|
Please take a moment & complete the survey that applies to you:
- One is for Individuals who have lost some or all of their services within the MHDDSA system (includes residential and vocational). If the individual fears losing services but hasn’t yet, fill out now and then again if/when the ind. Does lose some or all of their services.
http://www.surveymonkey.com/s.aspx?sm=FtqhlyR35b3AZF4BtjcnNg_3d_3d
- One is for Employees (current or former employees of MHDDSA providers) who have lost or experienced reductions in hours, salary, benefits etc.
http://www.surveymonkey.com/s.aspx?sm=Kxb0NR66Dj3G9IAup3VCBg_3d_3d
- One is for Providers of the MHDDSA system who have cut services, employee rates, benefits, hours, etc.
http://www.surveymonkey.com/s.aspx?sm=sQUpoOcdR6aI6GrWef8jnw_3d_3d
These surveys will be active between December 1, 2009 and June 30, 2010.
|
| No Comments » |
December 14, 2009 |
|
June 10, 2010
CURRENT UPDATE
The Senate passed its budget in mid-May. The House rejected that version and passed its own version late last week. Any items that are not in agreement – like this one as there are slightly different versions – are in contention. A conference committee of House and Senate members has been appointed to work out differences with a goal of passing a budget by June 30.
IMPACT OF BUDGET ON MH/DD/SA
The Coalition recognizes that North Carolina has not yet experienced the full benefits of the economic recovery and will face funding shortfalls. This does not relieve the state of its responsibilities to provide support for people affected by MH/DD/SA. North Carolina must build community MH/DD/SA services and supports so that people have the opportunity to recover and to live, and will not need to rely on crisis services, emergency rooms, hospitals, and institutions. Additional reductions and continuation of the worst of these cuts will cause irrevocable harm to people with disabilities and the nature of the programs that support them. Additionally, continued reductions will further harm the economic recovery by eliminating important community-based jobs.
MESSAGE
- Support the $40M for community services in the Governor’s and Senate budget – reject the House proposal of $18.8m.
- Support the $12M for inpatient community beds in the Senate budget
- Reject the provider rate cuts in Medicaid which are part of re-basing – these will severely impact the ability of Medicaid recipients to obtain services
- Do not support the enhanced mental health services cut of $41M – it will reduce availability and disrupt services
TAKE ACTION NOW!
|
| 3 Comments » |
February 19, 2010 |
|
RecoveryNC is hosting the First Annual Statewide Festival to celebrate North Carolinians in recovery from drug and alcohol addiction on August 21st in Greensboro.
The Festival will be a great opportunity to engage those in early recovery in a drug and alcohol free social atmosphere and for everyone in recovery to celebrate with family and friends. Ways your program might participate include:
- Advertise the event at your program
- Bring a van full of people from your community
- Join us with your staff, families and friends
- Identify musical talent to perform
- Become an exhibitor or vendor
- Identify arts and crafts vendors from former clients or friends
- Nominate a person from your community to tell their story as a speaker
Below is additional information about the festival — including a press release, copies of fliers and information for vendors. Please feel free to disseminate this information far and wide.
You can download the press release here: RecoveryNC Festival Press Release [34.0 KiB]
You can download flyers here: RecoveryNC Festival Flyer [22.8 KiB]
You can download Vendor information/registration here: RecoveryNC Festival Vendor Registration [217.4 KiB]
|
| No Comments » |
July 12, 2010 |
|
The Coalition held their Annual Advocacy Day and Rally on June 1st, 2010 at the Legislative Building in Raleigh. Although it was a rainy morning, large numbers of people turned out for the event, totaling 300+. Jack Register of the NC Chapter of the National Association of Social Workers led two advocacy trainings in the morning before rally participants visited their legislators. At Noon, Jennifer Mahan, Chair of The Coalition and Dave Richards, Co-Chair of the Budget Committee, opened the Rally with passionate words on the state of NC’s MHDDSA system. The message was clear, funding for developmental disabilities, addictive diseases, and mental illness is not optional and these life saving treatments and services must be maintained at adequate levels. Rep. Weiss, Rep. Brisson and Rep Insko were also in attendance and assured rally participants that their demands were not falling on empty hearts.
