The State Budget Crisis, Part 3

Oklahoma’s legislature returns to the state capitol on Monday, February 1 to begin the 2010 legislative session. The state’s budget crisis will be the dominant issue of the session, as state leaders struggle to fill a budget hole of more than $700 million in the current fiscal year and an expected revenue shortfall of more than $900 million for FY 2010-11.
All agencies are concerned about the shortfall and the resulting cuts. This week’s guests, Mental Health and Substance Abuse Services Commissioner Terri White and Office of Juvenile Affairs Executive Director Gene Christian, are concerned about reduction in services and the increased expenses involved in cost-cutting. Such is the conundrum they face, and discuss on the program.
White has had to cut about $7.5 million from her agency’s budget, which has resulted in furloughs of senior staff, reduction in private contracts, loss of about 100 substance abuse beds (with a waiting list of 600-900 for in-patient treatment) and has laid off more than 50 employees from facilities in Norman and Tahlequah. She says as the number of direct care providers is reduced, patients not receiving treatment will stress the juvenile and adult corrections systems.
“When we don’t serve folks, they end up in more expensive systems, whether it’s the juvenile corrections system, whether it’s the adult corrections system, whether kids wind up in foster care, because their parents are neglectful because of their addictions,” said White. “So, the state ends up paying more tax dollars in the end and those folks don’t get help. Our waiting lists go up and emergency room use is increased, and law enforcement sees a huge demand on its services.”
Christian is concerned with the potential increase in juvenile offenders. He said the number of juveniles in the Oklahoma system has actually been going down since peaking in the 1990’s due to the success of intervention programs implemented by the Department of Human Services and Mental Health & Substance Abuse Services. However, that slight decrease nationally has been accompanies by an increase in more violent crimes attributed to the influence of gangs.
Christian said prevention dollars are most cost-effective, because it costs a lot less to prevent crime than it does to punish it. It costs from $200 to $250 per secure bed per day to house a juvenile in the Oklahoma system, according to Christian. White said mental health costs run only $15-25 per day in community settings with great outcomes. However, due to the economic downturn, there is a rise in suicides, substance abuse, stress on families and students dropping out of school (some of whom are ripe for recruitment into gangs). So, the state’s economic woes create a vicious cycle - what White called a “triple-whammy": increased demand for mental health and substance abuse services, fewer services available and increased stress on communities due to the loss of workers from the system (because of job losses).
White, who is also Oklahoma’s Secretary of Health, proudly pointed out that Oklahoma has improved its mental health delivery system, so much so that Oklahoma scored a “B” grade in the National Alliance on Mental Illness (NAMI) 2009 Grading the States report. White said Oklahoma moved from a “D” to a “B” in a span of three years, and was one of only 6 states to score a “B.” Lack of funding, she said, prevented Oklahoma from reaching the grade of “A.”
Another area that needs shoring up is the number of youth treated for mental health and substance abuse issues. White said Oklahoma serves only about a third of the people who need such services in Oklahoma, and less than 10% of youth. And, White said the situation is worse in rural areas than in the cities “as the door (to access to treatment) keeps getting narrower and narrower.”
The Office of Juvenile Affairs is facing its own crunch. It has cut about $7 million from its budget by reducing rates paid to private service providers and furloughing senior staff (beginning last October). Christian is now looking at furloughs of direct care staff and a further reduction in the number of beds. He said the state’s juvenile corrections system had about 1,000 secure beds in 2000, but has fewer than 300 just ten years later. That problem is likely to get worse before it gets better, since he is having to shut down some of the cottages at the L.E. Rader Center in Sand Springs, which is the state’s only maximum security lockup for juveniles. That will require, Christian said, the need to transfer youth to another facility or find private placement.
As you’ll see from the program, these two agencies work together to reduce Oklahoma’s reliance on a more costly corrections system which also needs additional funding (the budget agreement reached last week by Governor Brad Henry, Senate President Pro Tempore Glenn Coffee and Speaker of the House Chris Benge will provide a supplemental appropriation of $7.2 million to the Department of Corrections). It’s a good, substantive discussion that helps set the stage for the legislative session which begins with Governor Henry’s State of the State address on Monday.
Until next time,
Dick Pryor
(Pictured above, left to right: Host Dick Pryor, Terri White, Gene Christian)



