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1 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
Want to find out more about how you can take part in IMHCA’s advocacy efforts? Contact IMHCA’s Government Relations Committee for more information!
Email: [email protected]
mailto:[email protected]
2 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
TABLE OF CONTENTS GET TO KNOW IMHCA .............................................................................................................................. 3
About Us .................................................................................................................................................. 3
The Purposes of IMHCA ....................................................................................................................... 3
IMHCA Board Members ....................................................................................................................... 4
THE 87TH IOWA GENERAL ASSEMBLY ........................................................................................................ 5
201 Iowa Session Leaders .................................................................................................................... 5
Senate Leaders .................................................................................................................................... 5 House Leaders .................................................................................................................................... 5
201 Committee Assignment ................................................................................................................. 6
201 Session Timetable ........................................................................................................................ 11
201 UPDATE ON TRACKED LEGISLATION .............................................................................................. 12
Surviving the First Funnel ............................................................... 12
Bills of Interest That Cleared the First Funnel .................................................................................. 12
Bills of Interest That DDIIDD NNOOTT Clear the First Funnel .................................................................... 13
LEGISLATIVE PROCESS ............................................................................................................................. 14
Bill Drafting ...................................................................................................................................... 14 Introduction ...................................................................................................................................... 14 Read First / Read Second ................................................................................................................ 14 Committees ....................................................................................................................................... 14 Passage Vote for Engrossment ........................................................................................................ 14 Rinse and Repeat .............................................................................................................................. 14 Passage Vote for Enrollment ........................................................................................................... 14 Sent to Governor .............................................................................................................................. 14
HELPFUL RESOURCES FOR FIRST TIME ADVOCATES ............................................................................. 15
Prior to the visit/event: Prep Work .................................................................................................... 15
During the Event: Talking to Legislators: ......................................................................................... 15
After the visit/event: Follow-Up .......................................................................................................... 15
ADDITIONAL STATE AND FEDERAL LEGISLATIVE RESOURCES ............................................................. 1 ATTACHMENTS: ......................................................................................................................................... 1
Participation in Making Iowa Laws ................................................................................................... 1 Complex and Parking Maps ................................................................................................................ House/Senate District Info ...................................................................................................................
IMHCA Events .................................................................................
3 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
GET TO KNOW IMHCA About Us
The Iowa Mental Health Counselors Association (IMHCA) is a chapter of the American Mental Health Association (AMHCA). IMHCA is the only organization dedicated exclusively to
meeting the professional needs of mental health counselors in Iowa. Since founded we have worked to promote quality mental health services for all people, distinguish the identity of the profession, and influence public policy to maintain standards of care and opportunities in line
with our professional ethics and values. We accomplish these goals by working with other professional organizations, the state legislature, state regulatory agencies, and clients to promote
quality in mental health counseling practices.
The Purposes of IMHCA
Continuing Education
Providing mental health counselors with continuing education opportunities to update andenhance their competencies
Professional Support
Providing a public forum and network throughout Iowa for counselors to address thesocial and emotional needs of their clients
Promote the Profession
Promoting high standards of professional commitment to persons who seek mental healthcounseling services in IowaPromoting attainable licensure and certification for counselors on state and nationallevelsIncreasing awareness of the role and function of mental health counseling and counselingservices to the publicProviding an alliance and increase advocacy for the profession by creating networks withcounselors in other specialties and other organizationsSupporting research into mental health concerns, counseling interventions, and theireffectiveness
4 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
IMHCA Board Members
President
Past President
President-Elect
Treasurer Courtney Ackerson, 2016-2018
Secretary
___________________________________________
Kenneth Cameron, 2015-20
Membership Chair 2017-2019
Networking Communications ChairKyla Loucks, 2015-201
Conference Committee Chair
