Local, State Advocates Sound Alarm on Illinois Mental Health Care Crisis

(Springfield, IL) – Local and state behavioral health advocates are sounding the alarm on Illinois’ swelling mental health crisis.

“Wait times to see a psychiatrist in Illinois’ community mental health system can now range from 4 to 6 months,” said Tim Sheehan, Chairperson of the Public Policy Committee of the Community Behavioral Healthcare Association of Illinois and Vice President of Home and Community Services at the Des Plaines-based Lutheran Social Services of Illinois. “The lack of an adequate behavioral health care workforce is causing longer and longer wait times for people struggling with mental illness to receive care, a situation which has reached crisis proportions in the state.”

Sheehan noted that according to the Illinois Department of Healthcare and Family Services, the inadequate behavioral health workforce is responsible for the state’s “insufficient community behavioral health services capacity.”

In fact, Illinois ranks 30th in mental health workforce availability with 844 people per mental health worker compared to the national median of 752, Sheehan points out.

A top Illinois behavioral health advocacy group leader says that the limited access to front-line mental health care in Illinois is “staggering and shameful” while local community agencies’ budgets are spending more on administrative costs due to the state’s new managed care system.

“There is a staggering and shameful lack of access to behavioral health care represented by a shortage of specialists, such as child and adolescent psychiatrists, advanced practice nurses, and physician assistants,” said Community Behavioral Health Association of Illinois CEO Marvin Lindsey. “Meanwhile, the administrative staff costs of providing community behavioral health services have increased dramatically, by as much as two to five times, since Illinois implemented Medicaid Managed Care.”

Sheehan agreed.

“More money is being devoured by administrative costs associated with paperwork demands of Illinois’ expanded Medicaid Managed Care program and less on investing in an adequate, front-line behavioral health workforce to care for patients,” Sheehan said.

Lindsey, Sheehan and other behavioral health advocates are planning a two-prong state legislative offensive to address Illinois’ deepening mental health care crisis.

“We’re planning on pushing a Resolution in the Illinois General Assembly to declare a ‘mental health care emergency in Illinois’ to raise awareness of the critical problem of access to care,” Lindsey said. “And we are going to advance legislation that would comprehensively address the behavioral health workforce crisis, which is undermining mental health care in Illinois.”

Fixing behavioral health workforce is a “priority,” says Sheehan.

“For community mental health agencies across the state, including Lutheran Social Services of Illinois, providing more support, more training, and a deeper bench to the behavioral health workforce is a top advocacy priority,” said Sheehan. “It’s critical.”

mlindsey@cbha.net

Survey: $142 Million Owed to Mental Health Providers as Psychiatrist Wait Times Mushroom, Services Shudder

(Springfield, IL) – A new survey by a top behavioral health advocate group reveals that the state of Illinois owes community mental health centers statewide a staggering $142 million in unpaid bills, a debt that is squeezing care for people struggling with mental illness and addiction.

The Community Behavioral Healthcare Association of Illinois released on Wednesday a survey of state community mental health providers that shows that these agencies are owed for fiscal year 2017 a total of $142,558,150 or nearly 90% of what has been budgeted for the current fiscal year that expires on June 30.

Moreover, the survey shows that, in Fiscal Year 2016, 73.5% of community agencies had reduced or eliminated behavioral health programs and that in Fiscal Year 2017 an additional 33.7% of agencies further cut or ended services.

“To say that community mental health providers are operating on fumes would be incorrect. They consumed the fumes long ago,” said Community Behavioral Healthcare Association of Illinois C.E.O. Marvin Lindsey. “The financial starvation of providers has shriveled our ability to serve an exploding need to the extent that Illinois is fast becoming a behavioral health system Potemkin Village.”

Continue reading “Survey: $142 Million Owed to Mental Health Providers as Psychiatrist Wait Times Mushroom, Services Shudder”

OP-ED: Rauner Administration 2018 Behavioral Healthcare Budget Fails to Meets its Ambitions

OP-ED: The Rauner Administration’s proposed FY 2018 budget for the Illinois Department of Human Services (DHS) falls dramatically short of the governor’s stated ambition to place behavioral health care at the center of a human services transformation. The money requested and the ambition articulated fail to align.

