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374 <br />Mystic Valley Mental Health Association had submitted a budget <br />for the year 1971 requesting an increase of funds from $8789 <br />paid in 1970 to $19,609.36 for 1971. Dr. Cosgrove went on to <br />say that he did not know what the reaction of the other Board <br />members was but he knew he could not go before the Appropriation <br />Committee and justify this request. I know that the first thing <br />the appropriation committee is going to say is what additional <br />services will the Town receive for this much more money. This <br />budget as submitted is very hard to understand and I could not <br />justify this increase from the information we have. <br />bpd <br />1 <br />Dr. Ellicott: When this Board first met with the repre- <br />sentatives from the Mystic Valley Mental Health Center I was <br />very sympathetic to their cause, but I have spent approximately <br />five hours studying this budget and all the information that <br />has been sent me and I find this budget very unrealistic. I <br />keep remembering what Mr. Lambie said about the increase of 5 <br />additional professional help in a year enlarging the organization <br />to the point of not being able to deliver the services efficiently. <br />Mr. O'Connell: As often happens in State supported agencies <br />the State keeps increasing professional help and the towns are <br />expected to provide the funds for the clerical help. In this case <br />the Towns are also being asked for money to augment the salaries <br />of the professional staff. This does not mean the professionals <br />are working a great many additional hours or giving more service <br />it is a way of bringing professional salaries up higher than <br />the State allows and therefore the Mental Health Center has <br />more bargaining power to get the help they want. Mystic Valley <br />mentions a training session for school personnel, I feel I <br />should point out that the School has in their budget funds which <br />provide counselors for the schools, these counselors are trained <br />before they are hired so I am sure the Lexington Schools would <br />not be using that program. The Mental Health Department has now <br />started to push their program for the education of the mentally <br />retarded child between the ages of 7 to 16. This is a con- <br />tinuance of their kindergarten program for children 3 to 7 yrs. <br />of age. The State Law reads that all children are entitled to <br />an education from age 7 to 16, therefore, the professional help <br />for these youngsters will continue to increase. <br />Dr. Ellicott: I noticed this description of the program <br />to offer counciling services to the schools and I really doubt <br />that the Lexington Schools would use this program. I wondered <br />as I looked at this budget if we would not be better off hiring <br />a private psychiatrist. I checked with one of the psychiatrists <br />in private practice and asked him what he charged per visit and <br />how long he spent with the patient. He said he devoted 55 <br />minutes to the patient and charged $30.00 per 55 minute period. <br />The evaluation and diagnostic hours as listed by Mystic Valley <br />are not charged to the private patient, also private physicians <br />pay their own over -head costs such as rent, telephone, and etc. <br />Mystic Valley has that property tax fr... <br />Mr. Cateldo: I would give this Board the same advise that <br />all the Boards and Department heads have received regarding <br />budgets this year, that is to hold a hard fast line on ex- <br />penditures except where rates or services have changed. This <br />budget is very idealistic, they do pay to have an audit of their <br />becks, do you people get a copy of this audit? <br />1 <br />1 <br />