Senator Apa asked about the use of the oldest building at Redfield for administrative offices. The personnel could be relocated. Then, mothball the building to save money. Ms. Oldenkamp said that the South Dakota Development Center administrators have looked at reducing the number of buildings.

Senator Adelstein mentioned that private funds may be secured for using the oldest building for a museum.

Representative Clark asked about the funds appropriated for neuromuscular devices. Ms. Oldenkamp said the program is still operating.

Representative Klaudt asked how the division of developmental disabilities could be working with a $1,500,000 deficit. Ms. Oldenkamp said they transferred funds from other divisions, but there are no longer available funds to transfer.

ADJUSTMENT TRAINING CENTERS

Mr. Randy Meendering, South Dakota Association of Community Based Services, Huron, South Dakota thanked the committee for considering the FY2003 recommended budget. He said the cuts will be $1,500,000 to $2,000,000 for adjustment training centers. This will reduce and eliminate services and cut personnel. There will be an ongoing negative impact if cuts occur.

Senator Duxbury asked about the insurance issue at the centers. Mr. Meendering said the deductibles are more than $500, and the co-pay has increased.

Senator Apa asked if the adjustment training centers (ATCs) are obligated to accept the applicants. Mr. Meendering replied that some people may go to other agencies that would be more appropriate, or they will be added to a waiting list. Services for adults in South Dakota are not mandated.

Representative Lange asked how we determine at what level we take care of people who cannot take care of themselves. He suggested that the agency should clarify its mission.

Senator Cradduck asked if any ATC individuals are going to nursing homes. Mr. Meendering replied that he did not know.

Representative Adelstein asked about ways to fund the shortfall for ATCs. Representative Richter explained that there are various ways to address the issue.

Senator Greenfield asked about the money transferred from one division to the other. He asked what has changed that those monies aren't available. Ms. Oldenkamp responded that it is due to personal services, the alcohol and drug program costs, and the tobacco money is no longer available. She said that the programs haven't changed drastically. There were some Medicare funds above what they had expected, but now the Medicare funding doesn't look like it will be available.

WEST FARM HOME AND SCHOOL

Ms. Jan Nicolay, Director, West Farm Home and School informed the committee of the mission statement and priority goals (Document #2). The mission statement reads as follows: to provide an opportunity for males ages 14-18 to complete their high school education, while living in a home- like setting and preparing to transition to independent living, employment, military service, or post- secondary education. One of the goals is to provide specific counseling and treatment based upon individual needs. In June, FY2001, the Watertown facility for females was closed due to low admissions.

Ms. Nicolay presented the FY2003 total recommended budget which is $994,113. The major items recommended a decrease of $902,050. The FY2003 funding sources include $407,807 from general fund, $536,306 from federal funds, and $50,000 for other funds. The Federal Funds sources include: Edward Byrne Department of Justice ($395,254), Title XIX ($128,645), and School Lunch ($12,407).

Representative Burg asked Ms. Nicolay about her current position at West Farm and School and her positions at Plankinton and Harmony Hill. Ms. Nicolay replied that she was the roving principal for a while, but is currently director of West Farm Home and School.

Ms. Nicolay told the committee that some of her boys come from Boot Camp, Our Home, or private homes that aren't compatible. The boys are enrolled in a school program. Of the thirty- two students, eighteen are employed. The boys cannot work for the first thirty days after they arrive at West Farm and School.

Representative Sutton asked about the closing of Harmomy Hill in 2001. A total of $891,384 was saved. Ms. Oldenkamp said that the facility was closed in June, 2001, but some maintenance personnel have stayed. There will be demolition costs at some time.

Ms. Nicolay said that the Harmony Hill facility was a success with girls, but there weren't enough

girls being admitted to the program.

Senator Duxbury asked if the Harmony Hill building could be saved. Ms. Oldenkamp said keeping the Harmony Hill building open is not an option.

Ms. Nicolay reported that many of the boys at West Farm and School have alcohol and drug related problems. Some go to drug and alcohol treatment elsewhere for a specified time and return to West Farm and School.

Representative Richter said we have diverse problems, and we look for diverse care to meet the needs of the youth.

