After attending the forum hosted by the Community Partnership of Southern Arizona last week I am no less concerned about what is going to happen to the covered benefits for the huge population of adults with serious mental illness that do not qualify for the state’s Medicaid system (AHCCCS) after July 1st.  The Assistant Deputy Director from the Arizona Health Services Division of Behavioral Health Services explained some of the impact the cuts would have and offered a few suggestions on how the impacts might be minimized.

“Thinking outside the box” was a phrase heard repeatedly and for many attending that answer was not enough to calm their fears. For a population accustomed to difficulties  finding appropriate mental health care that particular phrase has become a mantra.

One question about how the non-title XIX residents will be covered if they are currently in the Arizona State Hospital was never answered.

Of major concern to me is the misguided thought by some in Phoenix that people that are currently taking some of the more expensive, newer anti-psychotics, mood stabilizers and anti-depressants  can now be administered some of the older, less expensive drugs to save money.  What he forgot to say when talking about the older, less expensive medications is that they don’t work for some people.  Hence the reason for being prescribed the newer, more effective medications. Plus, the newer medications don’t have some of the debilitating side effects  that the older medications cause.  (Although, I must admit all of these medications do have some sort of negative side effect)

Even when a certain medication is successfully treating some of the symptoms today,  next week, next month or next year it may loose it’s efficacy and a new medication will need to be introduced; most likely a newer drug.

The state’s crisis system which had up until recently seen some positive advances is now experiencing limited funding as well.   It was suggested at the meeting that family members “step up” to the plate and do what they can to cover the shortages like manning all night crisis phone lines, etc.  on a volunteer basis.  Hum…….I guess that might work if their loved one isn’t in a crisis because their newly prescribed medication is working!

Last Saturday, March 27th over 3500 particpants gathered at Sam Lena Park in Tucson to celebrate the realilty of mental health recovery and to reduce stigma for people with mental illness.  The Opening Ceremony began with the Presentation of Colors by the Air National Guard.  Then Betsy Bruce and Mike Rapp introduced Honorary Chair Rodney Glassman who sang the National Anthem.  Councilwoman Karin Uhlich also greeted the crowd with words of encouragement and Judy Johnson from the Community Partnership of Southern Arizona spoke about the importance of proper treatment and the success of Southern Arizona’s single biggest awareness building event, NAMIWalks.

Mark Stein from KOLD News 13 cut the ribbon and the walkers were off to the sounds of the Seven Pipers Scottish Society Bagpipe members.

Almost 100 volunteers assisted in organizing and implementing the huge event including NAMI Southern Arizona and NAMI Southeastern Arizona volunteers, members from local Kiwanis clubs, Rincon High School, Pima and Cochise Colleges.  Mental health provider services provided information and several local restaurants donated food and refreshments. The crowd was also entertained with Karaoke, Japanese Drummers and Folklorico Dancers. Over fifty local businesses and organizations proided sponsorships of cash and in-kind donations.

Local mental health providers CODAC and La Frontera had super size walking teams of over 300 particpants each.  Other huge teams were in attendance from University Physicians Healthcare, COPE, Intermountain, and the University of Arizona’s Health and Wellness Center.  Some teams walked in memory of a lost one or in recognition of a family member living with a mental illness.  Community College teams participated as did teams from local churches, law enforcement agencies including the Pima County Attorney’s office and the Veteran’s Administration Healthcare.

NAMIWalks Southern Arizona is the single largest fundraising event for the local NAMI affilliates in Tucson and Sierra Vista.  The event has enabled the organizations to increase the programs and services tenfold over the last four years.  NAMI services include educational classes, support groups, advocacy, Crisis Intervention Training, Speakers presentations and resource specialistists in English and in Spanish. Total donations for 2010 are down from last year, but participation is still growing increasing awareness and building the National Alliance on Mental Illness profile in our communities. One in four families are affected by mental illness and NAMI is here to support them. 

All services offered by the non-profit are totally free of charge.  Donations of support are still being accepted at the Walk website at www.nami.org/namiwalks/AZ/Tucson or by calling the office direct at 520-622-5582.

According to an article in today’s Arizona Daily Star we may be asked to vote on another tax increase to keep the state from reducing the number of people covered under the Arizona Health Care Cost Containment System (AHCCCS) – our state’s Medicaid system.  An initiative for a tax that may make it to the election in November if all goes as planned could raise enough money to stop the state from cutting 310,000 people from the AHCCCS system. The tax could come as another “cigarette tax” or maybe some other kind of “sin” tax that wouldn’t necessarily impact every citizen paying taxes.

I don’t consider myself a “tax and spend” liberal, but if I had to choose one side I would definitely fall on the side of being a liberal because I believe we need to take care of our most vulnerable.  In this case, those vulnerable 310,000 people that fall below the national poverty level, but aren’t destitute enough to qualify.

Talk about insanity……as I have said before, these people will be forced to go to emergency rooms when they need care, or in the case of a person with a serious mental illness that can’t pay for their treatment something even worse could happen. Also, according to the article, with proposed cuts the state could be loosing 42,000 jobs!

Most of us are struggling in today’s economy, that’s a fact, but we are all in this together.  At least, I thought we were.  Yesterday two out of three local school districts lost their appeal to voters to approve budget over-rides.  If voters won’t approve a a very slight increase in property tax ($50 – $100 per year) to keep their school district’s head above water I’m not optimistic that they’ll vote to increase a “sin” tax for people that can’t afford health care.  Now, that’s a sin.