Mental
Health Funding Troubles
January 27, 2003
For at least seven months, people with serious mental health problems
in Cuyahoga County have not been getting the help they need. The situation
may only get worse as state funding cutbacks could mean fewer dollars
at the local level. Ohio's constitution mandates that the state shall
care for people with Mental Illness. For several years now, local communities
have been under enormous pressure to pick up the slack. ideastream's
April Baer reports.
Mental
Health Board Profile
January 28, 2003
This year voters in Cuyahoga County will be asked to approve a tax levy
to support health and human services. It's meant to fund the care provided
at Metrohealth Medical Center, the County Department of Children's Services,
and other places. It would also provide much-needed funding for the
county's Community Board of Mental Health, which is trying to turn around
after years of mismanagement. ideastream's April Baer
produced this profile of the new local leaders selected to steer the
board.
Political
Sparks Fly as Levy Vote Set For May 6th
February 19, 2003
A special election has been called for Cuyahoga County. Voters will
be asked on May 6th to support a tax increase for Health and Human Service
programs. While county leaders acknowledge that tax hikes are a tough
sell, they're trying to head off voters concerns and avoid a few political
land mines along the way. ideastream's April Baer has
the story.
The
State of Mental Health in Ohio:
An Interview with State Senator Eric Fingerhut
Web Exclusive - February 25, 2003
Eric Fingerhut is widely known as one of the legislature’s most
informed members when it comes to mental health issues. ideastream’s
April Baer sat down with him recently.
Mental
Health - A Funding Overview
February 25, 2003
A special commission appointed by President Bush is taking a hard look
at the plight of people with mental illness. The commission, led by
the head of Ohio's Mental Health department, will deliver a final report
at the end of April. The group's preliminary findings indicate serious
systemic problems - chief among them - funding. Even though eighty billion
dollars is spent each year on treatment and services, about half of
all people with mental illness are not getting the treatment they need.
ideastream's April Baer reports.
Funding
Community Mental Health: An Interview With Tim Hagan
February 26, 2003
Since local funding for mental health services is a relatively new thing,
county leaders are still working out the best way to handle it. In some
places, like Lorain County, separate levies have been constructed just
for mental health services. Other counties, like Cuyahoga, divert money
from omnibus health and human service funds. In fact, Cuyahoga County's
commissioners will ask voters to approve 4.9 mils for health and Human
Services May 6th, 2003. From time to time, consumers and providers have
wondered why Cuyahoga County never gave mental health its own levy.
With such a large caseload, and many people with serious disturbances,
some believe the mental health board would be better served by a stable,
separate funding source. Recently, ideastream’s
April Baer called former Cuyahoga County commissioner Tim Hagan to talk
about why this hasn’t been done.
Mental
Health Funding: Winners and Losers
February 26, 2003
This month at the statehouse, Ohio's leaders are making budget decisions
that will affect millions of people - including those who rely on the
state for mental health. Those most seriously afflicted often have no
choice but to look to the state for coverage through Medicaid. But at
the same time, Medicaid rules have limited local agencies in what kind
of services they can use state dollars to pay for. ideastream's
April Baer explains who's winning and who's losing under the current
system.
Budget
Cuts and Mental Health
March 26, 2003
Ohio is on a collision course with a three billion dollar budget deficit.
Hard times have taken a toll on the state's savings, revenues, and investments,
and drastic measures are being considered to balance the 2004-2005 state
budget. The proposed cuts are threatening a number of different services,
among them, mental health. ideastream's April Baer
reports on what the cuts are going to mean.
Local
Services - Slipping Out of Balance
March 27, 2003
State and federal budget reductions are putting heavy strains on community
mental health services. Overall spending cuts in Governor Taft's budget
proposal are estimated to reach one and a half billion dollars over
the next two years. Yesterday, we looked into the kinds of cuts the
state is considering. In the meantime, local leaders are trying to do
more with less. In some places, like Cleveland, they have asked for
levy support from voters. But since levies are a tough sell in weak
economic times, cuts in basic mental health services are becoming more
likely. ideastream's April Baer reports on how cuts
have shaped the local menu of services.
Who's Taking Care of Children's
Mental Health?
A Conversation with Dr. Robert Findling
April 7, 2003
The welfare of Ohio's most vulnerable populations is being called into
question, as Ohio and its counties try to mend their ailing budgets.
Among groups believed most at risk - children struggling with mental
illness. The Federation for Community Planning recently commissioned
a survey on mental health care. Its preliminary results suggest that
only 16% of Cuyahoga County's children in need are being served. There
is growing concern that the health care system is failing to provide
overall psychiatric facilities for people under eighteen. In an interview
aired Monday, April 7th 2003, ideastream's April Baer
recently spoke about the problem with Dr Robert Findling, director of
child and adolescent psychiatry for University Hospitals Health System.
Going
Only Halfway:
Covering the Costs of Mental Health Care for Ohio's Children
April 7, 2003
There are 23 agencies that receive money from Cuyahoga County to provide
services for children. However, each has a different mandate, and a
different way of navigating the complicated web of funding. Beech Brook
began as an orphanage 150 years ago. Today its staff cares for children
with a variety of needs, from those in foster care to kids living in
risky situations at home. In an interview first aired Monday, April
7th, ideastream's April Baer spoke with Beech Brook's
executive director Mario Tonti about the demand for services.
