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Virginia Association of Community Psychiatric Nurses
VACPN
Welcome to the VACPN Blog!
Blog
Meeting Summary sJ47 Subcommittee
Posted on August 6, 2014 at 10:08 AM |
The first meeting of the Joint Subcommittee Studying Mental
Health Services in the Commonwealth in the 21 Century (SJ47
Subcommittee) was held in Richmond yesterday. SUMMARY The Subcommittee was given a briefing on the mental health
law changes by Allyson Tysinger (same as delivered at the regional trainings on
mental health law changes). Commissioner Ferguson then provided a broad overview of the
structure of the publicly funded mental health system followed by detailed
information regarding funding in the system over the last decade, specific
information on ECO/TDO dispositions from 01 January 2014 through 30 April 2014
(May and June data will be available in the next few weeks), and an outline of the
Department’s goals in shoring up the mental health system. The last presentation was from the Treatment Advocacy Center
(TAC) and focused mostly on how Virginia should amend its commitment criteria
and related laws to allow for a “need for treatment” standard. In
general, that standard allows involuntary commitment to treatment based on
inability to seek needed psychiatric and medical care, inability to make an
informed medical decision and the person’s need for intervention to prevent
further physical, psychiatric or emotional deterioration. I provided public comments on behalf of the VACSB which were
centered on our willingness to assist the Subcommittee in any way it deems
appropriate as well as on the spectrum of services, from least to most intensive,
that helps keep individuals stable in the community. VOICES, NAMI, VOCAL,
two family members and a generally concerned citizen also provided public
comment. RELEVANT DETAILS Both Delegate Bell and Senator Deeds questioned Commissioner
Ferguson heavily on the details of the data on slide 17 of her presentation
(link below) related to the number of incidences when a TDO was sought for an
individual but was ultimately not obtained due to a lack of a willing
facility. The total number of cases for which that was true between
January and April was 37. Several had re-contact plans in place, which
Senator Deeds pointed out was also the case for his son, equating it to leaving
with nothing. Of the 37 cases: 18 (49%) were medical admissions or were medically admitted
until a psychiatric bed was located. 4 (11%) individual left before a plan or follow-up was
scheduled 2 (5%) another TDO was obtained and executed 2 (5%) individual provided with a crisis plan 2 (5%) individual left the ER against medical advice and
could not be subsequently located 1 (3%) individual voluntarily admitted to a CSU 1 (3%) individual accepted voluntary outpatient treatment 1 (3%) left AMA and was subsequently located after being legally
detained in jail 1 (3%) remained in a nursing facility, was reassessed and no
longer met TDO criteria 1 (3%) individual subsequently admitted to a psychiatric
hospital voluntarily Commissioner Ferguson went on to say that the new laws would
prevent these scenarios from happening in the future. Commissioner
Ferguson’s presentation was overall a positive one, focusing on access to a
system of care that addresses an individual’s need before s/he enters into
crisis. Senator Deeds thanked Commissioner for her vision, specifically
the principles outlined on slide 2 of her presentation. Senator Deeds proposed several work groups, but is in the
process of soliciting feedback from the Subcommittee members and solidifying
the work group structure. Senator Deeds suggested a work group devoted
solely to children’s mental health issues, one devoted to emergency/crisis
interventions, one devoted to examining the role of law enforcement, one to
look at continuity of care (this would encompass looking at the current DBHDS
and CSB structure) and one group to look at criminal justice involvement.
Delegate Bell suggested keeping the number of work groups to a minimum so that
they can make sure the groups are coordinating well and getting a sense of the
big picture. Many of you have read the press coverage in this morning’s
paper which quoted Delegate Bell as questioning whether CSBs should even
exist. He did make the statement as quoted, but it was followed by him
saying that he hoped people listening found his statement alarming. He
was making a point about how the entire system should be examined and
questioned and was not necessarily saying that CSBs should be done away with as
a foregone conclusion. The statement is indeed alarming, as he intended, but
I do not believe that the Subcommittee will ultimately be interested in
dismantling a system that works so well for so many people. Keep in mind
that this is a 4 year study and that this was just the first meeting. ADDITIONAL INFORMATION The next meeting date for the Subcommittee has not yet been
set but it is likely to be in late August or early September. That
meeting is envisioned as being mostly informational (presentations) and then
some amount of time devoted to the work of the smaller work groups. No
indication was given as to how or when individuals/advocacy
organizations/experts will be contacted to participate on these work groups. Senator Deeds was elected as the Chair, Delegate Bell was
elected as Vice Chair and as a reminder, the members of the Subcommittee are: The Honorable Robert B.
Bell
The Honorable T. Scott Garrett, Member of House
Appropriations
Committee
The Honorable Peter F.
Farrell
The Honorable Joseph R. Yost, Member, House Committee on
Health, Welfare and
Institutions
The Honorable Margaret B. Ransone, Member, House Committee
on Health, Welfare and
Institutions
The Honorable Vivian E.
Watts
The Honorable Luke E. Torian, Member of House Appropriations
Committee The Honorable Janet D.
Howell
The Honorable Emmett W. Hanger
Jr.
The Honorable Linda T.
Puller
The Honorable R. Creigh
Deeds
The Honorable George L. Barker Presentations from yesterday’s meeting are linked below, and
please feel free to contact me with any questions you may have. Allyson Tysinger: http://dls.virginia.gov/GROUPS/MHS/CivilCommitmentLaws.pdf Commissioner Ferguson: http://dls.virginia.gov/GROUPS/MHS/DBHDS_072114.pdf John Snook (TAC): http://dls.virginia.gov/GROUPS/MHS/Treatment%20Advocacy%20Ctr.pdf |
Categories: Updates on Laws and Regulations
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devinemi
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kakansadow
2:30 AM on December 19, 2021
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darraw
8:22 PM on December 20, 2021
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marrandri
5:10 AM on December 21, 2021
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zansari
4:05 PM on December 21, 2021
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glynnzeno
8:50 PM on December 22, 2021
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tonrain
9:16 PM on December 22, 2021
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elishbakul
7:03 AM on December 23, 2021
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ellycon
7:06 AM on December 23, 2021
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meleitz
4:23 PM on December 23, 2021
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sadowelvi
4:26 PM on December 23, 2021
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inetlou
6:53 PM on December 26, 2021
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yamphi
6:54 PM on December 26, 2021
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xavypeach
5:27 AM on December 27, 2021
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feldanto
8:17 AM on December 27, 2021
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