DIVISION OF MENTAL HEALTH

Ms. Kim Malsam-Rysdon, Director, Division of Mental Health informed the committee of the mission statement and priority goals of the division (Document 3). The mission statement reads as follows: to promote the highest level of personal independence for individuals with severe and persistent mental illnesses or serious emotional disturbances.

Ms. Malsam-Rysdon talked about the community mental health center services. The targeted population includes adults with severe and persistent mental illness (SPMI), children with serious emotional disturbances (SED) and their families. Some of the services which are provided include: outpatient services, continuous assistance, rehabilitation, and education (CARE) program for adults with SPMI, community residential services, indigent medication program, emergency services, mental health services for children with severe emotional disturbances, and IMPACT programs.

Representative Clark asked about the number of FTEs and the number of individuals served by the IMPACT program. Ms. Malsam-Rysdon said that there are no FTEs and there will be one hundred twenty-one individuals served in 2003. IMPACT programs are in Rapid City, Sioux Falls, and Huron.

Ms. Malsam-Rysdon said that in FY2001 there were 13,757 individuals served by community mental health centers.

Ms. Malsam-Rysdon informed the committee about the corrections mental health services. The following sites are served: Custer Youth Corrections Center_Custer, South Dakota State Prison_Sioux Falls, Mike Durfee State Prison_Springfield, and the South Dakota Women's Prison- Pierre. The services provided include: intake assessment, psychological testing (juveniles), individual therapy, group therapy, crisis response, and staff training and development.

The FY2003 total recommended budget is $19,362,430. The major items recommended total $45,496. Due to the closing of the State Training School, there is a decrease of $277,744 and 1.0

FTE. The CARE waiting list shows an increase of $87,960. The foster care services for the Department of Corrections shows an increase of $130,560. The minor items show a decrease of $250,997.

Senator Dennert suggested there may be an increase in community based programs because of the State Training School reduction ($277,744) and the transfer of individuals from the State Training School.

The FY2003 funding sources for mental health include the following: general funds is $10,355,744, federal funds is $8,274,844 which includes: Title XIX ( $6,343,921), Data Infrastructure($100,000), Community Mental Health Service (CMHS)($882,765), Protection Advocacy($370,000), PATH ($293,158), and CHIP($285,000), and other funds is $731,842.

HUMAN SERVICES CENTER

Mr. Cory D. Nelson, Acting Administrator, Human Services Center informed the committee of the mission statement and priority goals of the Human Services Center (Document #4). The mission statement reads as follows: to provide persons who are mentally ill or chemically dependent with effective, individualized professional treatment which enables them to achieve their highest level of personal independence in the most therapeutic environment.

The Human Services Center in Yankton, South Dakota provides the following services : Medical (physician services, nursing services, dental services, pharmaceutical services, physical/occupational therapy), Psychiatric (acute psychiatric, psychiatric rehabilitation, geriatric psychiatric, adolescent psychiatric, and intensive community based services - IMPACT), and Substance Abuse (adolescent chemical dependency and adult chemical dependency).

Mr. Nelson informed the committee of the FY2001 diagnosis of individuals admitted to the Human Services Center. Mental illness comprised seventy-five percent and chemical dependency made up the other twenty-five percent. The mental illness total had several components which included: depression (22 percent), schizophrenia and other psychotic disorders (20 percent), bi-polar disorders (10 percent), organic disorders (4 percent), and other psychiatric disorders (19 percent).

Mr. Nelson said the FY2003 total recommended budget is $31,651,692. The major items recommended total $550,058. The Human Services Center FY2003 funding sources include the following: general funds is $24,003,449, federal funds is $7,470,372, and other funds is $177,871. The federal funds sources include: Title XIX ($4,879,558), Medicare ($1,931,482), Adult Basic Education ABE ($44,720), school lunch ($81,811), Improving America's Schools Act IASA ($19,593), and disproportionate share ($513,208).

Representative Lange stated that the turnover at the Human Services Center is high and asked if there

is anything the policymakers could do to change the turnover rate. Mr. Nelson stated that there is a nursing shortage and there are seventeen vacancies at his center.