Member-at-Large
Member-at-Large ,
Student RepresentativeLauren Kern, 2016-2018
Student Representative Corinne Harvey, 2017-2019
Website CoordinatorJason Stark,
5 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
THE 87TH IOWA GENERAL ASSEMBLY
201 Iowa Session Leaders
Senate Leaders President: Jack WhitverPresident Pro Tempore: Jerry Behn Majority Leader: Bill DixDemocratic Leader: Majority Whip: Charles SchneiderDemocratic Whip: Amanda Ragan Assistant Majority Leader: Michael BreitbachAssistant Majority Leader: Randy Feenstra Assistant Majority Leader: Amy SinclairAssistant Majority Leader: Dan Zumbach Assistant Democratic Leader: Joe Bolkcom Assistant Democratic Leader: William A. Dotzler Jr.Assistant Democratic Leader: Rita HartAssistant Democratic Leader: Liz MathisAssistant Democratic Leader: Matt McCoy Assistant Democratic Leader: Herman C. Quirmbach
House Leaders Speaker: Linda L. Upmeyer Speaker Pro Tempore: Matt W. Windschitl Majority Leader: Chris HagenowMajority Whip: Zach Nunn Assistant Majority Leader: Megan Jones Assistant Majority Leader: Jarad J. KleinAssistant Majority Leader: Mike Sexton Assistant Majority Leader: John H. WillsMinority Leader: Mark D. SmithAssistant Minority Leader: Bruce Bearinger Assistant Minority Leader: Liz Bennett Assistant Minority Leader: Brian Meyer Assistant Minority Leader: Helen Miller
https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=9768https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=140https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=22https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6257https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10829https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=110https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10730https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6565https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10729https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10733https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=123https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=157https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10734https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10318https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=134https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=161https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=180https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6282https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6584https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=14803https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10747https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=9408https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=1153https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=13794https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=64https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10738https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=14806https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6377https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=219
6 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
201 Committee Assignment
7 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
8 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
9 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
10 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
11 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
201 Session Timetable
12 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
201 UPDATE ON TRACKED LEGISLATION (Next Funnel Deadline March 27, 2017)
Bills of Interest That Cleared the First Funnel
IMHCAwww.imhca.net
225 NW School Street, Ankeny, IA 50023
14 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
LEGISLATIVE PROCESS Bill Drafting
The process starts when someone decides current law needs revision. A bill is drafted, which is essentially a list of changes to the existing compiled state statutes and code that may add, strike,
or amend the text to confer new purpose, restrictions, etc.
Introduction The bill is introduced into the first chamber. This often entails the chamber Clerk and registering
the official introductory draft of the legislation.
Read First / Read Second The definition of "read" varies however. Rare is the instance that the bill is read verbatim on the
chamber floor. At this stage a synopsis of the legislation is presented and any initial discussion or decisions on the merit of the bill may be decided and then the bill typically referred to one or
more committees will continue the life process of the bill.
Committees In most states committees do the bulk of the legislative debate, modification. They are
specialized by area of oversight or expertise and will discuss and research the bill, potentially amending or substituting a new draft. The committee typically recommends to the Committee of
the Whole, another way of saying the entire chamber, that the bill either Pass or Do Not Pass.
Passage Vote for Engrossment After a bill has been 'read' a third time it is put to a vote for passage out of the originating house. If the vote passes the bill is then considered to be ‘Engrossed’ and it is sent to the other chamber
of the legislative body.
Rinse and Repeat The process then repeats itself from Introduction to Third reading in the second legislative
chamber.
Passage Vote for Enrollment Once the bill gets to third reading there is another vote for passage. Should it pass then the bill normally will be considered to be ‘Enrolled’. This version of the bill text is what will be sent to the Governor and will be codified by the Secretary of State as part of the official Chapter and
Acts.
Sent to Governor In states where the Governor’s approval is required, the Enrolled bill is sent to the Governor.
This may be ceremonial, or the Governor may have the power to veto the bill, or if left unsigned for a fixed period of time is de facto approved.
15 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
HELPFUL RESOURCES FOR FIRST TIME ADVOCATES First time? Don’t worry! IMHCA has you covered.
See below for suggestions and information on how to discuss these very important issues with Iowa’s Senators and Representatives.
Prior to the visit/event: Prep Work Know who your local legislators are! If possible, send an email to let them know you willbe at the capitol and seek them out after the event. The extra effort can go a long waydown the road! Identify 1-3 goals for your visit. Don’t try and accomplish too much as you will run outof time and the importance of your message could be lost. Break those goals down into 2-5 talking points each. Once you have established your goals and talking points, decidewhich committees and/or legislators you need to speak with. Note party line stance,committee role(s), voting record on the issue(s), etc. as you prepare.
