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State reviews adult mental health safety net as hospitals and community providers push to reduce ER boarding
Summary
DHHS officials told the Finance Division III committee that operational pressures at community mental health centers and progress on the Mission Zero initiative to reduce emergency room boarding will shape the department’s budget requests.
Department officials reported continuing strain on the adult mental health safety net and described steps the state has taken to reduce emergency‑department boarding of people with behavioral health needs.
"We serve around 60,000 just shy of 60,000 individuals a year through the community mental health system," Associate Commissioner Trish Tilly said. The department told the committee it has 10 statutorily designated community mental health centers (CMHCs) that provide case management, medication management and crisis support for low‑income and Medicaid populations.
Financial pressure on CMHCs: Tilly and department staff said 8 of 10 CMHCs reported operational losses after the Medicaid eligibility unwind and reduced pandemic funding. The department said labor and facility…
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