Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Monday, April 23, 2007

Mentally ill need your help to push Raleigh to fund needed services

Secretary Carmen Hooker Odom and her antisocial lackeys at the Division of Medical Assistance decided last week that they needed another week to analyze the costs of Community Support services. Of course, they didn't see any need to analyze costs at all when Secretary Odom precipitously slashed funding by a third, making the cuts retroactive to March 1. Due to massive public pressure (that's you) the Odom retreated to a position of making the new unsustainable rate begin April 5 and continue until they set a new rate using their magickal After-the-Fact cost analysis.

The Asheville Citizen-Times and the head of Western Highlands Local Mgmt. Entity (the body that ostensibly coordinates services for many of the western counties) have both called for Secretary Odom's dismissal. Reminiscent of George W. Bush's "complete confidence" in Alberto Gonzales, Governor Easley has expressed his complete confidence in Secretary Odom. Her decision to slash rates to $40/hour for a service that breaks even at $53/hour sent the entire state network of private providers into a mad scramble for cash to meet payroll, to keep their doors open.

Hundreds of thousands of mental health service recipients have been affected by the instability brought on by Secretary Hooker Odom's caprice, and over a thousand providers are holding their breath until the Dept. of Health and Human Services releases the new rate. Without a substantial increase in the rate, you can look for providers across the state to close their doors.

Secretary Odom and Governor Easley have decided that, rather than take responsibility for the chaos, they'll blame mental health providers laboring under the system that Odom regularly overturns. They've been calling counselors, psychiatrists, and community support workers "abusers" that "abuse" the system. They're attacking the only people in the state who provide the services. They continue to misrepresent the results of the state audit, which discovered many cases of misuse among the 167 most suspicious companies in the state.

Secretary Odom audited only the companies who were billing outrageous amounts of Community Support. She audited only 1/6th of the service providers in the state, and she has yet to make any of her data open to public scrutiny. She sneakily released the slashed rate on the Thursday before Easter weekend, when no one could do anything about it. She is unconcerned about the 5/6th (or more) of providers who are performing Community Support services with integrity and efficacy. Her rate slash would guarantee worse service for clients, since the $40/hour rate wouldn't allow providers to hire Master's level practitioners. Hooker Odom has demonstrated contempt for recipients, providers, and the public at every turn in this process, and yet Governor Easley continues to give his full support to her irresponsible, dangerous leadership.

The Appropriations Subcommittee on Health and Human Services agreed last week to hold public hearings on this issue, but they have not scheduled the hearing. Budget negotiations are underway, and legislators are swamped with acres of maddening detail. The danger of the Mental Health Crisis being swept under the budgetary rug is great, and that's what I'm writing to ask you all to help with today.

Please contact the three Chairs of the Appropriations Subcommittee to encourage them to schedule this important hearing. Legislators need to understand the precipice at which we stand, the lives that will be forever affected by Hooker Odom's impulsive decision. They need to understand that we're last in the nation in mental health spending and first in the nation in hospitalizations. They need to understand that they'll spend twice as much on institutionalization as they do on prevention and maintenance. They need to understand that the impoverished twelve year old bipolar boy with the bipolar, disabled mother needs Community Support services in order to have a chance at succeeding. They need to understand that slashing the rate is the same as slashing at the lives of thousands and thousands of mentally ill North Carolinians.

Photo Sharing and Video Hosting at PhotobucketPlease contact the Chairs to urge a date for the public hearing.

Rep. Beverly Earle - 919-715-2530
Rep. Verla Insko - 919-929-6115
Rep. Bob England - 919-733-5749

And, while you're at it, feel free to drop a note to...

Secretary Carmen Hooker Odom - (919-733-4534; fax: 919-715-4645)

Governor Mike Easley - (919-733-4240)

Lt. Governor Bev Perdue - (919-733-7350)

Deputy Director Mark Benton - (919) 855-4100; Fax - (919) 733-6608

Your local newspaper

This was written by Screwy Hoolie and posted at BlueNC and Scrutiny Hooligans

Wednesday, April 11, 2007

New information to Save our Mental Health System

Call To ActionTomorrow at 11 a.m. we need bodies to gather at the ,Governor's office, 116 W. Jones St.,the State Capital, 16 W. Jones St. Raleigh. Signs saying "Save Our System" and "Fire Odom" would be appropriate.

As of this afternoon, not one Western North Carolina mental health care provider has figured out a way to stay in business under the recent (and retroactive) fee cuts. The best way to help is call Health and Human Services Secretary Carmen Hooker Odom or Alan Dobson of the Division of Medial Assistance both at 919-733-4534. Or call the Governor at 919-733-4240. Here's a link to email the Governor. And for Odom: carmen.hookerodom@ncmail.net

See yesterday's post for background information on the NC Mental Health Reform

On the afternoon before Good Friday, the North Carolina Division of Medical Assistance (NCDMA) chose to cripple mental health services across the state. This deliberately sneaky move has echoes of White House Friday night document dumps, and the NCDMA thought they could avoid a tsunami of phone calls and emails protesting their catastrophic decision. They thought wrong.

By cutting reimbursement rates for Community Support Services (CSS) from $60/hour to $40/hour, the NCDMA effectively made it impossible for private mental health providers to offer quality services and stay in business. Community Support Services allow mentally ill children and adults to receive needed help in life skills (e.g. balancing a checkbook, managing anger), to access resources like child care and medical services, or to practice behavioral skills vital to living independently. Without these services, many clients will end up unemployed, expelled, or institutionalized.

