
Mental health cuts, reforms leave frustration
The Daily Reflector
Monday, March 1, 2010
WINTERVILLE — Sandra Buckman is tired of seeing her daughter lose services and lose faith in the state’s system that is supposed to be in place to support her.
Buckman’s daughter has Down syndrome, and her services have changed significantly during the last few years as a result of mental health reform in North Carolina, the economic downturn and service cuts. So she’s speaking out.
Buckman spoke to about 100 people Monday at Pitt Community College at a town hall meeting sponsored by The Coalition.
“Who should she trust now?” Buckman asked. “Should she trust the Legislature of North Carolina who promised us transformation and brought chaos?”
Buckman’s daughter, Nana, also spoke to the group.
“Please don’t take away those services,” she said. “I have Down syndrome, and I have a right to work. That is not what the Lord wants. He wants us to work and do something in life.”
The Coalition, which includes 40 organizations from across the state, is advocating for more funding for mental health and substance abuse services from the General Assembly.
The meeting Monday at PCC was the first in a series of town hall-style meetings The Coalition plans to hold throughout the state.
Dave Richard, executive director of the Arc of North Carolina, began the meeting with a presentation on North Carolina’s budget and mental health services.
North Carolina is 43rd in the country in per-capita spending for mental health, Richard said — just $300 per person, per year in state funds.
With the growing budget deficit in Raleigh and more cuts expected this year, Richard wants to make sure that mental health services do not disappear from the state entirely.
“We have to understand the impact of what the General Assembly did last year and what they could do this year,” he said. “Everybody has to make a difference. We can’t rely on someone else to do it.”
Mental health, substance abuse and developmental disability services took a 20 percent funding cut last year. The cut also reduced the amount of federal spending in the state, Richard said.
North Carolina lost about $500 million in state and federal spending for these programs in 2009.
Richard pointed out that as funding is cut off, service providers close their doors, and jobs are lost.
“Not only does this impact people with disabilities and their families across North Carolina, but it also affects the economy,” Richard said. “It is time to get serious and tell elected officials that there is a crisis.”
Richard fears that a projected $4 billion shortfall for the coming fiscal year will result in more cuts to mental health programs.
Contact Josh Humphries at jhumphries@reflector.com or (252) 329-9565.
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Comments
I know you think you have it
I know you think you have it all figured out, but you don't. I will guarantee, that if you had a child that needed help, you would shut your mouth in a hell fire hurry.
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Many mental-health conditions
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Women are twice as likely to
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Mental Health cuts
It is unfortunate that children like Nana and others are not receiving services they need and are eligible. But we cannot blame everything on the economy but also on greedy ignorant providers who went into the business only for money and to explore loop holes in the system. Some of the blame also must to the LMEs who appeared not to know what they are doing. Several complains from workers, clients and their families hahve been made to LMEs with supporting documents but nothing has been done. The greedy providers are still provinding services. Soem providers have even gone to the extent of selling employees personnel files to other providers to obtain endorsements without the employees' consent, and not working for the recepient agancies. Such reports have been made to some LMEs. LMEs sent investigators to the agencies to retrieve the file only to write in the report that no crime was committed. Some providers have employed staff only to write service notes without providing the services and forging signatures of former employees, just to obtain payments from the State and Mmedicaid. Reports have been made to some of the LMEs and nothing was done. Some clients have been enrolled by five-ten agencies for the same services while each bill on the same clients. Audit system is a joke. To tell a provider I am coming to audit you next months, giving the provider a list of files to be audited will yield nothing. Providers use the time to fix the listed files. The problem is not the listed files but the unlisted files. Cinsidering all these, money is being thrown into a gutter. It is awkward that people with limited knowledge about mental health are allowed to open private agencies when they are not accountable to any Professional body or bodies.I do not think a private clinic or hospital should be opened by non-doctor. This is the problem with mental health.
To Vickie
I know you think you have it all figured out, but you don't. I will guarantee, that if you had a child that needed help, you would shut your mouth in a hell fire hurry.
To Vickie
Just where does an adult (with Down's Syndrome) live and eat if he/she has no family? How are the mentally retarded supposed to live if they have no family or even if they do, they do not have the resources? What if you are the caregiver of such a person and there are no programs to help them? I wonder what you would do? If you haven't seen first hand the complications, indignities, and needs some of these people must contend with consider yourself lucky or maybe not. Lack of compassion can come home to roost.
I am a little cold
to the fact of helping people's children who have something wrong with them.If my kid had of fallen behind in school,guess what? I had to pay for a tutor and not the taxpayers! IT'S YOUR CHILD,and WE as a whole should not have to be responsible for developing your child.Many of these so called services that are SO NEEDED are services like taking the child out to a movie,a park,etc.,etc,usually by family members who get paid by taxpayers!Substance abuse services should totally be cut from the budget and make it mandatory that the person who needs such services pay out of the pockets they are wearing.I am tired of people making problems for themselves yet others have to pay the price!I just don't get it!Compassion,yes I have a little of it, but not in this case.It is not needed!You have them,you take care of WHATEVER needs they require and not expect others to do it for you!!!!
Lack of Mental Health Funding
Please understand - each of us WILL pay (now or later) to help those with needs. Why not do it before things deteriorate so much and it costs more? Mental health is just as important as physical health. North Carolina legislature can waste money on so many things instead of meeting the needs of those with mental health issues. I am usually fiscally conservative. However, we do need to do a better job helping those with disabilities. God is watching.
Mental Health Woes
Yes the economy is suffering, a TRILLION dollar in the whole administration, loss of blue collar jobs and people living off of Unemployment as a way of life versus a bridge from unemployment to employment as it is intended to be. I keep remembering a former coworker forewarning the up and coming Local Mental Health Entity (LME) of the projected abuse of Medicaid from people seeking Community Support Workers to substitute a missing parent as a mentor. The majority of providers are sub par on the professionalism that once was displayed by the Pitt County Mental Health Center, that was accessible to our community through local and satellite programs, offering therapy and medications, not a babysitter. Yes we are going through times no lie about that but has the corruption of the provider’s greed is a factor of this equation?