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September 2014 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 In this issue –
Page 1 DM Bed Charts, Membership information, Pre-Auth Page 2 Trainings, NAMI Walks, Conferences Page 3 Advocacy Page 4-6 Resources, Support Groups Page 7-13 Articles, Education classes, IMD, GDM Page 14 How Can You Help, Calendar Events
Help Our Membership Grow!!
Join NAMI on-line! Become a member at the local, state,
and national level. www.namigdm.org (at the top of the
screen, click on blue “donate” box in the upper right of the task bar) - or –
go to www.nami.org/JOIN – or -
Please make checks payable to NAMI Greater Des Moines.
$35 for an individual or family membership - $3 for persons with
limited income
Name ___________________________________
Address _________________________________
________________________________________
Email ___________________________________
Phone __________________________________
Do you want to receive our monthly newsletter by mail _____ or
email _____?
We need your support to continue to provide this newsletter. If paying by check, please mail to NAMI
GDM, Box 12174, Des Moines, Iowa 50312
Acute Care Psychiatric Hospital Beds Available in the Des Moines Area
Location Adult Geriatric Children & Adolescent
Total Beds
Mercy Hospital downtown
18 16 34
Iowa Lutheran -as of end of summer – adult beds will increase to 40
30 12 16 58
Broadlawns 30 30
Des Moines VA 10 10
Total 132
These beds are full every day, 365 days a year and access is difficult.
Excerpts from: Medicaid Barriers to the Right Drugs May Cause More Persons with Mental Illness to Land Behind Bars
American Journal of Managed Care
Prior authorization rules adopted by Medicaid to limit access to newer drugs used to treat schizophrenia may result in more of these patients being incarcerated, raising questions about the “cost-effective-ness” of these formulary restrictions, to say nothing of the toll on the patients.
That is the finding of a new study published 7-22-14 by The American Journal of Managed Care, in which researchers examined survey data from 16,844 prison inmates and overlaid their responses with various Medicaid policies and data, as well as usage rates of atypical antipsychotics, the newer drug class that is frequently targeted by prior authorization requirements.
Atypical antipsychotics, which came into use in the 1990s, have been associated with lower rates of relapse. One of the challenges of prescribing them, as discussed in an earlier study in The American Journal of Managed Care, is that many patients only respond to one drug, and substituting less expensive drugs for a preferred version may result in relapse.
Both the Medicaid data, from 30 states, and the survey data were from 2004, a year when some states had begun to restrict access to atypical antipsychotics and some had not. Researchers found that states requiring prior authorization for atypical antipsychotics had less serious mental illness overall, but this advantage did not translate to the prison population. These states ended up with higher shares of inmates with psychotic symptoms than the national average.
The study concluded that prior authorization of atypical anti-psychotics was associated with a 22 percent increase in the likelihood of imprisonment for schizophrenics, compared with the likelihood in a state without such a requirement.
Today’s study comes amid a wave of media scrutiny of the cost and consequences of failing to adequately provide for mental health care, including the nexus between shortchanging mental health and rising prison expenditures.
www.namigdm.org (515) 277-0672 [email protected]
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You are not alone in this fight when it comes to mental illness. At notalone.nami.org, individuals and family members from across the nation share stories about living with mental illness.
Featured biographies include Teddy Roosevelt, Abraham Lincoln, Frida Kahlo, Audie Murphy, Nina Simone, and Gandhi. Mixed in with these famous faces are stories of people who live everyday with mental illness.
You Can Make a Difference! Walk with Us! Saturday, Oct 4 – Farm Bureau Lake -5400 University Avenue
West Des Moines – 8:30 Registration–10:00 Walk
Be a team captain for Greater Des Moines –
contact Matt Connolly for more information 975-9600 [email protected]
Join a team – part of the fun is creating a
distinctive team name and T-shirt and celebrating together!
Make a donation – you’ll help us to continue
our education, support and advocacy efforts – the donation is tax-deductible!
Volunteer to help at the Kick Off luncheon or
the day of the Walk - contact Marijke 515-254-0417 or at [email protected]
Be a sponsor – sponsorships start at $250 up to $15,000- your support is invaluable!
www.namiwalks.org/iowa
Know the biological underpinnings of mental
illness to debunk myths suggesting brain and behavior disorders are not bona fide illnesses. These myths—and the stigma they create—often keep people from getting the help they need to lead full, productive and happy lives.
Marriott Wardman Park Hotel - Registration: $250 (member) Check out the details at:
http://www.nami.org/template.cfm?section=convention
State Mental Health Conference – Wed-Thurs -Oct. 1-2
Prairie Meadows Conference Center, Altoona, Iowa
Register on-line and save $20 – registration is $120 till Sept. 20
https://www.trainingresources.org/Events.aspx Social work and nursing CEU’s available
Plenary Presenters: Rick Shults, Dr. Christie Cline, Sara Daniel,
Dr. Xavier Amador, Dr. Donald Black, Harvey Rosenthal, Dr. Jon Kerstetter
NAMI Iowa fall teacher and mentor trainings
The fall trainings are meant to be local trainings filled with partici-pants within a 30 mile radius of the training site. While local participants will receive preference for acceptance to the training, other affiliates (such as NAMI GDM) can send attendees, too.
However, due to budget constraints, NAMI IOWA will be unable to pay for lodging and transportation for outside participants. NAMI Iowa is asking affiliates from outside the training area to pay for lodging and gas for their participants. The trainings planned so far are:
NAMI Basics teacher training Location: Dubuque Dates: September 6 & 7
th
NAMI Connection facilitator training Location: Mason City Dates: September 20 & 21
st
NAMI Family-to-Family teacher training Location: Cedar Rapids at UnityPoint/St. Luke’s Hospital Dates: September 26-28
th
NAMI Connections facilitator training Location: Centerville Dates: October 11-12
th
NAMI Basics teacher training Location: Centerville Dates: October 18-19
If you are interested in attending one of the trainings – the NAMI GDM Board will accept applications from persons in the Des Moines area to attend the above trainings. An interview will be scheduled and a decision made on a case-by-case basis whether NAMI GDM will pay expenses (lodging and gas) to attend the training. Call Teresa at 274-6876 or email to [email protected]
Please remember to designate NAMI Greater Des Moines to
benefit from your donation so we will receive 40%. If not designated, we will receive no funds from your donation.
For more information, contact:
Marijke Hodgson NAMI Iowa Walk Manager and Education Coordinator [email protected] 515-254-0417
www.namigdm.org (515) 277-0672 [email protected]
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6% of Iowa’s population has severe mental illness or approximately
180,000 people. Listed below are the beds available for acute
care. 758 vs. 180,000 – no wonder the beds are full every day,
365 days a year and access is difficult.
New Iowa Dept. of Human Services website http://dhs.iowa.gov/
Iowa Medicaid: http://dhs.iowa.gov/ime/about
Want to find out more about the State Innovation Model initiative?
http://dhs.iowa.gov/ime/about/state-innovation-models
Legislative Branch www.legis.iowa.gov
Iowa Senate: (515) 281-3271 Iowa House: (515) 281-3221 Executive Branch www.governor.iowa.gov
(515) 281-5211
Check out www.infonetiowa.org/ for legislative
information, too.
