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Lawmakers told about possible fallout from proposed mental health services cuts

CARSON CITY — In testimony Thursday to Nevada lawmakers, state officials listed hard realities, tough choices and increased waiting lists among issues they face as a result of Gov. Jim Gibbons' proposed budget cuts to mental health services.

Funding for state mental health services would decrease 5 percent, to $473 million, although overall human services spending, accounting for about a third of the state's general funds for the coming two fiscal years, is up.


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  • Gibbons has proposed closing 11 of the state's 21 rural mental health clinics, and increasing the number of patients per staff member at mental health facilities in Reno and Las Vegas.

    Along with the elimination of several program staff positions, some custodial and administrative staff also would be cut.

    Dr. Harold Cook, head of the state Mental Health and Developmental Services Division, said the reductions will mean longer waits for service, fewer job and training programs and possible elimination of services such as life-skill activities.

    Cook told a joint Senate-Assembly budget subcommittee that people have questioned the hard decisions that health agencies have had to make as a result of the governor's spending plan.

    "But sometimes we have to make a choice to reduce a service that may not be essential to the person's health and well being, in order to provide a service to another person so that their health and well being can be maintained."

    Also, funding for a contract with the University of Nevada that provides feedback to Cook's agency and a report to lawmakers would be eliminated.

    But Cook said the budget adds $8 million for three regional centers run by the division. There are about 580 people combined on waiting lists for residential services at the three facilities.

    "Despite cuts, they have grown and that's a rare event," Cook said.

    Edward Guthrie of Opportunity Village Association for Retarded Citizens in Las Vegas said any available federal stimulus funds should be used to reduce program wait lists, which he described as "probably one of the most important parts of the budget."

    Jackie Borges came from Reno with her 23-year-old son, Matthew, who has cerebral palsy, to tell lawmakers that she's frustrated there is no money for programs that would allow her to get training so she can help her son and start a transition service for young people with developmental problems.

    "I would like you to consider putting the needs of disabled citizens first and foremost," Borges said. "I think we are going to be judged on how it is that we treat our most vulnerable."

    Sen. Bob Coffin, D-Las Vegas, said state health officials are working under difficult circumstances.

    "We know this is not a budget that the people who run development services would have liked to see," Coffin said. "They really submitted the best budget they could, but it was cut from there. So it's not their fault. Understand that."

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    Save_mental_health wrote on February 27, 2009 07:04 AM: Article 1 § 13 of the Nevada Constitution requires the government to fund mental hospitals, as part of a modestly-sized safety net for the hopelessly disabled. Many tens of millions of dollars are wasted in Nevada mental health operations each year, like any other government program. Reforming the system must be a priority. Nevertheless, the State can't cut it willy-nilly any more than it can evict murderers from the state pen.

    The government has NO authority to operate a tourism bureau, a general public health system, hire lobbyists, provide job training services, etc., If we eliminate those things there will be plenty of money available to overfund mental health.


    Barry wrote on February 27, 2009 04:09 AM: Now that the Neo Liberals are turning us into socialists, does this mean we will use the nazi Germany model and send the mentally ill off to places like Buchenwald or Auschwitz?


    RonNV wrote on February 27, 2009 03:36 AM: Unfortunately we are in the middle of a recession and budget cuts are necessary. The governor is doing what any prudent business person would do under similiar circumstances which is cutting expenditures. Not very pretty but absolutely necessary if we are to balance the budget and keep taxes low. Don't blame the governor. Blame the economic situation out there.


    Greg wrote on February 27, 2009 02:31 AM: The message is clear, again. If you want to come to Nevada and spend money on gaming, drinking, entertainment options, and hotel suites, including hotel tax increases, you will be welcomed with open arms.

    If you are young and lacking in professional work experience with a lot of energy and good attitude and you want to move to Nevada you will likewise be welcomed with open arms to a new job, such as a new resort opening.

    If you retire and move to Nevada, you will be welcome so long as you have the ability to pay, as in a new home and buffet lines.

    But, if you live in Nevada, and you or a family member incur any kind of problem whatsoever, healthwise, you should strongly consider leaving Nevada as soon as possible, going to another state that can afford to provide the services not available, or funded appropriately, in Nevada.

    Did I miss anything (?)

    Yes, I did. It makes no financial sense there is a large presence of older, retired citizens of Nevada who create heavy demand for healthcare services, yet urban Southern Nevada has a low cost healthcare structure, substandard regulatory and education system infrastructure, substandard public funding, and a shortage of specialists in several fields.

    This "house of cards" harms legitimate efforts to expand the job base beyond resort-gaming, and creates additional expense, directly and indirectly for Nevada and it's citizens, by generating a higher level of negative outcomes in healthcare, of which many could be nipped in the bud by funding things appropriately in the first place.

    In motorworks and building engineering, it's called preventative maintenance. But, in Nevada state budgeting, never mind the ping, pop, rattle and hum from under the hood of society, it's keep driving, no matter the final destination.