Home >> Publications >>Mental Health Update
February
8, 2008
Adult
Home Residents Rally at Capitol
On
Wednesday over 200 residents of adult homes in New York State (most
from downstate) converged on the Capitol to talk to legislators
and Governor Spitzer’s staff about issues concerning their
quality of life.
During
the course of the day we heard from Assemblyman Peter Rivera, Dennis
Whalen, the Governor Director of Human Services, David Wollner and
Kelly Haskin—Tenenini from OMH, Mark Kissinger from the Department
of Health and Gary O’Brien, the Chair of the Commission on
Quality of Care. Significantly, we also heard from residents of
adult homes who voiced their concerns about the quality of their
lives in their residences.
Several
of us met with legislative staff to reiterate the significance of
independent housing for adult home residents. There is a misconception
that many adult home residents do not want to move out of their
existing homes. The reality is that many are unaware that other
options may be available. The vision we have of independent case
managers is that they will be able to introduce concepts of more
independent living by discussing housing options and providing information
about housing applications, entry to the SPOA and other initiatives
necessary to live more independently.
The
idea of ENABLE funding in the budget was to help to spur individuals
in the adult home with the skill set necessary to live more independently
in the home or in a more independent setting.
If
done properly, there can be coordination of care between the various
adult home reforms that will ultimately result in better quality
of life for the homes residents including this three tiered approach:
- Independent
Case Managers in the home can work with residents to educate them
about recovery based mental health services including employment
and education programs. Also, case managers can educate residents
about applying for other housing options in the community
- Residents
of the home can make it clear to operators that they would like
to see ENABLE money geared to the skill sets necessary for greater
independence (i.e.—training dollars for employment, funding
for peers in the home, etc.)
- With
a greater knowledge of housing options and greater skill sets
for more independent living, adult home residents would have access
to broader housing options that could be made available through
a policy that earmarks specific beds to the needs of adult home
residents
In
addition, it is clear that there should be more funding for legal
and lay advocacy for residents. Many of the residents at the speak
out and in legislative meetings talked about the fear of intimidation
by operators if they made any waves and raised controversial issues
in the residents council meeting. There are certainly some homes
where this does not happen but we have heard from enough residents
that there clearly are many homes where this kind of intimidation
goes on consistently. That is why legal and lay advocacy funding
is significant. In addition more independent entities such as ombuds
programs and models of oversight like Boards of Visitors should
be given greater access to the homes as well.
Adult
home conversion is another important issue. We think it is very
significant that Governor Spitzer has proposed adding funding for
adult home conversions. We want to be able to convert adult homes
that close into new housing for people with psychiatric disability.
However, we think that the existing residents of the soon to be
converted home should have right of first refusal for the new housing
when they are forced to leave the home during the conversion process.
Listed
below is the press release announcing the report card. MHANYS was
pleased to be involved in the planning and participation of the
event. The adult home residents I have had the opportunity to meet
over the last several years are among the most courageous, inspirational
and resilient folks in the entire mental health community. Special
thanks go to the leadership of the New York State Coalition on Adult
Home Reform, the Coalition of the Institutionalized and Aged Disabled,
SCAA and NYAPRS.
New
York State Coalition for Adult Home Reform
For
Immediate Release:
February 6th, 2007
Contact:
Tee Tellez (917) 648-4591
JK Canepa (917) 648-4514
Geoff
Lieberman (917) 648-4067
Bridget
Walsh (518) 527-3416
NEWS
RELEASE
5 Years After Times Exposé, Adult Home Residents
Still Seek Promised Aid
Residents
Urge Legislature to Dedicate Alternative Community Housing,
Boost Advocacy and Improved Mental Health and Coordinated Health
Care;
Call on Administration to Restore State Adult Care Facilities Workgroup
Over
two hundred New Yorkers with psychiatric disabilities who live in
state licensed adult homes came to Albany from across the state
today to urge state officials and the Legislature to ensure that
their platform of “Dignity, Respect, Choice and Recovery”
for people living in adult homes be considered top priorities during
this year’s legislative session.
