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Find Help. Find Hope.
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July 2012 Journal Email: [email protected] Website: www.namigdm.org
Mailing address: Box 12174, Des Moines 50312 Phone number: (515) 277-0672
“Education, Support, Advocacy and Research” Serving Polk, Dallas, Warren, and Madison counties
Mission statement Empowering individuals, families and community by providing
hope and education about brain disorders Join NAMI with a single click of your mouse! Become a member at the local, state, and national level. www.namigdm.org (click on blue “donate” box at the right on the task bar at the top of the screen) - or – go to www.nami.org/JOIN
Letters to the Editor
You are welcome to send letters to the editor by mail or email. Communicate to Box 12174, Des Moines, Iowa 50312 or email: [email protected] or [email protected] . NAMI Greater Des Moines is the local affiliate 515-277-0672. NAMI Iowa Office is the state affiliate 254-0417 or toll free 1-800-417-0417 www.namiiowa.org. NAMI National’s website is www.nami.org. Each level of the organization is a separate 501(c) (3).
In this issue –
Page 1 Calendar of events Page 2 NAMI Educational Opportunities Page 3 Support Group Opportunities Page 4 Tell Me Where to Turn Page 5 Resources - NAMI GDM information
Page 6 Advocacy Pages 7-8 SF 2312 Judicial Bill Summary Pages 8-11 SF 2315 Mental Health Redesign Summary Pages 12-13 Articles of interest Page 14 - How can you help individuals with mental
illness and their families?
June Iowa Dept. of Education newsletter One of our favorite quotes:
“I've come to the frightening conclusion that I am the decisive element in the classroom. It's my daily mood that makes the weather. As a teacher, I possess a tremendous power to make a child's life miserable or joyous. I can be a tool of torture or an instrument of inspiration. I can humiliate or humor, hurt or heal. In all situations, it is my response that decides whether a crisis will be escalated or de-escalated and a child humanized or dehumanized.” Dr. Haim Ginot
Month of July National Minority Mental Health Month
Friday, July 6 NAMI GDM Executive Board meeting Noon - Applebee’s, SE 14th
and Army Post Road
Wednesday, July 11 NAMI GDM Business meeting 4:30 P.M. - Eyerly-Ball Community Mental Health Center, 945 19
th St.
Monday, July 16 AMOS Mental Health Workgroup 4 PM - Central Presbyterian Church on Grand Avenue
Wednesday, July 18 Iowa Mental Health Planning Council Iowa Medical and Classification Center at Oakdale
Thursday, July 19 MHDS Commission United Way Conference Center, 1111 9th
St., DM Room E – 9:30 AM to 3:00 PM
Tuesday, July 24 Minkoff & Cline Co-Occurring Training For more information, contact Meredith Field at the U. of Iowa – [email protected] 319-384-6797
Friday, August 3 NAMI GDM Executive Board meeting Applebee’s, SE 14th
and Army Post Road
Tuesday, August 7 NAMI Walks Kick-Off Luncheon Holiday Inn, Urbandale – contact NAMI Iowa for more information 515-254-0417 or [email protected]
Wednesday, August 8 NAMI GDM Business meeting 4:30 P.M. - Eyerly-Ball Community Mental Health Center, 945 19
th St.
Tuesday thru Thursday Aug. 7-9
Iowa Empowerment Conference-
please contact: Deb Williams at [email protected] or 641-753-7414.
Des Moines Airport Holiday Inn - “Back to Basics: Mind and Body – Empower All of Me”
Thursday, August 16 MHDS Commission Child Serve, 5406 Merle Hay Road, Johnston, IA Training Room – 9:30 AM to 3 PM
Thursday, Friday August 16-17
Self Employment Seminar for Persons with Disabilities
Iowa Works Office, 430 Grand, 3
rd Floor Board room
How to Register: Just show up!
Why self employment makes sense; principles of small business ownership; how to use Social Security work incentives (PASS, PESS, IDA); how to get help writing a business plan and accessing other unique resources. http://www.iowawipa.org/wipa-trainings.html
Monday, August 20 AMOS Mental Health Workgroup 4 P.M. - Central Presbyterian Church on Grand
Tuesday, August 21 AMOS Community Conversation Noon to 2 PM – Central Presbyterian Church
Mon-Wed August 20-22
2012 CIT International Conference South Point Hotel and Casino in Las Vegas http://www.citinternational.org/
www.namigdm.org (515) 277-0672 [email protected]
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Mental Health First Aid
A 12 hour Mental Health First Aid Training Course Cost is $25 per person. Minimum class size is 10 with a maximum of 20 to 25. To read more about the program, go to: http://www.mentalhealthfirstaid.org/cs/program_overview/
If your organization would like to schedule the training – or – if you would like to sign up for an open enrollment class, please contact Cece at 276-7871 or [email protected] or Teresa at 274-6876 or [email protected] -
Family to Family – a
free 12 week class for family members of adults
with mental illness. Another set of classes will be held in the fall starting the last week in August. To sign up, contact Teresa at 274-6876 or [email protected] or Grace at 961-6671 or [email protected]
To read more about the class go to: http://www.nami.org/Template.cfm?Section=Family-to-Family&lstid=605 or go to www.namigdm.org
Peer to Peer – a free 10
week course for persons stable and working
towards recovery. To attend the class, contact Jim Goodrich [email protected] or 490-2758. To read more about the class – go to: http://www.nami.org/template.cfm?section=Peer-to-Peer or go to www.namigdm.org
NAMI Basics is a free program for
parents and other caregivers of children and adolescents living with mental illnesses. The course
consists of six classes, each lasting for 2 ½ hours. To sign up, send an e-mail to Larry Schaffer [email protected] or call 440-0515.
To read more about the class – go to: http://www.nami.org/template.cfm?section=NAMI_Basics1 or go to www.namigdm.org
The NAMI Provider Education Program is a 5-week course
that presents a penetrating, subjective view of family and consumer experiences with serious mental illness to line staff at public agencies who work directly with people experiencing severe and persistent mental illnesses. For more information, http://www.nami.org/template.cfm?section=Provider_Education or go to www.namigdm.org
Parents and Teachers as Allies is a two hour in-service
mental health education program for school professionals. To see more information, go to: http://www.nami.org/Template.cfm?Section=Schools_and_Education&template=/ContentManagement/ContentDisplay.cfm&ContentID=38215 or go to www.namigdm.org
30 Pearls of Wisdom is a 1 hour in-service for
medical professionals on the treatment of persons with mental illness. It is a presentation offered to clinicians who want to lead the way to reduce and
help extinguish the stigma of mental illness. Opening a dialogue about mental illness and treatment programs remains a challenge among providers and the public.
Quotes from 30 Pearls participants: A psychiatric nurse at Lutheran said, “this is not just about good professionalism, it is about being a human being to another human being.”
Dr. Dean Moews, Mercy Family Practice, said, ”I believe the program was well received…some of the changes such as having more resource materials available to our patients are points well taken and I expect that will happen very soon…I may mention that we will definitely want you back here in the future.”
Please contact [email protected] or call 274-6876 to schedule a lunch ‘n learn at your workplace.
WRAP - Wellness Recovery Action Planning
NAMI Greater Des Moines is offering a new educational course -“WRAP” for the first 12 people who sign up!
WRAP® -Wellness Recovery Action Plan is a structured plan developed by YOU. It is a system that you devise for yourself that helps you work through mental health challenges or life issues. It is adaptable to any situation. Through careful observation, you identify those things you do to help yourself feel better when you are not feeling well, and those things you do to stay well and enjoy your life (Wellness Tools), and then use these wellness tools to develop personal action plans. WRAP is on the National Registry of Evidenced Based Programs and Practices.
