Coloradan Rory Vaden is a bestselling author, keynote speaker and co-founder of Southwestern Consulting.
the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
Corrected 4-9-2017 @ 5:36 p.m.
Most people with serious mental illness who are not being served by Medicaid community mental health services are:
and we are not sure how many thousand in Colorado Jails.
So what is the point of all this? Well, actually many:
2016 Point In Time (PIT) US Homeless Report (p. 77)
This is a very selected look, omitting families and youth.
(Theoretically, the Feds are providing healthcare, but there has been a big push for communities & States to end Veteran homelessness by providing housing)
1,642 chronically homeless individuals
National Coalition for the Homeless: Housing Is Important But It Is Not Always Enough
CMS MDS (Minimum Data Set) for Nursing Homes
Frequency Report: First Quarter 2017
Level II Pre-admission Screening and Resident Review - Serious Mental Illness
CO has 2,219 people with serious mental illness in nursing homes.
To our knowledge people with mental illness in nursing homes have never had access to assertive community treatment or the reasonable but intensive community services they need to live in the community.
Does that violate the Americans with Disabilities Act and the Olmstead Decision -- it sure does.
Colorado's Mental Health Institutes
451 In-Patient Beds (144 Civil Beds, 307 Forensic Beds) -- Pueblo
94 Civil In-Patient Beds -- Ft. Logan
A Total of 238 Civil Beds thru Colorado's Mental Health Institutes
Where Are We?
Recently the Hickenlooper Administration has made valiant efforts to use marijuana tax money to fund affordable housing and other services and there's $2.7 million for housing and supportive housing for people with mental illness re-entering the community from jails & prisons.
And we are big supporters of all that. BUT Colorado still has a long way to go to comply with the law -- for decades we've essentially just written off thousands of Coloradans with the most intensive community mental health needs because we thought they were too expensive.
This didn't happen overnight and it certainly didn't happen over one administration -- that's how we all got so acclimated to just accepting gross human rights violations of people with mental illness as the norm.
The US and certainly Colorado are beginning to wake up -- but it may be to quite a hangover -- because the consequences of our decades failure to provide adequate housing & intensive community mental health treatment are now all the more expensive because we have grossly neglected it for so long.