During the Event: Talking to Legislators: Use ‘Senator’ or ‘Representative’ when addressing all legislators.Introduce yourself and include your credentials and city of origin. For example: “Hello. Iam Suzy Smith, Licensed Mental Health Counselor and I work in Private Practice here inDes Moines.” or “Hello. My name is Joe Clark, and I am a student at XYZ Universitystudying mental health counseling.”Be courteous and to the point.Identify the bill you would like to discuss and explain why you support or oppose thisparticular piece of legislation. Be as specific as possible (for example, is it the entire billor just certain language in the bill that you support or oppose?). Reiterate the talkingpoints you developed for each bill, and respectfully communicate them, leaving time forquestions. If working in a group, designate 1-2 individuals to lead the discussion as youmay only have 5 minutes to make your point.Keep in mind that local examples concerning the impact of legislation are very powerful.Think of how the legislation being discussed would impact you at an individual level. Forexample, would it make it harder for you to be reimbursed for your services? Would itensure that consumers from your hometown get the kind of quality mental health servicesthey desperately need? Would it create new opportunities for upcoming graduates ornewly licensed counselors? This feedback is often what is desired during thesediscussions, so do not be afraid to weigh in!Let your legislators know if you agree or disagree on a particular vote. This feedback isimportant as it often takes several sessions for a bill to pass both the House and theSenate. She/he could be asked to vote on the same issue next year!Always thank them for their time.
After the visit/event: Follow-Up If possible send a follow-up email or letter to reiterate what was discussed and againshow your appreciation for a willingness to discuss your concerns.
15 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
16 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
ADDITIONAL STATE AND FEDERAL LEGISLATIVE RESOURCES
Websites with important information helpful in preparing for your “Day on the Hill” are highlighted for your convenience.
The American Mental Health Counselors Association (AMHCA): The leading national organization for licensed clinical mental health counselors. AMHCA strives to be the go-to organization for LCMHCs for education, advocacy, leadership and collaboration. http://www.amhca.org/
The Iowa Mental Health Counselors Association (IMHCA): The Iowa Mental Health Counselors Association is a chapter of the American Mental Health Counselors Association. IMHCA is the only organization dedicated exclusively to meeting the professional needs of mental health counselors in Iowa. Its sole purpose is to promote the profession of mental health counseling and the needs of our clients. http://www.imhca.net/
Legislative News: The Iowa Mental Health Counselors Association follows and reports on new legislation and updates to current legislation affecting mental health counselors in Iowa. http://www.imhca.net/legislative-news
Find Your Legislator: https://www.legis.iowa.gov/legislators; Committee Assignments and Agenda pages: https://www.legis.iowa.gov/committees; Legislative Document Research Page: https://www.legis.iowa.gov/publications/search
The Bureau of Professional Licensure: The Bureau of Professional Licensure is a Bureau within the Iowa Department of Public Health with 19 licensure boards regulating 39 professions. The mission of the professional boards is to protect the public health, safety and welfare by licensing qualified individuals and enforcing Iowa's statutes and administrative rules fairly and consistently. https://ibplicense.iowa.gov
Centers for Medicare and Medicaid Services: https://www.cms.gov/
infoNET – Advocating for Change in the Iowa General Assembly: The 2 Guide to the Iowa Legislature contains a colorful guide (including pictures of Iowa’s legislators and information on what someone could expect during a trip to the Capitol for advocacy purposes) that was created to give advocates with disabilities the tools, information, and opportunities they need to take action.
infoNET – Advocating for Change in the Iowa General Assembly: The Advocacy Toolkit is a great resource that outlines how to request a quick meeting with lawmakers on the floor of House and/or Senate, and what to do if those legislators are unable to meet. http://www.infonetiowa.org/documents/cms/docs/Toolkit4-7-15.2.pdf
USA.gov: Online guide to government information and services. https://www.usa.gov/laws-and-regulations
http://www.amhca.org/http://www.amhca.org/http://www.imhca.net/http://www.imhca.net/legislative-newshttps://www.legis.iowa.gov/legislatorshttps://www.legis.iowa.gov/committeeshttps://www.legis.iowa.gov/publications/searchhttps://ibplicense.iowa.gov/https://www.cms.gov/http://www.infonetiowa.org/documents/cms/docs/2016_Legislative_Guide_Website_Revised_1.8.16.pdfhttp://www.infonetiowa.org/documents/cms/docs/Toolkit4-7-15.2.pdfhttps://www.usa.gov/laws-and-regulationshttps://www.usa.gov/laws-and-regulations
17 IMHCA www.imhca.net
225 NW School Street, Ankeny, IA 50023
ATTACHMENTS:Participation in Making Iowa Laws
Complex and Parking Maps
House/Senate District Info
IMHCA Events
PARTICIPATION IN MAKING IOWA LAWS
The state Senator and state Representative from each district are elected to represent constituent interests when making the laws of Iowa. Citizens can take part in the decisions made by those elected officials.