Class will be held on Saturdays for an hour and a half – for 8 weeks. Cost is $20 per person for materials.
When 12 adults have signed up for the class – we will schedule the beginning date and finalize the location.
If you want to sign up for the class – please give Terri a call at 729-0147 or send an email to Terri at [email protected]
For more information on WRAP, go to: http://www.mentalhealthrecovery.com/
Hearing Voices That Are Distressing: A Training and Simulation Experience
Hearing Voices is an immersion learning experience which allows participants to have a glimpse into the lived experience of trying to function and perform tasks while hearing voices that are distressing to many people. The ideal length of the training is 3 hours but can be abbreviated to a shorter time frame. There is a program for members of the general public and a program for members of the law enforcement community. Minimum class size is 15 and maximum is 40.
The program can also be requested by an organization. Please contact Jim Goodrich at [email protected] – phone: 288-1149.
Cost? We would appreciate a donation to NAMI Greater Des Moines.
Educational Opportunities
www.namigdm.org (515) 277-0672 [email protected]
Find Help. Find Hope.
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SUPPORT GROUPS for Family Members
Third Sunday of the month - Family members, if you are
interested in participating in a NAMI family support group, please contact Grace Sivadge
[email protected] 961-6671. Meetings are at Eyerly-Ball Community Mental Health Center, 1301 Center St., Des Moines – 2:30 – 4:00 P.M.
4th
Monday of each month – 5:30 – 7 PM – a support group for
Polk County parents and caregivers of children and adolescents with severe emotional disturbance (SED) or mental illness – a sibling support group meets separately - at Capitol Hill Lutheran Church, 511 Des Moines St., in the basement – child care provided, can also provide free transportation and interpretation services – pre-register, if possible – call Angie at 558-9998.
2nd
Thursday of each month – 6:30 P.M. – a support group for
Family members – Lutheran Church of Hope, 925 Jordan Creek Parkway, West Des Moines – in Room 213. Supper (free will offering) is available at 5:30 prior to the support group. Bonnie and Randy are facilitators.
Friends of Iowa Prisoners has a meeting at Noon on the 3rd
Tuesday of the month at Wesley United Methodist Church, 800 12th St., Des Moines – the June speaker is Jerry Bartruff, Deputy Director of Offender Services for the Dept of Corrections
1st
and 3rd
Tuesdays of each month –Des Moines CURE/Voices
to be Heard Support group – Union Park United Methodist Church –East 12
th & Guthrie - Light meal at 5:30 P.M. Support group for
adults and program for children from 6 PM to 7PM. –If you have a loved one in prison or parole system you are concerned about or if you are concerned about those in prison, please feel free to join us. If you have questions, please call Jean Basinger at 277-6296 or Melissa Nelson at 280-9027.
Every Thursday evening will be “NAMI Night” at Broadlawns
from 6 to 8 P.M. in the Nauraine conference room. Information and support will be given to family members of persons with mental illness. For more information, contact Kay at 252-0714.
Friday mornings 9-11 AM at Child Guidance Center, 808 5th Ave
– a parent support group for parents and caregivers of children and adolescents with severe emotional disorder or mental illness. For more information, contact Diane at work 273-5054 cell 240-4854 [email protected]
First Saturday of each month –Family Support Group – 10
AM at St. Paul Lutheran Church, 1120 North 8
th Avenue, Winterset. Call Grace at 961-6671 or Pat
at 515-462-3479 for information.
Coping After a Suicide Support Group – Polk Co. Crisis and
Advocacy Services – Contact: Kate 286-2029 - Meeting day – 2nd
Thursday of each month 6-7:30 P.M. and last Saturday of each month 9-10:30 A.M. Meeting place is 2309 Euclid Avenue - park at the west end of the building near the flags and come in the glass doors. Victim Services Phone: 515-286-3600
SUPPORT GROUPS for Persons in Recovery
Every Monday evening 7-8:30
P.M. – a support group for persons with mental illness – facilitated by
persons with mental illness – at the NAMI Iowa office – 254-0417 – or 1-800-417-0417 - 5911 Meredith Drive, Suite E, Des Moines or contact Jim Goodrich 288-1149 or [email protected]
First Monday of each month – 7-9 P.M. –GDM CHADD Support
Group – support for those families struggling with ADHD – Attention Deficit Disorder - West Des Moines Public Library, 4000 Mills Civic Parkway –call Julie for more info –515-223-6730.
2nd
& 4th
Mondays of each month – 7 P.M. – depression and
bipolar support group., St. Boniface Catholic Church, 1200 Warrior
Lane, Waukee. [email protected] Julie 710-1487
Every Tuesday afternoon 2-3:30
P.M. – a support group for persons with mental illness – facilitated by
persons with mental illness – at Plymouth Congregational Church, 42
nd and Ingersoll in the Burling Room. For more information,
contact Don Hruby 279-4949 or [email protected]
Every Tuesday evening – 8-10 P.M. - Recovery Inc., a self-help
group for people who have nervous and mental troubles – at St. Mark’s Episcopal Church, 3120 E. 24
th St., Des Moines – Call 266-
2346 – Marty Hulsebus.
2nd
& 4th
Tuesdays of the month – New Light Support Group –
6:30 to 7:30 P.M. -for persons experiencing depression or anxiety disorders– at Westkirk Presbyterian Church, 2700 Colby Woods Drive, Urbandale, Iowa – 515-253-0330 – Pastor Michael Mudlaff
Tuesday evenings 5:30-7:00 Dual Diagnosis support group at
Eyerly Ball Mental Health Services – call 243-5181 for more information.
Every Wednesday afternoon at 1 PM - Emotions Anonymous
at Central Iowa Center for Independent Living, 655 Walnut (enter on the 7th St. side) - contact Duane at 243-1742 for more information
Every Thursday evening – 7:45 – 9:45 P.M. – Recovery, Inc. - a
self-help group for people who have nervous and mental troubles – at St. Timothy’s Episcopal Church, 1020 24
th St., in West Des
Moines. Call – 277-6071-Deb Rogers.
Every Saturday afternoon – 2:00 – 3:30 P.M. – the Depression
and Bipolar Support Alliance meets at Iowa Lutheran Hospital – University at Penn Avenue – Level B – private dining room.
For persons suffering from postpartum depression – a support
group entitled “Amazing Girls Accepting Peace Everyday (AGAPE)”. Information can be found at Meetup.com – enter AGAPE. You need to request to be a part of the group – contact Tricia at [email protected]
Every Tuesday from noon until 1pm – an Eating Disorders
support group at the Mercy Franklin West Conference Room, West Entrance, 1st room on the right - 1750 48th, in Des Moines. For information, please call 515 255-6185 and visit with Sue.
Also offered at Eyerly Ball: Anger Management, Women’s STEPPS program - call 243-5181 for more information
Support Group Opportunities
www.namigdm.org (515) 277-0672 [email protected]
Find Help. Find Hope.
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Family Peer Support Services Program 1-866-219-9119 www.familytofamily.org
This service is available to families of children under the age of 21 who have a severe or chronic emotional disorder. Trained specialists provide these services.
National Parent Helpline 1-855-4A PARENT/855-427-2736
www.nationalparenthelpline.org
A telephone and web-based resource for parents and caregivers. Trained advocates provide parents and caregivers with the help, referrals, and resources they need.
Looking for Community Resources?
