359 308 306
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 382 181 174 173
Rent and Utilities 26 26 27 27
Purchased Services 4 3 4 4
Transportation Expenses 1 2 2 2
Professional Services 137 144 98 97
Other Expenses 0 0 1 1
Office Supplies and other Materials 2 3 2 2
Subtotal, Operational Expenses 552 359 308 306
 
Subsidies, Incentives and Donations  
Contributions to Non Governmental Entities 1 0 0 0
Subtotal, Subsidies, Incentives and Donations 1 0 0 0
Total, Expense Category 553 359 308 306
 

Prevention and health promotion

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Federal Grants 4,412 8,369 8,653 7,382
Joint Resolution - General Fund 1,606 468 270 1,274
Local Stabilization Fund 0 781 1,008 0
Revenues from Internal Sources 2 43 0 0
Subtotal, Operational Expenses 6,020 9,661 9,931 8,656
Total, Funding Sources 6,020 9,661 9,931 8,656
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 4,799 4,324 4,464 4,233
Rent and Utilities 129 88 140 134
Purchased Services 361 353 386 333
Donations, Subsidies, and Distributions 1 1,662 1,623 1,601
Transportation Expenses 156 90 21 108
Professional Services 532 2,778 2,606 2,159
Other Expenses 23 65 30 21
Equipment Purchases 1 105 52 17
Office Supplies and other Materials 16 196 298 50
Advertising and Media Expenses 2 0 311 0
Subtotal, Operational Expenses 6,020 9,661 9,931 8,656
Total, Expense Category 6,020 9,661 9,931 8,656
 

Outreach services and community support

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Federal Grants 3,012 3,319 3,029 3,594
Joint Resolution - General Fund 592 435 622 803
Local Stabilization Fund 0 159 191 0
Revenues from Internal Sources 1 40 0 0
Subtotal, Operational Expenses 3,605 3,953 3,842 4,397
Total, Funding Sources 3,605 3,953 3,842 4,397
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 1,561 1,299 1,930 1,174
Rent and Utilities 33 29 55 49
Purchased Services 139 151 169 133
Donations, Subsidies, and Distributions 22 57 32 60
Transportation Expenses 13 13 15 11
Professional Services 675 1,337 498 1,872
Other Expenses 143 153 119 108
Equipment Purchases 149 175 173 36
Federal Grants Matching Allocation 264 299 523 515
Office Supplies and other Materials 606 440 328 439
Subtotal, Operational Expenses 3,605 3,953 3,842 4,397
Total, Expense Category 3,605 3,953 3,842 4,397
 


Ambulatory Treatment Services

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Federal Grants 19,983 21,741 21,748 22,741
Joint Resolution - General Fund 33,020 11,258 7,627 23,511
Local Stabilization Fund 0 18,268 14,996 0
Revenues from Internal Sources 460 5,699 1,257 1,817
Subtotal, Operational Expenses 53,463 56,966 45,628 48,069
Total, Funding Sources 53,463 56,966 45,628 48,069
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 31,435 32,218 25,133 24,790
Rent and Utilities 2,615 2,320 2,785 2,745
Purchased Services 3,592 3,742 4,138 4,598
Donations, Subsidies, and Distributions 0 1 0 0
Transportation Expenses 188 92 30 169
Professional Services 11,927 14,783 9,289 11,479
Other Expenses 661 1,181 938 985
Previous Years Debt Payments 0 200 200 200
Equipment Purchases 223 55 0 113
Office Supplies and other Materials 2,821 2,370 3,115 2,988
Advertising and Media Expenses 1 4 0 2
Subtotal, Operational Expenses 53,463 56,966 45,628 48,069
Total, Expense Category 53,463 56,966 45,628 48,069
 

Internal Treatment Services

Budget (thousands $) 2009 2010 2011 2012

 

Funding Sources  
Operational Expenses  
Federal Grants 845 0 0 0
Joint Resolution - General Fund 23,510 14,216 11,868 18,707
Local Stabilization Fund 0 7,865 6,547 0
Revenues from Internal Sources 81 559 100 100
Subtotal, Operational Expenses 24,436 22,640 18,515 18,807
Total, Funding Sources 24,436 22,640 18,515 18,807
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 9,652 7,899 7,276 7,261
Rent and Utilities 825 913 959 944
Purchased Services 562 576 352 415
Donations, Subsidies, and Distributions 7 0 0 0
Transportation Expenses 77 30 26 16
Professional Services 1,169 1,035 623 1,031
Other Expenses 11,594 11,690 8,586 8,455
Equipment Purchases 5 10 0 0
Office Supplies and other Materials 543 487 693 685
Advertising and Media Expenses 2 0 0 0
Subtotal, Operational Expenses 24,436 22,640 18,515 18,807
Total, Expense Category 24,436 22,640 18,515 18,807