For locating constituent Senators and Representatives, or to learn more about the Iowa Legislature, contact the Legislative Information Office (LIO). Search the web using Find Your Legislator on the Iowa General Assembly website: www.legis.iowa.gov
E-mail: [email protected] Information Office – Room G16
Legislative Services Agency Iowa State Capitol, Des Moines, Iowa 50319
Telephone: 515-281-5129
Contact Senators during the legislative session at the Capitol by calling the Senate Switchboard at 515-281-3371, or address mail to the Iowa Senate, State Capitol, Des Moines, IA 50319. Contact Representatives during the session at the Capitol by calling the House Switchboard at 515-281-3221, or address mail to the Iowa House of Representatives, State Capitol, DesMoines, IA 50319. The Iowa General Assembly website lists e-mail addresses of alllegislators, or call the LIO.
• Legislators may also be contacted at their homes (call the LIO or check listings on theIowa General Assembly web site). The Iowa Constitution requires the legislativesessions of each General Assembly to convene yearly on the second Monday inJanuary. Adjournment usually comes at the end of April. During the legislativesession, both the Senate and House have operators on duty to take phone calls and relaymessages to legislators. Any citizen visiting the Capitol can arrange to meet withlegislators.
• Observe the session. The debates may be viewed from galleries in the Senate andHouse chambers. The public may attend committee meetings and public hearings onlegislation. Live audio of the Senate and House debates is available on the IowaGeneral Assembly website.
Committee Work The first part of the session is devoted to committee meetings. All bills that are debated must be approved by committee. A standing committee is a group of legislators that review all bills relating to a specific subject area. Once a bill is assigned to a committee, the committee chairperson appoints a subcommittee. The subcommittee, usually composed of three members of the standing committee, reviews the bill in detail and reports its conclusions to the full committee. The full committee then discusses the subcommittee’s conclusions and makes recommendations to the entire chamber. The committee may recommend to pass the bill, to pass the bill with amendment, to refer the bill to another committee for study, to postpone the bill indefinitely, or to send the bill to the floor for debate with no recommendation.
Debate When debate on a bill is finished, the bill’s title is read aloud to the chamber for the third and final time. If a constitutional majority (at least 26 Senators and 51 Representatives) votes to pass the bill, it moves to the other chamber. If fewer legislators than a constitutional majority vote to pass the bill, the bill fails.
Second Passage Amendments adopted by the chamber of origin are incorporated in the bill before it is sent to the other chamber. As the bill proceeds through the Legislature, the procedure in both chambers is basically the same. A bill introduced in the Senate will retain its original Senate number as it travels through the House and a bill introduced in the House will retain its original House number as it travels through the Senate. If the bill is further amended by the other chamber, the amended bill is sent back to the chamber of origin for approval. If the chamber of origin concurs or agrees with the amendment(s), the bill has passed both chambers in identical form and will be sent to the Governor for review. If the chamber of origin refuses to concur with the other chamber’s amendment(s), the bill is returned to the other chamber, which may recede from or insist upon their amended version of the bill. If they recede, the bill is sent to the Governor; however; if they insist upon their amendment(s), a conference committee is appointed to work out the differences.
Conference Committee Conference committees are composed of Senate and House members representing both the majority and minority parties and both sides of the issue in dispute. The 10 members of a conference committee are appointed by the Senate Majority Leader and the Speaker of the House to study the points of disagreement between the chambers in an attempt to reach a compromise. If an agreement is reached, it is presented to both chambers in a report that contains the compromise version of the bill. The report cannot be amended by either chamber. If the report is rejected by either chamber, a second conference committee may be appointed. If no agreement is reached, the bill fails. If the conference committee report is adopted, the chambers again vote on the bill. If the bill is approved it will be enrolled and sent to the Governor for review.
Final preparation of a bill before it is sent to the Governor is called enrollment. When both chambers have passed the bill in the same form, it is prepared with all approved amendments incorporated. After the bill is enrolled, the President of the Senate and the Speaker of the House sign the enrolled version and the Secretary of the Senate or Chief Clerk of the House certifies that the bill originated in that chamber. The bill is then sent to the Governor for final action.