Representatative Richter asked if overtime wages were being paid to compensate for the nursing shortage. Mr. Nelson replied, “Yes”.

Senator Greenfield asked how many total vacancies were in the Human Services Center in Yankton. Mr. Nelson said that there are a total of forty seven vacancies.

SERVICE to the BLIND and VISUALLY IMPAIRED

Ms. Gaye Mattke, Director, Service to the Blind and Visually Impaired informed the committee about the mission statement and priority goals for the division. The mission statement reads as follows: to provide individualized rehabilitation services that result in optimal employment and independent living outcomes for citizens who are blind or visually impaired.

Ms. Mattke said the population served by the Service to the Blind and Visually Impaired consists of individuals who are blind or visually impaired within the state. During FY2001 a total of 1,342 citizens were served. Some of the services provided include: training in alternative techniques to perform tasks with vision loss such as: orientation and mobility, computer training, communications, home management and low vision examinations and devices; services to assist individuals to obtain or maintain employment such as: guidance, counseling and referral, job placement, vocational training services including post secondary education, rehabilitation technology services and physical and mental restoration services; telecommunications including the Radio Talking Book Program and the South Dakota Telephone News Reader to provide access to news and media information for individuals with print disabilities; business enterprise program which establishes vending sites in public facilities to provide business opportunities for individuals who are blind.

Ms. Mattke presented the FY2003 total recommended budget for the Service to the Blind and Visually Impaired. The total is $2,806,417; this is a decrease of $33,871 from the approved FY2002 budget. The FY2003 funding sources for the Service to the Blind and Visually Impaired are the following: general funds is $801,431, federal funds is $1,874,652, and other funds is $130,334. The federal funds sources are the following: Section 110 ($1,621,267), Independent Living ($228,483), In-Service ($18,902), and Supp.Emp. ($6,000).

Representative Pummel asked about the independent living services which are provided. Ms. Mattke said that these services include: cane usage, communication-talking devices, special examinations for low vision individuals, and using assistive technology with cleaning, cooking, and sewing in the homes.

The meeting recessed at 10:00AM.

DIVISION OF REHABILITATION SERVICES

Mr. Grady Kickul, Director, Division of Rehabilitation Services informed the committee of the mission statement and priority goals. The mission statement reads as follows: to assist individuals with disabilities to obtain employment, economic self-sufficiency, personal independence and full inclusion into the community. One of the priority goals is to ensure that services are driven by needs as identified by consumers and employers and result in jobs for people with disabilities. The function of the Disability Determination Services is to determine eligibility for Social Security disability benefits in an equitable, efficient, cost effective and caring manner.

Mr. Kickul told the committee that at 46.3 percent of disabled persons that are employed, South Dakota ranks as the second highest state in the nation. The national average among states is 30.4 percent. In fiscal year 2001, the average annual income of consumers rehabilitated was $12,710. Prior to rehabilitation, the average income was $1,472.

Mr. Kickul informed the committee about the assistive daily living services. These services provide for personal attendants who complete tasks that those with quadriplegia are unable to do for themselves. It also provides for services which enable individuals to live and work independently in their home and community instead of a nursing home, saving taxpayer dollars. The population served includes individuals with substantial limitations in all four limbs preventing them from performing personal tasks by themselves. The number of individuals served in FY2001 was 102. The dollars spent in FY2001 for services is $1,320,735. The average nursing home cost is $36,251 and the average program cost is $12,948. The savings per consumer for the taxpayer is $23,303.

Mr. Kickul presented the FY2003 total recommended budget which is $16,567,055. The major items recommended increase is $866,823. The FY2003 funding sources for the Rehabilitation Services Division includes the following: general funds is $3,027,318, federal funds is $11,991,563, and other funds is $1,548,174. The federal fund sources include the following: Section 110 ($6,531,827), DDS ($2,639,632), Title XIX ($868,308), Medicaid Infrastructure ($500,000), In Service ($20,498), Independent Living ($300,587), Protection Advocacy ($306,711), Assistive Technology Service ($530,000), and Supp Empl. ($294,000).