NAMI Websites
Public Policy Platform: www.nami.org/platform State Advocacy: www.nami.org/stateadvocacy Other Policy Issues: www.nami.org/policy Child & Adolescent Action Center: www.nami.org/caac CIT Resource Center: www.nami.org/cit CIT for Youth Resource Center: www.nami.org/citforyouth Multicultural Action Center: www.nami.org/multicultural
Please take a moment to watch John Oliver’s remarkable, shrewd,
humorous 15 min. expose of America’s prison nation on HBO www.youtube.com/watch?v=_Pz3syET3DY
The Iowa Dept. of Education has a very informative newsletter for parents of kids in special education called “Each and Every Child”. You can view the archived issues and the most recent issues at: https://www.educateiowa.gov/each-and-every-child-newsletter
Want to find out more about the Balancing Incentive Payment
(BIPP) Initiative? http://dhs.iowa.gov/ime/about/initiatives/BIPP
Mental Health Institutes (MHI)
Total # of Beds
# adult beds
# child & adolescent beds
# geriatric beds
PMIC Beds*
Dual Diagnosis Beds
Substance Abuse Beds
Some of the prison mental health bed numbers compared to bed numbers outside corrections system
Cherokee MHI
36 24 12 100 bed Civil Commitment Unit for Sexual Offenders at Cherokee MHI
Clarinda MHI
35 15 20 Co-campused with a 795 bed prison and a 147 bed minimum security unit at the Clarinda MHI
Independence MHI
60 40 20 15
Mt. Pleasant MHI
9 9 19 50 Co-campused with a 914 bed prison at the Mt. Pleasant MHI
Licensed mental health professionals in Iowa 202 adult psychiatrists in practice 35 child psychiatrists 486 psychologists 96 nurse practitioners and 14 physician assistants with a mental health specialty 4162 social workers with a bachelors or master’sdegree 234 marital and family therapists 995 licensed mental health Counselors 89 counties are designated as mental health professional shortage areas
Total MHI beds
140 88 32 20 15 19 50
Staffed Hospital Beds Statewide
618 467 90 61
Total 758 555 122 81 “There is something wrong in a society when we are willing to spend more money to incarcerate people with mental illnesses than to treat them.” – Miami Dade County Judge Steven Leifman
Crisis Stabilization beds
20 Waterloo 10 Centerville 5 Des Moines 5
Intermediate Care facilities for Persons with mental illness (PMI)
3 facilities 102 beds
Sub-acute Beds
Residential Care Facilities for PMI
13 facilities 312 beds
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 June 2014
FY 2013 Ave. Cost per person
Health & Disability 2651 3067 $10,356
AIDS/HIV 34 0 $10,889
Elderly 8873 0 $8824
Intellectual Disabilities 12536 0 $36,021
Brain Injury 1339 1050 $22,353
Physical Disability 1024 2474 $5872 Children's Mental Health 1144 1816 $11,617 27601 8407
http://dhs.iowa.gov/sites/default/files/6%201%2014%20Monthly%20Slot%20and%20Waiting%20list%20%28public%29.pdf
www.namigdm.org (515) 277-0672 [email protected]
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IDPH Launches Bullying, Suicide Hotline - Available 24/7, Your
Life Iowa is a phone call or text away at www.Yourlifeiowa.org or 855-581-8111. Trained counselors will provide guidance and support about bullying, and critical help to youth
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) - http://ok2talk.org/
News on Crisis Services in Polk County
Notes on upcoming Plans to improve mental health crisis services in Polk County include a Crisis Observation Center. Admittance is through a separate entrance at the Central Iowa Shelter & Services, 1420 Mulberry. 1. The Crisis Observation Center is open 24/7. It is a safe
supervised space with a doctor on call, nurse, social workers, technicians and peer specialists.
2. Persons experiencing mental health difficulties can enter for assistance on their own, be brought in by family members or friends, or transported by law enforcement or mobile crisis team. A stay would typically be for 1-2 days.
3. A pre-screening process will evaluate whether a person is appropriately placed at the crisis observation center, can be triaged and sent home, or should be admitted to the hospital.
4. The Mobile crisis team will be moving from the Des Moines Police station to Central Iowa Shelter & Services, 1420 Mulberry. They will assist at the crisis observation center and continue responding to calls in the community.
5. Eyerly-Ball Mental Health Services will staff the crisis observation center with oversight from Polk Co. Health Services
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 Polk County Mobile Crisis Response Team to assist. The goal is to keep everyone safe and to seek the appropriate level of assistance for the ill family member or friend.
The non-emergency phone number for the mobile crisis team is 283-4811. The police liaison to the Mobile Crisis Team is Officer Kelly Drane. Her hours are 8 to 4 Mon-Fri phone is 205-2270. The Mobile Crisis Unit team leader is Torry Simmons. Torry can be reached at 283-4811 if you have questions or concerns.
If the crisis situation is in Polk County - in response to your phone call, the first people to arrive to the situation will be 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 Team is needed. Mobile Crisis only takes referrals from law enforcement.
When the Polk County Mobile Crisis Team 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 be given, if needed and appropriate. The Mobile Crisis Team is available 6:30 AM to 2:30 AM – 7 days week. It is staffed by licensed mental health professionals and registered nurses. Consult www.namigdm.org for more community resources.
Community Resources
Polk County Mental Health Services Polk County River Place – 2309 Euclid Avenue, DM – 243-4545
http://polk.ia.networkofcare.org/mh/
Warren County Mental Health Services 1011 N. Jefferson Way, Suite 900 (west bldg.)Indianola, IA 50125
515-961-1068 email: [email protected] http://www.co.warren.ia.us/mental_health.shtml
Dallas County Mental Health Services 902 Court Street, Suite 1, Adel, IA 50003 515-993-5869
Toll free: 877-286-3227 E-mail: [email protected] http://www.co.dallas.ia.us/department-services/community-
services
Madison County Mental Health Services 209 East Madison, Winterset, IA 50273 515-462-2931
http://www.madisoncoia.us/OFFICES/comservices/index.htm
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
Eyerly Ball Community Mental Health Center
109 S. 9th
St., Adel – 515-993-2158
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 Passageway,305 15th
St., Des Moines 515-243-6929
Iowa Medicaid Non-Emergency Medical Transportation Program
When you have a need for Non-Emergency Medical Transportation, call TMS. Once you have provided all the necessary information, a TMS operator will explain how your trip request will be met. To request a ride please call 1-866-572-7662. To find out more about
forms and policies, go to: http://tmsmanagementgroup.com/index.php/iowa-medicaid-net-program
Joy Ride Transport
Joy Ride is a transportation service available in the greater Des Moines area and surrounding communities To make a reservation, call 515-331-
1100 or 855-225-7433 [email protected] http://ridejoyride.com/
Office Hours: Monday – Friday 8:00 AM – 5:00 PM They try to
accommodate same-day requests for transportation. Weekend and holiday transportation is also available with advance notice.
