State Codes and Statutes

Statutes > New-york > Mhy > Title-a > Article-5 > 5-07

§  5.07  Establishment  of  statewide  goals  and  objectives; statewide             comprehensive plans of services for the mentally disabled.    (a) (1) The mental health services council and the  advisory  councils  on  mental retardation and developmental disabilities and alcoholism and  substance abuse  services  shall  each  establish  statewide  goals  and  objectives  to  guide  comprehensive  planning,  resource allocation and  evaluation processes for state and local services for the mentally  ill,  mentally  retarded and developmentally disabled and those suffering from  chemical abuse or dependence, respectively. Such  goals  and  objectives  shall:    a. be measurable in terms of attainment;    b.  be  communicated  to providers of services, department facilities,  consumers and consumer representatives, and other appropriate state  and  local governmental agencies;    c.  require  that  all state and local public and private services for  the mentally disabled be organized, staffed and financed  to  best  meet  the  needs of all mentally disabled persons whether receiving in-patient  or non in-patient services;    d. reflect the partnership between state and local governmental units;  and    e. emphasize that gaps in services be filled  and  that  services  are  provided to the multiply disabled.    (2)  Such advisory councils shall establish, review, augment or delete  from such goals and objectives, as appropriate, by means of a continuing  annual goal-setting process which is:    a. open, visible and accessible to the public; and    b.  consistent  with  the  statewide   planning,   appropriation   and  evaluation  processes  and  activities  for  services  to  the  mentally  disabled.    (3) The advisory councils are hereby empowered to hold public hearings  and meetings to enable them to accomplish their duties.    (b)  Statewide  comprehensive  plan  for  services  to  the   mentally  disabled.    (1)   The  office  of  mental  health,  the  office  for  people  with  developmental disabilities and the office of  alcoholism  and  substance  abuse  services shall each formulate a statewide comprehensive five-year  plan for the provision of all state and local services for persons  with  mental  illness and developmental disabilities, and those suffering from  alcoholism  and  substance  abuse,  respectively.  Each  plan  shall  be  formulated  from  local  comprehensive  plans  developed  by  each local  governmental unit, with participation  of  consumers,  consumer  groups,  providers of services and departmental facilities furnishing services to  individuals  with  mental  disabilities  of the area in conformance with  statewide goals and objectives established by the  advisory  council  of  each office. Each plan shall:    a. identify needs and problems which must be addressed during the next  ensuing five years which such plan encompasses;    b. specify time-limited goals to meet those needs;    c.  identify resources to achieve the goals, including but not limited  to resource reallocations;    d. establish priorities for resource allocation;    e. define  the  authority  and  responsibility  for  state  and  local  participation in the delivery of services;    f.  propose  programs to achieve the goals, which programs may include  direct services, development of multi-purpose facilities, contracts  for  services, and innovative financial and organizational relationships with  public and private providers;g.  identify  services and programs that assist the informal caregiver  to care for the mentally disabled; make recommendations to  enhance  the  ability  of  the  informal  caregiver  to  continue  providing care; and  develop strategies for creating informal caregivers for clients  in  the  community who do not have a system in place;    h. analyze current and anticipated utilization of state and local, and  public and private facilities and programs;    i.  encourage  and  promote community-based programs which reflect the  partnership between state and local governmental units; and    j. include progress reports on the implementation of  both  short-term  and  long-term  recommendations of the children's plan required pursuant  to section four hundred eighty-three-f of the social services law.    (2) The commissioner of mental health shall also include the following  in the portion of the statewide  comprehensive  plan  required  by  this  subdivision for services to persons with mental illness:    a.  an  analysis  of  the long-term need for the delivery of inpatient  care and services for adults and children and  youth  at  state-operated  hospitals  as listed in section 7.17 of this chapter, including a review  of statewide policies and trends  relating  to  admissions,  discharges,  deaths,  transfers, and appropriate community placements for inpatients,  and a review of the correlation between these policies  and  trends  and  the  future  use of state inpatient facilities, resulting in a projected  range of the anticipated census  over  the  next  five  years  for  each  state-operated hospital listed in section 7.17 of this chapter;    b.  a  review  of the long-term needs of persons currently residing in  state-operated hospitals, including an estimate of the  number  of  such  individuals  needing state inpatient care, and an estimate of the number  of such individuals who may be discharged to nursing homes, adult homes,  residences operated, licensed or funded by the office of mental  health,  and independent housing;    c.  an  analysis of the anticipated future of the forensic psychiatric  program operated by the office of mental health pursuant to  subdivision  (c) of section 7.09 of this chapter, including a programmatic and fiscal  review  of  clinical  care needs for persons committed to such programs,  identification of service gaps for this population, projected  