For a variety of reasons, I am being asked much more than ever about the thinking behind various provisions of the Mental Health Services Act when we are writing it in 2003 and how that relates to some of the challenges we now have.
The act still looks like it correctly identified what was needed to fulfill our goals. But many parts of it have not been implemented the way they were envisioned and a lot has changed from what we knew in 2003 when it was written.
Continue reading Mental Health Services Act: Then and Now
AB 1250 (Jones- Sawyer): Extreme limits on County contracting. This is the biggest threat ever to member agencies. Strong opposition seems to be making an impact, but the outcome is uncertain.
By now all members should be familiar with this SEIU and ASFCME sponsored bill which would make it virtually impossible for counties to continue to contract out for the types of services our members provide. Continue reading AB 1250; Prop 63 and 64; School Mental Health
For a variety of reasons, I am being asked much more than ever about the thinking behind various provisions of the mental health services act when we are writing it in 2003 and how that relates to some of the challenges we now have.
Not surprisingly, most of the challenges we now are seeing involved issues we anticipated when we wrote the Act. We have posted all of the preliminary drafts of the MHSA on our website in case anyone is curious about how the language evolved from the first draft in May 2003 to the final language in September.
The Act still looks like it correctly identified what was needed to fulfill our goals. But many parts of it have not been implemented the way it was envisioned and a lot has changed from what we knew in 2003 when it was written. In 2006 I had a different way of viewing how would be implemented and significantly underestimated how challenging it would be for state agencies to regularly update regulations which I thought could be an ongoing process with updates every three years. I also significantly underestimated the delays and challenges in developing outcome data.
In this blog I will speak to some of the issues and some of the solutions. Mostly what is required is a recognition that we have not revisited the guidelines (which led to regulations), all of which were developed before the applicable parts of the act had been implemented.
Now that we have had many years of implementing each part of the act is time to revisit the guidance (leading eventually to updated regulations) through a series of separate workgroups, that can move us more firmly in the direction that I think we all know is where we need to go.
Continue reading The Mental Health Services Act – Then and Now
Signs of Hope – from leading national behavioral health policy advocate Chuck Ingoglia
At CCCBHA’s February membership meeting we were fortunate to have Chuck Ingoglia of the National Council for Behavioral Health as a presenter. There is probably no one in behavioral health closer to the action in Washington DC and better positioned to make our case. He had good news to report in that there is growing support for maintaining federal support for behavioral health. He noted that everyone’s advocacy is making a difference and that the more extreme potential funding cuts are less likely to be enacted. Continue reading Signs of Hope