Phone 211 www.211Iowa.org
Iowa Compass – Disability Information and Referral
www.iowacompass.org [email protected]
1-800-779-2001
Polk County Health Services
Polk County River Place – 2309 Euclid Avenue – 243-4545
http://polk.ia.networkofcare.org/mh/home/index.cfm
Go to the Visiting Nurses website www.vnsdm.org
click on “links” – then click on Community Resource Directory
Polk County Community Mental Health Centers Child Guidance Center – 808 5
th Ave – 244-2267
Eyerly Ball Community MH Center 1301 Center St. – 243-5181 Broadlawns Medical Center- 1801 Hickman Road – 282-6770
Eyerly Ball Golden Circle – 945 19th
St – 241-0982
Dallas County Mental Health Center
West Central Community Mental Health Center
2111 Green, Adel – 515-993-4535
Madison County Mental Health Center
Bridge Counseling Center
300 West Hutchings St. – 515-462-3105
Primary Health Care & Behavioral Health
Engebretsen Clinic, 2353 SE 14th
St. – 248-1400 The Outreach Project, 1200 University, Suite 105 – 248-1500
East Side Center, 3509 East 29th
St. – 248-1600 Primary Health Care Pharmacy,1200 Univ.,Suite 103 262-0854
Clubhouse Passageways,305 15th
St., Des Moines 515-243-6929
Narcotics Anonymous Help Line 515-244-2277 Drug and Alcohol Help Line 1-866-242-4111 Alcoholics Anonymous (515) 282-8550 Al Anon/ Alateen 1-888-425-2266 IA Substance Abuse Information Center Hotline 1-866-242-4111 Alcohol & Drug Information Referral & Crisis Counseling – www.drugfreeinfo.org
Polk County Jail Contacts on Mental Health Concerns
Medications – Sharon Chambers 323-5479 Court appearance/Jail Diversion – Tim Larson 875-5779
Feeling Signs of Stress? Contact: Iowa Concern Hotline 1-800-447-1985
Or Polk County Mental Health Response Team (515) 954-0409
Veterans - will visit incarcerated veterans in need
Covers Central Iowa –Jennifer Miner– (515) 577-8892 or 699-5999 Ext. 4875 – [email protected] Covers eastern Iowa – Sherri Koob, Veterans Justice Outreach
Coordinator – cell 563-320-9887 [email protected] Veterans – will accept phone calls for assistance
Rebecca Buch, Administrator, Polk Co Veteran Affairs 286-3670 [email protected]
Choices in Recovery – a free newsletter and website for mental
health recovery support. Go to http://www.choicesinrecovery.com – the newsletter can be accessed on-line or in hard copy. It offers support and information for schizophrenia, schizoaffective, depression and bipolar.
Substance Abuse Treatment Centers –a list of providers can be
found at the Iowa Dept. of Public Health website, Bureau of Substance Abuse at: http://www.idph.state.ia.us/bh/admin_regulation.asp A map is located at: http://www.idph.state.ia.us/bh/common/pdf/treatment_service_map.pdf To enter a facility, you must have an assessment done first to determine the level of treatment needed.
Warning: Regular or heavy alcohol use can worsen
most psychological states, such as anxiety, depression, bipolar, schizophrenia, or eating problems. Alcohol can
change the way a person feels in the short run; however, the overall effect only worsens a disorder. Marijuana and other drugs can have similar or more serious effects on the brain.
Suicide Prevention Lifeline 1-800-273-8255
If you are thinking of hurting yourself, tell someone who can help. If you cannot talk to your parents, your spouse, a sibling - find someone else: another relative, a friend, or someone at a health clinic. Or, call the National Suicide Prevention Lifeline at (800) 273-TALK (8255)
If you have a mental health crisis in your family and are in need of emergency assistance – call 911. Be clear with the dispatcher what the situation
is, that it is a mental health crisis, and you need the DM Mobile Mental Health Crisis Unit to assist. The goal is to keep everyone safe and to seek the appropriate level of assistance for the ill family member or friend. If you live in a surrounding city (not Des Moines), call your dispatch center. The non-emergency phone number for the mobile crisis team is 283-4811. The police liaison to the Mobile Crisis Unit is Officer Kelly Drane. Her hours are 8 to 4 Mon-Fri phone number is 205-2270.
A new team leader for the Mobile Crisis Unit is in the process of being hired. We will update this article when the hire is made.
In response to your phone call, the first people to arrive to the situation will be Des Moines police officers. Officers will determine if it is a mental health related issue and maintain safety at the scene. Officers make a request through dispatch if the Mobile Crisis Unit is needed. Mobile Crisis only takes referrals from law enforcement.
When DM Mobile Mental Health Crisis Unit staff arrive, a mental health assessment will be done, on-site counseling and problem solving, crisis plan development, coordination with hospitals if transport to a medical facility is necessary, and medication can DM suburbs also use the mobile crisis team services – their
Tell Me Where to Turn
www.namigdm.org (515) 277-0672 [email protected]
Find Help. Find Hope.
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officers make the decision whether or not the mobile crisis team is called. The Mobile Crisis Unit is available 6:30 AM to 2:30 AM – 7 days week. It is staffed by licensed mental health professionals and registered nurses.
Excellent Magazines to Subscribe to:
Esperanza http://www.hopetocope.com/
for articles on Anxiety and Depression BP magazine http://www.bphope.com/
for articles on Bipolar SZ Magazine http://www.mentalwellnesstoday.com
for articles on Schizophrenia
MENTAL ILLNESS: THE FACTS From NAMI: In Our Own Voice
Mental illnesses are brain disorders. They are not defects in someone’s personality or a sign of poor moral character or lack of faith. They certainly do not mean that the ill person is a failure. Chemical imbalances in the brain, from unknown or incompletely known causes, are much of the reason for symptoms of mental illnesses.
Mental illnesses are like other organ diseases in which body chemistry changes. The abnormal chemistry of mental illnesses affects brain function the same way that too little or too much of other body chemicals damage the heart, kidneys or liver. A heart attack is a symptom of serious heart disease, just as hearing voices, mood swings, withdrawal from social activities, or feeling out of control are common symptoms of a mental illness.
Mental illnesses can affect people of any age, race, religion, education or income level. As you read this, five million people here in the United States are dealing with serious, chronic brain disorder. Major brain disorders include schizophrenia, bipolar disorder (manic-depression), major depression, anxiety disorders, and obsessive-compulsive disorder.
There are many points on the continuum of wellness, and different degrees of recovery that can be reached with medication, therapy, and a strong support system.
Please send a big THANK YOU to Nicole Davis and the
Eyerly Ball Group Home residents for their assistance
in assembling our monthly newsletter.