range  of  anticipated census over the next five years, and any recommendations for  new service configurations;    d.  an  analysis  of  the  anticipated  future  of  the mission of the  state-operated office of mental  health  research  institutes  that  are  listed in section 7.17 of this chapter;    e.  a  description  of  the available community-based acute inpatient,  out-patient, emergency, and community support services. Such description  should include the extent to which these services are currently utilized  by persons with mental illness and, as available, compare  estimates  of  utilization  with  estimates  of  the prevalence of mental illness among  persons residing in the service area to determine unmet need;    f. recommendations for new or expanded programs or services  that  may  be  required  to  meet  the  unmet  need  for  community-based  services  identified in accordance with subparagraph e of this paragraph;    g. a review and evaluation of efforts  undertaken  by  the  office  of  mental health to encourage community hospitals to provide both emergency  and acute inpatient care;    h.  a description of the involvement of local government mental health  authorities  in  the  planning  and  development   of   a   needs-based,  comprehensive  service system and in the determination of the allocation  of resources;    i. to the extent practicable, all such information  required  pursuant  to  this  paragraph  shall  be  provided  on  a  statewide, regional andindividual state-operated hospital and state-operated research institute  basis; and    j.  recommendations  on the provision of state and local mental health  services  based  on  the  development  of  best  practices  by  programs  promoting   culturally   and   linguistically  competent  mental  health  services.    (3) The commissioners of each of the offices shall be responsible  for  the development of such statewide five-year plan for services within the  jurisdiction  of  their  respective  offices and after giving due notice  shall conduct one or more public hearings on  such  plan.  The  advisory  council  of  each  office  shall  review  the  statewide  five year plan  developed by such office and report its recommendations thereon to  such  commissioner.  Each commissioner shall submit the plan, with appropriate  modifications, to the governor no later than the first day of October of  each year in order that such plan may be considered with  the  estimates  of  the offices for the preparation of the executive budget of the state  of New York for the next succeeding state fiscal year.    Each commissioner shall also submit such plan to the legislature.  The  statewide  plan  shall  be  reassessed  and updated at least annually to  encompass the next  ensuing  five  years  to  ensure  responsiveness  to  changing  needs  and  goals  and  to  reflect  the  development  of  new  information and the completion of program evaluations. An interim report  detailing the commissioner's actions in fulfilling the  requirements  of  this section in preparation of the plan and modifications in the plan of  services  being considered by the commissioner shall be submitted to the  governor and the legislature on or before the fifteenth day of  February  of each year. Such interim report shall include, but need not be limited  to:    (a)  actions  to  include participation of consumers, consumer groups,  providers of services and departmental facilities, as required  by  this  subdivision; and    (b)  any modifications in the plan of services being considered by the  commissioner, to include:  (i)  compelling  budgetary,  programmatic  or  clinical  justifications  or  other  major  appropriate  reason  for any  significant new statewide  programs  or  policy  changes  from  a  prior  (approved)  five year comprehensive plan; and (ii) procedures to involve  or inform local governmental units of such actions or plans.    (4) The  commissioner  of  mental  health  in  consultation  with  the  department  of  civil  service, the office of employee relations and any  other appropriate state agency, shall prepare for the governor  and  the  legislature  a  written  evaluation report concerning the retraining and  continuation  of  employment  of   persons   whose   employment   in   a  state-operated  hospital  listed  in section 7.17 of this chapter may be  terminated  because  of  planned  closure  or  consolidation   of   such  state-operated  hospital.  Such report shall include, but not be limited  to:    (i) specific  proposals  to  help  implement  transitional  employment  arrangements   with   state,  local  governmental  units  and  voluntary  agencies;    (ii) specific  proposals  to  help  provide  for  the  development  of  appropriate retraining programs;    (iii)  specific proposals to help provide for continuity of employment  and utilization of alternatives to layoffs;    (iv) specific proposals to help provide for the  active  participation  of  the legal bargaining representatives of the employees of the office,  where appropriate, in the planning for and implementation of  mechanisms  to help ensure continuity of employment;(v)  specific  proposals  to  help  ensure  that  the planning for the  closure or consolidation of state-operated hospitals is consistent  with  the  planning  for  the  continuity  of  employment  of state employees,  including  procedures  to  ensure  timely  notification  of  represented  employees  and their designated legal representatives and managerial and  confidential   employees   regarding   planned   program   closure    or  consolidation of state-operated hospitals; and    (vi)  specific  proposals regarding the establishment of demonstration  projects incorporating staff training, transfers and assignment of staff  of state-operated hospitals to the offices in local  governmental  units  and  in voluntary agencies. Such proposals shall take into consideration  those areas of the state that are determined to be most in need  of  the  development  of appropriate systems of service delivery to best meet the  appropriate needs of persons  with  serious  mental  illness,  including  children and adolescents with serious emotional disturbances.    