Modest increases in some states' mental health
budgets have done little to erase massive cuts nationwide over the past three
years and a reduction in Medicaid funds, according to a report to be released
Thursday by the nation's largest mental health advocacy group.
All told, the Washington-based National Alliance on
Mental Illness found, 28 states and the District of Columbia have cut nearly
$1.7 billion from their mental health budgets since the 2009 fiscal year.
Among the other 22 states, mental health budgets
increased about $487 million, though NAMI cautioned that spending was offset by
legislatures' funding cuts to Medicaid, the largest public payer of mental
health care.
Medicaid spending was not included in the report,
nor was spending that might come from other areas of a state budget, such as
for mental health housing assistance or programs under child and family service
budgets.
Had they been, NAMI says the level of cuts would
have been even higher.
"The system is staggered," said Mike
Fitzpatrick, executive director of NAMI. "Many of the services that
existed either no longer exist or exist in such small amounts you have
decreased services, waiting lists backing up, crowded emergency rooms."
Three large states — California, New York and
Illinois — collectively accounted for a staggering $1.2 billion in mental
health budget cuts since the 2009 fiscal year, according to the report.
But cuts have been pervasive across the country,
exacerbated by the expiration in June of $87 billion in federal stimulus money
to state Medicaid programs. Some legislatures made up for the shortfall by
shifting more dollars to their Medicaid programs, but NAMI says that sometimes
came at the expense of mental health services paid for outside the Medicaid
system, which only assists the poorest.
The cuts come as mental health care providers
report record demand in the sagging economy. Fitzpatrick said patients have
grown used to a pattern in which programs are slowly reduced until they
disappear.
"Services exist one year, the next year
they're chipped away at, the third year they're eliminated," he said.
While most of the states that cut their mental
health budgets trimmed by single-percentage-point rates, a number of states
slashed funding even more sizably, as much as 39 percent in South Carolina
since the 2009 fiscal year.
In Greer, S.C., Kelly Troyer has felt the impact as
she struggles to care for her 18-year-old son, Alex McAbee, who suffers from
bipolar disorder, autism and mental retardation and is covered under the state
Medicaid system.
He no longer has a case manager to find him
services; that job falls to his mother. The waiting list for mental health
housing numbers thousands, so his mother is paying out of pocket. It can take
months to get an appointment with a mental health professional.
"If my child had diabetes, if my child had
cancer, we could have all the services in the world," Troyer said.
"In our country, we treat our animals better than we treat people who have
mental illness."
Among the states with the largest cuts were
Illinois, which cut funding by 31.7 percent since the 2009 fiscal year; Nevada,
which cut by 28.1 percent; and California, which cut by 21.2 percent.
Those cuts have continued even as some states'
revenue forecast improved, the report said.
California cut $177.4 million from its mental
health budget between the 2011 and 2012 fiscal years, New York cut $95.2
million, Illinois cut $62.2 million and North Carolina cut $48.2 million.
Copyright
2011 The Associated Press.