Please send a big THANK YOU to Cindy Gross and Plaza Printers for their assistance in printing our newsletter -
6762 Douglas Avenue, Urbandale, IA 50322 278-4695 www.plazaprinters.net
NAMI GDM highlights of May Activities
May newsletter emailed to 1100+, mailed to 2300+ and posted to website
Newsletters and magazines to 4 area hospitals
NAMI family support groups meet in 4 locations
NAMI Connections support group meets in 2 locations
One to one relational meetings continue with GDM members
2 classes of Family to Family conclude– at Lutheran Church of Hope and Tifereth Israel Synagogue – 50 graduates
Peer to Peer class begins at Lutheran Church of Hope
Contacts made to potential NAMI Walks sponsors May 1 – AMOS cluster meeting at First Christian Church May 3 – Mitchellville TC Advisory Board meeting May 4 – NAMI GDM Executive Board meeting May 4 – CIT meeting on setting up training for DM Police Dept May 5 – NAMI Iowa Open House May 5 – AMOS fundraiser at State Historical Building May 7 – Training at Community CPA & Associates May 8 – AMOS Community Conversation May 9 – ICORN teleconference May 9 – NAMI GDM Board meeting May 11 – Olmstead Task Force meeting May 14 – MH Advocacy meeting at Hoover building May 14 – MH Court workgroup meeting May 15 – Friends of Iowa Prisoners meeting May 15 – Project Iowa lunch ‘n learn May 16 – Iowa Mental Health Planning Council meeting May 16 – League of Women Voters Board meeting May 17 – MHDS Commission retreat May 19 – NAMI Iowa Regional meeting at the Amanas May 21 – AMOS mental health workgroup meeting May 22 – Presentation to Grandview nursing class May 23 – Mental Health First Aid training to Ankeny Police Dept May 23 – Crisis Stabilization meeting May 24 – Polk County Criminal Justice Coordinating Committee
Bipolar May Be More Common in Teens than Previously Thought:
Bipolar may be more common in adolescents than previous studies have shown, according to a new study that looked at the number of teenagers who have experienced mania, a hallmark of bipolar disorder. Published in the Archives of General Psychiatry, the study included more than 10,000 teenagers who went through extensive interviews about their moods and behavior. The researchers found that 2.5 percent met the criteria for having had mania and depression, and 2.2 percent of teens had experienced it within the last 12 months. The rates of mood disorders they found among teenagers are close to what is seen in adults. (Reuters, 5/8/12)
Study Links Athletic, Military Brain Injuries
Autopsies on the brains of military veterans who experienced traumatic brain injury from a blast showed similarities to the brains of athletes who'd had repetitive concussions that led to chronic traumatic encephalopathy (CTE), researchers say. The researchers also discovered what they believe is the mechanism by which explosions damage brain tissue and trigger CTE by studying simulated explosions on mice. The animals developed evidence of the disease just two weeks after exposure to a single simulated blast, researchers found. (The New York Times, 5/16/12
NAMI Greater Des Moines Board of Directors
Effective March 1, 2012
President Jim Goodrich [email protected] 490-2758 Vice-Pres Teresa Bomhoff [email protected] 274-6876 Treasurer Our accountant is Community CPA & Associates. Secretary Grace Sivadge [email protected] 961-6671 Board members
Kay Kopatich [email protected] 252-0714 Terri Shipman [email protected] 277-0672 John Hickling [email protected] 277-0672 Barb Glass [email protected] 277-0672 Dawn Hansen [email protected] 277-0672 Jamie Lamb [email protected] 277-0672 Mollie Mertens [email protected] 277-0672
www.namigdm.org (515) 277-0672 [email protected]
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State Legislation Here are 3 places on the web to access E-mail to figure out who your legislators are, to contact your legislators, get mailing addresses, and phone numbers. http://www.infonetiowa.com/ - Has the latest on legislation. Check out their great newsletters online. http://www.legis.iowa.gov http://www.nami.org/template.cfm?section=state_advocacy
Important Bills:
Senate File 2315 Mental Health Redesign bill Senate File 2312 Judicial bill Senate File 2336 Health and Human Service Budget bill
Polk County Waiting List Update
Here are the waiting list numbers for May 2012. They currently are admitting folks to the system as soon as they have enough information to determine their level of care:
74 – total on the waiting list
44 have mental illness 20 have intellectual disabilities 9 have developmental disabilities 1 unknown
39 are emergency cases – at risk of
hospitalization or homelessness.
Longest time on the waiting list: 297 days
Average time on the waiting list: 120 days
Average time on the waiting list for those admitted to Polk County Health Services for assistance: 9 days
Kids on Referral List: 69
Mental Health Beds in Iowa
Dec 2011 Total Beds
Adult Children and
Adolescents
Geriatric
Total State Hospital Beds At the 4 Mental Health
Institutes
140
88
32
20
Private Hospital beds statewide
609
463
90
56
Total
749
551
122
76
Crisis Stabilization beds
Sub-acute Care beds
The prevalence rate is 1 in 4 who can experience mental illness in a given year. In Iowa, of 3,000,000 people – 750,000 can experience mental illness in a mild, moderate, or severe form.
The prevalence rate for severe mental illness is 6%. In Iowa, of 3,000,000 people – 180,000(e) live with serious mental illness. 749 acute care beds for an estimated180,000 persons with serious mental illness. . .no wonder we have system failure.
Better mental health care is a human issue, medical issue, community issue and public health issue. The public needs to invest in this public health issue by demanding we have a system of care in the community, not a default system in the criminal
justice system.
"The time is always ripe to do what's right." -Dr. Martin Luther King, Jr.
The results are in…AMOS Issues Summit
Top issues from the Radical Justice House Meeting Campaign include:
Youth and Education – special education programs, school lunches, bullying, lack of funding
Criminal Justice – racial profiling, mandatory minimum sentencing, racial discrimination, incarceration rate of African Americans
Economic Justice – declining wages, lack of good jobs, predatory lending, lack of affordable housing
Health Care (All) – desperate need for mental health care reform, rising costs of health care, increased demands on safety net health care, access to care
Immigration – no ability to drive for immigrants without documents, bright kids can’t attend college, living in constant fear, no viable path to citizenship
“Discontent is the first necessity of progress.”
-----Thomas A. Edison
Coming together is a beginning; keeping together is progress; working together is success.
-----Henry Ford
These are Medicaid waiver programs Iowa offers eligible residents to allow persons to receive necessary services to remain in their home and community rather than an institutional setting. Waiver Programs # slots there are
$’s for # on Waiting List
May 2012
Ill & Handicap, 3163 1119
AIDS/HIV 56 0
Elderly 12052 0 Intellectual Disabilities (Child) 2851 0 Intellectual Disabilities (Adult) 572 0 Brain Injury 1168 333 Physical Disability 1292 1566 Children's Mental Health 1117 674 22271 3692
Total persons on all waiver waiting lists across the state 4377-Jan 12 5471–July 11 4722-Jan 11 4918-Jan 10 3644–Jan 09 Go to: http://www.ime.state.ia.us/HCBS/help_ownhome.html Scroll down the page to slot and waiting list information.
(generally placement of last resort for the most difficult to treat persons)
www.namigdm.org (515) 277-0672 [email protected]
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Many thanks to the bipartisan efforts in the House and the Senate to pass mental health and disability system redesign.
2012 State Legislative Session
Senate File 2312 - Judicial Bill EXPLANATION
This bill relates to persons with mental health illnesses and substance-related disorders.
Section 1: MENTAL HEALTH TRAINING - LAW ENFORCEMENT. The bill requires all law enforcement officers to
complete a course on mental health at least once every four years and requires the director of the law enforcement academy, subject to the approval of the Iowa law enforcement council, to adopt rules relating to mental health training for law enforcement officers, with input from mental health care providers and mental health care consumers.
Section 2: EMERGENCY DETENTION. An intoxicated person
who has threatened, attempted, or inflicted physical self-harm or harm on another, and is likely to inflict physical self harm or harm on another unless immediately detained, or who is incapacitated by a chemical substance, if an application for involuntary commitment has not been filed or a magistrate’s court ruling has not been made yet. This allows for 24/7 capability for emergency detention.
Prior to this law change, the immediate custody of such persons in an emergency situation was possible only after an application for involuntary commitment or hospitalization has been filed, which is an option only during regular court hours. The bill amends the current emergency detention and hospitalization procedures available for such persons to apply only when there is no immediate access to the district court to allow access to emergency detention and treatment services, at all times, even if an application for involuntary commitment or hospitalization has not been filed.
Section 3: LICENSED NURSING FACILITIES - The bill provides that a nursing facility shall:
Provide an organized 24 hr program of services commensurate with the needs of its residents and under the immediate direction of a licensed nurse.
Medical and nursing services must be provided under the direction of either a house physician or an individually selected physician. Surgery and obstetrical care shall not be provided within the facility.
Admission must be based on a physician’s written order certifying that the individual being admitted requires no greater degree of nursing care than the facility is licensed to provide and is capable of providing.