For
the fifth successive year, the residents and their supporters hosted
an annual Adult Home Speak Out in the Well in the Legislative Office
Building in Albany. They spoke passionately about how previous state
commitments to provide them critical aid have fallen far short of
promises made in the recent past.
“We
come today with the hope that this Administration and the Legislature
will help us make good on the promises of the past and give us the
services and alternative housing we must have to restore the lives
we lost when state policies abandoned us to inappropriate and, too
often, scandalous, conditions in adult homes” said Norman
Bloomfield, a representative of the Coalition of Aged, Institutionalized
and Disabled (CIAD), a resident advocacy organization.
In
2003, the Pataki Administration formed an Adult Care Facilities
Workgroup that brought state agency officials and advocates together
to address a history of abuse and neglect that was powerfully profiled
by Clifford Levy’s Pulitzer prize-winning series of articles
in the New York Times. After much study, the Workgroup developed
far-reaching recommendations designed to reverse years of neglect
suffered by adult home residents.
Today,
the residents released a Report Card, entitled “Progress of
the Adult Care Facilities Workgroup – 5 Years Later”
that graded the progress that the state has made in realizing –
and in many instances, not realizing – the recommendations
of that workgroup.
The
Report Card cited the state for often serious deficiencies in addressing
numerous Work Group recommendations, including past commitments
to move residents to alternative housing, to improve services and
living conditions in homes and to boost case management services
and lay and legal advocacy. They called for the creation of a permanent
Commission on Adult Care Facility Reform.
In
presenting the report card, Irene Kaplan, a resident of Surf Manor,
said, “The Workgroup raised expectations that the lives of
residents in adult homes would improve. We should not have to wait
for more front page headlines to see this happen. Residents are
committed to making sure that New York State makes good on its promises.”
Despite
Workgroup recommendations that half of the 12,000 psychiatrically
disabled adult home residents gain access to community housing over
the next decade and state assments showing that over 500 residents
were ready, willing and able to transition to those beds in 2004,
only a few hundred have gained access to the thousands of new community
housing beds created in recent years by the NYS Office of Mental
Health.
The
Spitzer Administration has made a strong commitment to boosting
community housing for people with disabilities and has created 4,000
new community beds over the past two years. Accordingly, the advocates
urged the Legislature today to dedicate 25% of new supported housing
and single-room occupancy (SRO) apartments for 500 residents with
psychiatric disabilities who were ‘still stranded’ in
adult homes.
“In
recent years, the state has dedicated community housing for specific
groups, most notably the homeless and those living in state psychiatric
centers,” said CIAD’s Geoff Lieberman. “Today,
we’re asking state legislators to help us direct new housing
resources to ensure that we keep our promises to residents who’ve
been waiting to regain lost lives back in the community.”
Cassandra
Cox, a resident from Riverdale Manor in the Bronx urged state officials
to “help me resume the active, productive life I once had.”
Recognizing
that adult homes were not intended and were not equipped to provide
proper mental health support to residents with psychiatric disabilities,
the Workgroup also recommended that the state create specialized
OMH case management/peer specialist teams. Over the past few years,
the teams have provided important support to almost 4,000 residents
in 14 adult homes. The advocates asked state legislators to expand
funding to the program to reach the remaining 8,000 residents who
still await the promised help.
At
the meeting, adult home residents also voiced their support for
the Mental Health Housing Waiting List legislation that would enable
New York State to document the number of mental health consumers
who are waiting for more appropriate Office of Mental Health sponsored
community housing. Governor Spitzer vetoed the bill in 2007. In
the absence of a state list, adult home residents decided to create
their own. They call it the “People’s Waiting List”
and more than 200 adult home residents have already signed on.
Residents
also supported the proposed funding to allow for a demonstration
project to coordinate behavioral health and health services. CIAD
President Woody Wilson said, “Improving and integrating our
healthcare is a critical issue when people with psychiatric disabilities
have an average lifespan twenty-five years less than the general
population.” Better coordination will benefit residents who
suffer from multiple conditions and often see several different
specialists.
Memo
from Dr. Lloyd Sederer responding to concerns of the Geriatric Mental
Health Alliance and the Association of Hispanic Mental Health Professionals
regarding the OMH Assessment Released in October
Memo
to Michael Friedman, Director Center for Policy and Advocacy, Mental
Health Associations of NYC and Westchester, January 2008
To: Michael
Friedman. Director Center for Policy and Advocacy, Mental Health
Associations of NYC and Westchester
From: Lloyd I. Sederer, MD
Re: Addendum to OMH Assessment
Date: January 25, 2008
In
the OMH Assessment released in October of 2007, my colleagues and
I provided a summary of issues and made recommendations for improvement
in four major domains that pertain to mental health in the state
of New York. These were:
- Clinical
Care
-
Workforce Recruitment and Retention
-
Research
-
Working with the Counties, including New York City
Please
let this letter serve as an Addendum to the OMH Assessment, for
your distribution as you see fit. The OMH Assessment Report aimed
to be inclusive and substantive but imagined it would try but not
likely achieve such a comprehensive aim. As a result, the report
offered an apologia in its text that recognized that it would surely
omit important areas for policy and practice. As it turns out, we
did not give adequate attention to the importance of the needs of
the growing populations of elders and minorities.
I
am thankful to the Geriatric Mental Health Alliance of New York
and the Association of Hispanic Mental Health Professionals for
convening a briefing to discuss the OMH Assessment and areas where
we could better recognize the needs the "elder-boom" and
minorities, including Hispanics, Blacks and Asian Americans. I am
also thankful to NYC Department for the Aging Commissioner Edwin
Mendez-Santiago for his hosting our meeting and his contributions
to the discussion.
In
our meeting we discussed the following important subjects and objectives:
- Regarding
Quality of Clinical Care:
- We
need to go beyond managing care to managing populations, and
thereby fashion services, financing of services, and licensing
structures that better meet the unique needs of varied populations,
including the elderly and minorities.
-
Cultural competence needs to be further stressed, including
having culturally competent services and available translators
when bilingual staff cannot provide services. We also need
to seek opportunities to identify, develop and include minorities
in leadership positions in service organizations, OMH and
in community advisory groups.
- Co-occurring
mental and physical disabilities are increasingly prevalent
and call for integrated services as well as seeking housing
directed to this population.
- There
is a need to integrate mental health and aging services.
- Outreach
and education are critical to engage minority and elderly
populations, as is the ability to provide services in the
home and in community settings such as senior centers and
houses of worship.
- Support
for family caregivers is essential.
-
Regarding Workforce Recruitment and Retention:
- There
are shortages of social workers, psychologists, nurses and
psychiatrists to serve minorities and older adults.
-
There is a need to focus attention on recruitment and retention
of professionals skilled to work with minorities and older
adults-especially bilingual professionals.
- Research:
- The
research agenda needs to address the shortage of evidence
based practices for minorities, urban and elderly populations.
b.Services research and epidemiology need to better inform
our understanding and service planning for these populations.
- Working
with the Counties:
-
Building on existing local geriatric mental health coalitions,
we need to expand the knowledge and use of best practices
and fashion integrated service programs to meet the needs
of these unique and growing populations.
As OMH further considers policy and service development, these ideas
will be important considerations in our thinking and planning. We
are thankful for the many groups that provided further input to
the OMH Assessment and we look forward to collaborating with you
in its implementation.
Lloyd
Sederer, M.D.
Medical Director
New York State Office of Mental Health
cc:
Commissioner
Edwin Mendez-Santiago/NYC DFTA,
Commissioner Michael Hogan/NYS OMH
Super
Bowl Win for Giants
For
the record, last week at this time, I predicted a Giant Super Bowl
victory. Though I was wrong about the exact score, I was correct
about the Giants three point win. What a game!. I will now give
away the secret as to why they won. Two hours before the game, I
had my son and his buddy go over to SUNY Albany where the Giants
practice in the summer and they both said a prayer at the practice
field. The rumors are not true that I will be flying them to Port
St. Lucie where the Mets practice to invoke the same prayers.
|