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Georgia and the Dept of Justice
Reach a Settlement! See below to download the settlement.
NAMI-Georgia and NAMI-National have worked diligently with the Department of
Justice during its investigation, informing Georgians regarding the ongoing
investigation, and facilitating access to Department of Justice contact
information for all citizens. Throughout this process, we have been impressed by
the dedication and diligence of the Justice Department’s investigators, acting
within the scope of their statutory authority. We joined with other advocacy and
stakeholder groups to form the ‘Amici’ represented by the Bazelon Center and the
Georgia Advocacy Office, which had a significant impact on the form and content
of the final settlement agreement. During the enforcement phase of this case, we
(the Amici) plan to continue to assist the Department of Justice and the DBHDD
in its efforts to help Georgia improve its system of care.
The settlement that has been reached between the State of Georgia and the US
Dept. of Justice is a good start. For adult mental health, the agreement targets
9000 of the most severely impacted individuals, focusing on people leaving the
hospitals. This approach is consistent with NAMI Georgia's Opening Doors to
Recovery Project just beginning in Region 5 (Coastal Georgia).
The Department of Behavioral Health and Developmental Disabilities has developed
proposed budgets for 2011 and 2012 which include increases to comply with the
settlement agreement. With every other department in the state being asked to
cut 6 - 12%, we will need to fight hard and long during the legislative session
to support what is essentially a 12% INCREASE to the Dept.’s budget. The Amici
worked together during the settlement phase, and will continue to have a
significant impact on the implementation phase. The work is not over.
Below are some highlights of the settlement agreement as given by the Georgia
Advocacy Office, which was one of the Amici in the case along with NAMI Georgia
and others:
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The settlement agreement holds the promise that Georgia
will finally have a functional system for serving people with mental illness and
people with developmental disabilities in the community. Across the nation,
people with disabilities, their advocates, and all the other experts agree that
people with disabilities can and should live in their homes and communities just
like everyone else.
It’s more cost-effective to provide services to
people with disabilities in the community than in the hospitals. Treatment for
mental illness and substance abuse is more effective when it’s delivered in the
community – with no decrease in public safety. And people with
disabilities can and do work, go to school, and live independently, just like
everyone else, with the appropriate supports.
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Under this agreement, the hospitals will no longer be the
sole point of entry for people with mental illness into Georgia’s public mental
health system.
People with mental illness will be able to access
community-based crisis services when they need inpatient or acute care.
They’ll also have a chance to access the types of
long-term supports – like supported housing, supported employment, and intensive
case management – they need to maintain healthy, independent lives in the
community.
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The agreement also includes a commitment to expand peer support services, a
nationally-recognized model started right here in Georgia in which people with
mental illness help each other to manage symptoms and access services. What
is notably absent was family supports, which were in earlier versions. As Dr.
Peter Buckley, with the Medical College of Georgia, demonstrated in his
research, people who have the positive support of their families have a FIVE
FOLD DECREASE in re-hospitalization rates. The settlement agreement is all about
keeping folks out of the hospital.
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Elizabeth Jones, a nationally recognized expert in public
mental health systems for people with developmental disabilities and people with
mental illness, will be an independent monitor in the case, to work with the
State as it implements the agreement.
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As people with mental illness, family members, advocates,
and stakeholders, we believe this agreement is a good start, and it the result
of years of intensive negotiations. A lot of people
from across Georgia and across the nation helped make this happen.
But this is just the beginning – we’ll continue to work
together with the State and the Department of Justice to ensure that Georgia
makes the promise of this agreement a reality. The stakes are
just too high – it’s crucial that people with mental illness in Georgia get the
services they need in order to stay in their homes and communities and live
productive, independent lives.
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