New York State Department of Mental Hygiene explained

Agency Name:Department of Mental Hygiene
Type:department
Formed:1927
Jurisdiction:New York
Keydocument1:Mental Hygiene Law

The Department of Mental Hygiene (DMH) is an agency of the New York state government composed of three autonomous offices:

These offices are headed up by a commissioner who also serves on a council that performs inter-office coordination. Their regulations are compiled in title 14 of the New York Codes, Rules and Regulations.

Mental health

The majority of the public mental health system is in voluntary outpatient programs, the largest and most used being clinic treatment services. Inpatient care is provided mainly by homeless shelters, supplemented by the general hospital network, jails, and state psychiatric centers. 45–57% of New York mental health consumers use Medicaid, which is the largest single source of funding.[1]

The Office of Mental Health (OMH) is responsible for assuring the development of comprehensive plans, programs, and services in the areas of research, prevention, and care, treatment, rehabilitation, education, and training of the mentally ill. Programs include inpatient, outpatient, partial hospitalization, day care, emergency, and rehabilitative treatments and services. OMH regulates and licenses private mental health services, such private psychiatric centers, clinics, and treatment facilities, including those in hospitals and schools. OMH also regulates residential treatment facilities for children and youth operated by nonprofit corporations. The public hospitals in the department are listed below, though there are many other private facilities; the New York State Psychiatric Institute and Nathan Kline Institute for Psychiatric Research are medical research institutes. The New York State Incident Management and Reporting System (NIMRS) is used by providers for reportable incidents.

Hospital County Region
Greater Binghamton Health CenterBroomeSouthern Tier
Bronx Psychiatric CenterBronxNew York City
Buffalo Psychiatric CenterErieWestern New York
Capital District Psychiatric CenterAlbanyCapital District
Central New York Psychiatric CenterOneidaMohawk Valley
Creedmoor Psychiatric CenterQueensNew York City
Elmira Psychiatric CenterChemungSouthern Tier
Kingsboro Psychiatric CenterKingsNew York City
Kirby Forensic Psychiatric CenterNew YorkNew York City
Manhattan Psychiatric CenterNew YorkNew York City
Mid-Hudson Forensic Psychiatric CenterOrangeMohawk Valley
Mohawk Valley Psychiatric CenterOneidaMohawk Valley
Nathan S. Kline Institute for Psychiatric ResearchRocklandHudson Valley
New York State Psychiatric InstituteNew YorkNew York City
Pilgrim Psychiatric CenterSuffolkLong Island
Richard H. Hutchings Psychiatric CenterOnondagaCentral New York
Rochester Psychiatric CenterMonroeFinger Lakes
Rockland Psychiatric CenterRocklandHudson Valley
St. Lawrence Psychiatric CenterSt. LawrenceNorth Country
South Beach Psychiatric CenterRichmondNew York City
New York City Children's CenterNew York City
Rockland Children's Psychiatric CenterRocklandHudson Valley
Sagamore Children's Psychiatric CenterSuffolkLong Island
Western New York Children's Psychiatric CenterErieWestern New York

OMH provides funding for eligible workforce development initiatives of licensed providers. Funding comes from federal Community Mental Health Services Block Grants and the enhanced Federal Medical Assistance Percentages program, more recently from e.g. the CRRSAA and American Rescue Plan Act of 2021 (COVID-19 stimuli packages), for targeted rate increases and recruitment and retention funds.[2] [3] The state FY 2024 budget also included funding for cost-of-living adjustments and expanded loan forgiveness for social workers and technicians.[4] Many essential workers are still earning far below a living wage even after the COVID-19 pandemic.[2] NYSDOL oversees the operation of local WIOA career centers (one-stop centers) that offer a range of employment and training services, including job search assistance, resume writing help, and access to job training programs.

The Behavioral Health Services Advisory Council (BHSAC) advises OMH by reviewing, monitoring, and evaluating the adequacy and delivery of services.[5] [6] The state Mental Hygiene Legal Service (MHLS) provides legal representation, advice, and assistance to mentally disabled persons under the care or jurisdiction of state-operated or licensed facilities concerning their admission, retention, care, or treatment.[7] In the State Legislature, the Senate Mental Health and Assembly Mental Health standing committees conduct legislative oversight, budget advocacy, and otherwise report bills on the services, care, treatment, and advocacy for individuals with various disabilities,[8] [9] while the Senate Health and Assembly Health standing committees focus on healthcare facilities operations and services delivery more generally.[10] [11]

Addiction

The Office of Addiction Services and Supports (OASAS) provides funding, technical assistance, and oversight to a network of over 1,300 community-based addiction treatment programs, as well as 12 state-operated addiction treatment centers.

Statewide Health Information Network

The Statewide Health Information Network for New York (SHIN-NY, pronounced "shiny") is a health information exchange that allows healthcare providers to access and share patient data, managed by the nonprofit New York eHealth Collaborative. The Regional Health Information Organizations include:

History

In 1836–1843 the State Lunatic Asylum at Utica (Utica State Hospital) was established, and in 1865–1869 the Willard Asylum (Willard State Hospital) was established for the incurably insane and mentally ill paupers in the poorhouses.[12] [13] [14] [15] Throughout the late 18th and most of the 19th centuries, families and county poorhouses provided care to the mentally disabled, but in 1890 the State Care Act made the state responsible for the pauper insane.[16] [15] In 1909 the Insanity Law was consolidated in chapter 27 of the Consolidated Laws of New York.[17]

The department was established in 1926–1927 with the original name being Office of mental hygiene; as part of a restructuring of the New York state government, and was given responsibility for people diagnosed with mental retardation, mental illness or epilepsy.[18] Dr. Frederick W. Parsons was appointed the first department commissioner in January, 1927. He was replaced by Dr. William J. Tiffany in 1937, who then resigned in 1943 over an investigation into handling of an outbreak of amoebic dysentery at Creedmoor State Hospital. By 1950, the department had grown into the largest agency of the New York state government, with more than 24,000 employees and an operating cost exceeding a third of the state budget. The state acceded to the Interstate Compact on Mental Health in 1956.

The Office of Alcoholism and Substance Abuse was transferred from the New York State Department of Health to the Department of Mental Hygiene in 1962. In 1972 the Mental Hygiene Law was revised and reenacted. In 1978, the Department of Mental Hygiene was reorganized into the autonomous Office of Mental Health (OMH), Office of Alcoholism and Substance Abuse, and the Office of Mental Retardation and Developmental Disabilities (OMRDD). These three offices are headed up by a commissioner who also serves on a council that performs inter-office coordination. In 2010 the OMRDD became the Office for People With Developmental Disabilities (OPWDD). In 2019 the Office of Alcoholism and Substance Abuse became the Office of Addiction Services and Supports (OASAS).

Commissioners

DMH

OMH

OPWDD

OASAS

See also

References

Further reading

External links

Notes and References

  1. Web site: 2020 Uniform Reporting System (URS) Table For New York. 25 June 2021. SAMHSA.
  2. Staffing: Increasing the mental health care workforce in New York State . OMH News . Winter 2022 . NYS Office of Mental Health . 2022-10-12.
  3. 29 October 2021 . Guidance on Eligible Workforce Funding Activities (Enhanced FMAP) . NYS Office of Mental Health . 2022-10-12 .
  4. . Governor Hochul Highlights $1 Billion Plan to Overhaul New York State's Continuum of Mental Health Care . Albany, NY . . 8 May 2023 . 8 May 2023.
  5. et seq. Chapter 56, enacted 30 March 2012, effective 26 September 2012. Assembly Bill A9056-D.
  6. Web site: Overview of the Behavioral Health Services Advisory Council . 2024-04-03 . NYS Department of Mental Hygiene.
  7. An Act to amend the mental hygiene law…. Laws of the State of New York Passed at the Sessions of the Legislature. 208th sess.

    III

    . 1985. 3110–3132. 2027/nyp.33433107706321. 0892-287X. Chapter 789, enacted 1 August 1985, effective 1 April 1986.
  8. NYS Senate Standing Committee on Mental Health . New York State Senate . 13 February 2024 . 2023 Mental Health Committee Annual Report . New York State Senate .
  9. NYS Assembly Standing Committee on Mental Health . New York State Assembly . 15 December 2023 . 2023 Annual Report of the New York State Assembly Standing Committee on Mental Health . New York State Assembly .
  10. NYS Senate Standing Committee on Health . New York State Senate . 15 December 2023 . 2023 Health Committee Annual Report . New York State Senate .
  11. NYS Assembly Standing Committee on Health . New York State Assembly . 15 December 2022 . 2022 Annual Report of the New York State Assembly Committee on Health . New York State Assembly .
  12. An act to authorize the establishment of the New-York state lunatic asylum.. Laws of New York. 59th sess.. 1836. 110–111. 2027/nyp.33433090740717. 0892-287X. Chapter 82, enacted 30 March 1836, effective immediately.
  13. An act to authorize the establishment of a State Asylum for the chronic insane, and for the better care of the insane poor, to be known as 'The Willard Asylum for the Insane.'. Laws of New York. 88th sess.. 1865. 562–565. 2027/nyp.33433090738380. 0892-287X. Chapter 342, enacted 8 April 1865, effective immediately.
  14. An act changing the name of the several state asylums for the insane.. Laws of New York. 113th sess.. 1890. 313–314. 0892-287X. Chapter 132, enacted 18 April 1890, effective immediately.
  15. Book:

    . Katz . Michael B. . . In the Shadow Of the Poorhouse: A Social History Of Welfare In America . 2nd . Basic Books . 1996 . 9780465024520 . 103-104 .

  16. An act to promote the care and curative treatment of the pauper and indigent insane…. Laws of New York. 113th sess.. 1890. 303–308. 0892-287X. Chapter 126, enacted 15 April 1890, effective immediately.
  17. Book: Insanity Law. Consolidated Laws of New York. II. 1909. 1617–1680. https://www.google.com/books/edition/The_Consolidated_Laws_of_the_State_of_Ne/dmESAAAAYAAJ?hl=en&gbpv=1&pg=PA1617&printsec=frontcover. Chapter 32 of the Laws of New York, enacted 17 February 1909, effective immediately.
  18. An Act to amend the insanity law…. Laws of the State of New York Passed at the Sessions of the Legislature. 150th sess.

    I-II

    . 1927. 981–1082. 2027/uc1.b4378095. 0892-287X. Chapter 426, enacted 30 March 1927, effective 30 March 1927. See also L.1909 c.32 and L.1972 c.251.
  19. News: Cuomo said to choose 2 as mental health chiefs . New York Times. 11 June 1983 . February 27, 2023 . Chira . Susan .
  20. News: System to treat mental patients is overburdened . New York Times . 22 February 1988 . February 27, 2023 . Barbanel . Josh .
  21. News: Mental Health chief nominated . New York Times . 15 August 1995 . February 27, 2023.
  22. Web site: Michael Hogan . The Action Alliance= . February 27, 2023.
  23. Web site: About Our Executive Team . Office of Mental Health . February 27, 2023.
  24. Web site: Milestones in OMRDD's History. Minnesota Department of Administration. February 24, 2023.
  25. Web site: OMRDD chief quits for new transit job . New York Times. 3 July 2010 . February 27, 2023.
  26. Web site: Mental Health Committee Nominates OPWDD Commissioner . NY Sentate . February 27, 2023.
  27. Web site: Head of NY agency for the disabled resigns. 4 June 2014 . The Saratogian. February 27, 2023.
  28. Web site: New York Governor Hochul launching purge of Cuomo officials. New York Times. 25 September 2021 . February 27, 2023.
  29. Web site: Marguerite Saunders Obituary . Albany Times Union . February 27, 2023.
  30. Web site: Message from the Chair . NYS Assembly. February 27, 2023.
  31. Web site: Former Commissioner to head national addiction group . Democrat and Chronicle. February 28, 2023.
  32. Web site: Arlene González-Sánchez . 3 December 2020 . Schneps Media . February 27, 2023.
  33. Web site: Meet the Executive Staff . NY Office of Alcohol and Substance Abuse . February 27, 2023.