|
| No Comments » |
June 16, 2010 |
|
The Coalition recognizes that North Carolina has not yet experienced the full benefits of the economic recovery and will face funding shortfalls. This does not relieve the state of its responsibilities to provide support for people affected by MH/DD/SA. North Carolina must build community MH/DD/SA services and supports so that people have the opportunity to recover and to live, and will not need to rely on crisis services, emergency rooms, hospitals, and institutions. Additional reductions and continuation of the worst of these cuts will cause irrevocable harm to people with disabilities and the nature of the programs that support them. Additionally, continued reductions will further harm the economic recovery by eliminating important community-based jobs. In light of this, the Coalition has the following priorities:
- No additional reductions in MH/DD/SA or Medicaid funds for people with MH/DD/SA
- Restore $40 million dollars to IPRS which funds services and supports in communities
- No additional cuts to Medicaid and restore funding for Medicaid MH/DD/SA to 2009-2010 levels ensuring a continuum of services and supports for people including
o Case management
o Services and supports that keep children treated in the community instead of relying
solely on residential care, crisis programs and institutions
o Services and supports that ensure people are served in their communities and stay out of
crisis, ERs, hospitals and institutions
The Coalition further recommends that the General Assembly review all options to avoid additional reductions including:
- Taking a balanced approach to its budget shortfalls to ensure that the needs of people are met.
- Re-prioritizing budget funds spent on economic incentives including tobacco funds to offset reductions to funding for services to people with developmental disabilities, addictive disease and mental illness; community health and habilitation services are a significant part of the NC economy.
- Utilizing the community-based benefits of the Health Care Reform legislation to offset funding cuts and use revenue saved for investment in services and supports in local communities.
- Coalition members stand ready to offer proposals on how to utilize provisions of the new law.
- Making the reduction/elimination of services and supports the last resort; consider eliminating unnecessary administrative tasks that add to costs for providers, LMEs, the state, facilities, and other management. Include a mechanism to examine administrative tasks and set performance measures for appropriate administration across the system through the Secretary’s ongoing effort to reduce administrative burden.
Members of the Coalition are ready to designate specific staff resources to work with the General Assembly to create options that allow the state to respond to this economic crisis without hurting people with MH/DD/SA. pdf version
|
| 1 Comment » |
May 25, 2010 |
|
May 2010
1915 (b) and (c) managed care waivers should not be done to save money and any savings need to be re-invested in services and supports.
Savings from waivers need to be re-invested in services, supports and appropriate management, not taken out of the budget as called for by the Governor’s Budget of March 2010. The state clearly needs to invest in services and supports that allow people with mental illness, developmental disabilities, and addictive disease to live and remain in their home communities, live as independently as possible, and achieve life goals and recovery. North Carolina needs to invest in prevention and ongoing services and supports to prevent the use/misuse of crisis services, large institutions, and large residential settings. Waivers that remove funding are doomed to failure.
The Coalition believes the state should separate the behavioral health and developmental disability portions of the managed care waivers and deal with each population individually. Read More
|
| No Comments » |
May 25, 2010 |
|
The Coalition’s 40 member organizations are acutely aware of the continued fiscal crisis that North Carolina faces. Families and individuals with developmental disabilities, mental illness and the disease of addiction throughout North Carolina have felt the effects of this unprecedented crisis and the budget cuts imposed by the General Assembly. In December of 2009, The Coalition launched an online survey tool to collect public input about the impact of cuts to services and supports to people with developmental disabilities, mental illness, and addictive disease, as well as the impact to their families, organizations providing those supports, and the people on the front lines. The Coalition followed this by sponsoring a series of town hall meetings to allow the public to speak.
Our survey has so far garnered 1400 responses; the majority about the effect of cuts to services and supports on individuals served. Our first 5 town halls had more than 400 participants with members of the public speaking in support of services for people with addictive disease, mental illness and developmental disabilities. As we move forward to address these very serious issues, The Coalition stands ready to assist policymakers in their efforts to find the most appropriate and least damaging solutions. Our members and leadership have decades of experience with this system and can provide a unique insight to potential solutions. Include The Coalition in creating solutions.