Tell Me Where to Turn
www.namigdm.org (515) 277-0672 [email protected]
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SUPPORT GROUPS for Family Members
Des Moines - Third Sunday of the month –Family members, if
you are interested in participating in a NAMI family support group, please contact Susie & Richard McCauley 274-5095 or [email protected] Meetings are at Eyerly-Ball Community Mental Health Center-1301 Center 2:30-4 S
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.
Ankeny – 1st
Tuesday of each month – Family members if you
are interested in participating in a NAMI family support group, please contact Nora Breniman at 964-1593 or Regina Murphy at 777-0191, Group meets at Ankeny First United Methodist Church, 206 SW Walnut, Ankeny, RM 310/314 at 7-8:30 PM
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 Conference room (main floor behind offices across from small chapel. 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.
1st
and 3rd
Tuesdays of each month –Voices to be Heard Support
group – Union Park United Methodist Church –East 12th
& 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 Melissa Nelson at 280-9027.
4th
Thursday of the month – Family Support Group 6:30 to 8
PM at First United Methodist Church, 307 W. Ashland, Indianola in Gabel Chapel – enter the NW door on Ashland – For more information, please contact Grace 205-9765 [email protected]
Coping After a Suicide Support Group – Polk Co. Crisis and
Advocacy Services – Contact: Joann-286-3600 - 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 490-2758 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 Terri Miller 556-3861 [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.
Tuesday evenings 5:30-7:00 Dual Diagnosis support group at
Eyerly Ball Mental Health Services – call 243-5181 for more info.
Tuesday evenings 7:30 PM - 4211 Grand – Friends House – in the Meeting House – Meditation and Mindfulness Group –
sponsored by Crossroads of Iowa 633-7968-please pre-register
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 6:30-7:30 PM – 4211 Grand – Friends
House – in the Conference Room – H30 - a support group with a focus on opiate, heroin and prescription pill addiction for Women –
sponsored by Crossroads of Iowa 633-7968 – please pre-register
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. Contact Ron at [email protected] or call 279-5710
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]
An Epilepsy Support group is held the 4th Thursday of every
month at 6 PM at Mercy Medical Center, East Tower, Room 3, 1111 6
th Avenue, Des Moines. For more information, contact
Roxanne Cogil 515-238-7660 or [email protected]
Support for Persons with Lived Experience
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.
Support for Family Members
www.namigdm.org (515) 277-0672 [email protected]
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Every Saturday evening-“The Road”-Christian Life Center
location, 710 NE 36th street in Ankeny (easy access from the new
exit off I-35) – the schedule: 6 PM Pizza supper with free will offering, 7:15 PM Worship, 8 PM recovery groups. Child care available for infants and toddlers. For further questions, call 515-777-8333 to speak to a team member. Facebook page:
TheRoad@AFUMC
Learning to Live Today Are you a survivor of abuse? Looking to learn how to live better and
live the life you want? Join us and learn ways to do just that. The group is open to all abuse survivors including survivors of emotional, physical, sexual, psychological and verbal abuse. This group is best suited for those who have already sought therapy for their abuse, but now are looking to learn how to form new habits and learn to live the life they want.
The first meeting of Learning to Live Today is to be held Sept. 18
from 6-8PM. For location and additional information, please call Tom at (515) 978-1283 or email at [email protected].
Disclaimer: This is a non-clinical group of survivors helping survivors. Those still needing professional counseling or medical help should seek the help of professionals.
Suicide is now the first cause of injury deaths, followed by car crashes, poisoning, falls and murder. Suicides are terribly undercounted. There may be 20 percent or more unrecognized suicides. –Sept. 20, 2012 American Journal of Public Health
New Report about the Voice of Suicide Attempt Survivors
Suicide attempt survivors are emerging with a collective voice and cohesive framework for shaping the future of suicide prevention. The National Action Alliance for Suicide Prevention’s The Way Forward: Pathways to hope, recovery, and wellness with insights from lived experience (The Way Forward) sets the stage for a constructive collaboration in developing new, more effective means for reducing suicide attempts and deaths. It does so by providing recommendations based on evidence-based practices which incorporate personal lived experience of recovery and resilience. Read the press release and report.
What Is Up With The Medicaid Emergency Psychiatric Demonstration Project?
OPEN MINDS Daily Executive Briefing | Laura Morgan
The Centers for Medicare and Medicaid Services (CMS) have a Medicaid emergency psychiatric demonstration (MEPD) project. What is MEPD?
The MEPD project was authorized under section 2707 of the Patient Protection and Affordable Care Act (PPACA). CMS picked 12 states for the Medicaid Emergency Psychiatric Care Demonstration project. MEPD involves a partial waiver of the IMD exclusion rule by permitting Medicaid reimbursement to participating private psychiatric facilities for treatment of Medicaid beneficiaries, ages 21 to 64, with psychiatric emergency medical conditions (EMCs). MEPD seeks to test whether paying for care through private, freestanding psychiatric facilities can:
1. Result in faster, more appropriate care for Medicaid benefic- iaries in psychiatric crisis 2. Provide relief to general hospitals who otherwise resort to
boarding or scatter bed arrangements until a hospital bed becomes available 3. Shorten the time to stabilization of psychiatric emergency medical conditions, resulting in reductions in length of stays 4. Improve discharge planning by participating IMDs, resulting in better aftercare following discharge 5. Reduce readmissions to emergency rooms
Twenty-seven private psychiatric facilities in 11 states and the District of Columbia are participating in the three-year demonstration that runs from July 2012 to December 2015. Participating states are Alabama, California, Connecticut, Illinois, Maine, Maryland, Missouri, North Carolina, Rhode Island, Washington, and West Virginia.
During the first year of the Medicaid Emergency Psychiatric Demonstration (MEPD) program, from July 2012 through June 2013, 33% of the 3,458 admissions in the 12 participating states were for adults Medicaid beneficiaries between age 22 and 64 diagnosed with schizophrenia (26%) or other psychotic disorders (7%).
So what’s the status? CMS reported on MEPD progress at the end of one year in a mandated report to Congress. CMS’ endorsement was tepid “ it stated it did not have enough data to recommend expanding the demonstration, but that it supported allowing the demonstration to continue through the end of its authorization in 2015.
But what do reported data points show? Although not strictly comparable, we compared MEPD results with national statistics for hospital admissions from emergency departments (EDs) for similar populations (Medicaid beneficiaries with primary diagnoses of schizophrenia or other psychotic disorders, mood disorders, and major depressive disorder).
Roughly compared, MEPD Medicaid beneficiaries experienced
a shorter length of stay, and
were less likely to be discharged to another facility
Most striking, their care cost less.
The two data sources use different terminology for reporting cost: MEPD data are reported as claims and the national data are reported as charges. That may account for some of the difference, but the magnitude of difference still suggests that it may cost the public health system less to allow treatment of Medicaid benefic-iaries in psychiatric crisis in private psychiatric facilities as opposed to general acute hospitals.
