February
23, 2006
MHANYS
ANNUAL LEGISLATIVE CONFERENCE – MARCH 13, 2006: Once
again this year, MHANYS will hold its Annual Legislative Conference,
which will take place on March 13, 2006 in Albany. Having grown
in the number of participants over the past several years, this
year’s Conference will require a larger, more prominent
area and will take place in “The Well” of the Legislative
Office Building, which is adjacent to the Capitol. For those who
have not joined us in previous years, this event provides those
to attend the opportunity to participate in the legislative process,
get to know policy makers, and meet with their elected representatives.
This
year, MHANYS’ Legislative Agenda consists of several issues
identified by participants in the regional forums held in the
later part of 2005. As a result, MHANYS’ advocacy efforts
will revolved around the following issues: Timothy’s Law,
the need for additional housing options, protecting access to
crucial medications, civil confinement of sexual offenders in
the mental health system, and increases in state funding for mental
health programs.
MHANYS
Board Member and outspoken parent advocate, Tom O’Clair,
will once again share his thoughts with us regarding the legislation
named in memory of his 12 year-old son, Timothy, who completed
suicide nearly 4 years ago due to insurance discrimination. We
will also hope to be joined by leaders in mental health policy
from the Senate, Assembly, Governor’s office, and the Office
of Mental Health who will share with us their perspective on the
mental health issues under consideration in Albany this year.
We
have scheduled the official events to take place in the morning
from 9:00 a.m. to Noon, during which a light breakfast will be
served. This allows everyone the opportunity to meet with their
representatives in the afternoon. While we leave scheduling of
meetings with your Senator and Assemblymember up to you, these
meetings are by far the most crucial part of the day because elected
representatives hear from constituents from their district. Therefore,
we encourage you to call your Senator’s and Assemblymember’s
Albany offices to schedule a meeting with immediately for a meeting
anytime after 12:00 on March 13th. You can contact the Albany
offices of your representatives by calling (518) 455-2800 (Senate
switchboard) and (518) 455-4100 (Assembly switchboard), and asking
for your representative’s office. If you are unsure who
your representative in the Assembly or Senate is, go to http://nymap.elections.state.ny.us/nysboe/.
We
hope that everyone will consider participating in this year’s
Legislative Conference, hopefully making this year’s event
the most successful to date.
Additional
information is available at http://www.mhanys.org/pubpol/conference06.htm
and updated information will be posted to this website as it becomes
available.
We
hope to see you on March 13th!
COMMUNITY
CONNECTIONS ON THE WEB: The latest issue of MHANYS’
publication, Community Connections,
is on the web. The following stories are included in this edition:
The
History of the Bell Symbol and Clifford Beers
Legal Rights of Patients in Psychiatric Hospitals
From the CEO
The Best Laid Plans....
Serving Veterans Who Served America
How Far We Have Come
SAD Patients Who Take Antidepressants in Autumn Can Prevent Winter
Depression
New York Mental Health Associations Help Pass Geriatric Mental
Health Act
MHANYS’ Annual Awards Dinner
MHANYS’ Annual Conference
NYSOMH Convenes First Suicide Prevention Summit
At a Glance - Suicide among Diverse Populations
NMHA Policy Position Statement on Advanced Directives
Historical Perspective of Mental Institutions
NMHA and the History of the Mental Health Movement
NYS Considers Action to Address Sexual Offenders
Meet NY Children's Action Network (NY CAN)
Resource: The Latest in Measuring Recovery
The
entire edition can be viewed at http://www.mhanys.org/cc/cc2005-2006winter.pdf.
MEDICARE
RIGHTS CENTER – MOST PEOPLE BUSH ADMINISTRATION CLAIMS TO
HAVE MEDICARE DRUG BENEFIT ALREADY HAD DRUG COVERAGE: Following
is the text of a February 17th press release from the Medicare
Rights Center.
Most
People Bush Administration Claims to Have
Medicare Drug Benefit Already Had Drug Coverage
Midway
through Enrollment Period, Only 3.2 Million Have Voluntarily
Signed Up
[New
York, NY] - An analysis of the Medicare drug benefit enrollment
numbers being touted by the Bush Administration reveals that
only 3.2 million older and disabled Americans have drug coverage
for the first time.
As
many as 19 million people have yet to sign up for the drug benefit
available through private drug plans, and at least 7.5 million
of these older and disabled Americans have no drug coverage
at all, according to an analysis by the Medicare Rights, a national
consumer service group.
“The
Bush Administration’s inflation of enrollment numbers
disguises the problems that plague this privately-administered
drug benefit,” said Robert M. Hayes, president of the
Medicare Rights Center.