Not required to admit an individual through court order, referral, or other means without the express prior approval of the administrator of the nursing facility.
Section 4: RESIDENTIAL CARE FACILITIES shall:
Provide an organized 24 hr program of services commensurate with the needs of its residents and under the immediate direction of a person approved and certified by the dept whose combined training and supervised experience is such as to ensure adequate and competent care.
Admission must be based on a physician’s written order certifying that the individual being admitted does not require nursing services or that the individual’s need for nursing
services can be avoided if home and community-based services, other than nursing care, are provided.
Home and community based services to be provided shall be limited to the type under Medicaid and shall be limited in capacity to the number of licensed RCF facilities and RCF beds in the state as of 12-1-2003.
Not required to admit an individual through court order, referral, or other means without the express prior approval of the administrator of the residential care facility.
Section 5: MENTAL HEALTH PROFESSIONAL. The bill
amends the definition of "mental health professional" in Code chapter 228 (relating to the disclosure of mental health and psychological information in reports and testimony). The bill
eliminates the definition of "qualified mental health professional" in Code chapter 229 (commitment/hospitalization of persons with mental illness) and adopts the new definition of "mental health professional" in the bill for purposes of Code chapter 229.
Mental health professional means an individual who has either of the following qualifications: a. an individual has a master’s degree in a mental health field or an advanced registered nurse practitioner, physician assistant, or physician and surgeon or an osteopathic physician and surgeon – has a current Iowa license – has at least 2 yr post degree clinical experience. b. has a current Iowa license if practicing as a psychiatrist, an ARNP with national certification, a PA practicing under psychiatrist, or a PhD in psychology. Section 6: Adds “Mental Health Professional” language as stated
above to 229.1 Section 7: Strikes 229.1 previous language in “qualified mental
health professional. Section 8: In 229.1 – is a list of definitions – the definition of
serious emotional injury is added as item 16. “Serious emotional injury” is an injury which does not necessarily exhibit any physical characteristics, but which can be recognized and diagnosed by a licensed physician or other mental health professional and which can be causally connected with the act or omission of a person who is, or is alleged to be, mentally ill.
Section 9: PREAPPLICATION SCREENING ASSESSMENT.
The bill provides that prior to filing an application for involuntary hospitalization pursuant to Code section 229.6, the clerk of the district court or the clerk's designee shall inform the interested person referred to in Code section 229.6, subsection 1, about the option of requesting a preapplication screening assessment through a preapplication screening assessment program. The bill requires the state court administrator to prescribe practices and procedures for implementation of the preapplication screening assessment program.
Section 10: APPLICATION FOR ORDER OF INVOLUNTARY HOSPITALIZATION. Amends the application process to include
the requirement of the clerk or the clerk’s designee to inform the interested person filing the commitment papers – about the option of requesting a preapplication screening assessment. Section 11: amends the code to allow the preapplication
screening assessment to be included or attached to the physician’s assessment of the alleged mentally ill person to the court – for consideration of commitment. Section 12: strikes “qualified mental health professional” to
“mental health professional” the section regarding testimony at the commitment hearing.
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Section 13: MENTAL HEALTH ADVOCATE. Adds the following
paragraph to their duties in 229.19 (1)(d)(7) to utilize the related best practices for the duties identified in this paragraph “d” developed and promulgated by the judicial council.
Section 14: Adds the following paragraph:
(e) An advocate may also be appointed pursuant to this section for an individual who has been diagnosed with a co-occurring mental illness and substance-related disorder.
Section 15: Adds to Section 229.22 (1) on hospitalization in
commitment situations – language regarding access to the 24/7 emergency detainment when it appears that a person should be immediately detained due to serious mental impairment.
Section 16: Adds to the duties of the state court administrator at
602.1209 - to prescribe the practices and procedures for the implementation of the preapplication screening assessment program.
Section 17: CONTINUATION OF WORKGROUP BY JUDICIAL BRANCH AND DEPARTMENT OF HUMAN SERVICES-CONSOLIDATION OF SERVICES - PATIENT ADVOCATE. The
bill requires the judicial branch and department of human services to continue the workgroup implemented pursuant to 2010 Iowa Acts, chapter 1192, section 24, subsection 2, and extended pursuant to 2011 Iowa Acts, chapter 121, section 2, to study and make recommendations relating to:
the consolidation of the processes for involuntary commitment for persons with substance-related disorders under Code chapter 125, for intellectual disability under Code chapter 222, and for serious mental illness under Code chapter 229.
The workgroup shall also include representatives from the department of public health.
The workgroup shall also study and make recommendations concerning the feasibility of establishing an independent statewide patient advocate program for qualified persons representing the interests of patients suffering from mental illness, intellectual disability, or a substance-related disorder and involuntarily committed by the court, and
shall also include recommendations for a patient advocate representing the interests of patients found not guilty of a crime by reason of insanity.
The workgroup shall also consider the implementation of consistent reimbursement standards for patient advocates and supported by a state-funded system, and
shall also consider the role of the advocate for a person who has been diagnosed with a co-occurring mental illness and substance-related disorder.
The workgroup shall solicit input from current mental health advocates and mental health and substance-related disorder care providers and individuals receiving services whose interests would be represented by an independent statewide advocate program, and
shall submit a report on the study and make recommendations to the governor and the general assembly by December 1, 2012.
Section 18: COMPREHENSIVE JAIL DIVERSION PROGRAM-MENTAL HEALTH COURTS - STUDY. The bill directs the
division of criminal and juvenile justice planning of the department of human rights to conduct a study regarding the possible establishment of a comprehensive statewide jail diversion program,
including the establishment of mental health courts, for nonviolent criminal offenders who suffer from mental illness.
The division shall solicit input from the department of human services, the department of corrections, and other members of the criminal justice system including but not limited to judges, prosecutors, and defense counsel, and mental health treatment providers and consumers.
The division shall establish the duties, scope, and membership of the study commission and shall also consider the feasibility of establishing a demonstration mental health court.
The division shall submit a report on the study and make recommendations to the governor and the general assembly by December 1, 2012.
Section 19: PRIOR LAW ENFORCEMENT MENTAL HEALTH TRAINING. A law enforcement officer who has completed
academy-approved mental health training within the 12-month period prior to the effective date of the bill, either through in-service or academy-approved basic training, shall be considered to have met the first four year mental health training requirement prescribed in the bill.
We appreciate the bipartisan support in the House and Senate which makes this legislation possible.
SF 2315 Summary
RELATING TO REDESIGN OF PUBLICLY FUNDED MENTAL HEALTH AND DISABILITY
SERVICES BY
REQUIRING CERTAIN CORE SERVICES
AND ADDRESSING OTHER SERVICES AND
PROVIDING FOR ESTABLISHMENT OF REGIONS,
REVISING RELATED PROPERTY TAX LEVY PROVISIONS, &
INCLUDING EFFECTIVE DATE AND APPLICABILITY PROVISIONS.
SF 2315 Policy bill is the “framework” or the “beginning of a process” for the redesign of the mental health and disability system. 1. An additional 7 workgroups will be working on more details to
the system. 2. An additional 3 studies/reports are due by December 2012. 3. DHS, the MHDS Commission, IDPH, and DIA will be involved in
rule making to provide more detail and direction to the statute. 4. Counties will need to declare their region choice – initial
formations are due no later than 12-31-2013 and fully operational by 6-30-2014. This will involve many tasks including a SWOT analysis to determine where the region is now for meeting core service requirements and prioritize how they will roll out the balance of services in the next 5 years, costs involved, etc.
5. Intense financial analysis is needed by each county with
DHS to provide information to the interim committee so fully informed decisions can be made on funding the MHDS system during the balance of 2013 and beyond.
