Difference between revisions of "US/NC/health/mental"

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*** [[Alternative Life Programs, Inc.]]
 
*** [[Alternative Life Programs, Inc.]]
 
*** [[Comprehensive Community Care (Durham, NC)‎|Comprehensive Community Care]]
 
*** [[Comprehensive Community Care (Durham, NC)‎|Comprehensive Community Care]]
*** [[Matchbox Health Services]] - {{instate|Durham|NC}}
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*** [[Matchbox Health Services]]
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*** [[Maxim Healthcare Services/NC/Durham|Maxim Healthcare Services]]
 
* terminology
 
* terminology
 
** [[CAP-MR/DD]]
 
** [[CAP-MR/DD]]

Revision as of 19:27, 6 April 2008

Navigation

{{#lst:North Carolina|navbar}}: mental health care

Overview

2001-2008 Reform Crisis

Most of this information comes from the N&O articles linked below. Overall, the article sounds like it could easily be cherry-picking a relatively simple, clear-cut story from what must in reality be much more complicated; information is needed from other sources.

In 2001, the North Carolina mental health care system underwent sweeping changes designed to decrease costs overall, but with the opposite actual effect; the cost has now (as of 2008-02-24) more than doubled, to $1.5 billion a year. The N&O theorizes that this is because standards are being applied with extreme unevenness: some people are receiving services they don't really need, while others who desperately need service are receiving nothing, or the wrong services. (The example they cite, however, may make sense in context; the article doesn't give enough details to tell for sure – but the pay rate of $61/hour was clearly much too high for the type of service.) Too much money went to "community support", it says, and not enough to critical services.

The 2001 reform apparently planned to shift care responsibility away from centralized institutions and out to community facilities; unfortunately, the counties were told to unload their responsibilities before the funding for the local groups was approved by the federal government. Federal approval finally arrived in late December 2005, and the new services were launched 2006-03-20.

In February 2007, the Health and Human Services (DHHS) accountability team started an audit; in November, DHHS declared a moratorium on new services. On 2007-04-04, the "community support" rate was slashed to $40/hour and then raised back to $51 on 2007-04-26.

Many new service providers were formed to take advantage of the restructured funding; Dominion Health Services, a Raleigh-based company with about 1000 employees which went door to door looking for customers for the new "community support" services, was among those – and has now been asked to return $1.5 million (of a total of $59 million from companies which DHHS says broke the rules).

Related Pages

Links

News

Organizations - Autism

  • Autism Society of NC (links)
  • TEACCH Treatment and Education of Autistic and related Communication-handicapped CHildren: "an evidence-based service, training, and research program for individuals of all ages and skill levels with autism spectrum disorders. Established in the early 1970s by Eric Schopler and colleagues"

Organizations - Other