1/13/14 Legislative Information Office – Room G16 Iowa State Capitol Iowa General Assembly web site: www.legis.state.ia.us
Citizens Elect
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Senate Standing Committees House Standing Committees Joint Appropriations Subcommittees
Senate 50 Members
Senate Elects
Majority Leader
Senate President
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Assistant Majority Leaders
President Pro
Tempore
Assistant Minority Leaders
Secretary of the
Senate
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House
Assistant Majority Leaders
Speaker Pro
Tempore
Assistant Minority Leaders
Majority Leader
House Speaker
Minority Leader
House Elects
House 100 Members
Organization of the Iowa General Assembly
1/13/14 Legislative Information Office – Room G16 Iowa State Capitol Iowa General Assembly web site: www.legis.iowa.gov
bbendon
Iowa General Assembly Committee Meeting Rooms
Ground Floor
N
G19G15.4
Elevator to Third FloorElevator to Second Floor
Elevators
StairstoFirstFloor Reagan
Room
Legisla veDiningRoom
G15
Lauren
Lauren
Lauren
Iowa General Assembly Committee Meeting Rooms
First Floor
N
102Supreme CourtConsulta on
116
103Supreme Court
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Stairs to Second FloorBehind Senate
Stairs to Third FloorBehind House
ElevatorElevators
Iowa General Assembly Committee Meeting Rooms
Second Floor
N
206
24
SenateLobbyLounge
SenateCham
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Iowa General Assembly Committee Meeting Rooms
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Elevators
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StairstoThird
Floor
StairstoThird
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IOWA SENATE DISTRICTSEffective Beginning with the Elections in 2012 for the 85th General Assembly
Prepared by the Iowa Legislative Services Agency
LINN
SAC
LEE
TAMA
SIOUX
IDA
LYON
CLAY
IOWAPOLK
KOSSUTH
CASS
PAGE
JASPER
ADAIR
CLAYTON
BENTON JONES
FAYETTE
STORY
DAVIS
CEDAR
PLYMOUTH
CLINTON
BOONEMONONA
FLOYD
HARDINWOODBURY
WRIGHT BUTLER
WEBSTER
DALLASSHELBY
O'BRIEN
MILLS
WAYNE
MARION
SCOTT
GREENE
JACKSON
KEOKUK
GUTHRIE
TAYLOR
HARRISON
UNION
WARREN
JOHNSON
DUBUQUE
LUCAS HENRY
CRAWFORD
GRUNDY
CARROLL
FRANKLIN
MADISON
EMMET
HANCOCK
CALHOUN HAMILTON
ADAMS
WINNESHIEK
POTTAWATTAMIE
WORTH
MAHASKA
ALLAMAKEEHOWARD
LOUISA
DECATUR
PALO ALTO
CHEROKEE BREMER
DELAWARE
MARSHALL
BUCHANAN
CLARKE
FREMONT
MITCHELL
RINGGOLD
POWESHIEK
MONROE
BUENA VISTA
AUDUBON
WAPELLO
BLACK HAWK
CHICKASAW
OSCEOLA
POCAHONTAS
WASHINGTON
VAN BURENAPPANOOSE
HUMBOLDT
CERRO GORDO
MUSCATINE
DICKINSON
JEFFERSON
WINNEBAGO
DES MOINES
MONTGOMERY
9
41
6
5
2
12
26
14
3
28
11
24
38
10
40
25 29
32
41
39
27
48
36
42
4413
4915 37
46
19
35
317 30
2334
8
20
50
4722
4517 43
33
1618
21
¨Senate District
County
LINN
SAC
LEE
TAMA
SIOUX
IDA
LYON
CLAY
IOWAPOLK
KOSSUTH
CASS
PAGE
JASPER
ADAIR
CLAYTON
BENTON JONES
FAYETTE
STORY
DAVIS
CEDAR
PLYMOUTH
CLINTON
BOONEMONONA
FLOYD
HARDINWOODBURY
WRIGHT BUTLER
WEBSTER
DALLASSHELBY
O'BRIEN
MILLS
WAYNE
MARION
SCOTT
GREENE
JACKSON
KEOKUK
GUTHRIE
TAYLOR
HARRISON
UNION
WARREN
JOHNSON
DUBUQUE
LUCAS HENRY
CRAWFORD
GRUNDY
CARROLL
FRANKLIN
MADISON
EMMET
HANCOCK
CALHOUN HAMILTON
ADAMS
WINNESHIEK
POTTAWATTAMIE
WORTH
MAHASKA
ALLAMAKEEHOWARD
LOUISA
DECATUR
PALO ALTO
CHEROKEE BREMER
DELAWARE
MARSHALL
BUCHANAN
CLARKE
FREMONT
MITCHELL
RINGGOLD
POWESHIEK
MONROE
BUENA VISTA