6. Adequate communication continues to be paramount –
regarding workgroup activity, the website and in reaching out to the public at regional meetings and emails
7. It is estimated the redesign process will take 5 years to completely phase in.
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DIVISION I – Core Services Sections 1 – 21
Responsibilities of MHDS Administrator redefined including technical assistance to Regions, data management, coordinate and cooperate with other state agencies, among other duties.
MHDS Administrator enters into performance based contracts with Regional Administrators – to attain outcomes in a range of categories
Duties of MHDS Commission in rule making process
A statement of legislative intent – the state takes care of Medicaid expenditures – regions responsible for non-Medicaid expenses – intent to include MI, ID, DD, and BI
Creation of mental health and disability regional services fund
DHS shall consult with Commission to include a growth factor in their budget estimate
DHS shall distribute funds according to performance based contracts with the regions and will include a population factor
Requirement for standardized functional assessment for MI, ID and BI
Each region required to have a regional services system management plan which includes – o Annual service and budget plan – provisions outlined o Policies and procedures manual – provisions outlined o Annual report before Dec. 1 o Must provide for needs of persons with two or more co-
occurring conditions
If county exempt from region, must fulfill all requirements for a region
Region can directly provide service management or contract with private entity to manage the service system
Region can continue to provide (historically provided) services not under core services subject to availability of funding.
Region may implement a waiting list for services, but must establish procedures in the regional plan and notify DHS.
DHS must maintain internet site an up-to-date listing of regions that have implemented a waiting list and the services affected by each waiting list.
Financial eligibility requirements for non-Medicaid services for the adult system o 150% federal poverty level – no copayment, no sliding fee
scale. It is the intent of general assembly to consider increasing eligibility to 200% of FPL
o Above 150% federal poverty level – can implement copayment and sliding fee scale
o A provider can waive copayment or other cost sharing arrangement if not reimbursed with public funds
o If eligible for other third party payees (insurance, other federal funds) individual must apply for that assistance.
o Resource limitations to be adopted in rule o Age 18 or above – or 3 mo prior to age 18 if already
receiving regional services o MI - Have a diagnosable disorder ID – has an ID diagnosis
BI – has a BI diagnosis o Services for MI, ID, or BI - each to be determined by
standardized functional assessment
Initial Core Service domains o Treatment designed to ameliorate a person’s condition –
including but not limited to (1) Assessment and evaluation. (2) Mental health outpatient therapy. (3) Medication prescribing and management. (4) Mental health inpatient treatment.
o Basic crisis response provisions – including but not limited to (1) Twenty-four-hour access to crisis response. (2) Evaluation. (3) Personal emergency response system.
o Support for community living– including but not limited to (1) Home health aide. (2) Home and vehicle modifications. (3) Respite. (4) Supportive community living.
o Support for employment– including but not limited to (1) Day habilitation. (2) Job development. (3) Supported employment. (4) Prevocational services.
o Recovery services– including but not limited to (1) Family support. (2) Peer support.
o Service coordination– including but not limited to (1) Case management. (2) Health homes.
Providers of core service to be competent for co-occurring conditions, provide evidence based practices, and provide trauma informed care
Additional core service domains when public funds are made available for such services: o Comprehensive facility and community based crisis
services– including but not limited to (1) Twenty-four-hour crisis hotline. (2) Mobile response. (3) Twenty-three-hour crisis observation and holding,
and crisis stabilization facility and community-based services.
(4) Crisis residential services. o Subacute services – facility based and community based o Justice system involved services – including but not
limited to (1) Jail diversion. (2) Crisis intervention training. (3) Civil commitment prescreening.
o Advances in the use of evidence based treatment– including but not limited to (1) Positive behavior support. (2) Assertive community treatment. (3) Peer self-help drop-in centers.
A region can provide other services as long as person centered, evidence based and is an effective alternative
A regional MH and disability system is limited to a fixed budget amount.
The budget shall reflect 99% of estimated budget, but the Region can spend all of the funding.
A region shall receive state funding for growth in non-Medicaid expenditures to address increased costs, increased population serviced, additional core service domains and increased numbers of people receiving services
The effect of unfunded state mandate legislation does not apply to this division of the Act.
If you're trying to achieve, there will be roadblocks. I've had them; everybody has had them. But obstacles don't have to stop you. If you run into a wall, don't turn around and give up. Figure out how to climb it, go through it, or work around it. ------Michael Jordan
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DIVISION II – Redesign Planning, Support and Implementation Sections 22-28
DHS to work with ISAC for training, support and technical assistance
DHS will develop estimates and financing options to include service to developmental disability and brain injury populations – report due by 12-14-12.
Creates Transition Committee
Creates mental health and disability services redesign transition fund – and outlines eligibility provisions – MHDS Commission to adopt administrative rules for transition fund
Creates Workforce Development workgroup
Creates Outcomes and Performance Measures Committee
Continues the Children’s Disability Services workgroup
Disputed billings for county money owed to the state incurred prior to 7-1-2011 are forgiven
DIA, IDPH, and DHS will work together to streamline regulatory requirements such as accreditation, certification, licensing standards, inspections, monitoring efforts, state wide cost reporting standards and other tools
DIVISION III – Community Mental Health Center Amendments Section 29
DHS and Commission will adopt standards for CMH centers to provide accountability for services
DIVISION IV – Regional Service System Sections 30-39
MH and disability services for adults will be provided by regions or individual counties exempted from regions
Exemption criteria and process stated for an individual county to stand alone – DHS Director can grant exemption
A region’s criteria: o Counties must be contiguous o Region has at least 3 counties o Region has the capacity to provide required core services
and perform required functions o Has at least a community mental health center or
federally qualified health center with access to psychiatric services, located within region
o Has hospital or MHI with an inpatient psychiatric unit located within the region or in reasonably close proximity
Outlines steps to be taken to be declared a region along with a draft of a regional service management transition plan
Regional governance structure – regional administrator and staff (shall include at least one or more coordinators of disability services), and governing board
Regional finances – outlines combined accounts and accounting requirements
Regional governance agreements – outlines organizational, administration, and financial provisions including continuing coverage under a collective bargaining agreement for those employees that are presently covered.
County of residence definition (durational legal settlement no longer used to determine who pays for services)
Dispute resolution rules outlined regarding county of residence determination and who pays. It restates that the state is responsible for payment Medicaid expenditures and the counties (via regions) are responsible for payment of non-Medicaid expenditures
The MHDS Commission may adopt emergency administrative rules regarding this section.
DIVISION V – Subacute Care for Persons With Serious and Persistent Mental Illness Sections 40-61
14 definitions provided around this chapter – one of which is - subacute care can mean an institution, place, building or agency with restricted means of egress for a period exceeding 24 consecutive hours
A subacute care facility shall utilize a team of professionals to direct an organized program of diagnostic services, subacute mental health services, and rehabilitative services to meet the needs of residents in accordance with a treatment care plan developed for each resident under the supervision of a licensed psychiatrist.
A subacute care facility may employ the use of a seclusion room.
A license must be obtained to establish, operate or maintain a subacute care facility
Facility based subacute care beds licensed in Iowa will not exceed 50. Beds approved must be available through existing certificates of need.
Licenses can be denied, suspended, or revoked if certain conditions are not met and maintained and subject to notice and hearing requirements.
DIA, DHS, and IDPH will establish regulatory provisions, standards for licensing and what subacute mental health services means.
Complaint process outlined, penalties, injunctions
DHS will determine reimbursement methodology
DHS will conduct a feasibility study and cost analysis of providing institutional subacute services at one or more of the MHI’s or the Iowa Veterans Home – by Dec. 1, 2012.
It is the intent of the general assembly that the Medicaid state plan will cover both facility and non-facility subacute and crisis stabilization services.