“Deception
will do nothing to help older and disabled get the medications
they desperately need,” said Mr. Hayes.
The
Bush Administration reports that 24 million people have the
Medicare drug benefit, but the consumer group’s analysis
shows that only 14.3 have it. About 10 million people reported
to have Part D coverage actually have retiree health benefits
from their former employer or union.
Most
people with the drug benefit known as “Part D” were
auto-enrolled because they have both Medicaid and Medicare (6.2
million), or were in a Medicare private health plan (4.5 million),
from which they got some drug coverage.
Of
the 3.6 million people who reportedly “voluntarily”
enrolled in a stand-alone private drug plan, about 330,000 were
enrolled through their state pharmaceutical assistance program
and another 78,000 are covered by employers who transformed
their employer coverage to a Part D plan.
Medicare
Part D Enrollment Numbers, the Medicare Rights Center’s
analysis of the drug benefit enrollment numbers, is available
at http://www.medicarerights.org/policy_enrollment_brief022006.pdf.
LOUISIANA
PARISH SEEKING PSCHOLOGICAL/COUNSELING RESOURCES: Coming
to us via the MHA of Tompkins County, The United Way is seeking
to set up post-traumatic stress counseling in Plaquemines Parish,
Louisiana. Counselors/therapists who are willing to volunteer
may very well end up living in tents or in mobile medical vans
for their time in Plaquemines
Parish because there are few or no standing structures left
there. Anyone interested can contact Mindy Riso, a United Way
volunteer, at (225) 757-0425 or at mriso@cox.net.
IN
THE NEWS:
Sullivan
mental-health advocates lobby for laws.
Middletown Times Herald-Record, February 18, 2006
Albany
- Members of Sullivan County's Friends and Advocates of Mental
Health were among more than 300 mental health advocates who attended
the recent National Alliance for the Mentally Ill-NYS Legislative
Conference in Albany.
They
heard from advocates and lawmakers and talked with Assemblywoman
Aileen Gunther about their legislative priorities.
"We
are very fortunate in Sullivan County to have such a dedicated
and well-informed voice in the Assembly in Aileen Gunther,"
said FAMH Executive Director Lori Schneider-Wendt. Gunther received
applause when she reaffirmed her commitment to the passage of
laws that are high on NAMI-NYS's legislative priority list.
These
include a bill that would ban the use of prison special housing
units (SHUs), the punitive 23-hour lockdowns, also known as "the
box," for persons with mental illness, and provide for medical
care instead.
The
group also seeks a law to ban the use of state psychiatric hospitals
as holding pens for violent sexual predators once they are released
from prison. The NAMI-NYS action agenda states that "by putting
sexual predators into psychiatric hospitals, the state risks the
safety of psychiatric patients (an already vulnerable population)
and their caregivers, drains dollars, clogs beds in an already
strained system and further exacerbates the stigma of mental illness."
Schneider-Wendt
and other advocates also say funding for programs for sexual predators
belongs in the Corrections budget, rather than the Office of Mental
Health budget.
A
third piece of legislation calls for mental health parity or nondiscriminatory
health insurance for people with mental illness. Known in New
York as Timothy's Law, it is named after Timothy O'Clair, who
committed suicide at the age of 12, after his treatment ended,
along with his insurance coverage. Every year, the Assembly passes
this bill, but the Senate does not.
Advocates
are also hoping to pass a law to require accurate and timely statewide
and local waiting lists of people with serious mental illness
who need housing and services.
Impasse
over sexual predators - Republicans claim Democrats' bill has
gaping loophole.
Inside Albany, February 17, 2006
“Violent
sexual predators” has been the headline phrase that dominated
criminal justice debate this session. The question is will New
York follow at least 15 other states that have enacted laws to
lock such criminals away even after they’ve served their
full prison sentence.
Over
the last two weeks a Senate/Assembly conference committee has
met to try to bridge the differences between the two civil confinement
bills. Wednesday was the committee’s deadline to decide
whether to continue.
Sparks
flew last week over Senate Republicans’ opposition to a
provision in the Assembly Democrats’ bill that would give
judges and juries a choice between keeping an offender locked
up or allowing him out on the street under intensive supervision.
Both options include psychological treatment.
Senate
Codes committee chair Dale Volker said after a long meeting the
Republican members of the conference committee “cannot bring
ourselves to allow a person ajudged to be a violent sexual predator...
to walk out on the street.” He said if that element remained
in the Democrats’ bill there was no use in extending the
conference committee.
