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STATE SENATE MENTAL HEALTH SYSTEMS OVERVIEW LEGISLATION

Testimony
of
James W. Jordan, Jr.
Executive Director
National Alliance for the Mentally Ill of Pennsylvania 

SR72
Senate Public Health and Welfare Committee
December 5, 2001

 

Senator Mowery and members of the Senate Public Health and Welfare Committee, thank you for scheduling this hearing on Senate Resolution 72, and thank you Senator Orie for introducing this important legislation. We strongly support this initiative and want to encourage a close partnership with the Office of Mental Health and Substance Abuse Services (OMHSAS) in the Department of Welfare. 

We believe that this process, to be effective will also need the cooperation and support of the state Departments of Corrections, Aging and Health. We believe this review should be a collaborative effort between the Pennsylvania State Legislature, the Departments of Welfare, Aging, Health and Corrections, providers, family and consumer advocacy organizations, and members at large within the community who have an interest in the well being of the state’s system of care, support and treatment for persons with mental illness. 

            The National Alliance for the Mentally Ill, or NAMI, is an advocacy organization for people who have mental illnesses and their families and friends.  The tentacles of mental illness reach deep into our society.  It does not stop at the individual with mental illness, but it impacts their families, it impacts their friends, it impacts their employers, it impacts our social service system, and it impacts our criminal justice system. 

            Senate Resolution 72 is a critical step toward identifying what is working within our delivery system and it will help identify what is broken; what can be improved upon and what needs to change. 

            With regard to the language in the Resolution, we make the following recommendations: 

1)         The inclusion of a representative from a statewide, family-based organization and a representative from a statewide consumer-based organization on the Advisory Committee. 

2)         In addition to state correctional facilities, we encourage focus on local correctional facilities. 

3)         As the Task Force is focused on access issues, we recommend that access be viewed, minimally, from geographic, racial, cultural, economic, gender, age, and sexual orientation perspectives. 

            Without making judgment or recommendations, prior to Task Force review we suggest that the Task Force review, as part of its process, the following areas: 

1)                  The impact of State Psychiatric Hospital downsizing. 

2)         Integrated Treatment for Co-occurring Mental and Addictive Disorders. 

3)         Direct Care Worker Salaries - Compensation for community based workers 

4)         Post-Hospitalization Follow-Up

5)         Mental Health Parity - insurance coverage for persons with mental illness.

6)         Establishment of Mental Health Courts 

7)         Transition services for adolescents moving into adult services. 

8)          Confidentiality standards and practices related to family involvement in treatment and care services. 

9)          Affordable safe housing. 

10)        Continuity of Care 

11)       Assess availability and quality of community-based services 

12)       Review current OMHSAS goals program goals 

13)       Review coordination of substance abuse and mental health services 

14)       Access to appropriate medications. 

15)       Access to appropriate psychiatric support and treatment. 

16)       Review of county government role. 

This list is not intended to be all-inclusive. Rather, we have attempted to identify some of the major issues this Task Force should consider for  review.  We are very much interested in participating in this process and providing what ever support the Task Force feels will be helpful to it in meeting it’s goals. 

At NAMI, we are dedicated to improving the lives of everyone affected by mental illness, and we are committed to working with the legislature to develop solutions to the challenges associated with mental illness. 

Thank you for the opportunity to express our views on this important issue.

 

 

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