DHS will authorize a facility based, crisis stabilization program pilot project – shall be limited to not more than 10 beds.
The effect of non-funded state mandates legislation does not apply to this division of the Act.
DIVISION VI – Co-occurring Conditions Sections 62-65
MHDS Director will coordinate the efforts and enlist the assistance of all public and private agencies, organizations and individuals to implement care for co-occurring conditions through regional facilities.
MHI’s required to provide co-occurring treatment.
DIVISION VII – Brain Injury Definition Sections 66-67
Definition of brain injury inserted into the Iowa code
DIVISION VIII – Legal Settlement Sections 68-130
Refers to persons with intellectual disabilities and persons with mental illness
The 18th
century definition of durational legal settlement has been replaced by county of residence as the determining factor in who pays for non-Medicaid services.
Provides the process for counties to follow to bill the appropriate party for services when the person they’ve provided services to is not a resident of their county.
Outlines investigation and dispute resolution process
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Outlines when the state pays for a person’s care (when a county of residence cannot be determined or they are from another state or country)
Outlines when parents and others are liable for support
Outlines certification of residence, collection procedures, costs, liabilities, transfers, and patients on leave.
DIVISION IX – Property Tax-Related Provisions Sections 131-140
Authorizes an interim study committee to analyze the viability
of the MH and disability services redesign financing provisions of the Act during the 2012 and 2013 legislative sessions.
The study committee can contract for an independent analysis.
The study committee will meet to consider and determine whether revisions to 2013 redesign financing enactments are warranted and to make appropriate recommendations for consideration during the 2014 legislative session.
Rules for the “services fund” will be created by the county finance committee and DHS and Dept. of Mgmt.
The county shall certify a levy for payment of services.
A levy certified under this section is not subject to the appeal provisions of section 331.426 or to any other provision in law authorizing a county to exceed, increase or appeal a property tax levy limit.
Per capita funding set for FY 2013-2014 and 2014-2015 - $47.28 per capita of county population + a per capita growth amount.
The per capita growth amount shall provide funding for increases in non-Medicaid expenditures from county services funds due to service costs, additional service population, additional core serve domains, and numbers of person receiving services.
For FY beginning July 1, 2013 and July 1, 2014 – DHS will make equalization payments (transition funds) to counties that are below the $47.28 per capita levy amount.
The repeal of the county levy is repealed.
July 2012 to December 2012 workgroups 1. Children’s workgroup (2
nd year)
2. Judicial workgroup (2nd
year) 3. Data and statistical workgroup (a streamlined and limited set of data to track) 4. Outcomes and Performance measures workgroup (for individuals with mental illness, providers and regions) 5. Transition Committee (to monitor progress) 6. Workforce Workgroup (IDPH to be responsible for this workgroup) 7. Interim study committee (for further analysis of financing the MH and disability system)
? Continuum of care workgroup (what’s the role of the RCF’s?) ? Brain injury workgroup
Studies to be prepared by December 2012 – SF 2315 1. Estimate and financing options for developmental disability and brain injury populations – due by 12-14-2012 2. Feasibility study and cost analysis of providing institutional subacute services at one or more of the MHI’s or the Iowa Veterans Home – due by Dec. 1, 2012 3. Independent financial analysis for interim committee to make recommendations on transition fund requirements and sustainable funding for the future of the MHDS system
To see the final version of the SF 2312 Judicial bill, go to: http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=billinfo&Service=Billbook&menu=false&hbill=SF2312 – 8 pages
To see the final version of the SF 2315 Redesign bill, go to: http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=billinfo&Service=Billbook&menu=false&hbill=SF2315 – 78 pages
For other summaries and reflections on the 2012 legislative session, go to www.infonetiowa.com --there is a bill tracker at this location for information on bills.
How You Can Combat Stigma
1. Share your experience with mental illness. Your story can
convey to others that having a mental illness is nothing to be embarrassed about. 2. Help people with mental illness reenter society. Support
their efforts to obtain housing and jobs. 3. Respond to false statements about mental illness or people with mental illnesses. Many people have wrong and damaging
ideas on the subject. Accurate facts and information may help change both their ideas and actions.
Major pieces of redesign 1. Local Delivery of Services 2. Regional management – an opportunity to share limited resources and spread risk. 3. Standard set of statewide expectations 4. Financing
Funding 2013 (in addition to county levy) $40 M state takes over all Medicaid resp. $12.5 M disputed bills forgiven $ 7-8 M risk pool $ does not have to be returned – have another year to spend the funds $15 M BIPP grant (balancing incentives payment program) + county fund balances + authority to borrow from other county idle funds
1 time appropriation for $20 M held by DHS for possible transition fund – 2014 legislature to determine distribution based on interim committee recommendations
Thoughts on Funding Beyond 2013 County levy restored $47.28 per capita funding - should be the floor, not the ceiling for funds that can be raised by counties
No cuts to services for any counties Need enough $ to maintain current services and persons served
Need growth factor in DHS budget funded
Need funds for building additional core services
More recommendations to be made upon further county financial analysis
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What is a Mental Illness?
www.Healthyplace.com
A mental illness is a disease that causes mild to severe disturbances in thinking, perception and behavior. If these disturbances significantly impair a person's ability to cope with life's ordinary demands and routines, then he or she should immediately seek proper treatment with a mental health professional. With the proper care and treatment, a person can recover and resume normal activities.
Many mental illnesses are believed to have biological causes, just like cancer, diabetes and heart disease, but some mental disorders are caused by a person's environment and experiences.
The five major categories of mental illness: Anxiety Disorders
Anxiety disorders are the most common mental illnesses. The three main types are: phobias, panic disorders, and obsessive-compulsive disorder. People who suffer from phobias experience extreme fear or dread from a particular object or situation. Panic disorders involve sudden, intense feelings of terror for no apparent reason and symptoms similar to a heart attack. People with obsessive-compulsive disorder try to cope with anxiety by repeating words or phrases or engaging in repetitive, ritualistic behavior such as constant hand washing. Post Traumatic Stress Disorder is also an anxiety disorder. Mood Disorders
Mood disorders include depression and bipolar disorder (or manic depression) symptoms may include mood swings such as extreme sadness or elation, sleep and eating disturbances, and changes in activity and energy levels. Suicide may be a risk with these disorders. Schizophrenia
Schizophrenia is a serious disorder that affects how a person thinks, feels, and acts. Schizophrenia is believed to be caused by chemical imbalances in the brain that produce a variety of symptoms including hallucinations, delusions, withdrawal, incoherent speech and impaired reasoning. Dementias
This group of disorders includes diseases like Alzheimer's which leads to loss of mental functions, including memory loss and a decline in intellectual and physical skills. Eating Disorders
Anorexia nervosa and bulimia involves serious, potentially life-threatening illnesses. People with these disorders have a preoccupation with food and an irrational fear of being fat. Anorexia is self-starvation while bulimia involves cycles of bingeing (consuming large quantities of food) and purging (self-inducing vomiting or abusing laxatives). Behavior may also include excessive exercise.
Common Misconceptions About Mental Illness Myth: "Young people and children don't suffer from mental health problems." Fact: It is estimated that more than 6 million young people in
America may suffer from a mental health disorder that severely disrupts their ability to function at home, in school, or in their community.
Myth: "People who need psychiatric care should be locked away in institutions." Fact: Today, most people can lead productive lives within their
communities thanks to a variety of supports, programs, and/or medications.
Myth: "A person who has had a mental illness can never be normal." Fact: People with mental illnesses can recover and resume
normal activities. For example, Mike Wallace of "60 Minutes," who has clinical depression, has received treatment and today leads an enriched and accomplished life.
