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Region Ten details local behavioral‑health services and flags funding‑formula questions for board
Summary
Region Ten Senior Director Shannon Wright told the Board that 1,702 Nelson residents received $5.4 million in services last year and outlined crisis, residential and outpatient programs; the Board asked for reconciled beneficiary counts and clarification of apparent surpluses in Region Ten budget documents.
Shannon Wright, Senior Director for Region Ten’s Rural and Community‑Based Services, briefed the Nelson County Board of Supervisors on March 4 about mental‑health, substance‑use and residential services available to county residents and the agency’s FY27 funding request.
Wright said Nelson has three main Region Ten facilities or program sites: the Nelson Counseling Center, the Horizon Center (a psychosocial rehabilitation program), and the Town Creek Assisted Living Facility, which she described as a 60‑bed program that helps residents transition from state hospital settings into community living. She said Region Ten also provides outpatient services for children and adults, medication management supported by nurse practitioners and psychiatrists, an Assertive Community Treatment Team for intensive outreach, and crisis evaluation and stabilization alternatives to hospitalization.
Wright reported that 1,702 Nelson residents received services from Region Ten last year and that the services delivered to those residents were valued at roughly $5.4 million. She explained that local funding requests are generated by a formula that blends service costs, units of service (for example, bed days versus program hours) and relative population; she also noted a statutory constraint the agency monitors — state dollars cannot exceed 90 percent of the budget for community services boards, effectively requiring about 10 percent local support across the six jurisdictions Region Ten serves.
Board members pressed Wright on apparent discrepancies in Region Ten’s budget worksheets: PB‑1 showed a surplus for FY27 and a large FY25 surplus number that supervisors questioned, and PB‑2 beneficiary counts and per‑beneficiary calculations differed across jurisdictions (Nelson’s per‑beneficiary cost appeared higher than Greene’s). Wright said she would return with reconciled figures, clarified definitions for “beneficiaries,” and additional methodological detail about how residential services and day programs are converted into funding units.
The board did not take a formal vote on Region Ten’s request at the March 4 session; supervisors requested follow‑up documentation before finalizing the agency’s FY27 allocation.