According to the Governor’s Office of Management and Budget FY 2018 budget book, less than half of the 750,000 people needing mental health treatment in Illinois actually received treatment, but the governor’s proposed budget fails to address this need. In fact, 80,000 people in Illinois have lost access to needed mental health services. This proposed budget also fails to restore the community behavioral health community infrastructure – counselors, case managers, community programs, and facilities that have been pulverized into dust – by the budget impasse that has ravaged community care providers over the last 22 months.

Yet, the governor’s appropriation request for the Division of Mental Health is $36 million less than the FY 2015 GRF actual expenditures. $36 million less. The governor’s stated aim of reducing institutional care and increasing community-based services cannot be achieved with this proposed budget. In fact, it goes backwards.

The governor’s proposed FY 18 DHS budget for the Division of Alcoholism and Substance Abuse (DASA) is no better.

In the DASA budget, there is no recognition of the heroin and opioid wildfire blazing across the state, especially in southern Illinois, suburban counties and on the Westside and Southside of Chicago. According to the Illinois Department of Public Health, a broad swath of southern Illinois counties has been walloped by a 200% plus increase of opioid related overdose deaths between 2010- 2015, with 57% to 74% being between the ages of 25-44. Those numbers are projected to increase. In fact, 24,000 fewer Illinoisans have received addiction treatment services.

Yet, the governor’s appropriation request for DASA is $26 million less than the FY 2015 GRF actual expenditures.

Community providers struggle to operate under a climate of uncertainty of payments. Compounding that problem of payment uncertainty is the problem of potential deeper cuts. ‘Doing more with less’ is fine for a bumper sticker or a campaign speech, but doing with less, in a reality based world in which the books need to be balanced, gets you less. Period.

In the case of behavioral healthcare, getting less means that an untreated mental health crisis can cost a mother her job or, worse, 10 days in county jail. Untreated heroin addiction can cost a life. You can’t put a crisis on a waiting list.

Finally, the two-year budget ordeal has forced longer, bulging client waiting lists, program cuts, agency closures, and employee layoffs in community mental health and addiction agencies across the state. In a March 2017 United Way of Illinois “Stop Gap” survey, 33% of community mental health providers have reduced the number of individuals they can now serve.

The impasse has struck at many constituents of Illinois lawmakers. We encourage legislators, no, we plead with them, to, please, find the will to compromise, to find a way forward. Your constituents are depending on you.

Now is the time for the executive and legislative branches to set partisan politics aside and pass a responsible budget. We insist on an immediate resolution to this crisis.

Is this too much to ask?

Marvin Lindsey, CEO, Community Behavioral Healthcare Association of Illinois

OP-ED: Central Illinois Medicaid Managed Care Crisis Shuts Out Mental Health Inpatient Care

OP-ED: – The collapse of the Central Illinois Medicaid Managed network has, effectively, shuttered inpatient psychiatric services for people with schizophrenia, bi-polar disorder and other mental illnesses at regional hospitals.

The January announcement by Decatur Memorial Hospital that it will terminate its contract with Molina Healthcare of Illinois on March 23, 2017 brings the number to four hospitals (St. Mary’s, Decatur; St. John’s, and Memorial, Springfield) that will no longer accept individuals with Molina Medicaid insurance.

This is a crisis.

Molina patients who are now receiving mental health care in community mental health centers or persons in the area in need of inpatient psychiatric care will now loose that access to care.

Gone.

The hobbled network of inpatient psychiatric beds in Central Illinois threatens individuals who have been diagnosed with schizophrenia, bi-polar disorder or co-occurring mental health/substance use disorder and who need immediate, emergency stabilizing care. That’s why Decatur Memorial’s decision has a created a crisis. Hospital doors are shutting on people with severe mental illness.

What’s the impact?