AUDUBON
WAPELLO
BLACK HAWK
CHICKASAW
OSCEOLA
POCAHONTAS
WASHINGTON
VAN BURENAPPANOOSE
HUMBOLDT
CERRO GORDO
MUSCATINE
DICKINSON
JEFFERSON
WINNEBAGO
DES MOINES
MONTGOMERY
83
2
1 7
5
17
10
24
27
51
20
21
80
56
12
4
18
54
82
11
23
52
7258
88
48
78
50
76
55
47
28
84
75
64
96
25
73
22
49
63
95
97
9
29
57
19 77
6
7926
83
98
30
81
92
71
53
91
6160
4569 68
13
87
62
70
94
74
16
44
90
9914
67
59
86
100
66
89
65
93
85
15
46
IOWA HOUSE DISTRICTSEffective Beginning with the Elections in 2012 for the 85th General Assembly
Prepared by the Iowa Legislative Services Agency
43
19
30
3739 38
4442 3341
31
3536 32
34
40
Polk County Inset
¨House District
County
5
Prevalence and Rate of Treatment Lifetime prevalence of mental illness - 1 of 2 people
Annual prevalence - 1 of 5 experience a mental illness (the illness can be mild, moderate, or severe)
4.2% have severe mental illness - 131,000 people Half of all lifetime cases begin by age 14
Three-quarters by age 25 13% of youth age 8-15 live with mental illness causing significant
impairment in their day to day lives This figure jumps to 21% in youth age 13-18.
Less than half get help Youth mental health is worsening
A Public Health Crisis Dec 2017 – NAMI-GDM-TVBIowa Ranks at the Bottom of the 50 states in Mental Health Care
Beds – Acute Care, Sub-acute, Crisis 50th in the nation for mental health institute beds
760 staffed acute care beds statewide (includes 96 at MHI's & 10 at VA & 654 in hospitals)
compared to 131,000 with severe mental illness Eligible beds are full every day, people are boarded in emergency
rooms, are turned away for treatment, tragedies happen No facility based subacute beds - only 10 ACT teams
86 crisis residential beds No place outside of criminal justice system to place persons with
challenging behaviors for which effective treatment has not been found
How is the southern half of the state given the closing of two MHI's at Mt. Pleasant and Clarinda?
Suicide 454 suicides in Iowa in 2016 compared to 55 homicides (2014)
42,000 suicides nationally compared to 16,000 homicides 2 of 3 gun deaths are suicides
Suicide is now the first cause of injury deaths, followed by car crashes, poisoning, falls and murder
From 1999 to 2014 – there has been a greater rise among middle-aged white people, particularly women,
people with less education and people living in rural areas Among white women ages 45-64, the suicide rate jumped 63%,
among white men the suicide rate jumped 43%. Among girls 10 to 14, the suicide rate tripled from 50 to 150.
White men over 75 still have the highest suicide rate/age group. Most who complete suicide have visited their medical doctor within
one month of their death Males complete suicide 4X the rate of females
Completed suicides are more likely to be men over 45 who are depressed or alcoholic.
Over 4600 youth die from suicide each year Over 90% of those who complete suicide have a mental disorder - 1/3 have
alcohol or other drugs in their system In recent wars, there have been more suicides than combat deaths
20 veterans complete suicide every day
Stigma, Lack of knowledge and empathy for persons with mental illness
A mental illness is a medical illness - a disease - a neurodevelopmental disorder, not a criminal offense
Mental Illness is an equal opportunity disease. It strikes families from all walks of life regardless of age, race, income, religion and education.
