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Texas Department of Mental Health
and Mental Retardation Residential Mental Retardation Programs
Purchaser: Texas Department of Mental Health and Mental Retardation
Program: Residential Mental Retardation Program expenditures

Description: The Texas Department of Mental Health and Mental Retardation (MHMR) operates 11 state schools, which provide residential care to people with mental retardation. The state schools are located in Abilene, Austin, Brenham, Corpus Christi, Denton, Lubbock, Lufkin, Mexia, Richmond, San Angelo, and San Antonio. The El Paso State Center and the Rio Grande State Center also provide residential services.

The Legislature provided funding for an enrollment of 5,587 clients in fiscal 1998. The average enrollment for fiscal 1998 was 5,448. The Legislature provided funding for an enrollment of 5,457 clients in fiscal 1999.

MHMR provides 24-hour residential services to people with mental retardation. The projected enrollment decrease from fiscal 1998 to 1999 reflects an ongoing trend of several decades of declining institutional populations as more clients have moved into community-based care. The average monthly cost per bed at the department’s mental retardation facilities was $4,253 in fiscal 1998. In fiscal 1999, the average cost is projected to decline to $4,134 per month.

Each state school operates as a small community, with resident homes, kitchens, medical services, pharmacies, a chapel, training and vocational workshops, recreational, and other facilities located on the premises. The facilities also provide short term care for clients, orthopedic services, consultation, training and technical assistance for individuals, families, and providers.

MHMR spent more than $331 million on residential mental retardation programs in fiscal 1998. Of this total, $300 million was paid with Medicaid funds. Another $2.6 million came from private third-party revenues and revenues from other facilities. The remaining $28.6 million is unduplicated funding.

Texas Total, Fiscal 1998
Amount Spent:
  $ 28,599,882 Unduplicated Residential Mental Retardation Funding
  $303,041,394 Duplicated Funding
  $331,641,276 Total Mental Retardation Residential Program Funding
 
Type of Funding:
Total Mental Retardation Residential Program Funding
  $ 71,351,177 General Revenue
  $233,733,245 Federal Funds
  $ 26,432,858 Appropriated Receipts
  $ 123,996 Interagency Contracts
  $331,641,276 Total Funding

Number of Recipients: The average monthly enrollment for fiscal 1998 was 5,448. The total number of persons receiving campus-based services in fiscal 1998 was 5,858.

Average Amount Spent: $4,253 monthly per resident in fiscal 1998. Expected to decrease to $4,134 in fiscal 1999.

Source: Texas Department of Mental Health and Mental Retardation