Myth: "Mentally ill persons are dangerous. Fact: The vast majority of people with mental illnesses are not violent. In the cases when violence does occur, the incidence typically results from the same reasons as with the general public such as feeling threatened or excessive use of alcohol and/or drugs.
Myth: "People with mental illnesses can work low-level jobs but aren't suited for really important or responsible positions." Fact: People with mental illnesses, like everyone else, have the
potential to work at any level depending on their own abilities, experience and motivation.
In Quest for Answers, Suicides Leave Questions
Rick Ruggles, Omaha World Herald 5-7-12
Suicide is an ending that leaves more questions than answers.
Despite better understanding of the phenomenon and the development of new medications and treatments, suicides in the United States gradually rose in the past decade.
The weak economy may have played a role. Perhaps suicide is more accurately reported now by coroners and physicians. The fact is, suicide continues to stump society, whether contemplated on a large scale or by a family trying to come to terms with it.
Questions always remain.
A poem written about two months before Bryan Peck of Omaha took his own life contained eight question marks. Peck, who killed himself in 1999 while a freshman at Drake University, posted the poem, "falling down," in his dorm hallway.
Using only lower-case letters, Peck wrote, in part: "what am i supposed to do? ... what do you do??"
Since her son's death, Laraine Peck of Omaha has studied suicide and provided support for other families grieving over the suicide of a loved one. She has a basket of file folders filled with information on the topic.
"They're tortured inside," she said of those who kill themselves. "They don't want to die. It's about ending the pain that they're in."
Statistics from the American Foundation for Suicide Prevention reveal a shallow horseshoe pattern when suicide rates are charted from 1993 through 2009, the most recent year for national figures. The rate stood near 12 per 100,000 Americans in 1993, gradually dipped to 10.4 in 2000, and slowly increased to about 12 again in 2009.
More than 36,900 Americans died by suicide in 2009.
When Nebraska and Iowa suicide numbers from 2001 through 2010 are combined, 2008 shows the highest number (567) and 2010 the second-highest, at 555. The lowest was in 2001, with 491 suicides.
Dr. William Burke, professor of psychiatry at the University of Nebraska Medical Center, said the increase is puzzling. "I don't know that anyone really knows" why it has occurred, he said.
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Burke said suicide and mental illness are somewhat more openly discussed today, and therefore suicide may be acknowledged as the cause of death more frequently by coroners, physicians and family members. In the past, some may have sought to attribute the death to a less gut-wrenching cause.
A report last year in the American Journal of Public Health hypothesized that suicides increase during economic crises.
The study found that the suicide rate was extremely high during the Great Depression - about 22 per 100,000 people early in that crisis. The article suggests that economic cycles "may affect suicide rates" and that "economic hardships are a precipitating factor for some individuals who likely have other existing risk factors."
Experts say there is rarely one factor. Mental illness is a common element in suicide. Others may include substance abuse, a divorce or breakup, school struggles or the loss of a job. People who take their lives often feel isolated and believe they are a burden to their families.
"Things can pile on and make you feel that it's really a dead end, there's no way out of here," said Dr. Howard Liu, a UNMC child psychiatrist. "A lot of folks, when they're in the darkness, they don't think it's ever going to get better."
Heidi Hirschbach of Omaha felt herself sliding into an emotional pit a couple of years ago and feared that she would have to be hospitalized, as she has dozens of times. She said she has attempted to kill herself perhaps 30 times.
When declining into a crisis, she said, she responds to questions with: "I don't know." During those times, she said, she believes that nobody loves her, that her family is better off without her and that she only ticks off others.
You feel, she said, that "you don't have the right to breathe." She hangs her head during those crises and putters along. She cries. "Your thoughts are just all messed up," she said. "It's a totally lost place. It's a totally lonely place."
This time, Hirschbach took watercolors to paper. She painted question marks, one after another, right-side up and upside down, floating in dark purples and blues. She calls the piece "Confusion."
"I was stuck in 'I don't knows,' " she said. "Instead of going to the hospital, I just took that out on the paper. That was the action I chose to take."
Hirschbach, who said she was abused as a child and suffers with depression and post-traumatic stress disorder, said the support and coping skills she has acquired at Community Alliance have saved her. Community Alliance is an Omaha mental health agency that provides an array of services.
Hirschbach, 39, started a stained-glass business out of her west Omaha home last year. She also is an officer in the Cre8ives, a new group built on the notion that painting, poetry and other creative outlets can help people with mental illnesses express themselves and cope.
Some say that while the taboo around discussions of mental illness and suicide is diminishing, it's still present to some degree.
Psychiatrists say some family members don't give the emotional support to mentally ill relatives that they provide relatives with cancer or other diseases. They see mental illnesses as embarrassing or are disgusted by hypersexual behavior or other recklessness that people with bipolar disorder sometimes exhibit.
Society also tends to wonder what parents did wrong when children die by suicide. "When you're the parent, there's a lot of blame assessed to you," said Laraine Peck, who started a support group called Parents of Suicides Together.
Psychiatrists and scientists continue to work on treatments that will reduce the suicide rate. Fairly new forms of antidepressants, such as Lexapro and Cymbalta, have come out, and new treatments have emerged.
Those treatments include vagus nerve stimulation and transcranial magnetic stimulation, both of which stimulate the brain to diminish chronic depression. UNMC's Burke said research also has shown that in some cases, a person just has a one-time impulse to kill himself, and if that can be interrupted - if a bridge railing can be made more difficult to scale, for example - that person can be saved.
Dr. S. Faiz Qadri, an assistant professor of psychiatry at Creighton University, said he sees patients who have gone off their meds because of side effects, cost and lack of understanding. Patients need to know why they should stay on medications, Qadri said. "Based on my experience, I think the key thing is education," he said.
Peck said she has mental illness in her family, including a sister who has been debilitated with bipolar disorder.
Peck's son Bryan struggled with depression for years and saw a psychologist off and on. But he loved music, wrote songs and played the guitar and trumpet. He participated in school musicals, had friends and girlfriends. He was active, not debilitated.
If Peck had it to do over, she would have seen to it that Bryan was prescribed an antidepressant early on. "It's very hard for a parent to accept that your child feels that way," she said.
Some say those who kill themselves are weak, Peck said, but experts estimate that there are 25 attempts for every death by suicide. It takes resolve to kill oneself, Peck said. The instinct is to live.
Others say a suicide attempt is just an effort to get attention.
"Yes, they want attention," Peck said. "They need it. There's something wrong. They're telling you something."
10 SUICIDE WARNING SIGNS
>> Talking about wanting to die >> Talking about feeling hopeless or having no purpose >> Talking about feeling trapped or in unbearable pain >> Talking about being a burden to others >> Increasing the use of alcohol or drugs >> Acting anxious, agitated or in a reckless manner >> Sleeping too little or too much >> Withdrawing or feeling isolated >> Showing rage or talking about seeking revenge >> Displaying extreme mood swings
5 THINGS YOU CAN DO
>> Call the National Suicide Prevention Lifeline, 800-273-8255. >> Ask the person directly if he is having suicidal thoughts, has a plan for suicide and has access to lethal means. >> Do not leave the person alone. >> Remove firearms, sharp objects, drugs, alcohol. >> Take the person to an emergency room or seek help from a medical or mental health professional.
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Psychiatrists to Debate Changing Name of PTSD:
A group of psychiatrists will hold a hearing today to debate changing the name of Post-Traumatic Stress Disorder. Military officers and some psychiatrists say dropping the word "disorder" in favor of "injury" will reduce the stigma that stops troops from seeking treatment. The potential new name would be post traumatic stress injury. Advocates supporting the name change say it would reduce stigma and encourage service members suffering from the condition to seek help. (The Washington Post, 5/5/12)
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