GarAndTeed
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I agree, @Jinkasaurus - but there are big problems in some states because of Medicaid changes that have cut services for the mentally ill. Consider this: <snip>Then you get into the secondary problem. Let's say a family member is aware that something seems "off." As it currently stands, a person can only be placed on a psychiatric hold if they are determined to be a danger to self or others. It is very easy for someone to completely deny that they are having any such problems. And people who are paranoid and having delusions are even less likely to honestly share about this even if questioned.
This is the gray area that we're dealing with. Everyone talks about how there is a lack of resources for mental health, but that isn't exactly the problem.
The problem is getting the people who need it the most to be willing to get help for their mental problems.
As parents, we know intimately about the overwhelming problems our sons and daughters have experienced. Here are two examples that typify our collective experiences:
“Robert” is non-verbal and his anxiety is exhibited in extreme physical aggression. In 2007, his behaviors were significant enough that his family and teachers were not safe. No agency in Iowa would admit him. He was enrolled in a private facility out of state. Six years ago, he came back to Iowa in crisis and was placed at the Woodward State institution at a cost of $360,000 per year. In 2012, Robert moved into a community-based home at one-third the cost. He lived in his hometown close to family for 6 years with relative success. Beginning in 2017, Robert’s Medicaid funding was reduced by DHS and the MCO to a level insufficient to maintain services. The new funding level allows direct support staff to be paid about $9 per hour — which is not enough to compensate someone with the skills needed to support Robert. At present, Robert’s Mom has no long-term solution to help care for her son. <snip>
Iowa’s Medicaid Managed Care program is deeply flawed; corrective action is needed
I see this over and over; I've spent countless hours trying to find solutions, and have come up empty. It's scary- people are trying to get help for their loved ones, but it's not available any more...