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“Reprieve for end of Psychiatric Rehabilitation transportation”

Map of Pennsylvania highlighting Chester County

Image via Wikipedia

http://www.phoenixvillenews.com/articles/2011/07/16/online/srv0000012517283.txt?viewmode=fullstory

The link above found on the Phoenixville News website on July 16, 2011.  It discusses an issue regarding transportation for Consumers attending a Psychiatric Rehabilitation Program, which if transportation is discontinued or another source of transportation isn’t found there will be folks who will lose access to this service.

Special thanks to LeClaire who let me know about this article.

Busy week

Couldn’t decide what to title this, but I felt that with everything that went on last week, I needed to write about at least some of it.  I attended the local and regional CSP meetings, along with a housing meeting, all this while recovering from a badly bruised elbow, which is doing much better at this point for those who know who I am, my hand and arm are feeling almost “normal”.  I got hit with some sort of bug over the weekend, so I’m a little under the weather as I write this I am keeping my box of kleenex within arm’s reach at all times and sleeping when I feel the need to.  today is better then yesterday though, so that’s getting better as well… I was actually awake most of the day unlike Saturday and Sunday where I slept most of the day and didn’t move unless I had to because moving caused me to cough a lung up.  At any rate, it seems it’s been one thing after another, and I’m hoping that the upswing I started today continues, especially since I need to go do some C/FST related work on Wednesday this week.

So, back to the meetings I attended last week ….

Local CSP ….
 Those present at the meeting were again encouraged to attend the Service Area Planning  (SAP) meeting coming up on Friday the 15th from 1:00 to 3:00 in the Warren State Hospital gymnasium.  most of the people at the local CSP meeting were Consumers, but there were a handfull of Professionals as well.  The person leading the meeting put me on the spot and asked me to explain a little about what a C/FST does and what my purpose is.  Since I’m very new to the idea myself, and was far from prepared to speak, I floundered a lot, but I think I got the basic concept out stating that my job is to find out what Consumers and Family members think about the services they receive and any obstacles that might be preventing them from fully accessing services.  I went a little more in depth then that, but that’s the nutshell description.  After my little fumbling explenation, the table was then shifted to a survey of a different kind.  The person running the meeting, had a survey that she needed input from Consumers so she did a group survey by presenting the various questions to the group.  Questions covered topics such as needed supports (i.e. safe housing, transportation to appointments, lack of MA providers for physical health, more funding for ICM’s to ease the caseload, daily living skills, assistance transitioning from the state hospital to the community…etc.).  I don’t recall specifics of what was discussed, but I know the frustration of not having local Medical Doctors who accept the access card was a huge issue that was brought up and discussed at length, because it also has an effect on the transdportation issue, or maybe it would be better to say the two go hand in hand since if we had local doctors who accepted MA, transportation wouldn’t be as big of an issue.

Housing Meeting ….
We discussed target groups and possible ideas on how to assist them in Warren County.  We also discussed ideas for alternative type housing, such as fairwether lodges or other evidence based housing options, but we decided we need to find out if there are other evidence based housing options beyond fairweather lodges, so yours truely got asked to dig around online to see what I can find … so far most of what I have found is links to sites based in the UK so progress is slow not to mention I was sleeping most of saturday and sunday, so I didn’t accomplish much on either of those days, but need to buckle down and get back on track here I can’t stop the world because I can’t breathe through my nose and my head feels like it’s going to explode if I squeaze it too hard, so plug on I must.  I’m going to eventually add a page relating to housing as I get a better feel for what I’m doing with this group since I learn best by researching and then creating some sort of reference point for myself, but I like to share what I learn, so that’s why you get to have all my links available to you 🙂