On  or  before  December first, nineteen hundred ninety-four a copy of  such report, and such recommendations as may be deemed appropriate shall  be submitted to the governor, the temporary president of the senate, the  speaker of the assembly, and the respective  minority  leaders  of  each  such house.    (c) Three year capital plan. (1) On or before July first of each year,  the  commissioners  of  the  offices of the department of mental hygiene  shall each submit to the advisory council of their respective offices  a  statewide three year capital plan for facilities within the jurisdiction  of  their  respective  offices.  The  capital  plan  shall set forth the  projects proposed to be designed, constructed, acquired,  reconstructed,  rehabilitated   or   otherwise   substantially   altered   pursuant   to  appropriation to meet the capital development needs  of  the  respective  agencies  for the next ensuing three years; the years of such plan shall  correspond to the years of the statewide five year plan as  required  by  subdivision (b) of this section.    (2)  Such  plan  for each office shall include but not be limited to a  detailed project schedule indicating the location by county  or  borough  and  estimated  cost of each project, the anticipated dates on which the  design and construction of the project  is  to  commence,  the  proposed  method  of financing for the project, the estimated economic life of the  project  and  whether  the  proposed  project  constitutes  design,  new  construction or rehabilitation.    (3)  Such  plan  shall  further  specify  for each project whether the  project is to be a residential or nonresidential facility,  a  state  or  voluntary  operated  facility,  and, the number of clients, by source of  clients, proposed to utilize the facility. The information on the source  of the client shall include but not  be  limited  to  identification  of  clients  currently  living  independently,  or at home with families, or  with caretakers, clients defined by their respective agencies as special  populations, or clients currently residing in an  institutional  setting  under the jurisdiction of the offices of the department.    (4)  The  advisory council of the appropriate office shall review such  plan and report its recommendation to the  commissioner  for  inclusion,  provided, however, that the mental health services council shall forward  its  comments  on the capital plan of the office of mental health to the  mental health planning council which shall forward such  recommendations  after  review  to  the  commissioner  of mental health. The commissioner  shall submit his or her plan with  the  formal  recommendations  of  the  advisory  council  of  his  or her office and any subsequent appropriate  modifications to the governor no later than the first day of October  of  each  year  or  concurrent  with  the annual submission of estimates and  information required by section one of article seven of the constitutionin order that such plans shall be considered with the estimates  of  the  offices  for the preparation of the executive budget of the state of New  York for the next succeeding state fiscal year. The commissioners  shall  also  submit  such plans to the chairmen of the senate finance committee  and the assembly ways and means committee.    (5) Each statewide three year capital plan  for  facilities  shall  be  evaluated  and  revised  annually  to  encompass the fiscal year then in  progress and the next ensuing two fiscal years to ensure  responsiveness  to  the  changing  needs and goals of the department, and to reflect the  development of new information and project completion.

State Codes and Statutes

Statutes > New-york > Mhy > Title-a > Article-5 > 5-07

§  5.07  Establishment  of  statewide  goals  and  objectives; statewide             comprehensive plans of services for the mentally disabled.    (a) (1) The mental health services council and the  advisory  councils  on  mental retardation and developmental disabilities and alcoholism and  substance abuse  services  shall  each  establish  statewide  goals  and  objectives  to  guide  comprehensive  planning,  resource allocation and  evaluation processes for state and local services for the mentally  ill,  mentally  retarded and developmentally disabled and those suffering from  chemical abuse or dependence, respectively. Such  goals  and  objectives  shall:    a. be measurable in terms of attainment;    b.  be  communicated  to providers of services, department facilities,  consumers and consumer representatives, and other appropriate state  and  local governmental agencies;    c.  require  that  all state and local public and private services for  the mentally disabled be organized, staffed and financed  to  best  meet  the  needs of all mentally disabled persons whether receiving in-patient  or non in-patient services;    d. reflect the partnership between state and local governmental units;  and    e. emphasize that gaps in services be filled  and  that  services  are  provided to the multiply disabled.    (2)  Such advisory councils shall establish, review, augment or delete  from such goals and objectives, as appropriate, by means of a continuing  annual goal-setting process which is:    a. open, visible and accessible to the public; and    b.  consistent  with  the  statewide   planning,   appropriation   and  evaluation  processes  and  activities  for  services  to  the  mentally  disabled.    (3) The advisory councils are hereby empowered to hold public hearings  and meetings to enable them to accomplish their duties.    (b)  Statewide  comprehensive  plan  for  services  to  the   mentally  disabled.    (1)   The  office  of  mental  health,  the  office  for  people  with  developmental disabilities and the office of  alcoholism  and  substance  abuse  services shall each formulate a statewide comprehensive five-year  plan for the provision of all state and local services for persons  with  mental  illness and developmental disabilities, and those suffering from  alcoholism  and  substance  abuse,  respectively.  Each  plan  shall  be  formulated  from  local  comprehensive  plans  developed  by  each local  governmental unit, with participation  of  consumers,  consumer  groups,  providers of services and departmental facilities furnishing services to  individuals  with  mental  disabilities  of the area in conformance with  statewide goals and objectives established by the  advisory  council  of  each office. Each plan shall:    a. identify needs and problems which must be addressed during the next  ensuing five years which such plan encompasses;    b. specify time-limited goals to meet those needs;    c.  identify resources to achieve the goals, including but not limited  to resource reallocations;    d. establish priorities for resource allocation;    e. define  the  authority  and  responsibility  for  state  and  local  participation in the delivery of services;    f.  propose  programs to achieve the goals, which programs may include  direct services, development of multi-purpose facilities, contracts  for  services, and innovative financial and organizational relationships with  public and private providers;g.  identify  services and programs that assist the informal caregiver  to care for the mentally disabled; make recommendations to  enhance  the  ability  of  the  informal  caregiver  to  continue  providing care; and  develop strategies for creating informal caregivers for clients  in  the  community who do not have a system in place;    h. analyze current and anticipated utilization of state and local, and  public and private facilities and programs;    i.  encourage  and  promote community-based programs which reflect the  partnership between state and local governmental units; and    j. include progress reports on the implementation of  both  short-term  and  long-term  recommendations of the children's plan required pursuant  to section four hundred eighty-three-f of the social services law.    (2) The commissioner of mental health shall also include the following  in the portion of the statewide  comprehensive  plan  required  by  this  subdivision for services to persons with mental illness:    a.  an  analysis  of  the long-term need for the delivery of inpatient  care and services for adults and children and  youth  at  state-operated  hospitals  as listed in section 7.17 of this chapter, including a review  of statewide policies and trends  relating  to  admissions,  discharges,  deaths,  transfers, and appropriate community placements for inpatients,  and a review of the correlation between these policies  and  trends  and  the  future  use of state inpatient facilities, resulting in a projected  range of the anticipated census  over  the  next  five  years  for  each  state-operated hospital listed in section 7.17 of this chapter;    b.  a  review  of the long-term needs of persons currently residing in  state-operated hospitals, including an estimate of the  number  of  such  individuals  needing state inpatient care, and an estimate of the number  of such individuals who may be discharged to nursing homes, adult homes,  residences operated, licensed or funded by the office of mental  health,  and independent housing;    c.  an  analysis of the anticipated future of the forensic psychiatric  program operated by the office of mental health pursuant to  subdivision  (c) of section 7.09 of this chapter, including a programmatic and fiscal  review  of  clinical  care needs for persons committed to such programs,  identification of service gaps for this population, projected  range  of  anticipated census over the next five years, and any recommendations for  new service configurations;    d.  an  analysis  of  the  anticipated  future  of  the mission of the  state-operated office of mental  health  research  institutes  that  are  listed in section 7.17 of this chapter;    e.  a  description  of  the available community-based acute inpatient,  out-patient, emergency, and community support services. Such description  should include the extent to which these services are currently utilized  by persons with mental illness and, as available, compare  estimates  of  utilization  with  estimates  of  the prevalence of mental illness among  persons residing in the service area to determine unmet need;    f. recommendations for new or expanded programs or services  that  may  be  required  to  meet  the  unmet  need  for  community-based  services  identified in accordance with subparagraph e of this paragraph;    g. a review and evaluation of efforts  undertaken  by  the  office  of  mental health to encourage community hospitals to provide both emergency  and acute inpatient care;    h.  a description of the involvement of local government mental health  authorities  in  the  planning  and  development   of   a   needs-based,  comprehensive  service system and in the determination of the allocation  of resources;    i. to the extent practicable, all such information  required  pursuant  to  this  paragraph  shall  be  provided  on  a  statewide, regional andindividual state-operated hospital and state-operated research institute  basis; and    j.  recommendations  on the provision of state and local mental health  services  based  on  the  development  of  best  practices  by  programs  promoting   culturally   and   linguistically  competent  mental  health  services.    (3) The commissioners of each of the offices shall be responsible  for  the development of such statewide five-year plan for services within the  jurisdiction  of  their  respective  offices and after giving due notice  shall conduct one or more public hearings on  such  plan.  