American Forum

GEORGIA FORUM

By Paul Bolster

Congratulations to Georgia for recently settling the challenge to its mental health system that has hung over the state for years.

The settlement of U.S. v Georgia will shift treatment from a reliance on hospitalization and incarceration to a reliance on community-based treatment. The new plan, which won support from all parties to the federal lawsuit, came from the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD).

Yes, the DBHDD budget will be bigger, but the cost and local burden will be less than what we now spend on jails, prisons and hospital rooms for the same individuals. With the legislature’s support, the DBHDD budget must increase by $90 million state dollars over this and the next budget year. These dollars will draw down more federal dollars to support the change.



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ALABAMA FORUM

By Amy Hinton and Lamar Davis

On November 5 a shooting spree at the Fort Hood Soldier Processing Center in Killeen, Texas left 13 soldiers dead and another 29 wounded. Subsequently, the shocking revelation that the alleged perpetrator was an active duty Army psychiatrist seemed to defy belief.

The recent actions attributed to Major Nidal Hasan have been subject to intense media coverage. Few, however, have questioned how such a deeply troubled individual could avoid detection while working in the very mental health system that was intended to be the safety net for our returning troops.

A 2008 RAND Center for Military Health Policy research study reported two significant challenges that face the military mental health system. First, the mental health system has difficulty responding to the treatment needs of soldiers in a timely manner. This is likely due to the intense and pervasive stigma about mental illness that often prevents people from seeking mental health treatment, particularly in the military. Second, the limited availability of mental health resources – services, providers and dedicated funding -- essentially determines access to and quality of treatment. Arguably, the most serious deficiency driving these challenges is the grossly inadequate number of qualified, credentialed mental health professionals available to meet the current demand.

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