The following is a sampling of the responses to our survey and town halls. We urge you to read through these quotes from people across the state. Read More
|
| No Comments » |
May 25, 2010 |
|
BY MICHAEL BIESECKER AND MARK JOHNSON – staff writers
RALEIGH – As North Carolina’s leaders struggle to balance its budget, they are considering proposals to outsource parts of the state’s troubled mental health and probation systems.
Lanier Cansler, secretary of the Department of Health and Human Services, said this week that he is considering privatizing the care of about 80 mental patients at Dorothea Dix Hospital in Raleigh in a unit for patients accused of crimes, including rape and murder. The patients are awaiting trial or have been found not guilty by reason of insanity.
“We’re not saying this is a road we particularly want to go down,” said Cansler, who was previously a lobbyist for private contractors working for the agency he now heads. “But when we’re dealing with budgets and all the issues we’re dealing with, we continue to look at ideas for how we might do something different or better or save money.”
Read more
|
| No Comments » |
May 20, 2010 |
|
Raleigh, NC — The Coalition, a group of 40 statewide organizations advocating together to meet the needs of North Carolinians living with the disease of addiction, developmental disabilities and mental illness, is calling for local community action in addressing the MHDDSA crisis affecting thousands of North Carolinians. With the NC General Assembly to convene on May 12th, The Coalition is encouraging local people to develop community organizing initiatives to spotlight the most pressing needs in their region and promote a dialogue to address these concerns. Read More
|
| No Comments » |
May 5, 2010 |
|
Implementation Update #71 is now available on the Division of MHDDSA’s website. The following topics are addressed:
- TCM for Individuals with DD
- Annual Auth. for Non-Waiver TCM/DD
- 1915 (b)(c) Waiver/RFA Update
- CABHA Updates
- Merger, Acquisitions, and CHOW
- IIH and CST Update
- Rate Reduction Effective Date for CST
- Child and Adolescent Day Treatment
- Day Treatment & IIH Training & Availability
- Peer Support Service
- Update on SPAs
- Clarification on Provisionally Licensed Billing
- Re-Endorsement Clarification
- Online Correction of Unable to Process Requests
- Reporting Fraud, Waste, and Program Abuse
Read More
|
| No Comments » |
April 28, 2010 |
|
This report is provided in response to Session Law 2008-107 (House Bill 2436), Section 10.15(f).
The report summarizes the service gaps and priorities identified by the Division of Mental Health,
Developmental Disabilities, and Substance Abuse Services (MH/DD/SAS), the Local Management
Entities (LMEs), Consumer and Family Advisory Committees, NC Institute of Medicine task forces, and
MH/DD/SA advocacy groups. The service gaps and needs that these stakeholders identified fall into six
themes:
- Long Term Supports for Independence and Recovery, including emergency services, affordable medications, primary healthcare, housing, employment, and other supports for community living
- Quality and Accountability, including comprehensive assessments, the use of evidence-based practices, performance tracking, and efficient data systems
- Workforce Development, including provider trainings in core and specialty areas, especially from consumers’ and families’ perspectives, and residency rotations in substance abuse and developmental disabilities
- Expansion of Services, particularly for rural areas, trauma-informed care, dual disability services, and community inpatient services
- Services for Vulnerable Populations, including deaf persons, persons undergoing transitions, high-risk youth, homeless persons, and persons with chronic illnesses or justice system involvement
- Leadership and System Management, including State and local disability-specific specialists, inter-agency collaboration and cooperation, use of effective funding policies, and support for consumers’ participation in policy decisions
The Department has taken into consideration these identified needs, recent efforts in these areas, 2009 legislative requirements, the current economic situation, and the State’s long-term goals for the MH/DD/SA service system in developing its immediate priorities. The priorities of the Department for the MH/DD/SA service system are to:
- improve the quality and stability of the service system,
- maximize use of existing resources, and
- protect critical core services, including crisis services.
Two new initiatives are currently underway to address these goals, while continuing to move the system forward in the areas identified in this report by the LMEs and other stakeholders.
- Expansion of Medicaid Waivers 1915 (b) and (c)
- Critical Access Behavioral Health Agencies
These initiatives, along with other initiatives to address legislative requirements and the needs identified by stakeholders, are described in the last section of the report. Detailed recommendations from each group are presented in a set of Appendices, which are included. Read More
|
| No Comments » |
April 28, 2010 |
|
 |