Senator Drake asked about the assistive technology service. Mr. Kickul said that the program is a federally funded program.

Representative Clark asked how many assistive devices are purchased and how many people are using the devices. Mr. Kickul said that 350 individuals were served with an average expense of $4,000 to $4,500. These assistive devices include: wheel chairs, motorized scooters, and body lifts. The Mike Durfee prison inmates make the body lifts. There were 100 made last year and 82 body lifts have been placed with individuals. Recycling of the assistive devices will take place over the

course of time.

Representative Lange asked about the difference between the Rehabilitation Services and the ATCs. Mr. Kickul said that the Rehabilitation Services have some job shops and the ATCs provide job shops for the Rehabilitation Services Division.

Senator Apa asked about tracking assistive devices. Mr. Kickul said that there is a data base for tracking the assistive devices.

Representative Richter asked about the repair of the assistive devices. Mr. Kickul said that the prison inmates do some repair work.

Representative Klaludt asked about the status of the funding for neuromuscular devices. Mr. Kickul replied that $500,000 remains.

Representative Adelstein asked about the Protection Advocacy funding($306,711). Mr. Kickul responded that these federal funds provide for mandated advocacy services. The Rehabilitation Services accepts funds and allocates monies to communities providing the protection and advocacy services.

Representative Lange asked about the turnover rate in Rehabilitative Services. Mr. Kickul said that there doesn't seem to be an issue with the rehabilitation counselors; there is one vacancy.

Representative Clark requested the agency to provide a directory of program names and their purposes.

DIVISION OF ALCOHOL AND DRUG ABUSE

Mr. Gib Sudbeck, Director, Division of Alcohol and Drug Abuse informed the committee of the mission statement and priority goals of the Division of Alcohol and Drug Abuse (Document #7). The mission statement reads as follows: to reduce the prevalence of substance abuse disorders through prevention and treatment services.

Mr. Sudbeck informed the committee about the primary drug of abuse includes: alcohol (66 percent)and 34 percent in the other category which includes: marijuana (13 percent), no primary drug identified_early intervention (17 percent), methamphetamines/amphetamines (2 percent), cocaine (1 percent), and inhalants (1 percent).

Mr. Sudbeck talked about some of the treatment services which include: crisis intervention, A and D assessment/early intervention, detoxification, outpatient individual counseling, outpatient group counseling, intensive outpatient treatment, day treatment, intensive inpatient A/D treatment, low- intensity residential/adolescents, low-intensity residential, aftercare/relapse programming, rural

outreach activities, continuing professional education/training, and home-based services.

Mr. Sudbeck told the committee that in FY2001, 34,187 hours of prevention services were provided to South Dakota youth. Some of the activities supported include: community mobilization programming, diversion programming, three prevention resource centers (Watertown, Sioux Falls, Rapid City), and training activities for prevention specialists.

Mr. Sudbeck presented the FY2003 total recommended budget as $9,306,363. This is a decrease of $100,887 from the FY2002 approved budget. The FY2003 funding sources for the Alcohol and Drug Abuse Division include: general funds is $2,980,565, federal funds is $6,070,136, and other funds is $255,662. The Governor recommends the elimination of 3.5 FTE Chemical Dependency Counselors and the reduction of $119,190 from the general fund for the salaries and benefits. The positions are part of the substance abuse program for the Department of Corrections. This would reduce the number of FTE positions from 37.5 to 34.0. The reduction is due to the closing of the State Training School in Plankinton. With the reduction, the recommendation for the substance abuse program for Corrections is $1,777,810 which includes $1,208,569 from the general fund and $569,241 from federal funds. This is a decrease of $132,921 (7 percent) from FY2002.

Senator Kleven asked about the treatment center for pregnant girls. Mr. Sudbeck said that there is a treatment center for juvenile girls in Sioux Falls.

Mr. Terry Dosch, Director, Council of Community Substance Abuse/Prevention Programs testified for additional funding.

Senator Kleven made a motion to approve the minutes of January 10, 2002. The second was made by Representative Klaudt. The motion passed by a voice vote. The meeting adjourned at 11:55AM.