Follow us on...
Follow us on Twitter Follow us on Facebook Watch us on YouTube
Results 1 to 3 of 3
  1. #1
    Atomic Punk rocknblues81's Avatar
    Join Date
    Last Online

    10.26.16 @ 09:56 AM
    Liked 720 Times in 511 Posts

    Premium Member


    By Misty Williams
    The Atlanta Journal-Constitution
    Evette King recently sat in her south Atlanta home fretting about how she could avoid eviction without someone to watch, feed and bathe her severely autistic son so she can work and pay the bills.

    Enlarge photo
    Phil Skinner, Evette King talks with her autistic son Gerald Stephens at their home. Without a caregiver, King is able to work only a couple of days a week when her adult daughter can help out.

    More Atlanta area news »
    Gas price up 17 cents in week
    Woman, child injured in Gwinnett wreck
    Donate heaters to Gwinnett seniors
    County offices closed Jan. 16 for holiday
    Last spring, King’s 19-year-old son, Gerald Stephens, joined a growing number of Georgians with mental illness or developmental disabilities who have been discharged or are at risk of being cut off from a state program that has been a life line for thousands of elderly and disabled people for the past 15 years.
    The program -- which provides housekeeping, transportation to adult day centers, care management and other services -- not only helps people avoid ending up in nursing homes but ultimately saves taxpayers money, advocates say. Caring for someone in the community costs thousands of dollars less each month than in a nursing home.
    In 2007, however, a federal agency told the state it had to move the program known as SOURCE -- Service Options Using Resources in a Community Environment -- under a different umbrella. The new, more restrictive framework limited it to the elderly and physically disabled -- excluding some people who suffer from schizophrenia, Down syndrome, bipolar disorder, depression, and other mental and developmental disabilities.
    "It's destroying people's lives," said Talley Wells, an Atlanta Legal Aid Society attorney who represents half a dozen individuals in danger of being eliminated who sued the state in 2010.
    Under the more stringent rules, the state Department of Community Health has had to carefully reassess on a case-by-case basis whether SOURCE participants require a nursing home level of care. That includes people with physical disabilities whose health may have improved over time, said Catherine Ivy, deputy director of aging and special populations in the agency’s Medicaid division.
    “The state is not discharging people because they have a mental illness or have a developmental disability,” Ivy said. “We agonize over these decisions.”
    If the state doesn’t strictly follow the new guidelines for the Medicaid-funded program, it could risk losing federal money, she said, adding that SOURCE continues to serve mentally ill and developmentally disabled individuals who also have physical impairments. Those discharged keep their other Medicaid benefits, such as hospital and pharmacy services.
    More than 19,000 Georgians receive services through SOURCE, which was launched in 1997. Through it, case managers and primary care doctors work together to coordinate individuals’ long-term care.
    The average monthly cost to Medicaid per SOURCE participant totaled $1,538 in fiscal 2007, compared with placement in a nursing facility at $4,369, according to a state audit report. That year, SOURCE cost $92.3 million, with 62 percent paid by the federal government, the report shows.
    Last year, in a letter to a top federal health official, Gov. Nathan Deal touted SOURCE as a model for fostering better coordination of care and preventing unnecessary long-term institutionalization, while improving cost efficiency and people’s well-being.
    The loss of services comes at the same time Georgia is also shelling out tens of millions of dollars to move mentally ill and developmentally disabled people out of state institutions -- an effort spurred by a U.S. Department of Justice investigation into the abuse and deaths of dozens of mental hospital patients. A series of articles by The Atlanta Journal-Constitution uncovered the abuse starting in 2007.
    The Department of Community Health said it doesn't have information on how many people with mental illness or developmental disabilities have been discharged from SOURCE. But Wells said his office has received calls weekly since the beginning of 2010 from families in danger of losing funding, and he estimates hundreds could be affected.
    The department reassesses annually whether people still qualify for the program, and those discharged are given 30 days' notice. Workers help those discharged to find alternative services.
    Mental health services in Georgia have long been underfunded, leaving programs such as SOURCE as safety valves, said Hunter Hurst, the founder of the program and director of the St. Joseph’s/Candler health system’s Georgia Infirmary in Savannah. Limited dollars along with strict Medicaid funding guidelines have presented challenges, Hurst said.
    “The rules really are very, very specific as to who can get which service,” he said. “Is the service they qualify for going to serve them well?”
    Community-based care makes both good medical and fiscal sense by keeping people healthy -- eliminating avoidable and expensive hospital visits -- said Thomas Bornemann, director of the Carter Center’s mental health program. A person with mental illness who has a chronic illness such as diabetes could end up in the emergency department in danger of having a limb amputated, which costs a lot more money than preventive care, Bornemann said.
    At the same time, Medicaid programs across the country have been under an intense spotlight as states increasingly face fiscal pressures and are looking for ways to be more efficient, Bornemann said.
    For King, the SOURCE discharge notice came as a shock.
    “I thought they were joking,” she said, adding that the department didn’t help connect her with other services. “It’s pushed us back a lot.”
    Without a caregiver to watch Gerald, who needs constant monitoring, King is only able to work a couple of days or so each week when her adult daughter can help out.
    King, who also has an 11-year-old son, has scraped together enough money to keep the lights on so far, but it’s unclear how she’ll be able to keep paying rent. Gerald recently became eligible for a different Medicaid-funded program for the developmentally disabled, but thousands of people are on the waiting list, said Wells, who is working with the family.
    The Georgia Department of Behavioral Health and Developmental Disabilities is doing what it can to help people affected by the changes to SOURCE find housing, but resources are limited, spokesman Tom Wilson said.
    The agency is overseeing the roll-out of new services under the Justice Department settlement, which some former SOURCE recipients might be eligible for if they’re often readmitted to hospitals or in danger of becoming homeless, Wilson said.
    “It is difficult," he said, "when [someone] lacks a stable home to maintain recovery.”