So what are the strategic implications? The MEPD project contin-ues through the end of 2015 and the final evaluation report is not due until September 2016. Given CMS’ less than glowing endorse-ment in its first report to Congress, provider organizations and payers should not expect to see CMS recommend expansion of the project in advance of that timeline. The demonstration is, however, starting to build a compelling case for CMS to consider modifying the IMD exclusion rule.
Any significant change to IMD rules requires an act of Congress, and would likely not involve a wholesale repeal of the IMD exclu-sion. CMS has made its desire clear to limit institutional care. The non-availability of Medicaid reimbursement for inpatient psychiatric care for adults, ages 21-64, is a key policy tool in support of that objective.
We will continue to report on developments in the CMS Medicaid emergency psychiatric demonstration project.
www.namigdm.org (515) 277-0672 [email protected]
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Joan Becker to Speak in Ankeny Sept. 9
Joan Becker, Finding The Light Beyond The Storm, A Mother’s Story of their Family’s Walk with Mental Illness - will be a guest
speaker on Tuesday, September 9th
, at 6:30 p.m. Location: Ankeny First United Methodist Church, 206 SW Walnut, Ankeny, IA. Questions call: 777-0191
5 Steps to Create a Mental Health System in the U.S.
The Guardian – Paul S. Appelbaum
No genuine system of mental health care exists in the United States. This country's diagnosis and treatment of mental health problems are fragmented across a variety of providers and payers – and they are all too often unaffordable. If you think about it, the list of complications is almost endless:
Families of loved ones with mental illness recount horror stories, as several have in the Guardian's interactive series this week.
Patients transitioning from inpatient to outpatient treatment often fall between the cracks.
Mental health and general medical treatment are rarely coordinated.
Substance abuse treatment usually takes place in an entirely different system altogether, with little coordination.
Auxiliary interventions that are so essential to so many people with serious mental illnesses – supported housing, employment training, social skills training – are offered
through a different set of agencies altogether ... if they are available at all.
Our mental health system is a non-system – and a dysfunctional non-system at that.
The evidence is everywhere that things have been getting worse – more and more Americans with mental illness are stranded in emergency rooms, for example, and simply for want of hospital beds. And that is in no small part because nobody has tried, in more than 50 years, to design a comprehensive mental health system for all Americans. It's time to try again.
Mental health clinics in 1955 offered a vision for attentive care that hasn't been replicated since. Photograph: Three Lions / Getty Images
The last major rethinking of the system's flaws
began, in 1955, with an act of Congress that resulted in the appointment of something called the Joint Commission on Mental Illness and Health. The commission's report, Action for Mental Health, offered a vision of community-based mental health treat-ment: a new clinic would be created for every 50,000 persons – for prevention and early intervention services. People who once had to wait for their symptoms to become bad enough to go to the hospital would not have to wait before anything could be done. They would receive prompt care in their own communities and return quickly to life as usual – back at work, living with their families, seeing their friends.
Soon came the downsizing of large state hospitals and, in 1963, the passage of the Community Mental Health Act. That legislation envisioned the creation of a network of mental health centers spanning the country, so that every citizen would have a single point of access. A person experiencing early symptoms of mental disorder could receive emergency, inpatient, partial hospitalization and outpatient care – all in the same place – while her family was educated about her disorder and how best they could help.
Unfortunately, fewer than half of the centers were ever built, and adequate support for their operation was never provided. As federal funding ceased, many of the existing centers shifted away from caring for the most seriously ill ... to serving paying customers. The promise of an effective community-based system of care remains unfulfilled.
Yet we are, half a century later, in a different world for which a different vision may be required – a vision of comprehensive care aimed at helping people with mental illness continue to be function-ing members of society. But the essential notion of having an integrated system of healthcare – a system that recognizes the spectrum of needs associated with mental disorders, from family therapy to medication to supported housing – is too important to relinquish.
President Obama can kick-start planning for a genuine system of mental health care, by establishing a presidential commission to suggest realistic, re-inventive steps forward.
It could be a landmark moment, right now, today.
Here's what it might take:
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No one struggling with depression or trying to find help for a troubled child should have to spend weeks figuring out whom to call. In every area of the country, a single point of contact should be created to respond to questions and triage people in need of help to appropriate services. Today, much of this information can be provided online – think of the live chat boxes on many business and banking websites, or even the pop-up video for customer support on Amazon's Kindle Fire tablet.
Today people are too often left to their own devices when it comes to assembling and monitoring the package of services they need. Too often people can't find what they’re looking for. These services can range from medication to family therapy to rehabilitation services. Care coordinators should be available to shoulder those burdens – not patients and families.
People with mental disorders need more than just a pill – but that's often all that's available to them. Psychotherapy can help them understand and deal with the problems they face. Sub-
stance abuse commonly accompanies mental disorders – and must be addressed equally seriously. Many people with serious
mental illnesses need assistance with job training and housing as critical parts of their recovery.
Most mental health problems can be dealt with inside a community, but when emergencies arise it becomes essential to have access to crisis services, short-term respite beds and inpatient care. Low payments from insurers for mental health treatment have led to the closure of many inpatient units, resulting in a backlog of people in crisis being held in emergency rooms – sometimes for days or weeks.
Today, paying for mental health care is nobody's responsibility. Insurers pay as little as possible, often denying claims on flimsy grounds. States have cut more than $4bn from their mental health budgets in the last six years. The federal government directly contributes only a tiny amount to supporting mental health treat- ment beyond the coverage it provides through Medicare and Medicaid.
A joint federal-state commitment is needed to funding the infrastructure of a care system, while insurers' feet are held to fire to make certain they live up their obligations under the Mental Health Parity Act.
In the 21st century, with our instantaneous electronic communica-tions, it may be less important to house these kinds of services in a single site – but it's no less important to insure that they are all available.
A half-century of patchwork efforts to improve one or another aspect of the mental health system has resulted in abject failure. Unless we take a comprehensive approach, and mend the safety net that protects us all, we will fail again. Let's get to work.
Paul S Appelbaum is the Dollard Professor of Psychiatry, Medicine and Law at Columbia University, and a former president of the American Psychiatric Association.
1. Create Single Points of Access
24 hour hotline for patient evaluation
24 hour hotline for patient treatment
24 hour hotline for family information
A federal website for referral to resources … that works.
2. Coordinate services for patients and families
Broad offerings for people with mental disorders
Facilitators for quick access to integrated care
3. Develop an array of community-based services (including but not limited to)
Individual and group psychotherapy
Marital and family therapy
Substance abuse treatment
Medication
Rehab and support housing options
5. Build a stable funding stream
Long term state budget commitments
Aggressive oversight of insurers’ coverage decisions
Federal dollars to fill the gaps
4. Provide accessible crisis and inpatient services
Today: the ER – and even jail
Tomorrow: timely crisis services, stability, outpatient treatment
Plus: inpatient care – quicker access to beds
www.namigdm.org (515) 277-0672 [email protected]
Find Help. Find Hope.