Consumers
Struggling For Independence
April 29, 2003
Studies have suggested that poverty can increase your risk for developing
mental illness. It's also true that mental illness can increase your
risk of poverty. Every day, people from all walks of life are diagnosed
with mental illness. The one thing they all have in common is a fear
of becoming less independent. According to the Ohio Department of Mental
Health, seventy eight percent of people receiving government assistance
for mental disabilities are living below the poverty level. Ironically,
some choose not to work, having found they simply can not afford to
become more independent. ideastream's April Baer reports.
Also,
Wednesday morning's story dealt with some of the pressures in mental
health work. Any case worker can tell you that one of the hardest things
about the job is the avalanche of paperwork that must be filled out
for each case. For every state and federal dollar that is spent, pages
and pages of forms must be filled out. ideastream contacted
Recovery Resources, an agency based in Cleveland that provides help
for mental illness and substance abuse, to find out exactly how bad
the paperwork burden is.
What they sent us is a fifteen page file that represents some, but not
all the forms that might be part of a single day's work for a single
client - view the PDF here.
A
Visit to the Near West Woodworks
April 29, 2003
There are a number of program throughout the city of Cleveland that
provide special support to people trying to work while they deal with
with mental illness. One of these is a woodshop perched on the corner
of West 25th Street. It's run by Spectrum of Support Services. Near
West Woodworks employs up to twenty five people with mental illness,
helping them develop job and social skills to get back on track. We
visited Near West Woodworks and spoke to clients about their lives,
work, and the subtleties of using a staple gun. (Special thanks to ideastream
intern Liz Walker for production work on this story.)
Are
the Bases Covered? Staffing in Community Mental Health
April 30, 2003
As Cuyahoga County's
Health and Human Services levy draws near, people who work in mental
health have a lot on their minds. Funding for their field is in shaky
condition. Many are concerned about whether staffing levels are adequate
to meet demand. ideastream's April Baer reports.
A
Conversation with William Harper
May 12, 2003
The executive director
of Lorain County’s Community Mental Health Board has a broad range
of experience. A native of Cleveland, William Harper worked for several
years in southwestern Ohio before coming home to the northeast. ideastream’s
April Baer talked with him earlier this year about some of the funding
and policy challenges facing the region.
Hopewell
Plants Seeds of Healing
May 27, 2003
What does a treatment
center look like? Most of us picture big-city buildings with long white
corridors and industrial-scale kitchens. This is sometimes the best
the community mental health system can offer to people with brain disorders.
But in the heart of Ohio's Amish country, Hopewell Farm has created
a new model for treatment. It's a working farm, where people with severe
mental illness spend their days in a pastoral setting, working the land
- with therapeutic results. We sent ideastream intern
Elizabeth Walker to check it out.
The
Free Clinic Tries to Pick Up the Slack
May 27, 2003
People with severe
mental illness can count on at least one thing: the federal government's
Medicaid program will be there to cover their doctor's visits and medication.
But those who are living just above the poverty line - or who suffer
from certain less severe conditions - are NOT assured of getting help.
For them, Cleveland's Free Clinic has become an important resource.
The Clinic's picking up slack in a number of other ways as well. Since
budget cuts have forced the countywide Mobile Crisis Line to limit its
hours, the Clinic's hotline gives people a trained professional to talk
to between 8:00 PM and morning. We visited with the Free Clinic's Medical
Director, Dr. Steve Wyrick, to see what else is going on.
A
Visit to 2100 Lakeside
May 27, 2003
It's not uncommon
for people with a severe psychiatric disorder to lose their ability
to support themselves, and become alienated from family. Too often,
the road to recovery takes people to the streets. ideastream paid a
visit to Cleveland's emergency homeless shelter, at 2100 Lakeside Avenue,
where the Salvation Army provides beds and a meal on a night-by-night
basis. We spoke with the man in charge of this considerable job, and
with a former shelter client who's now helping administer mental health
services on site.
The
Mental Health Safety Net - or Lack Thereof!
May 27, 2003
Last year some 250,000
people across Ohio sought and received help for mental health problems.
But there is evidence that others are slipping through the cracks. In
Cuyahoga County, suicides outnumber homicides three to two. While there
are many different agencies designed to catch mental illness before
it becomes devastating, critics find the safety net lacking. ideastream's
April Baer reports.
Mental
Health Wrap-Up
May 27, 2003
May is Mental Health
Month. Many people are reluctant to believe that mental illness will
touch their lives. But clinical experts say the longer you live, the
more likely you are to deal with it - either for yourself or a family
member. Researchers are building their knowledge base on life-long wellness.
Meanwhile, the local mental health system has been on a roller-coaster
ride over the past five months. The battle to fund local services continues
at the Statehouse-and here. Cuyahoga County passed a Health and Human
Services Levy which will raise millions of dollars for services. But
these campaigns have opened political wounds that have yet to heal.
Our observance of mental health month concludes today with this update
from ideastream's April Baer.
Support
for mental health issues coverage comes from the Woodruff Foundation
and Saint Lukes Foundation of Cleveland, Ohio.