His
counterpart Assembly Codes committee chair Joe Lentol responded
that it wasn’t fair to end discussions because they disagreed
on one issue. He maintained the Democrats bill backed civil confinement,
that it had been “trashed” by defense attorneys as
being too broad and putting too many people away.
Lentol
said he expected the Assembly process would end up confining upwards
of 95% of offenders. However, in some rare cases he said juries
should have a sentencing option because there would be individuals
that with treatment and under strict supervision could progress
from violent sexual predator status to never re-offending.
Brooklyn
Senator Martin Golden responded that the Democrats gave judges
an impossible job of charging a jury if there was an option that
the individual could be out on the street even with intensive
supervision. Golden said he believed that the Court of Appeals
would find such a law unconstitutional.
The
Republicans said the intensive supervision option should be pulled
from the bill and discussed as a separate issue. Lentol said that
wouldn’ t work constitutionally. Supervision added after
the end of a criminal sentence could only be done in the context
of civil confinement.
Despite
an appeal from Assembly Corrections Chair Jeff Aubry that there
could be a blending of the two bills to accomodate both goals,
Oneida county Senator Ray Meier said it would require a “leap
of faith” to believe public safety could be maintained under
the Democrats’ approach. Republicans, he said, weren’t
willing to take that leap.
Lentol
suggested that the Republicans might have other more political
motives for ending the discussion. He said they might want to
use the issue in future campaigns rather than work out a solution.
He added that the Republicans’ bill by having no supervision
option would allow juries to let some sex offenders walk away
with no monitoring at the end of the civil confinement process.
After
four meetings, the future of civil confinement committee is uncertain.
By Joseph Gerace
Legislative Gazette, February 21, 2006
Future
of joint committee is uncertain
It
seems that for the joint conference committee on civil confinement,
time may have just run out.
Representatives
from the two legislative houses that make up the committee did
not finalize a law, come to any substantial agreements about what
such a law should include or resolve a major question dealing
with the option of parole for released sexual predators.
Legislators
made slow progress that could eventually lead to a common bill
they say would protect New Yorkers from dangerous sexual offenders,
but the civil confinement law that Gov. George E. Pataki set his
sights on earlier in the year is far from realization.
When
both legislative houses passed separate bills earlier this year
regarding the civil containment of sexual offenders about to be
released from prison, it brought New York a step closer to passing
a law that would comply with Pataki’s desire to, “provide
our children and families with every possible protection from
sexually violent predators,” which he called for in his
Jan. 4 State of the State Address.
But
the Senate and Assembly bills were so incongruent that there is
still no law to date. So two weeks ago legislative leaders found
it necessary to call a joint committee conference into session.
The conference brought a bi-partisan committee of five assembly
members and five senators together to discuss dire dissimilarities
in proposed civil confinement legislation. The committee was led
by two chair people, Senator Dale Volker, R,C,-Depew; and Assemblyman
Joseph Lentol, D-Brooklyn.
Last
Wednesday was the fourth and final meeting of the conference and
at its conclusion it was apparent that no legislation had been
finalized and both the Senate and the Assembly were not in a position
to redraft a common bill on what Sen. Volker called a “very
difficult and emotional issue.”
Despite
some conflict in the previous three conference committee meetings,
Assemblyman Lentol came to the final meeting prepared with a list
of 10 areas in which the Senate and Assembly bills were in agreement.
The
Senate and Assembly agree that the state attorney general’s
office would be the prosecuting agent for confinement cases; a
probable cause hearing would take place; there would be a full
jury trial; and the same standards of proof and a unanimous verdict
by the civil court jury would be necessary to proceed.
But
Lentol was often forced to play defense and guard the Assembly
bill against Senators Volker and Raymond Meier, R-Western who
argued that intensive supervision for proven sexual predators
instead of civil confinement would endanger the public in its
stated form or was not needed at all.
Intensive
supervision is a term that refers to a provision included only
in the Assembly bill. That bill states, in short, that nine months
prior to the release of a sexual predator from prison, committees
and experts, as well as a judge, jury, the attorney general’s
office and a defense attorney for the person on trial would meet
to determine the fate of the criminal.
In
the Assembly bill, two separate trial phases would occur: the
first to determine whether there is probable cause to believe
the person to be released is a sexual predator. The next phase
of the trial, which occurs with the same jury, attorneys and committees,
determines if that sexual predator would be a candidate for civil
confinement or if he or she should be released under “strict
and intensive supervision.”
The
conditions of intensive supervision include, but are not limited
to electronic monitoring or global positioning satellite tracking,
specification of residence, prohibition of contact with identified
past or potential victims, supervision by a parole officer, and
any other lawful conditions determined to be necessary and treatment
as recommended by a psychiatrist.