9
Family Peer Support Training in October and November
Family peer support training – also called Iowa Family Navigator training – will be held on October 7, 8, 9 and November 3, 4, 5, 6. Participants will need to attend all 7 days to complete the training. To register go to: https://uiowa.qualtrics.com/SE/?SID=SV_9B2z8V7LGiGDrzD Questions? E-mail Wynne Worley: [email protected]
Art as a Meditation
To slide a mark or brush a color across a surface reminds the body to breath. During these art experiences the invitation is to use ink, paint, pastel and paper as a meditation practice. The goal is not to do it correctly but instead to discover what you need to bring breath and stillness to yourself.
The cost is $10 for 5 sessions.
Thursdays, September 11, 18, 25, Oct 2 & Oct 9 - 6 to 7 PM
2759 86th Street, Executive Suites #104 Urbandale.
To register, please send registration fee of $10 along with your name, address, phone and email to address listed above.
This group is limited to 6 individuals.
Questions? Feel free to email at [email protected] or call 515.419.3307
This class will be led by spiritual director, artist and art facilitator Sam Erwin.
NAMI Peer to Peer class
Lutheran Church of Hope, 925 Jordan Creek Parkway, West Des Moines
Thursday nights beginning August 14 and ending October 16
6:30 to approx. 8:30 PM – no registration fee to attend
Contact Terri at [email protected] or 515.556.3861
NAMI Family to Family class
Ankeny First United Methodist Church, 206 SW Walnut St. – Fellowship Hall
Monday nights beginning August 25 and ending Nov. 17
6:30 to approx. 9:00 PM – no registration fee to attend
Contact Debbie Rose [email protected] 250-1209 or Teresa Bomhoff [email protected] 274-6876
NAMI Family to Family class
Corinthian Baptist Church, 814 School St. (School and 9th
), Des Moines
Monday nights beginning Sept. 8 and ending Nov. 24
6:30 to approx. 9:00 PM - no registration fee to attend
Contact Matthea Little Smith [email protected] 783-2763 or Melanie Acklin [email protected] 525-3169
NAMI Basics class
ASK Resource Center, 5665 Greendale Road, Johnston
Monday nights beginning Oct. 6 and ending Nov. 10
6:30 to approx. 9 PM – no registration fee to attend
Contact Susan Gill [email protected] 240-8055 or [email protected] 243-1713 or Mitzi Schoening [email protected] 515-290-7738
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
http://ok2talk.org/ - Say anything. It’s time we talked about mental health. Need to talk? 1-800-273-TALK (8255)
Mental Health Parity Now Law for Most Health Plans
NAMI National
July 1st marked the day when most health plans, including Medicaid managed care plans must provide fair coverage for mental health services. Parity is the recognition of mental health conditions and substance use disorders as equal to physical illness. Before this law, mental health
treatment was typically covered by your insurance company at far lower levels than physical illness.
In 2014, most health insurance plans, including Medicaid managed care plans, must comply with the federal parity law and provide fair coverage of mental health services.
5 signs your plan may be violating parity requirements
1. You have to pay more or get fewer visits for mental health services than for other kinds of health care.
2. You have to call and get permission to get mental health care covered, but not for other types of health care.
3. You have been denied mental health services because they were not considered “medically necessary,” but your plan does not answer your request for the medical necessity criteria they use.
4. You cannot find any in-network mental health providers that are taking new patients, but you can for other health care.
5. Your plan will not cover residential mental health or substance use treatment or intensive outpatient care, but they do for other health conditions.
If you think your plan has violated parity requirements, you can communicate with your plan or file an appeal using the Parity Toolkit . You can also get help with questions about whether your
health insurance plan is covering mental health services fairly by sending an email to [email protected].
7 steps to take for an appeal of a denial of services
1. Ask your provider to help you. 2. Make sure your provider requests a special expedited appeal if
it is an emergency. 3. Confirm with your insurance company whether your services
will be covered during the appeal. 4. Request, or have your provider request, written notification of
the reason for denial. You should receive this within 30 days. 5. Use the templates for letters in the Parity Toolkit.
http://www.nami.org/Content/NavigationMenu/Inform_Yourself/About_Public_Policy/Issue_Spotlights
6. Make sure that you and your provider meet all deadlines in the review or appeals process.
7. If you are on Medicaid, you may request a “state fair hearing” at the same time you file your appeal.
For more information, download the Federal Parity Fact Sheet
http://www.nami.org/Content/ContentGroups/Policy/Issues_Spotlights/Parity1/FederalParityFactSheet.pdf
4. Provide accessible crisis and inpatient services
Today: the ER – and even jail
Tomorrow: timely crisis services, stability, outpatient treatment
Plus: inpatient care – quicker access to beds
www.namigdm.org (515) 277-0672 [email protected]
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10
I Was Taken to Jail Instead of Treatment – personally speaking
Treatment Advocacy Center
(July 28, 2014) In my experience, being poor, homeless and African-American landed me in jail instead of in psychiatric treatment.
I developed schizophrenia at age 25 and was put on medication. But shortly thereafter I stopped taking medicine
because I was gaining a lot of weight and felt tired all the time. I abandoned my middle-class family and moved into my own house. But without my medication I was unable to take care of myself. My house deteriorated to the point where ants filled the kitchen. I wasn’t able to take care of myself so I thought it would be better to just leave the house. When I eventually decided to return home, the door was locked. I was homeless.
My voices told me I need to get out of town fast. So I climbed on top of a train that was halted for the evening, planning to catch a ride. Someone saw me and called the police. When the police came they didn't even talk to me. If they had spoken to me, they would have known that I was acting on my voices and in the middle of a psychotic episode.
They would have known immediately that I belonged in a psychiatric hospital, not a jail - which is where they took me. For the next 10 days I was with sex workers, a bank robber and a murderer. I was also still off my medicine, but nobody asked if I needed medicine and no doctor came to give me a psychiatric evaluation.
When I am off medicine I have a quick temper so it wasn't long before I got into my first fight inside the jail. I stood in the face of another inmate and told her she was taking too much of the mirror. It never would have happened if I had been on my medicine. The next thing I knew, I was on the floor fighting with the ladies cheering us on.
This might never have happened if the criminal justice system didn't assume that black homeless people are criminals, when actually a lot of us just need treatment. SAKEENAH FRANCIS, Author of Love's All That Makes Sense Living with Schizophrenia
Mental Health Briefing on Institutions of Mental Disease (IMD)
Exclusion to Medicaid – 7-30-14
Testimony of Doris Fuller, Ex. Director of Treatment Advocacy Center
Today we hold a briefing in conjunction with the Congressional Homelessness Caucus on the IMD exclusion and the dual discrim-ination faced by minority Medicaid eligibles and beneficiaries with mental illness. Thank you for joining us.
As the law currently stands, because of the IMD exclusion, Medi-caid provides no reimbursement to so-called “institutions of mental disease” if they contain more than 16 beds and more than half their patients are adults below the age of 65 with psychiatric disease.