Community mental health providers in the area have been left to scramble around to find an inpatient placement for someone who is in crisis or on the verge of crisis. The nearest state operated psychiatric hospital, the Jacksonville Developmental Center, has a waiting list. A waiting list for psychiatric crisis. Admittance into Jacksonville can consume days because the Medicaid certified individuals who are provided state psychiatric hospital care receive do not trigger managed care organization reimbursement to the Department of Human Services for the cost of this care.

Because no inpatient psychiatric care is available, individuals often are detained in emergency rooms or other non-psychiatric units for extended periods. Sometimes days. This situation will worsen in this region if the Department of Human Services fails to find a solution. Period.

Failure on the part of the state is not an option.

CBHA urgently recommends that the state act expeditiously on its own announcement rolled last September to allow Meridian Health Plan to begin covering persons with Medicaid in central Illinois. We agree with Health & Family Services Director Felicia Norwood who is on the record stating that the expansion of Meridian into the central Illinois region “will assure that our clients have access to managed care options in Central Illinois and the Quad Cities.”

Once Meridian is in operation in the region, we also recommend that the state implement an open enrollment period to allow persons on Medicaid the choice of health plans that will meet their healthcare needs.

We recommend that the state act.

Swiftly.

Marvin Lindsey, CEO, Community Behavioral Healthcare Association of Illinois

Behavioral Health Advocates Hail Illinois’ Selection for National Criminal Justice Reform Project

(Springfield, IL) –  Illinois’ selection as one of just three states out of 20 applicants for participation in the National Criminal Justice Reform Project (NCJRP) has drawn applause from a top Illinois behavioral advocate group.

Chosen by the National Criminal Justice Association Center for Justice Planning and the National Governors Association, the project offers technical assistance to states in the planning and implementation of data-driven, evidence-based practices in the areas of pretrial reform, re-entry and offender recidivism, mental health and substance abuse, reducing incarceration, and information sharing.

“Illinois has been a leader on criminal justice reform in the last several years, and the state’s participation in the National Criminal Justice Reform Project advances that effort,” said Community Behavioral Healthcare Association of Illinois CEO Marvin Lindsey. “Since behavioral health care is a linchpin of any effort to fix our criminal justice system, we look forward, as key stakeholders, to be involved in the national reform effort.”

Illinois Criminal Justice Information Authority Executive Director John Maki, who announced Illinois’ selection on December 21, warmly welcomed the state’s participation.

“We are honored to be a part of the National Criminal Justice Reform Project,” said Maki. “This partnership will be invaluable as Illinois works to fully integrate evidence-based practices that ensure a fair and cost-effective criminal justice system and improve public safety.”

Through the project and with the assistance of an advisory board of national experts, the Governor Bruce Rauner’s office and ICJIA will lead teams of policymakers and key stakeholders on a strategic planning process for advancing reforms within the state’s executive branch.

“Protecting the public’s safety is of paramount importance to Governor Rauner,” said Rodger Heaton, Public Safety Director. “The state’s selection for this grant reflects the many efforts underway to improve our public safety system in sustainable, measurable ways.”

Lindsey said that he “looks forward” for CBHA’s opportunity to share “evidence-based best practices” CJIA to help push executive branch reforms.

“Our community behavioral health providers are working on ground every day implementing evidence-based best practices, and we look forward to working with CJIA and Director Maki wherever we may be helpful,” Lindsey said.

In 2015, the Rauner created the Illinois State Commission on Criminal Justice and Sentencing Reform, an initiative to reduce Illinois’ incarcerated population by 25 percent by 2025.

Lindsey also noted that in August 2015, before the November 2015 release of the infamous Laquan McDonald shooting video, Rauner signed the Police and Community Relations Improvement Act, Senate Bill 1304, sponsored by State Senator Kwame Raoul (D-Chicago), a measure that contains a requirement for police body cameras, training and attention for dealing with individuals suffering from mental health illness.