“Intensive
supervision is not a bad idea,” Sen. Volker said. “But
the prime responsibility of this conference committee was to decide
on a process with civil commitment of sexual predators.”
Lentol
volleyed many of the statements by Volker, who consistently served
as the most obdurate supporter of the Senate bill, saying that
supervision was unavoidable if a criminal was to be released into
the public. “If [the sexual predator] goes out in society
with supervision and with treatment he will not re-offend,”
said Lentol.
Meier,
who seemed to be a base of opposition against intensive supervision
as stated in the Assembly bill, but stressed that supervision
in general would be an important part of civil confinement law.
It
would be a “leap of faith” to ask the public to accept
intensive supervision of a sexual offender as an alternative to
civil confinement, said Meier, though using intensive supervision
as an additinal safeguard at the end of a civil confinement sentence
would be a welcome addition to the Senate bill.
“The
Assembly would permit intensive supervision immediately after
a person is determined to be a violent sexual predator,”
said Meier. “I think after a period of confinement, if it
appears that a sexual predator is responsive to treatment, then
release them under intensive supervision. But should people who
live in the community have to take that chance?”
However,
it seemed that as quickly as the committee rallied toward common
and comprehensive action, last Wednesday’s meeting came
to a close amid hazy questions about whether the guild of 10 legislators
would even convene again.
Meier
later stated that from the public’s point of view, it might
appear as if the committee was just doing a lot of in-house fighting,
but progress was necessarily slow and “the public is demanding
that we do something with these overall issues. That ultimately
will drive a conclusion,” said Meier. “Both houses
want a bill that protects the public.”
His
statement of confidence was vaguely reflected by that of Senate
Democrat Thomas Duane, who insisted that, “A lot of time
was importantly spent on clarifying decisions and putting intent
on the table. I think slow is good.”
Sen.
Duane, D,WF-Manhattan, however, was unsure if legislative leaders
would choose to renew the committee.
“Assembly
Democrats see more interest in keeping the committee going,”
Duane said, “They want to reconcile the bills. Sen. Volker
sounded more pessimistic about finding a common bill.”
Lentol
voiced concerns over the possibilities that the committee would
not be renewed: “If we don’t do it at conference table
we’ll revert to the same old scenario of three men in a
room.”
According
to Mark Hansen, spokesman for Senate Majority Leader Joseph Bruno,
the Senate hopes to renew the committee.
New
drug plan costs New York $115 million, Schumer says. By Devlin
Barrett
The Ithaca Journal, February 23, 2006
WASHINGTON
(AP) -- New York has shelled out $115 million to help seniors
get medicine amid the confusion of a new federal drug benefit
called Medicare Part D, according to Sen. Charles Schumer. The
federal government says it will ultimately repay those costs.
From
the launch of the program on Jan. 1 through Feb. 20, the state
incurred $115 million in costs for the prescriptions of so-called
"dual-eligibles," those who are eligible for coverage
under Medicare and Medicaid. That figure does not include drugs
for those enrolled in a state program called EPIC, or Elderly
Pharmaceutical Insurance Coverage, the senator said.
By
comparison, New Jersey officials said last week that they had
spent some $44 million on "dual eligibles," a figure
that does not include their payments for their own state's version
of EPIC.
Schumer
said Wednesday that the New York figures were given to him by
state officials monitoring the state's emergency effort to step
in and make sure seniors confused by Part D don't lose access
to medications while pharmacists and officials try to sort out
the kinks.
Federal
officials have urged anyone with questions about the program to
call 1-800-Medicare.
A
spokesman for the state's Division of Budget, John Sweeney, confirmed
the $115 million cost.
Schumer
said the numbers are further proof that Medicare Part D is "the
biggest government fiasco in decades."
"This
is like breaking your neighbor's window, and then asking him to
pay for it. We can't treat state treasuries like bottomless cookie
jars," Schumer said.
The
Part D program has become an election year political football.
Seniors and lawmakers complain it is overly complicated and hard
to navigate, and Democrats like Schumer and Sen. Hillary Rodham
Clinton have said it should be scrapped completely.
Republicans
concede there have been problems in the startup, but insist it
will eventually be a great benefit for seniors.
State
and federal authorities are trying to nudge seniors into the Part
D program in the coming weeks.
After
the program proved too difficult for many seniors, Gov. George
Pataki announced the state would cover the costs and seek reimbursement
from the federal government. The U.S. Department of Health and
Human Services has pledged to reimburse states like New York that
intervened.
Under
the Part D program, Medicare beneficiaries enrolled in private
plans are supposed to have prescription drug coverage subsidized
by the federal government.