Western Region CSP (WRCSP) …..
Let’s see … how to sum this one up, I always learn so much when I go to this that it’s tough to decide where to start.  I guess I’ll start with the workgroup I sat in on, which was the Anti-stigma workgroup.  We discussed experiences had by some when going to the emergency room or medical doctor for a clearly medical problem.  Some had positive experiences with nothing to say indicating they had ever ran into trouble, but many of us in the group shared the frustration of being told we were “faking it”, “Pill seeking”, “attention seeking” or any of a number of issues where the provider assumed that since we were Consumers, we weren’t there for a legitimate medical reason and therefore wasting the doctor’s time.  One person described a situation where she was told to go home becaus the doctor didn’t believe she was in any pain … it turned out she had kidney stones.  Another person described a situation where she had dental work and was having a bad reaction to medication that was ordered as part of the treatment for her dental work, only to end up with the ER counting the pills, and disposing of them and then ordering something that didn’t help at all.  In either case the people who described the situations felt that had they not carried the label of Consumer or mentally ill, they probably would have been taken more seriously and not treated with such disregard.  We discussed the possibility of creating a brochure that could be given to hospitals raising awareness about mental illness both for the treatment of patients who enter the hospital, and also for those working in hospitals explaining what having a mental illness and working means to a Consumer and how to reduce the stigma surrounding having a mental illness.  The group decided that for many, being arrested and ending up in jail offered bragging rights, while having a mental illness and not being in trouble with the law meant shame, isolation, stigma and stereotypes placed on us by society and the media.  Our first project is to work on a brochure to educate law enforcement about mental illness and ask for more dignified treatment of mental health consumers by law enforcement (i.e. when transporting a non-violant Consumer do they really need to be humilliated by being handcuffed as though they were a criminal when going from a local hospital to a state hospital for example?).  Needless to say we live in an imperfect world, but it seems that those in the anti-stigma workgroup want to try and improve the world they live in, I know I do, and maybe today it’s brochures … tomorrow, maybe it will be going and talking to different places to further educate them about Mental Illness and the stigmas faced by those with a diagnosis.

NAMISWPA gave an update on Housebill 1448 which seems to be stuck in appropriations, we need to encourage our representatives to vote yes to this bill, but first we need to get it up for consideration on the house floor.  Dan Frankel initiated the bill with the support of quite a few other representatives, and HB1448 if passed into law will create a non-lapsing trustfun from any money gained by the state from the sale or lease of property currently used by state run MH/MR facilities.  This trust fund would be used to help fund Community mental Health services to ensure that community mental health systems aren’t strained by an influx of Consumers from State facilities allowing the communities to have proper supports in place for these folks at the time of their discharge, instead of waiting until the person is discharged and then throwing our hands up as we try and figure out how to fund the services they need in order to integrate into the community.  HB1448 is a timely bill, with the closuree of Mayview on the horizon, and the possibility of other state MH/MR facilities closing in the future.

OMHSAS reported that there are actually 2 Service Area Planning Meetings on February 15th.  Warren State’s SAP is from 1 to 3 and I think it was Mayview that is the same day from 1 to 3:30 Please, if I got this wrong, let me know, because I can’t remember which state hospital had their SAP scheduled the same day as Warren I’m thinking it was either Mayview or Torrance, but I’m not positive  Those 2 stand out in my mind for some reason though.

Well, I think if I make this any longer people will quit reading if they haven’t already, so I’m going to end here, but I have another post inline already so I’m going to do a shorter more traditional post for it.

CCBH Advisory Meeting

  Within the past year, Warren County residents who are on Medical Assistance were phased into a managed care program called Community Care Behavioral Health (CCBH) for both mental health and Drug and Alcahol treatment.

  On November 7th, 2007, a representative from CCBH held an advisory meeting to hear what Consumers had to say about services that work, don’t work, or barriers that prevent Consumers from obtaining services.

   Transportation was discussed in depth with examples of Consumers having to walk a mile or more to get to where the services they need are located, due to lack of transportation, that is both available and affordable.  Many Consumers have very limited funds available to them, so they often can’t afford the fee for a round trip bus ride, to get to and from appointments and the local drop-in center, so they either walk or don’t utilize services for a multitude of reasons relating to transportation and how the various weather conditions factor in along with finances.

  Consumers were introduced to what a Consumer Satisfaction Team is and what they do.  It is a new concept in my area, but it sounded like something I could possibly do if I were teamed with someone else.  The CSTs go around takin surveys from Consumers about services they receive, like, don’t like … etc.  A sign-up sheet was passed around for people interested in becoming a CST to sign-up.  I signed up and hop i works out and it is something I am able to do.  My neighbor and close friend also signed up, so we’re hoping they will allow us to work as a team on this since we work well together.

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