  2. #2
    orig VH fan x craps champ edwardv's Avatar
    Join Date
    hanover pennsylvania
    Favorite VH Album

    diver down
    Favorite VH Song

    drop dead legs
    Last Online

    10.26.16 @ 09:55 AM
    Liked 1,141 Times in 730 Posts

    Premium Member


    In order to fund Obama care Medicare is being slashed and funds diverted to load up the coffers for National Health Insurance. You will continue to find out more about this program in the years and months to come. Like Aunt Nancy said we will have to pass the legislation for you to find out about it.
    EVH 1979: Well, actually it's not much of a vacation, because we run everything ourselves. We design our own album cover, we have to be in the office every day to sign checks - the whole corporation revolves around us. Nothing can be done without our approval. We even have photo approval.

  3. #3
    Join Date
    Southern California
    Favorite VH Album

    Fair Warning
    Favorite VH Song

    Respect my Wind
    Last Online

    10.26.16 @ 10:52 AM
    Liked 878 Times in 513 Posts


    Maybe if the libtards weren't spending billions to fucking aide and educate illegal immigrants and giving their 3 world countries BILLIONS in aide, there would be plenty enough to go around for our own.
    It's a fuckin shame, isn't it?
    "Alcoholism, is like, the only disease you can get yelled at for having" - Mitch



Similar Threads

  1. Billboard Sign Insults The Disabled
    By billy007 in forum VH Fans Meeting Place (Non-Music)
    Replies: 16
    Last Post: 04.22.07, 11:15 PM
  2. Coach paid kid to hit disabled teammate
    By ChrisTheEdHead in forum VH Fans Meeting Place (Non-Music)
    Replies: 20
    Last Post: 07.16.05, 01:51 PM
  3. Disabled patient, 23, found to be pregnant
    By Greenpaw in forum VH Fans Meeting Place (Non-Music)
    Replies: 7
    Last Post: 07.15.05, 02:53 PM
  4. Search Temporarily Disabled!
    By Brett in forum VHL Forum Announcements
    Replies: 0
    Last Post: 12.19.01, 03:50 PM
  5. Death Penalty - Mentally Disabled
    By Van Gully in forum VH Fans Meeting Place (Non-Music)
    Replies: 35
    Last Post: 04.04.01, 04:38 PM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts