Performance Details
Department of Revenue - Mental Health Trust Operations
Mission
The mission of the Alaska Mental Health Trust Authority is to administer the Alaska Mental Health Trust as a perpetual trust and to ensure a comprehensive and integrated mental health program to improve the lives of beneficiaries.
Core Services
- Spend Trust income to improve the lives and circumstances of Trust beneficiaries
- Provide leadership in advocacy and planning around beneficiary related issues
- Manage Trust cash and non-cash assets
- Ensure funding of a comprehensive integrated mental health program
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Performance Detail
A: Result -Beneficiary Quality of Life: Increase quality of life for Trust beneficiaries through Trust funding and partnering. |
A1: Core Service - Spend Trust income to improve the lives and circumstances of Trust beneficiaries |
Target #2: Report annually the total number of beneficiaries and family members served..
There was a 54.3% decrease in the number of individuals impacted through outreach and education projects, from 151,632 individuals during FY 2021 to 69,293 impacted during FY 2022. For the most part, the absence of a project during FY 2021 can account for the significant decrease in outreach and education numbers. Alaska Public Media"s Mental Health Content Initiative was a widespread outreach project during FY 2021 and included several methods for educating the public about mental health issues. The number of individuals impacted through outreach and education projects during FY 2022 is more in line with historical numbers, apart from FY 2021. During FY 2022, the project that had the largest number of individuals impacted through outreach and educational efforts was the Out North Mental Health Mosaics project. Mental Health Mosaics was an arts and journalism project from Out North that produced a podcast (episodes explored topics on mental health and wellness through various cultural and social lenses), hosted several community events, and facilitated a juried art exhibition that focused on mental health. Also noteworthy was the significant increase (77.7%) in the number of individuals trained, from 10,931 in FY 2021 to 19,424 during FY 2022. Likely, the overarching contributor to the increase was the world beginning to open again after the Coronavirus pandemic. As we all know, during the later part of FY 2020 and all of FY 2021, the pandemic put a stop to in-person training, conferences, and workshops. Some training events could be held online, but enrollment suffered as a result, while other events, mainly those geared towards clinical work, were unsuitable for an online platform and, therefore, were canceled entirely. When comparing these numbers, it is essential to note that the number of grants and types of funded projects vary from year to year, thus contributing to the variance in the number of individuals served. In total, 185,363 individuals received some type of training, or service, or were impacted because of the Trust"s efforts through projects that ended during fiscal year (FY) 2022, a decrease of 24.8% from FY 2021. Target Last Modified: 10/19/2023 |
Target #3: 60% of direct service projects will provide direct beneficiary improvement information..
As part of the grant agreement, performance measures are developed to assess each project"s impact and overall success. For all direct service projects, performance measures are included that request the grantee demonstrate and report beneficiary impacts on quality of life that occurred because they participated in the project. Though we have obtained 100% compliance in the past (FY2019 and FY2020) from our grantees in the reporting of quality-of-life outcomes, we will continue to encourage the inclusion of both qualitative and quantitative data that demonstrate beneficiary improvements in quality of life through participation in Trust funded projects. Target Last Modified: 10/19/2023 |
B: Result -Systems Change: Create change in the beneficiary service system lasting beyond temporary Trust interventions and resources. |
B1: Core Service - Provide leadership in advocacy and planning around beneficiary related issues |
Target #1: Report major system changes related to beneficiaries in each focus area that are likely to continue beyond Trust funding..
There are 16 systems changes reported for FY2023 that occurred in Trust focus and priority initiative areas, as well as in non-focus area-related efforts. The Trust partnered with the Departments of Health and Community & Family Services to implement changes in support of the Comprehensive Integrated Mental Health Program plan after the Department of Health & Social Services reorganized into two new departments. There were efforts supporting youth ranging from collaboration with the University of Alaska Anchorage resulting in the development and implementation of workforce development tools for adolescents, to a vocational training center and on-site housing for youth through the Covenant House in Anchorage. As part of its work in early childhood intervention and prevention, the Trust lent support to the advocacy and passing of legislation SB58/HB59 Medicaid Eligibility: Postpartum Mothers, which was signed into law by the Governor. Additionally, the second phase of the Mental Health Supports in Schools initiative and report was disseminated and is informing the Department of Health`s “Behavioral Health Roadmap Project for Alaska Youth” response to the December 2022 Department of Justice findings which found that Alaska unnecessarily segregates children with behavioral health disabilities in institutions. The Trust collaborated with reentry advocates and coalitions across the state to reduce barriers to successful reentry into the community by the introduction, and passing of SB 119, the State Identification Card for Prisoners that was signed into law in August 2023. As part of its Housing and Home and Community-Based Services focus area, the Trust funded, in collaboration with partners, initiatives ranging from a state-level Intellectual and Developmental Disability (IDD) program survey (i.e., National Core Indicators) and a Care Coordination Liaison position within Senior and Disabilities Services (SDS), to supportive housing capital projects in Bethel and Nome - the first dedicated permanent supportive housing projects in parts of the state off-the-road system. The largest number of systems change efforts, seven, occurred within the Mental Health and Addictions focus area. Systems change activities ranged from work on the Governor`s Advisory Council on Opioid Remediation to expanding foster care in Ketchikan, implementing substance use withdrawal program beds in Mat-Su Borough, and infrastructure supporting behavioral health crisis response and stabilization in Kotzebue, Mat-Su Borough, and Anchorage. Target Last Modified: 10/27/2023 |
C: Result -Cash & Non-cash Asset Development: Maximize payout in perpetuity. |
C1: Core Service - Manage Trust cash and non-cash assets |
Target #1: Report annual payout rate and maintain reserve balances @ 400% of payout to ensure beneficiary services despite market variations..
To ensure sufficient funds are available to help support beneficiary needs should financial markets suffer a significant and prolonged decline, the Trust targets an earnings reserve balance of four times or 400%, its current fiscal year"s POMV distribution. FY2023 investment markets were volatile, and the Trust ended FY2023 with available statutory budget reserves below the target, at 344%. Target Last Modified: 10/26/2023 |
D: Result -Fulfill Mission: Ensure the Trust"s mission is fulfilled via strong stakeholder relations and efficient use of funds. |
D1: Core Service - Ensure funding of a comprehensive integrated mental health program |
Target #1: Report Trust agency expenditures as a % of total approved funding..
The Trust Authority"s FY23 agency expenses were 11.27% of the total FY23 budget authorized to support Trust activities. Agency expenditures were 10% below projections due to cost reductions attributed to staff vacancies throughout the year, activities and services that advance the Trust`s programming, planning, and grant goals are continuing to return to normal. Target Last Modified: 10/26/2023 |
Target #2: Report the percentage of Trust grant agreements processed in less than 30 days..
Trust grants staff engage in ongoing process improvement activities to streamline the grants administration process to reduce any barriers to timely execution. In exploring the root cause of the delay, the variation in the percentage of grant agreements processed from year to year continues to be attributed to the readiness of grantees to initiate their projects after Trustee approval. Target Last Modified: 10/19/2023 |
Last refreshed: 04/23/2024 05:00 pm