{"id":10682,"date":"2019-08-20T17:44:46","date_gmt":"2019-08-20T21:44:46","guid":{"rendered":"https:\/\/www.thegeorgiasun.com\/?p=10682"},"modified":"2020-08-12T15:46:06","modified_gmt":"2020-08-12T19:46:06","slug":"report-georgia-is-failing-to-meet-the-needs-of-patients-with-mental-illness-and-developmental-disabilities","status":"publish","type":"post","link":"https:\/\/thegeorgiasun.com\/?p=10682","title":{"rendered":"Report: Georgia is failing to meet the needs of patients with mental illness and developmental disabilities"},"content":{"rendered":"\n<p>Georgia is still failing to meet key parts of its agreement with the U.S. Justice Department on caring for people with mental illness and developmental disabilities, according to an independent reviewer\u2019s report released this week.<\/p>\n\n\n\n<p>The reviewer, Elizabeth Jones, cited \u201cpreventable deaths occurring in the state system, often the product of confirmed neglect.\u2019\u2019 Many deaths of people with developmental disabilities were classified as \u2018\u2018unexpected,\u2019\u2019 she said.<\/p>\n\n\n\n<p>Furthermore, on the issue of Georgia\u2019s obligation to provide supported housing for people with mental illness, Jones said the state\u2019s performance \u201cappears to be slipping, rather than moving forward as expected.\u2019\u2019<\/p>\n\n\n\n<p>Jones\u2019 oversight role arose from a 2010 settlement agreement between the state and the Justice Department. In that landmark pact, Georgia agreed to provide new community services for people with mental illness and those with developmental or intellectual disabilities.<\/p>\n\n\n\n<p>The new report by Jones, dated Monday, is more sharply worded than her past reviews of the state\u2019s performance.<\/p>\n\n\n\n<p>In response, Georgia\u2019s Department of Behavioral Health and Developmental Disabilities acknowledged flaws in some programs but defended the state\u2019s progress in revamping the system.<\/p>\n\n\n\n<p>\u201cWe believe we have put in place the fundamental building blocks at the department and in our provider network to provide adequate services and oversight and respond to people with complex needs,\u2019\u2019 DBHDD Commissioner Judy Fitzgerald said Tuesday.<\/p>\n\n\n\n<p>\u201cWe will work to improve our ability to meet their needs in spite of challenging workforce shortages,\u2019\u2019 Fitzgerald said, citing a need for more nurses and certified behavioral specialists.<\/p>\n\n\n\n<p>In the 2010 pact, the state agreed to end all admissions of people with developmental disabilities to state psychiatric hospitals. It also promised that patients with developmental disabilities already in those hospitals would be moved to more appropriate settings in their communities.<\/p>\n\n\n\n<p>Georgia also agreed to establish community services and housing for about 9,000 people with mental illness, and to create community support and crisis intervention teams to help people with developmental disabilities and mental illness avoid hospitalization. An AJC series in 2007 about deaths of patients in state hospitals helped lead to the settlement.<\/p>\n\n\n\n<p>Earlier this year, GHN reported that&nbsp;<a href=\"https:\/\/www.georgiahealthnews.com\/2019\/04\/state-feds-oversight-mental-health-services\/\">the state had asked the DOJ to end its oversight<\/a>&nbsp;of Georgia\u2019s public system for people with mental illness and developmental disabilities.<\/p>\n\n\n\n<p>Jones, in her report, took exception to the state\u2019s assertion that it is in substantial compliance with the terms of the settlement agreement. The Department of Justice recently told the state that it does not agree with Georgia\u2019s&nbsp; request to end federal oversight at this time, officials said.<\/p>\n\n\n\n<p>To improve care for people with disabilities, Fitzgerald said, the state is giving assistance to medical and community providers \u201cin special areas of concern.\u2019\u2019<\/p>\n\n\n\n<p>\u201cOne preventable death is too many,\u2019\u2019 Fitzgerald said. \u201cWe will continue to invest in improvements in quality of care at the individual level\u2019\u2019 and build a tracking system to identify major trends, she added.<\/p>\n\n\n\n<p>Among deficiencies Jones cited are state data that are not \u201centirely reliable.\u2019\u2019 She also said Georgia doesn\u2019t have statistics on how many people with mental illness make frequent trips to hospital emergency rooms.<\/p>\n\n\n\n<p>The Jones report said the number of people with mental illness who have authorizations for housing vouchers has decreased. \u201cUtilization of supported housing is the problem in Georgia, not the lack of need for it,\u2019\u2019 the report said.<\/p>\n\n\n\n<p>DBHDD\u2019s Fitzgerald said that \u201cwe recognize there are fundamental flaws in the state\u2019s approach to housing.\u2019\u2019<\/p>\n\n\n\n<p>She said the agency plans to overhaul its approach to housing. The current eligibility process \u201cis cumbersome and complex,\u2019\u2019 she added.<\/p>\n\n\n\n<p>\u201cWe don\u2019t dispute the reduction in individuals moving into our housing program. That\u2019s a concern to us as well,\u2019\u2019 Fitzgerald said. \u201cWe hope we can effectively utilize this important state-funded resource, as it is essential to recovery.\u2019\u2019<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Georgia is still failing to meet key parts of its agreement with the U.S. Justice Department on caring for people with mental illness and developmental disabilities, according to an independent reviewer\u2019s report released this week. The reviewer, Elizabeth Jones, cited \u201cpreventable deaths occurring in the state system, often the product of confirmed neglect.\u2019\u2019 Many deaths [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"newspack_featured_image_position":"","newspack_post_subtitle":"","newspack_article_summary_title":"Overview:","newspack_article_summary":"","newspack_hide_updated_date":false,"newspack_show_updated_date":false,"footnotes":""},"categories":[58],"tags":[],"class_list":["post-10682","post","type-post","status-publish","format-standard","hentry","category-family","entry"],"_links":{"self":[{"href":"https:\/\/thegeorgiasun.com\/index.php?rest_route=\/wp\/v2\/posts\/10682","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thegeorgiasun.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thegeorgiasun.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thegeorgiasun.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/thegeorgiasun.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10682"}],"version-history":[{"count":0,"href":"https:\/\/thegeorgiasun.com\/index.php?rest_route=\/wp\/v2\/posts\/10682\/revisions"}],"wp:attachment":[{"href":"https:\/\/thegeorgiasun.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10682"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thegeorgiasun.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10682"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thegeorgiasun.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10682"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}