Program Description

Manages, coordinates and supervises administrative work provided at ASSMCA's dependencies and offices. It supports the operations so that 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.

Customers

Auxiliary administrators and their ASSMCA dependencies and offices.

Program Description

It serves the population with mental health problems in accordance with the Rules of Criminal Procedures No. 240 and 241, as amended. It has 150 beds for patients 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.

Statistical Data	2011	2012	2013
Customers served	278	289	290

Customers

Mentally incapacitated adult patients over 18 years of age with mental health problems referred by the justice system.

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, and a Nurses Room for addressing physical and mental conditions. 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.

Statistical Data	2011	2012	2013
Customers served	1,200	1,255	1,249

Customers

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

Program Description

Evaluates whether members of the adult male population with mental disorders in the acute phase that have been intervened by the Judicial System for the commission of a crime and/or have been referred by any of the Courts of Original Pleas are prosecutable. It has 54 beds for patients referred by the courts for evaluation and treatment as established by the Puerto Rico Penal Code Rules of 1974 Rule 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 it is determinated that the patient is prosecutable, 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.

Statistical Data	2011	2012	2013
Customers served	291	280	286

The statistical data was provided by the Agency during the Fiscal Year 2012-2013 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 pending determination of whether they are prosecutable in accordance with the Puerto Rico Penal Code of 1974 Rule No. 240, as amended.

Program Description

Examines, analyzes, processes and provides operational follow up on services offered by the mental health and substance abuse care facilities. In addition, pursues the continuous 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. It includes a Systematic Performance Monitoring Plan with periodic evaluations of the 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.

Statistical Data	2011	2012	2013
Customers satisfied	26,544	26,999	26,999

Public health (mental health) insurance participants

Program Description

Implements public policy related to its programmatic structure and to mental health and addiction services. Manages, supervises and administers everything related to the areas of prevention, treatment and rehabilitation. The following offices are aligned to this program: Audit Office verifies all fiscal operations are conducted in accordance to established laws and regulations; Legal Affairs, responsible for all legal aspects, contracts revisions and certifications and representation in administrative and judicial forums; and Communication and Community Relations that facilitates the flow of information.

Customers

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

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.

Statistical Data	2011	2012	2013
Customers served	1,923	1,663	1,025

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.

Program Description

Plans, manages, administers and oversees compliance with the provisions established by law regarding the licensing and certification of public and private facilities that provide prevention services, non-medical treatment and rehabilitation services to people with mental, addiction or substance dependence, alcohol included. The functions of the drug and Narcotics Division are transferred to the Department of Health.

Statistical Data	2011	2012	2013
Customers served	19,800	14,330	16,940

The statistical data was provided by the Agency during the Fiscal Year 2012-2013 budget formulation process.

Customers

Public or private facilities dedicated to providing prevention services, non-medical treatment and rehabilitation services

Program Description

Analyzes and studies new courses of action, reviews the Agency's programmatic, administrative and operational processes. It also validates research with statistical information and reliable data. The Office is comprised of the following teams: Planning and Programming, Fiscal and Programmatic Oversight, Statistics and Data Analysis, Research and Evaluation, and Managerial Analysis. It counsels the Administrator, offers technical support to the dependencies and other working units in the formulation of short, medium and long range plans.

Customers

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

Prevention and Health Promotion

Program Description

Designs, develops, implements and evaluates the health prevention and promotion plan, developed following Agency's public policy. It uses effective research strategies and promotes the establishment of programs as well as services based on effective models. It offers priority services to the following populations: children and youth at risk, teacher (public and private), volunteer leaders, public and private sector employees, families or women that are 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.

Statistical Data	2011	2012	2013
Customers served	140,500	139,500	137,629

Customers

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

Program Description

Provides counseling and intervenes in crisis, coordinate services, manage cases, identifies homeless people and place them in shelters and coordinates temporary housing. The services included at 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 and 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 through the "Programa de Vuelta a la Vida: Sanación y Hogar", efforts for homeless people to obtain housing and are integrated into the community.

Statistical Data	2011	2012	2013
Number of participants	87,144	82,239	85,200

Customers

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

Program Description

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, Mayagüez, 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 Mayagüez 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, Mayagüez and Bayamón.

Statistical Data	2011	2012	2013
Number of participants	48,323	48,235	49,042

Customers

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

Program Description

Provides residential, transitional, psychosocial residential and psychosocial ambulatory services. The primary objective is to attain effective integration in the community. The home treatment services are offered according to distinct categories and 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.

In addition, residential services are provided for rehabilitation in the Integrated Recuperation Service Centers in Cayey and Trujillo Alto that offer psychosocial rehabilitation services in transitory installations; men's residences in San Juan and Ponce and for women in San Juan. This program was designed to offer treatment to those participants with substance abuse problems that need to be in therapeutic environments for eight to twelve months. Services includes: psychological services, group therapy, occupational and recreational therapy. 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.

The area of internal services serves its clientele in the Dr. Ramón Marina-Fernández Psychiatric Hospital in Río Piedras, the Ponce Forensic Psychiatric Hospital and the San Juan Psychiatric Hospital.

Statistical Data	2011	2012	2013
Number of participants	2,390	2,030	2,183

Customers

Adult patients 18 or older 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.

FISCAL YEAR 2012-2013 PROPOSED BUDGET

The proposed consolidated budget for Fiscal Year 2012-2013 amounts to $135,798,000. This amount includes $88,102,000 from the Joint Resolution General Fund, $9,770,000 from Special Appropriations General Fund, $34,376,000 in Federal Grants and $3,550,000 in Revenue from Internal Sources.

Operational expenses reflect a decrease of $5,575,000 when compared to funds assigned in Fiscal Year 2011-2012 due to the implementation of an early retirement incentive program.

Resources from the Joint Resolution will help the agency continue to provide mental health prevention, treatment and rehabilitation services. An additional Special Appropriation is included for Non-Governmental Entities, for example: $1,250,000 for the Sor Isolina Ferré Center at Playa de Ponce; $250,000 for "Caimito"; $2,100,000 for "Hogar CREA"; $500,000 for Teen Challenge $100,000 for "Iniciativa Comunitaria"; $350,000 for the UPENS Foundation; $250,000 for the San Francisco Center in Ponce; and $1,850,000 for "Acción Comunitaria". $3,120,000 was included for the rent of the central facilities.

Revenue from Internal Sources is generated from the collection for licensing and services provided and will allow for the partial payment of operational expenses. There is a constant in this revenue source because of how the licensing activity is structured.

Contributing federal programs include: Block Grants for Community Mental Health Services, Housing Opportunities for Persons with AIDS and Block Grants for Prevention and Treatment of Substance Abuse. The Administration estimates a reduction in the amount of federal funding received due to adjustments made at the federal level.

SUMMARY OF AVAILABLE RESOURCES