An emergency committee met on Monday and Tuesday, and mental health providers felt certain they'd see the light and correct the mistake made by the NCDMA. Instead the legislators skulked away from the meeting hoping no one would notice that they'd thrown mental health services under the budgetary bus.

While there are three kinds of CSS workers (Master's level, Bachelor's level, and others), they are all reimbursed at the same rate. The NCDMA falsely asserts that most CSS workers are unskilled know-nothings. A local mental health agency, Appalachian Counseling, which employs dozens of CSS workers, has only two without college degrees and many are Master's level practitioners.

The State government is forcing agencies into a terrible choice - Employ unskilled people to provide complicated services to our neediest citizens or go out of business. Most will choose to do the latter because most mental health agencies aren't in this business to make a buck. They're in it to provide quality mental health services for our most vulnerable citizens.

hands3hr.jpgNow's the time to act. The Secretary of Health and Human Services Carmen Hooker Odom is responsible. Call her at 919-733-4534 and let her know that the cuts in Community Support funding will destroy mental health services and urge them to consider alternatives like this one. They will try to make you call another number which is a "Citizen Services" line and will put you on hold for 20 minutes or more. Insist on leaving a message with the Secretary Odom.

When you're done, call Governor Easley at 919-733-4240.

If you have the time email or write the Citizen-Times:

The Raleigh News and Observer:

And The Charlotte Observer:

This is crossposted at Scrutiny Hooligans and BlueNC and mostly written by Screwy Hoolie.

Tuesday, April 10, 2007

ACTION alert for mental health care funding

If you care about mental health services for the indigent, please join me today in emailing or phoning the legislators involved.

Here's a sample email (please cut, paste, and edit to make it your own):

Dear Senator ________:

Please correct your recent cut of mental health funding for North Carolina's mental health service providers. The budget cuts of the last five years have taken their toll on the service providers who remain in business.

The recent 33% cut is negligent and irresponsible. Those service providers who are defrauding the state should be dealt with separately. It makes no sense to cut services for the least able to defend themselves because a few providers are breaking the rules.

Do you realize that the state is already ranked 50th in per capita mental health funding? Among other unacceptable scenarios, these recent budget cuts will result in untrained police officers having to deal with the dangerously untreated mentally ill.

Please immediately restore the $61/hour payments to those qualified.

As to the future, it's obvious that North Carolina legislators need to completely overhaul our mental health system. The current system is negligent, irresponsible, unacceptable, and unChristian.

Thank you so much for your attention to this matter.

Sincerely,
Your name, address, phone.



Here are the 10th district legislators with email addresses and phone numbers.

Representative Bob England, Cleveland Rutherford, Email: Bobe@ncleg.net 919-733-5749

Representative Debbie Clary, Cleveland, Gaston, Debbiec@ncleg.net, 919-715-2002

Senator Jim Jacumin, Burke, Caldwell, Email: Jimja@ncleg.net (919) 715-7823

Senator Austin Allran, Catawba, Iredell, Email: Austina@ncleg.net (919) 733-5876

Senator James Forrester, Gaston, Iredell, Lincoln, Email: Jamesf@ncleg.net (919) 715-3050

If you would prefer to cut and paste a whole list of emails into your "To" box on your email use these lists:

The House Mental Health Committee members emails:

Beverlye@ncleg.net, Verlai@ncleg.net, Marthaa@ncleg.net, Jeffba@ncleg.net, Williambr@ncleg.net, Vanb@ncleg.net, Debbiec@ncleg.net, Lindac@ncleg.net, Jimcr@ncleg.net, Bobe@ncleg.net, Rickg@ncleg.net, Path@ncleg.net, Carolynj@ncleg.net, Jhl@ncleg.net, Marianm@ncleg.net, Earlinep@ncleg.net, Karenr@ncleg.net, Lauraw@ncleg.net

Link to Senate Mental Health Committee members:

Boba@ncleg.net, Elliek@ncleg.net, martinn@ncleg.net, Charlied@ncleg.net, Jamesf@ncleg.net, Jimja@ncleg.net, Vernonm@ncleg.net, Jeanp@ncleg.net, Williamp@ncleg.net, Larrys@ncleg.net, Johnsn@ncleg.net, abs@ncleg.net

Here are the senator's phone numbers.

Sen. Martin L. Nesbitt, Jr.
(919) 715-3001 or (828) 252-0490

Sen. Austin Murphy Allran
(919) 733-5876 or (828) 322-1410

Sen. Robert C. Atwater
(919) 715-3036 or (919) 715-3036

Sen. Janet Cowell
(919) 715-6400 or (919) 649-4172

Sen. Charlie Smith Dannelly
(919) 733-5955 or (919) 733-5955

Sen. James Summers Forrester
(919) 715-3050 or (704) 263-4716

Sen. Vernon Malone
(919) 733-5880 or (919) 828-5853

Sen. William Robert Purcell, MD
(919) 733-5953 or (910) 276-7328

Sen. Jim Jacumin
(919) 715-7823 or (828) 397-3723

Sen. Eleanor Kinnaird (Dem)
(919) 733-5804 or (919) 929-1607

Sen. Jean Preston
(919) 733-5706 or (252) 354-6993

Sen. Larry Shaw (Dem)
(919) 733-9349 or (910) 323-5303

Sen. John Snow (Dem)
(919) 733-5875 or (828)837-5052

Sen. A. B Swindell (Dem)
(919) 715-3030 or (252) 462-0190