“The Illinois debate occurred before the MacDonald video became public,” Lindsey said. “I think Senator Raoul’s legislation puts Illinois ahead of a curve on the topic.”

mlindsey@cbha.net

Ex-Small Biz Lobbyist Tapped for Mental Health Advocate Post, Funding Push

(Springfield, IL) – A veteran small business lobbyist has been hired to help handle state mental health government affairs for a top Illinois behavioral health advocacy group and to push to reverse state funding cuts opposed by Illinois voters.

Blanca Campos, chief operating officer for advocacy at the Illinois Small Business Advocacy Council (SBAC) from 2010 through 2016, has been recruited by the Community Behavioral Healthcare Association of Illinois to help lead the group’s legislative advocacy in Springfield.

Campos, who earned in Masters of Public Administration from DePaul University in Chicago, will serve as CBHA’s behavioral health care advocate associate, according to the group’s chief.

“With seven years of legislative advocacy experience at the Small Business Advocacy Council, Blanca will significantly boost our advocacy fire power in the General Assembly,” said CBHA CEO Marvin Lindsey. “Blanca will be able to forcefully deliver to lawmakers not only our behavioral health message, but also our small business message that our members our crucial economics cogs in communities.”

During her work at the business group, Campos led the SBAC’s advocacy efforts to bring intrastate equity crowdfunding to Illinois, and helped pass legislation setting a 10% state procurement goal for small businesses. Prior to working for the SBAC, she worked in state legislative and congressional campaigns.

One of the messages that Campos will be delivering to lawmakers is the voting public’s support for greater investment in mental health care and drug treatment services, says Lindsey.

A July 26 automated poll of 826 likely Illinois voters conducted by Illinois Public Opinion Strategies found that 70.1% back “investing more money in mental health care” while just 11.5% support “investing less money” or a net +59 points. 18.4% were undecided.

The poll also found that 55.4% of likely voters support investing more money to “provide treatment to individuals struggling with drug addiction, such as addiction to heroin” and 27.2% support “investing less money.” 17.4% were undecided.

While mental health and drug treatment funding are strongly backed by voters, state funding for both programs has retreated in the last two years.

In Fiscal Year 2016, state addiction treatment contracts issued to community providers, with money coming from the state’s general revenue fund for drug treatment, were cut 25% from FY 2015 levels. Mental health care contracts saw a 21.8% cut. In 2017, addiction treatment contracts had 21.4% reduction and mental health got a 26.7% cut.

“Blanca will help communicate to lawmakers that their constituents want greater financial investment in behavioral healthcare – not less – and that an investment mandate exists for this human services priority,” said Lindsey. “I think that Blanca will be effective in delivering that message.”

Beyond her business background, Campos has also served on the Women’s Health Awareness Council, a collaborative program coordinated by the Women’s Health Initiative at Swedish Covenant Hospital in partnership with more than 30 elected officials, community leaders, major philanthropies and respected health care providers.

mlindsey@cbha.net

Behavioral Health Advocates “Strongly Urge” Rauner, Lawmakers to Reach Budget Deal

(Springfield, IL) – A top Illinois behavioral health advocate group has called on Illinois’ elected leaders to move swiftly to approve a full state budget.

In a November 14 letter to Governor Bruce Rauner and all 177 members of the Illinois General Assembly, Community Behavioral Healthcare Association CEO Marvin Lindsey “strong urged” the state’s leaders to craft a budget deal.

“For the sake of children, youths and adults with mental illnesses and substance use disorders and those organizations who provide treatment and care, we strongly urge you and the General Assembly to come together and find agreement on a fully funded Fiscal Year 2017 budget,” Lindsey wrote in his letter to Rauner. “CBHA would like to convey to you the importance for you and the General Assembly to pass a fully funded FY’17 budget during this veto session.”

In his letter to lawmakers, Lindsey raised the alarm that constituents were being put on waiting lists or forced to travel long distances for care because of program shutdowns during the FY 2016 budget impasse.

“During FY’16, constituents in your district and other districts across the state seeking help for their mental illness and/or substance use disorders were put on waiting lists or, at times, told that they would have to seek care outside of their community because the budget impasse forced providers in their community to reduce or shut down programs and services,” Lindsey wrote.

info@cbha.net