Yes, in addition to all the forms of discrimination people with mental illness suffer, coverage of their psychiatric and medical treatment in all but the smallest dedicated facilities is banned by federal law.
If only these critically ill individuals needed inpatient or long-term care for heart disease or diabetes or dementia or literally any other
acute or chronic condition: Medicaid would cover their medically necessary care. But … because they are mentally ill, it does not.
We are focusing today on this topic because of how uniquely egregious the IMD exclusion is and how disastrously it discrim-inates against the poor and minorities and limits their chances of meaningful recovery.
I am joined here by leaders in the fight against discrimination, barriers to treatment for mental illness and homelessness, and I welcome our distinguished panel of experts. They will be sharing invaluable insights into a range of issues impacting vulnerable populations and how those issues are related to the IMD exclusion.
We are also here today because, ultimately, it will take an act of Congress to end the statutory ban on treatment to this population with the waiver, modification or repeal of the IMD exclusion.
Some loudly and repeatedly say it would cost too much to remove the IMD exclusion from federal law. This is a rationale that effect-tively wraps unequal treatment of society’s most vulnerable popu-lation in the cloak of unexamined fiscal promises. Equivalent discrimination against any other medically compromised population – cancer patients, for example, or individuals with Parkinson’s disease – is unimaginable.
What’s more, the rationale itself is insupportable. While it does cost money to provide treatment to individuals with mental illness, cost savings from banning their treatment are an illusion.
Numerous studies have found that short-length hospitalization of individuals in psychiatric crisis is associated with higher re-hospita-lization rates, and revolving-door hospitalization is extremely expensive. Also costly are the forensic beds, jail and prison cells and homelessness services that become the default “institutions of mental disease” for psychiatrically fragile people who do not receive the medically necessary treatment they need to function safely and successfully in the community. The savings from treating them in a timely and effective manner is well-documented.
Others, albeit less loudly in recent years, point to Congressional intent as justification for perpetuating the IMD exclusion, that intent being to incentivize states to replace what President John F. Kennedy called the “cold mercy of custodial isolation” with “the open warmth of community concern and capability.”
The need to motivate states to close their public hospitals is long gone. The incentive worked. Public psychiatric beds are all but extinct. We have today 7.5% of the public hospital beds we had in 1965, when the IMD exclusion was enacted, and more are lost almost daily.
Community care has a necessary and important role in America’s mental health armamentarium. But the centers of “warmth” and “community concern” that were supposed to replace the “cold” public hospitals were mostly never built, and the ones that were built are dedicated almost exclusively to the needs of people not ill enough to require inpatient care and ill-equipped to handle those with the most severe illnesses.
In ignoring the limitations of community-based treatment, we ignore the need for appropriate inpatient treatment of people who cannot participate in these programs and who require IMD care. As you will hear today, those needs are not being met.
It is not rational, humane or cost-effective to deny Medicaid coverage for medically necessary treatment to a specific population of poor people with disabilities, a practice that falls disproportion-
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11
ately on minorities overrepresented below the poverty line. The exclusion is already waived for the young and the elderly. It is only for adults between 22 and 65 – in what could be the prime of their working and family lives but is not – that coverage is denied.
I have personally seen the effects of this discrimination at work. I have a beautiful 28-year-old daughter with a severe and persistent mental illness. When she initially fell ill, she lived in a state where IMDs of more than 16 beds were reimbursed. Whenever she was hospitalized there, her discharge was contingent on the discharge hospital making sure a follow-up residential bed in an IMD was waiting for her. One of the facilities were she stayed had 64 beds, virtually all of them occupied by individuals unable to succeed or perhaps even survive outside a residential facility. Some were still acutely ill. Some were chronically ill. A few had developmental or intellectual disabilities. Virtually all of them were poor. They could live there receiving services indefinitely. Their care was covered by a combination of their government benefits and Medicaid.
I still remember what Medicaid paid for the skilled nursing services she received in the early 2000s: $30 a day. $900 a month. Less than a few hours in an ER. Less than the cost of a single day of psychiatric hospitalization. Less than the cost of a jail cell. Less than what cities spend on average daily for each of their homeless individuals.
She stayed as long as it took for her to be ready to move back to the community and, once back in the community, she resumed her previous life at essentially the same level.
Contrast this with what I saw when she relapsed late last year in Virginia, where the IMD exclusion is in full effect. When she was deemed “ready” for hospital discharge – after an impossibly short two- or three-day stay that did not begin to stabilize her – I was told that – if she didn’t have a home to return to – the hospital would give her a one-week supply of medications and cab fare to a homeless shelter. In the span of four months, she was admitted to three hospitals through their ERs and did not stabilize until the fourth hospital provided unreimbursed inpatient care for two full months.
Residential beds exist where waiver or other exemption from the IMD exclusion makes them economically viable because of Medi-caid reimbursement. They don’t exist in Virginia – and most everywhere in America – because the IMD exclusion makes them economically non-viable.
Our distinguished panel members are:
Congresswoman Eddie Bernice Johnson is serving her 11th term representing the 30th Congressional District of Texas. Congress-woman Johnson is co-chair of the Congressional Homelessness Caucus and had the honor to serve as chair of the Congressional Black Caucus during the 107th Congress. Congresswoman Johnson has worked tirelessly to improve access to mental health treatment for individuals with mental illness. She has introduced legislation to repeal the IMD Exclusion to Medicaid for four conse-cutive Congresses and has worked closely with Rep. Tim Murphy on H.R. 3717, which includes a fix to the IMD Exclusion to Medi-caid. As a non-practicing psychiatric nurse, Congresswoman Johnson has witnessed firsthand the consequences of the IMD Exclusion’s implementation and will continue to fight for individuals to gain access to the mental health treatment they deserve.
Congressman Tim Murphy (R-PA) is serving his sixth term in Congress as the Representative for the 18th District of Pennsyl-vania. A psychologist by training, Congressman Murphy is co-chair
of the Mental Health Caucus, a founding member of the GOP Doctors Caucus, and Chairman of Oversight and Investigations for the House Energy and Commerce Committee. He is also sponsor of HR 3717, the most comprehensive piece of mental health legislation devoted to meeting the treatment needs of Americans with the most severe mental illnesses in half a century.
Bob Davison, Executive Director of Mental Health Association of Essex County. In his role as ED, Mr. Davison manages the overall operations of a comprehensive community mental health facility that each day serves the needs of more than 1000 individuals and their families who are confronted with mental illnesses or emotional disturbances. He served as chair of New Jersey Governor Codey’s Task Force on Mental Health, which provided a blueprint for comprehensive reform of New Jersey’s mental health system.
Dr. Ray Patterson, general and forensic psychiatrist - Dr. Patterson has extensive experience (more than 30 years) in both corrections and public mental health systems, including serving as Commis-sioner of Mental Health for the District of Columbia Mental Health System, Chief Psychiatrist for the D.C. Jail, Director of Forensic Services for the Maryland Mental Hygiene Administration, and Chief Psychiatrist for the Maryland Department of Public Safety and Corrections. He has also served as a court-appointed expert to review and or monitor mental health problems in correctional settings in states including New Jersey, California, and Illinois.