A flaw in brain chemistry, not character An ambulance won't respond to a request for medical assistance, our
help comes from law enforcement Treatment is needed, not punishment
Those with severe mental illness die on average 25-30 years sooner than the general population
Workforce – Services Without adequate workforce, there is no mental health system, there
are no services or beds Iowa is: 47th for # of psychiatrists,
46th for # of psychologists 46th for overall mental health workforce availability
Less than 300 prescribers in the state (123 psychiatrists in private practice, 117 ARNP's and 28 PA's with
psychiatric emphasis) Broadlawns, Unity Point, Mercy setting up psychiatric residency
programs, first graduates expected after 2022 Problems with poor reimbursement, high caseloads, frequent burn-out, not enough training locations and dollars, incentives, loan forgiveness
programs Nationally, only 55% of psychiatrists accept insurance - they want cash
and no interference from insurance to treat individuals Dire need for direct care professionals, peers, home aides
Less access to care means more incarceration
Criminalizing a Me Illness Iowa builds prisons instead of recovery centers
40%+ of male inmates have mental illness 60%+ of female inmates have mental illness
70% have a substance use disorder Local jails have larger percentages.
Beds are increasing in prison, less in the public sector Nationally, there are 10X more people with mental illness in jails and
prison than hospital beds We've come full circle from the 1840's - Dorothy Dix would find more persons with mental illness in jails and prisons than in hospital beds in
2017, just like she did in the 1840's People with mental illness and substance abuse need treatment,
not punishment We need investment in the public sector – an adequate mental health workforce and sufficient reimbursement to establish a continuum of
care of services for both children and adults In 1955 – we had 4 mental health institutes with 5300 beds In 2017 – we have 2 mental health institutes with 96 beds
In 1955 – we had 3 prisons with around 2200 inmates In 2017 – we have 9 prisons with around 8300 inmates,
and over 30,000 in community corrections A direct result of lack of access to care.
Advocacy for the mental
health profession.
- MEMBERSHIP OPTIONS -AMHCA Unified – Regular – Student – Retired – Associate
Visit www.imhca.net for more information
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The Iowa Mental Health Counselors Association (IMHCA) is a chapter of the American Mental Health Association (AMHCA). IMHCA is the only organization dedicated exclusively to meeting the professional needs of mental health counselors in Iowa. Since we started we have worked to promote quality mental health services for all people, distinguish the identity of the profession, and influence public policy to maintain standards of care and opportunities in line with our professional ethics and values. We accomplish these goals by working with other professional organizations, the state legislature, state regulatory agencies, and clients to promote quality in mental health counseling practices.
http://www.imhca.net/
Iowa Mental Health Counselors Association
Charity Golf Tournament Fundraiser for scholarships &
mental health education awareness
NAME: ___________________________________________
ADDRESS: ___________________________________________
___________________________________________
PHONE: ___________________________________________
EMAIL: ___________________________________________
TEAM NAME (or volunteer name)________________________ Player 1 Name (YOU):______________________________
Player 2 Name: ___________________________________
Player 3 Name: ___________________________________
Player 4 Name: ___________________________________
DATE: TIME: PLACE:
ENTRY FEE: $70 online registration (per person) $80 registration per person at the event Includes: cart, breakfast, & more
CONTACT: Donald Gilbert 515-964-5003
Online registration http://www.imhca.net
MAILING ADDRESS: IMHCA
225 NW School St. Ankeny, IA, 50266
*One entryform per
team
th Annual
Sign-in at 7:30 am, 8:30 am shotgun-start Toad Valley Golf (toadvalleygolfcourse.com) 237 NE 8Oth St, Pleasant Hill IA
http://www.imhca.net/civicrm/event/info?id=8&reset=1
Get to Know IMHCAAbout UsThe Purposes of IMHCAContinuing EducationProfessional SupportPromote the Profession
The 87th Iowa General Assembly2017 Iowa Session LeadersSenate LeadersHouse Leaders
2017 Update on Tracked LegislationSurviving the First Funnel: HSB 138 / HSB 174 / HF 229Bills of Interest That Cleared the First FunnelBills of Interest That DID NOT Clear the First Funnel
Legislative ProcessBill DraftingIntroductionRead First / Read SecondCommitteesPassage Vote for EngrossmentRinse and RepeatPassage Vote for EnrollmentSent to Governor
Helpful Resources for First Time AdvocatesPrior to the visit/event: Prep WorkDuring the Event: Talking to Legislators:After the visit/event: Follow-Up
Additional State and Federal Legislative ResourcesAttachments:Participation in Making Iowa LawsComplex and Parking MapsHouse/Senate District InfoIMHCA Events and Membership Information
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