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NAMI EASTSIDE
Family Resource Ctr.
16315 NE 87th Street
Suite B-11
Redmond, WA 98052
425-885-NAMI (6264)
info@nami-eastside.org


NAMI Eastside News - From the Editor

The NAMI Eastside News “From the Editor” column is penned by Susan Rynas. You can reach Susan via e-mail at sgrynas@yahoo.com (include "Newsletter” in subject line) or contact the NAMI Eastside office at 425-885-NAMI (6264).

FROM THE EDITOR: JANUARY - FEBRUARY 2003

Life is like a river, sometimes moving slowly and other times moving swiftly. Currently, life seems to be moving swiftly. Numerous challenges await. Let's make sure that as we engage the river, despite its turbulent current and unique and unexpected twists and turns, we swim easily, keeping our energies centered and focused on our ultimate objective which is the betterment of life circumstances for those with a mental illness and their families.

If this publication reaches you prior to NAMI Day, January 20th, please call the office (425-885-NAMI) to participate in car pooling to Olympia to lobby in person for mental health issues. If it reaches you after January 20th, do not despair. You are not too late. This newsletter is late but you need not be. Just pick up the phone, craft an e-mail, or write a letter to your elected representative and senator voicing your concerns, opinions, experience. This is a tight budget year and our constituency is among the most vulnerable population. Do not be hesitant about speaking to issues of importance to mental health. I am confident that most of our members have already cultivated relationships with their elected officials. If so, good. Continue your input. If not, begin now. The legislative session began on January 13th. Your voice can make a difference.

Legislative Issue Highlights:
Overall message is to hold the line on funding and programs related to mental health. At this juncture, to do otherwise is to court absolute future disaster. We would be moving from crisis to catastrophe with our eyes wide open! Further erosion of an already fragile system would be its doom. Advocates must clearly articulate their needs and expectations so that the insidious "picking to death" of the mental health care delivery system is not allowed to continue. The very foundation is now quite weakened and the continuous picking is taking its deadly toll in real lives of real people.

Are you aware that:

- over the past two years over $30 million has been cut out of the mental health division

- the system NOW under funds community residential beds for the mentally ill by $70 million (as determined in the Public Consulting Group, Inc. survey of peer states and the amount those states devote to community based housing)

- we must preserve funding for the state hospitals so that desperately needed stabilization and correct diagnosis occurs early on in treatment and individuals truly needing this level of care are able to access it

- while the Governor's budget includes a 3.4% increase in mental health funding, it does NOT take into consideration the projected growth in future expected case loads (and some providers have case managers with current client case loads of up to 80 clients). Thus, the proposed budget is actually under funded by $40 million

- Ticket to Work funding is eliminated (this is a program that should be supported by anyone of any political stripe since it is a program that will allow an individual to work without immediately losing the necessary medical benefits that allow the wellness that allow the ability to work, etc., etc. And a substantial federal government match in funds is lost with no state investment)

- dental, vision, and hearing and medically indigent services are eliminated (often the only services available to the untreated homeless mentally ill population)

- funding is discontinued for the operation of the Mentally Ill Offender Program, RCW 71.24.450-460, that provides special services to assist approximately 25 mentally ill individuals released from a Department of Correction facility to successfully transition back into the community (these program cuts exacerbate the criminalization of the mentally ill problem)

Medication Access: The governor's proposed budget assumes $45 million in savings from a consolidated pharmaceutical purchasing program called a preferred drug list. Much of this savings will be driven by creating barriers reducing access to medications used to treat mental illness such as atypical anti psychotics, anti depressants/anxietals and mood stabilizers. (We do not believe the current literature has proven the therapeutic equivalent of generic drugs in this category. Too many individuals have had relapses when their medication has been changed to generics. Many of the medications for mental illness have not been available long enough to have proven the effectiveness of generics.) MESSAGE: Exempt drugs used to treat mental illness from all formulary or preferred drug list restrictions (as Florida, Connecticut, Vermont, Virginia and others have already done).

Age of Consent: NAMI Eastside members who are parenting young teenagers with a serious mental illness are adamant on this issue. They strongly favor legislation raising the "age of consent" from 13 to 16. MESSAGE: Support legislation raising the age of consent to 16.

Mental Health Insurance Parity: NAMI Washington has been working on this issue as a partner in the Mental Health Parity Coalition throughout the past year. This legislation would phase in full mental health Parity over the next 6 years. SUPPORT.

Mental Health Advance Directives: This legislation will help consumers provide treatment preferences (when they are in a period of wellness) in the event that they later decompensate and are unable to articulate those preferences. SUPPORT.

Mental Health System Ombuds Reform: SUPPORT an independent system without the conflict of interest inherent in being paid by the very entity (RSN) that the Ombuds is supposed to objectively monitor.

Till next time.  Susan