Bill Bailey, President and Chief Executive Officer of Cenikor Foundation - Mr. Bailey is here today to discuss the impact the IMD exclusion has on the substance abuse treatment community. For nearly 50 years, Cenikor has provided behavioral health treatment to help people with substance abuse issues achieve better health and better lives. The impact of substance abuse is large. It contri-butes to the prevalence of mental illness separately and through co-occurring disorders and exacerbates housing instability. More than half of Cenikor’s clients have experienced homelessness at some point during their addiction. There are many options for improving access to treatment for individuals who need substance abuse treatment. Cenikor is hoping to provide these services in flexible, community-based programs that provide the best oppor-tunity for recovery.
Steve Baron, director of the District of Columbia Department of Behavioral Health - Mr. Baron will provide an overview of Washington, D.C.’s experience with the Medicaid Emergency Psychiatric demonstration project incorporated in the Affordable Care Act. Mr. Baron was appointed last October as the first director of the newly established DC Department of Behavioral Health, where he is responsible for leading the integration of mental health and substance use disorder treatment services and supports. Mr. Baron previously directed the Department of Mental Health for seven years. While director, he established emergency mobile crisis services, an urgent care clinic at Superior Court for on-the-spot referrals to mental health treatment, and a crisis intervention training program for police officers. Under his leader-ship, the Department ended the 37-year court oversight of the District’s mental health services.
As you listen to these distinguished panelists, we ask you to ponder the moral and social implications of a federal law that systematically denies reimbursement for treatment to some of our nation’s most vulnerable citizens and consider the abundant practical reasons to increase efficiency and lower costs by providing mentally ill poor adults with the medically necessary care they need in the settings that are most appropriate to promoting their recovery.
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More information on the hearing and on HR 3717 can be found on Pete Earley’s blog at http://www.peteearley.com/2014/07/30/rep-murphy-continues-push-reforms-final-hours/
Highlights of new Veterans Bill to Improve Care
$10 billion in emergency spending for care at non-Veterans Affairs facilities and allow veterans to obtain health care at such facilities if they live more than 40 miles from a VA clinic or can't get an appointment at a VA clinic within 30 days.
It would provide for $5 billion in spending for expedited authority to hire more doctors, nurses and other health care professionals and would authorize leases for the opening of 27 new VA health facilities.
Robert Alan McDonald of Ohio is approved to be Secretary of the Department of Veterans Affairs.
Blood Test Could Detect Suicide Risk
A new study suggests that suicidal thoughts might be determined by a blood test. The study, published in The American Journal of Psychiatry, found that the gene SKA2, which is
involved in stress reaction, could predict suicide risk. The researchers determined that in some groups, lower levels of SKA2 were associated with people who had taken their own life. In others, a mutation that changed the way the SKA2 gene worked was also associated with that group. Both findings are significant, because if the SKA2 gene isn't functioning properly, the body isn't able to suppress the release of cortisol, a stress hormone, throughout the brain. The researchers confirmed the results with blood samples from three different, ongoing studies. They then designed a test to see if they could predict which of the participants had had either suicidal thoughts or attempts in the past. The test was able to predict participants' history of suicide attempts or suicidal thoughts with at least 90 percent accuracy. The next step of the research involves a testing hundreds more samples from soldiers pre- and post-deployment as part of a collaboration with the U.S. Army STARRS project. (Huffington Post, 7/31/14)
Clinic in Philadelphia Supermarket Offers First In-Store Mental Health Screening
A crowdfunding design challenge has produced a collaboration to deliver mental health services
in a supermarket clinic in Philadelphia. Family Practice and Counseling Network is adding behavioral health screenings to its treatment areas next month at its QCare clinic in a ShopRite. QCare customers will be screened in English and in Spanish through mounted tablets in the clinic waiting area. The screening gives feedback on the responses and a list of resources for mental health care based on needs. The clinic will provide treatment options including care from QCare staff. Although it is currently for people 18 and older, there are plans to add evaluations for children with a partner organization. The entry was submitted by Philadelphia Department of Behavioral Health and Intellectual disability Services and Screening for Mental Health. It was one of nine concepts selected from the design challenge, which was backed by the Scattergood Foundation and Drexel University School of Public Health. (newsworks.org, 7/31/14)
NAMI GDM highlights of July Activities
July newsletter emailed to 1800+, 2200+ mailed, 400 distributed to various venues and events
Newsletters and magazines to 4 area hospitals
NAMI family support groups meet in 4 locations 1X/month
NAMI Connections support groups meet in 2 locations weekly
Family to Family class in progress
7-2-14 Workforce workgroup meetings
7-2-14 Anti-stigma committee
7-7-14 Polk Co. Health Services meeting
7-8-14 Community Foundation of GDM and Principal Financial Group meeting
7-8-14 Presentation at ICIW conference
7-9-14 Testimony given to DHS Council Budget meeting
7-9-14 IA Prevention of Disabilities meeting at State Capitol
7-10-14 Crisis Observation Center opening and ribbon cutting
7-10-14 (IDAAN) IA Disabilities and Aging Advocacy Network meeting
7-11-14 Olmstead Taskforce meeting
7-14-14 MH Workforce Workgroup meeting
7-14-14 NAMI Iowa – to work on Polk County grant
7-15-14 MH First Aid presentation to School Nurse’s conference
7-15-14 Presentation to DMACC Intro to Human Services class
7-16-14 Iowa Mental Health Planning Council meeting
7-17-14 MHDS Commission meeting
7-18-14 Meeting with MH Workforce Workgroup members
7-21-14 AMOS MH and SA Workgroup meeting
7-23-14 Fifth Judicial District Board meeting
7-25-14 Harkin event at Drake University and presentation of award
7-26-14 AMOS DM and Ames cluster meeting in Huxley
7-28-14 Meeting with Renee Schulte and Resources for Human Development Director
7-28-14 Legislative forum planning with LWV and IDAAN
7-29-14 Trauma Informed Care Stakeholder meeting
7-29-14 Insurance Division meeting on prior authorization form and timeline
It Pays to be on a Cancellation Waiting list
One of our readers reported – “Called last month and asked if my son could be put on the waiting list at the psychiatrist’s office. Just got a call and there was a cancellation. We moved from an October appointment to an August appointment. Just wanted to get the word out - it pays to be put on a cancellation list.
2nd
Annual School Based MH Conference
When: Monday, Sept. 15, 2014 Where: Prairie Meadows Conference Center in Altoona
Time : 8 AM to 4:30 PM Cost: $60, unless a college student, then cost is $20! Register at: www.pleasepassthelove.org
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At our WEBSITE home page www.namigdm.org, you will find:
A series of rolling pictures Upcoming Event information
Direct links to About Us Join Our Email List
Education Advocacy Newsletter
Get Help Today at NAMI.org
On the Gold Task Bar at the top of the home page are topic areas. Here is the information contained in each topic area.
NAMI GDM Educational Opportunities
Check out additional information on the education classes NAMI Greater Des Moines offers at www.namigdm.org - send an email to [email protected] or call 277-0672 for more information. Most fall classes will begin in August or September
See the flyers on fall classes and events at https://www.namigdm.org/en/news__events/newsletters/
For Persons With Mental Illness Peer to Peer educational classes – 10 weeks WRAP – Wellness Recovery Action Planning – 12 hours Hearts and Minds – free on-line wellness course www.nami.org
For Family Members Family to Family educational classes – for family members of
adults with mental illness – 12 weeks Basics educational classes – for parents and caregivers of children
and adolescents with SMI – 6 weeks Homefront – for military family members – to be released soon!
Team Educational Offerings NAMI on Campus – [email protected] Ending the Silence – presentations to high school students -
contact [email protected] Raising Mental Health Awareness Among College Students 30 Pearls of Wisdom in Treating a Person with MI -1 hour In Our Own Voice presentation- 1.5 hours – [email protected]
Hearing Voices that are Distressing – 2-3 hours Contact [email protected]
Video - Anderson Cooper Undergoes Hearing Voices
http://www.mediaite.com/tv/anderson-cooper-undergoes-very-unpleasant-experiment-of-hearing-voices/
Parents and Teachers as Allies - 1.5 hours Provider education - 15 hours
Education for any person in the Community Mental Health First Aid – 8 hours- contact Teresa 274-6876
Presentations to Community organizations Resource tables at conferences and health fairs – contact Kay Kay at [email protected] or 252-0714
Specialized Training Part of planning team for Crisis Intervention Team training for
Des Moines Police Department
About Us Get Help Get Involved Resources FAQ’s News & Events Contact Us
Watch Our Video Message from the President Board Members NAMI Public Policy Standards of Excellence
Crisis Information Do’s and Don’ts in a Crisis Illness Information Support Groups Educational Opportunities
Health Insurance Coverage Criminal Justice System
Veterans Become a Member
Legislation and Advocacy Volunteer Opportunties Anti-Stigma Efforts Faith Become a Member
Donate
Iowa’s Mental Health System Local Resources NAMI Resources Family Member Support Persons in Recovery Peer Support Information School Resources
Other Resources Related Files
What is a mental illness?
Who can get a mental illness?
What is the difference between a psychologist and a psychiatrist?
What is recovery?
Sign up for email Newsletters Press Releases Events Calendar Event Video (2013 Walk)
Mail Phone Website Email Facebook Twitter
NAMI Greater Des Moines Board of Directors
Effective July 9, 2014 President Teresa Bomhoff [email protected] 274-6876 Vice-Pres Jim Goodrich [email protected] 490-2758 Treasurer Regina Murphy [email protected] 277-0672 Secretary Sherri Sinclair [email protected] 277-0672 Board members
Kay Kopatich [email protected] 252-0714 Terri Shipman [email protected] 277-0672 Dawn Hansen [email protected] 277-0672 Matthea Little Smith [email protected] 277-0672 Matt Connolly [email protected] 975-9600 Jen Wells [email protected] 277-0672 Sue Soriano [email protected] 277-0672 Brittany Peterson [email protected] 277-0672 Kathy Comito [email protected] 277-0672
At the Donate button, you can pay for a membership and/or make
a donation.
The newsletter can be sent by email or by mail. Sign up on the home page and enter your name to our database. Along with the
monthly newsletter, the following items will also be posted at the same location on our website:
An additional list of articles, magazines and videos from around the nation and world.
A chart of upcoming events around the community and state
Any informational flyers received for events
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
Please send a big THANK YOU to the Eyerly Ball Group Home residents for their assistance in assembling our monthly
newsletter.
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NAMI Walks website
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National Alliance on Mental Illness of Greater Des Moines Box 12174 Des Moines, Iowa 50312
RETURN SERVICE REQUESTED
We are seeking sponsors ($250 to $15,000) for the NAMI Walks, Saturday, October 4. Please email [email protected] if you are interested in being a sponsor.
How can you help individuals with mental illness and their families?
Tax Deductible Donations Become a member Dues of $35 or $3 (limited income) On-line at www.namigdm.org Or send a check payable to: NAMI Greater Des Moines Box 12174 Des Moines, Iowa 50312 Our email is [email protected] Phone: 515-277-0672
NONPROFIT ORG. US POSTAGE PAID DES MOINES IA PERMIT NO. 34
We invite you to join us and volunteer for committee and project work.
Committees Education/Program
Support Group Marketing
Development/fundraising Volunteer Engagement/Membership Governance/Nominating/Standards
Finance Legislative/advocacy
Would you like to help NAMI Greater Des Moines by volunteering? Contact Kay at [email protected] or 252-0714
Check NAMI GDM Facebook
https://www.facebook.com/NAMIGDM?ref=stream
Twitter @NAMIGreaterDSM
Would you like to help NAMI Greater Des Moines by volunteering? Contact Kay at [email protected]
Wed, Sept. 10 - NAMI GDM Bd Meeting
You are welcome to attend our Board meetings on the 2
nd Wednesday of each
month – at Central Iowa Shelter & Services, 1420 Mulberry Street - 4:30 PM to 6 PM.
Thursday, Sept. 11 – IDAAN meeting 3-5 PM
at the first floor conference room at the Metro Waste Authority at 300 E. Locust in DsM
Monday, Sept. 15 8-4 PM 2
nd Annual School Based MH Conference
Prairie Meadows Conf Center www.pleasepassthelove.org
Monday, Sept. 15 – 4-5 PM
AMOS Mental Health and Substance Abuse Workgroup meeting at Central Presbyterian
Church, 38th
& Grand
Wednesday, Sept. 17 – Anti-Stigma
committee meeting 4-5 PM at Smoky Row
Monday, Sept. 29 – 9 AM to 3:30 PM “Developing Brain,
Developing Accountability” Conference - $20
at Des Moines University, Olsen Center Register soon before the conference is full!
241-6726 [email protected]
Letters to the Editor
You are welcome to send letters to the editor by mail or E-mail. If you receive our newsletter by e-mail and would rather receive it by snail mail – or if you receive our newsletter by snail mail and would rather receive it by e-mail – communicate your preference to: Teresa Bomhoff, Box 12174, Des Moines, Iowa 50312 or E-mail: [email protected] or [email protected]
NAMI is composed of 3 levels of independently financed 501(c)(3) organizations- National, State affiliate (Iowa), and Local affiliate (NAMI GDM). If you would like to discontinue receiving the newsletter, please send an email to: [email protected] or [email protected] or call 277-0672 or 274-6876 Report Card
Iowa Mental Health System Rankings
47th
for # of psychiatrists/100,000 pop 46
th for # of psychologists/100,000 pop
47th
for the # of hospital beds/100,000 pop 48
th for # of mental health courts and law
enforcement crisis intervention teams
NAMI Greater Des Moines Fundraising Event at House of Bricks
Friday, Sept. 26 8 PM till Midnight