The  advisory  council  of  each  office  shall  review  the  statewide  five year plan  developed by such office and report its recommendations thereon to  such  commissioner.  Each commissioner shall submit the plan, with appropriate  modifications, to the governor no later than the first day of October of  each year in order that such plan may be considered with  the  estimates  of  the offices for the preparation of the executive budget of the state  of New York for the next succeeding state fiscal year.    Each commissioner shall also submit such plan to the legislature.  The  statewide  plan  shall  be  reassessed  and updated at least annually to  encompass the next  ensuing  five  years  to  ensure  responsiveness  to  changing  needs  and  goals  and  to  reflect  the  development  of  new  information and the completion of program evaluations. An interim report  detailing the commissioner's actions in fulfilling the  requirements  of  this section in preparation of the plan and modifications in the plan of  services  being considered by the commissioner shall be submitted to the  governor and the legislature on or before the fifteenth day of  February  of each year. Such interim report shall include, but need not be limited  to:    (a)  actions  to  include participation of consumers, consumer groups,  providers of services and departmental facilities, as required  by  this  subdivision; and    (b)  any modifications in the plan of services being considered by the  commissioner, to include:  (i)  compelling  budgetary,  programmatic  or  clinical  justifications  or  other  major  appropriate  reason  for any  significant new statewide  programs  or  policy  changes  from  a  prior  (approved)  five year comprehensive plan; and (ii) procedures to involve  or inform local governmental units of such actions or plans.    (4) The  commissioner  of  mental  health  in  consultation  with  the  department  of  civil  service, the office of employee relations and any  other appropriate state agency, shall prepare for the governor  and  the  legislature  a  written  evaluation report concerning the retraining and  continuation  of  employment  of   persons   whose   employment   in   a  state-operated  hospital  listed  in section 7.17 of this chapter may be  terminated  because  of  planned  closure  or  consolidation   of   such  state-operated  hospital.  Such report shall include, but not be limited  to:    (i) specific  proposals  to  help  implement  transitional  employment  arrangements   with   state,  local  governmental  units  and  voluntary  agencies;    (ii) specific  proposals  to  help  provide  for  the  development  of  appropriate retraining programs;    (iii)  specific proposals to help provide for continuity of employment  and utilization of alternatives to layoffs;    (iv) specific proposals to help provide for the  active  participation  of  the legal bargaining representatives of the employees of the office,  where appropriate, in the planning for and implementation of  mechanisms  to help ensure continuity of employment;(v)  specific  proposals  to  help  ensure  that  the planning for the  closure or consolidation of state-operated hospitals is consistent  with  the  planning  for  the  continuity  of  employment  of state employees,  including  procedures  to  ensure  timely  notification  of  represented  employees  and their designated legal representatives and managerial and  confidential   employees   regarding   planned   program   closure    or  consolidation of state-operated hospitals; and    (vi)  specific  proposals regarding the establishment of demonstration  projects incorporating staff training, transfers and assignment of staff  of state-operated hospitals to the offices in local  governmental  units  and  in voluntary agencies. Such proposals shall take into consideration  those areas of the state that are determined to be most in need  of  the  development  of appropriate systems of service delivery to best meet the  appropriate needs of persons  with  serious  mental  illness,  including  children and adolescents with serious emotional disturbances.    On  or  before  December first, nineteen hundred ninety-four a copy of  such report, and such recommendations as may be deemed appropriate shall  be submitted to the governor, the temporary president of the senate, the  speaker of the assembly, and the respective  minority  leaders  of  each  such house.    (c) Three year capital plan. (1) On or before July first of each year,  the  commissioners  of  the  offices of the department of mental hygiene  shall each submit to the advisory council of their respective offices  a  statewide three year capital plan for facilities within the jurisdiction  of  their  respective  offices.  The  capital  plan  shall set forth the  projects proposed to be designed, constructed, acquired,  reconstructed,  rehabilitated   or   otherwise   substantially   altered   pursuant   to  appropriation to meet the capital development needs  of  the  respective  agencies  for the next ensuing three years; the years of such plan shall  correspond to the years of the statewide five year plan as  required  by  subdivision (b) of this section.    (2)  Such  plan  for each office shall include but not be limited to a  detailed project schedule indicating the location by county  or  borough  and  estimated  cost of each project, the anticipated dates on which the  design and construction of the project  is  to  commence,  the  proposed  method  of financing for the project, the estimated economic life of the  project  and  whether  the  proposed  project  constitutes  design,  new  construction or rehabilitation.    (3)  Such  plan  shall  further  specify  for each project whether the  project is to be a residential or nonresidential facility,  a  state  or  voluntary  operated  facility,  and, the number of clients, by source of  clients, proposed to utilize the facility. The information on the source  of the client shall include but not  be  limited  to  identification  of  clients  currently  living  independently,  or at home with families, or  with caretakers, clients defined by their respective agencies as special  populations, or clients currently residing in an  institutional  setting  under the jurisdiction of the offices of the department.    (4)  The  advisory council of the appropriate office shall review such  plan and report its recommendation to the  commissioner  for  inclusion,  provided, however, that the mental health services council shall forward  its  comments  on the capital plan of the office of mental health to the  mental health planning council which shall forward such  recommendations  after  review  to  the  commissioner  of mental health. The commissioner  shall submit his or her plan with  the  formal  recommendations  of  the  advisory  council  of  his  or her office and any subsequent appropriate  modifications to the governor no later than the first day of October  of  each  year  or  concurrent  with  the annual submission of estimates and  information required by section one of article seven of the constitutionin order that such plans shall be considered with the estimates  of  the  offices  for the preparation of the executive budget of the state of New  York for the next succeeding state fiscal year. The commissioners  shall  also  submit  such plans to the chairmen of the senate finance committee  and the assembly ways and means committee.    (5) Each statewide three year capital plan  for  facilities  shall  be  evaluated  and  revised  annually  to  encompass the fiscal year then in  progress and the next ensuing two fiscal years to ensure  responsiveness  to  the  changing  needs and goals of the department, and to reflect the  development of new information and project completion.

State Codes and Statutes

State Codes and Statutes

Statutes > New-york > Mhy > Title-a > Article-5 > 5-07

§  5.07  Establishment  of  statewide  goals  and  objectives; statewide             comprehensive plans of services for the mentally disabled.    (a) (1) The mental health services council and the  advisory  councils  on  mental retardation and developmental disabilities and alcoholism and  substance abuse  services  shall  each  establish  statewide  goals  and  objectives  to  guide  comprehensive  planning,  resource allocation and  evaluation processes for state and local services for the mentally  ill,  mentally  retarded and developmentally disabled and those suffering from  chemical abuse or dependence, respectively. Such  goals  and  objectives  shall:    a. be measurable in terms of attainment;    b.  be  communicated  to providers of services, department facilities,  consumers and consumer representatives, and other appropriate state  and  local governmental agencies;    c.  require  that  all state and local public and private services for  the mentally disabled be organized, staffed and financed  to  best  meet  the  needs of all mentally disabled persons whether receiving in-patient  or non in-patient services;    d. reflect the partnership between state and local governmental units;  and    e. emphasize that gaps in services be filled  and  that  services  are  provided to the multiply disabled.    (2)  Such advisory councils shall establish, review, augment or delete  from such goals and objectives, as appropriate, by means of a continuing  annual goal-setting process which is:    a. open, visible and accessible to the public; and    b.  consistent  with  the  statewide   planning,   appropriation   and  evaluation  processes  and  activities  for  services  to  the  mentally  disabled.    (3) The advisory councils are hereby empowered to hold public hearings  and meetings to enable them to accomplish their duties.    (b)  Statewide  comprehensive  plan  for  services  to  the   mentally  disabled.    (1)   The  office  of  mental  health,  the  office  for  people  with  developmental disabilities and the office of  alcoholism  and  substance  abuse  services shall each formulate a statewide comprehensive five-year  plan for the provision of all state and local services for persons  with  mental  illness and developmental disabilities, and those suffering from  alcoholism  and  substance  abuse,  respectively.  Each  plan  shall  be  formulated  from  local  comprehensive  plans  developed  by  each local  governmental unit, with participation  of  consumers,  consumer  groups,  providers of services and departmental facilities furnishing services to  individuals  with  mental  disabilities  of the area in conformance with  statewide goals and objectives established by the  advisory  council  of  each office. Each plan shall:    a. identify needs and problems which must be addressed during the next  ensuing five years which such plan encompasses;    b. specify time-limited goals to meet those needs;    c.  identify resources to achieve the goals, including but not limited  to resource reallocations;    d. establish priorities for resource allocation;    e. define  the  authority  and  responsibility  for  state  and  local  participation in the delivery of services;    f.  propose  programs to achieve the goals, which programs may include  direct services, development of multi-purpose facilities, contracts  for  services, and innovative financial and organizational relationships with  public and private providers;g.  identify  services and programs that assist the informal caregiver  to care for the mentally disabled; make recommendations to  enhance  the  ability  of  the  informal  caregiver  to  continue  providing care; and  develop strategies for creating informal caregivers for clients  in  the  community who do not have a system in place;    h. analyze current and anticipated utilization of state and local, and  public and private facilities and programs;    i.  encourage  and  promote community-based programs which reflect the  partnership between state and local governmental units; and    j. include progress reports on the implementation of  both  short-term  and  long-term  recommendations of the children's plan required pursuant  to section four hundred eighty-three-f of the social services law.    (2) The commissioner of mental health shall also include the following  in the portion of the statewide  comprehensive  plan  required  by  this  subdivision for services to persons with mental illness:    a.  an  analysis  of  the long-term need for the delivery of inpatient  care and services for adults and children and  youth  at  state-operated  hospitals  as listed in section 7.17 of this chapter, including a review  of statewide policies and trends  relating  to  admissions,  discharges,  deaths,  transfers, and appropriate community placements for inpatients,  and a review of the correlation between these policies  and  trends  and  the  future  use of state inpatient facilities, resulting in a projected  range of the anticipated census  over  the  next  five  years  for  each  state-operated hospital listed in section 7.17 of this chapter;    b.  a  review  of the long-term needs of persons currently residing in  state-operated hospitals, including an estimate of the  number  of  such  individuals  needing state inpatient care, and an estimate of the number  of such individuals who may be discharged to nursing homes, adult homes,  residences operated, licensed or funded by the office of mental  health,  and independent housing;    c.  an  analysis of the anticipated future of the forensic psychiatric  program operated by the office of mental health pursuant to  subdivision  (c) of section 7.09 of this chapter, including a programmatic and fiscal  review  of  clinical  care needs for persons committed to such programs,  identification of service gaps for this population, projected  range  of  anticipated census over the next five years, and any recommendations for  new service configurations;    d.  an  analysis  of  the  anticipated  future  of  the mission of the  state-operated office of mental  health  research  institutes  that  are  listed in section 7.17 of this chapter;    e.  a  description  of  the available community-based acute inpatient,  out-patient, emergency, and community support services. Such description  should include the extent to which these services are currently utilized  by persons with mental illness and, as available, compare  estimates  of  utilization  with  estimates  of  the prevalence of mental illness among  persons residing in the service area to determine unmet need;    f. recommendations for new or expanded programs or services  that  may  be  required  to  meet  the  unmet  need  for  community-based  services  identified in accordance with subparagraph e of this paragraph;    g. a review and evaluation of efforts  undertaken  by  the  office  of  mental health to encourage community hospitals to provide both emergency  and acute inpatient care;    h.  a description of the involvement of local government mental health  authorities  in  the  planning  and  development   of   a   needs-based,  comprehensive  service system and in the determination of the allocation  of resources;    i. to the extent practicable, all such information  required  pursuant  to  this  paragraph  shall  be  provided  on  a  statewide, regional andindividual state-operated hospital and state-operated research institute  basis; and    j.  recommendations  on the provision of state and local mental health  services  based  on  the  development  of  best  practices  by  programs  promoting   culturally   and   linguistically  competent  mental  health  services.    (3) The commissioners of each of the offices shall be responsible  for  the development of such statewide five-year plan for services within the  jurisdiction  of  their  respective  offices and after giving due notice  shall conduct one or more public hearings on  such  plan.  The  advisory  council  of  each  office  shall  review  the  statewide  five year plan  developed by such office and report its recommendations thereon to  such  commissioner.  Each commissioner shall submit the plan, with appropriate  modifications, to the governor no later than the first day of October of  each year in order that such plan may be considered with  the  estimates  of  the offices for the preparation of the executive budget of the state  of New York for the next succeeding state fiscal year.    Each commissioner shall also submit such plan to the legislature.  The  statewide  plan  shall  be  reassessed  and updated at least annually to  encompass the next  ensuing  five  years  to  ensure  responsiveness  to  changing  needs  and  goals  and  to  reflect  the  development  of  new  information and the completion of program evaluations. An interim report  detailing the commissioner's actions in fulfilling the  requirements  of  this section in preparation of the plan and modifications in the plan of  services  being considered by the commissioner shall be submitted to the  governor and the legislature on or before the fifteenth day of  February  of each year. Such interim report shall include, but need not be limited  to:    (a)  actions  to  include participation of consumers, consumer groups,  providers of services and departmental facilities, as required  by  this  subdivision; and    (b)  any modifications in the plan of services being considered by the  commissioner, to include:  (i)  compelling  budgetary,  programmatic  or  clinical  justifications  or  other  major  appropriate  reason  for any  significant new statewide  programs  or  policy  changes  from  a  prior  (approved)  five year comprehensive plan; and (ii) procedures to involve  or inform local governmental units of such actions or plans.    (4) The  commissioner  of  mental  health  in  consultation  with  the  department  of  civil  service, the office of employee relations and any  other appropriate state agency, shall prepare for the governor  and  the  legislature  a  written  evaluation report concerning the retraining and  continuation  of  employment  of   persons   whose   employment   in   a  state-operated  hospital  listed  in section 7.17 of this chapter may be  terminated  because  of  planned  closure  or  consolidation   of   such  state-operated  hospital.  Such report shall include, but not be limited  to:    (i) specific  proposals  to  help  implement  transitional  employment  arrangements   with   state,  local  governmental  units  and  voluntary  agencies;    (ii) specific  proposals  to  help  provide  for  the  development  of  appropriate retraining programs;    (iii)  specific proposals to help provide for continuity of employment  and utilization of alternatives to layoffs;    (iv) specific proposals to help provide for the  active  participation  of  the legal bargaining representatives of the employees of the office,  where appropriate, in the planning for and implementation of  mechanisms  to help ensure continuity of employment;(v)  specific  proposals  to  help  ensure  that  the planning for the  closure or consolidation of state-operated hospitals is consistent  with  the  planning  for  the  continuity  of  employment  of state employees,  including  procedures  to  ensure  timely  notification  of  represented  employees  and their designated legal representatives and managerial and  confidential   employees   regarding   planned   program   closure    or  consolidation of state-operated hospitals; and    (vi)  specific  proposals regarding the establishment of demonstration  projects incorporating staff training, transfers and assignment of staff  of state-operated hospitals to the offices in local  governmental  units  and  in voluntary agencies. Such proposals shall take into consideration  those areas of the state that are determined to be most in need  of  the  development  of appropriate systems of service delivery to best meet the  appropriate needs of persons  with  serious  mental  illness,  including  children and adolescents with serious emotional disturbances.    On  or  before  December first, nineteen hundred ninety-four a copy of  such report, and such recommendations as may be deemed appropriate shall  be submitted to the governor, the temporary president of the senate, the  speaker of the assembly, and the respective  minority  leaders  of  each  such house.    (c) Three year capital plan. (1) On or before July first of each year,  the  commissioners  of  the  offices of the department of mental hygiene  shall each submit to the advisory council of their respective offices  a  statewide three year capital plan for facilities within the jurisdiction  of  their  respective  offices.  The  capital  plan  shall set forth the  projects proposed to be designed, constructed, acquired,  reconstructed,  rehabilitated   or   otherwise   substantially   altered   pursuant   to  appropriation to meet the capital development needs  of  the  respective  agencies  for the next ensuing three years; the years of such plan shall  correspond to the years of the statewide five year plan as  required  by  subdivision (b) of this section.    (2)  Such  plan  for each office shall include but not be limited to a  detailed project schedule indicating the location by county  or  borough  and  estimated  cost of each project, the anticipated dates on which the  design and construction of the project  is  to  commence,  the  proposed  method  of financing for the project, the estimated economic life of the  project  and  whether  the  proposed  project  constitutes  design,  new  construction or rehabilitation.    (3)  Such  plan  shall  further  specify  for each project whether the  project is to be a residential or nonresidential facility,  a  state  or  voluntary  operated  facility,  and, the number of clients, by source of  clients, proposed to utilize the facility. The information on the source  of the client shall include but not  be  limited  to  identification  of  clients  currently  living  independently,  or at home with families, or  with caretakers, clients defined by their respective agencies as special  populations, or clients currently residing in an  institutional  setting  under the jurisdiction of the offices of the department.    (4)  The  advisory council of the appropriate office shall review such  plan and report its recommendation to the  commissioner  for  inclusion,  provided, however, that the mental health services council shall forward  its  comments  on the capital plan of the office of mental health to the  mental health planning council which shall forward such  recommendations  after  review  to  the  commissioner  of mental health. The commissioner  shall submit his or her plan with  the  formal  recommendations  of  the  advisory  council  of  his  or her office and any subsequent appropriate  modifications to the governor no later than the first day of October  of  each  year  or  concurrent  with  the annual submission of estimates and  information required by section one of article seven of the constitutionin order that such plans shall be considered with the estimates  of  the  offices  for the preparation of the executive budget of the state of New  York for the next succeeding state fiscal year. The commissioners  shall  also  submit  such plans to the chairmen of the senate finance committee  and the assembly ways and means committee.    (5) Each statewide three year capital plan  for  facilities  shall  be  evaluated  and  revised  annually  to  encompass the fiscal year then in  progress and the next ensuing two fiscal years to ensure  responsiveness  to  the  changing  needs and goals of the department, and to reflect the  development of new information and project completion.