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    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
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      • ***Physical Health Issues, the Immune System & Mental Health Index
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    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System

Orchid 2022 Olmstead Advocacy Efforts
Some Language Issues
​

The Chainsmokers
High
Olmstead Clarification Letter sent to Gov. Polis & Lt. Gov.  Primavera via Chief Legal Counsel -- Feb. 10, 2022, requesting response by Tues. Feb. 22, 2022

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Val's Take:  I expect and other Stakeholders expect the State to COMMUNICATE to them directly regarding any Olmstead Compliance Efforts --- that has not been done.  

Google
Unconscious Bias At Work (or at the State)---

Making the Unconscious-Conscious

James Baldwin
How Much Time Do You Want for Your Progress?
Colorado’s mental health system is “broken.”

​An audit could reveal why, and what to do about it. 


​
---Colorado Sun (Dec. 2021) 
​also published on the Rocky Mountain PBS website

Jan. 25, 2022

​We first started calling for an AUDIT of Mental Health during the Hickenlooper Administration.

That was  also when an Audit of Child Welfare led to a substantial increase in case workers --- around 300.  

Child Welfare is related to Mental Health.

If you're just going to look at Child Welfare ---- increasing the caseworkers was a a BIG IMPROVEMENT over adding another layer of BUREAUCRACY or OVERSIGHT.

The Polis Administration knows that there is a WORKFORCE PROBLEM in MENTAL HEALTH.

Hopefully, the RESPONSE to any MENTAL HEALTH AUDIT will address that.

Additionally, States like Colorado must provide more CLARITY and TRANSPARENCY on addressing the needs of  Individuals with the GREATEST BEHAVIORAL HEALTH NEEDS, namely:
  • Individuals with cognitive disability ​in:
    • The Juvenile Justice System
    • Adult Jails, and
    • Adult Prisons
    • Nursing Homes
    • Mental Health Institutes, and
    • Homeless
  • 3 Things the State should be reporting to the Legislature every year are the NEEDS for the Populations above for:
    • Supported Housing 
    • Intensive Services, and
    • Supported Employment 
  • There needs to be a YEARLY UPDATED Plan to to bring Housing, Intensive Services & Supported Employment to SCALE with:
    • Meausurable (Numeric) Goals, 
    • Reasonable Time Frames, and
    • Funding to Support the Plan  
Colorado's 2022 Crisis Services Bill

Jan. 24, 2022

​The Low Hanging Fruit of Administrative Consistency vs. Real Reform to Address Housing & Intensive Services Shortages


​We can't ignore crises BUT any future "CRISIS" efforts need to be tied to concurrent efforts to address SHORTAGES in Housing & Intensive Services.

By way of context, the State has been preoccupied with CRISIS SERVICES since the Hickenlooper Administration and advocates have been concerned that the UNDERLYING CAUSES of these CRISES, namely a lack of Housing and Intensive Services --- go unaddressed.

Now we're near the end of Polis' first term --- and those FUNDAMENTAL CONCERNS are still there.

Further, it's hard to say these efforts are BAD in and of themselves--- but after several years of this --- it does represent BAD POLICYMAKING.   
The Polis Administration SEEMS to have signaled they are NOT going to comply with Olmstead --- They're going to study it.
What we would love to see is the Colorado State Legislature and the Polis Administration address the BIG SHORTAGES in:
  • DISABILITY HOUSING 
  • Intensive Services, and
  • Supportive Employment
during the 2022 Legislative Session and Begin Formal On-Going Inclusive Olmstead Planning on or before June 22, 2022.

BTW:  We know this is an election year -- and States still have to comply with the law --- and Colorado has NOT.  

FEDS:  This is one of many reasons why we need uniform & effective Administrative Enforcement of Olmstead.

It certainly does not appear the State is going to comply on their own or in the absence of administrative technical assistance & enforcement --- and that puts the burden to enforce a 22-year-old Supreme Court decision largely on indigent people with disabilities.
​
Picture
The US Supreme Court decided Olmstead in 1999.
Gordon Ramsay
Best Reactions to Bad TikTok 
Cooking

Val's Take:  We wouldn't call State Officials --- "DONUTS" for their failure to comply with Olmstead --- would we?  We might.
Picture

Orchid:  Email

Crisis Services in Colorado, the US & Around the World

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System