“Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has” – Margaret Meade
2017-2018 Legislative Priorities
NAMI Mass’ #1 priority has always been and continues to be advocating increased funding to the Department of Mental Health (DMH) budget. NAMI Mass is encouraged that the trend over the past several years has been first to restore devastating cuts and then, more recently, modest increases in critical funding for DMH services. NAMI Mass looks forward to working with legislators and the Baker Administration throughout the FY2019 budget process to ensure this trend continues.
A Comprehensive, Sustainable Police and First Responder Mental Health Training Program
Throughout the Commonwealth, people with mental illness and substance use disorders are arrested and incarcerated at disproportionate rates, leading to devastating consequences for individuals, families, and communities. Proven strategies can reverse this trend by focusing on the initial point of contact with law enforcement, diverting people who pose no safety risk to appropriate treatment instead of arrest. These strategies consist of two main components:
• Quality mental health training for police officers: Officers gain necessary skills to recognize symptoms of mental illness, verbally de-escalate potentially dangerous situations, and refer individuals to appropriate treatment.
• Collaborations across disciplines: Partnerships between law enforcement, mental health providers, and a range of other local resources help communities develop specialized responses to complex issues that span mental health, substance use, housing, and other challenges.
Pockets of excellence and innovation around the state have successfully diverted people with mental illness from jails and prisons and have increased access to services. Many more are eager to move in this direction as well.
Sadly, the Commonwealth has not yet allocated sufficient resources necessary to bring these local successes to scale. If the Legislature capitalizes on the growing jail diversion momentum in Massachusetts, it can effect sustainable change that improves the health and safety of all communities. Passing three key bills (below – HD 3570 HD 2601 and SD 1026) will put us on a path to avoid unnecessary arrest and incarceration statewide.
Bridgewater State Hospital
For decades, the Commonwealth has asked its state prisons to take responsibility for people who have human services issue like mental illness and substance use disorders. In virtually every other state in the country, these same individuals would be cared for by the state mental health and public health systems.
People who have not been convicted of a crime and all those who meet the very strict criteria for civil commitment must be the sole responsibility of our state mental health and public health systems, not kept at Bridgewater State “Hospital” as is the current practice in Massachusetts. Continuing to require our state prisons to care for them is costly, both in economic and human terms.
Expand Emergency Service Provider Coverage (ESP’s) to All
An ESP is a community-based and recovery-oriented service. It provides behavioral health crisis assessment, intervention, and stabilization services for people with psychiatric illness. ESP teams have trained psychiatric clinicians that are “mobile” and will travel to the location of the crisis– home, school or community locations. Currently, individuals on MassHealth are covered by ESP services but many people with private health insurance do not have access to these essential and oftentimes life-saving services.
Reimbursement rates for MassHealth for hospitals that are closing psych units
NAMI Mass supports a significant and sustainable increase to MassHealth’s budget so hospitals can afford to provide inpatient psychiatric services within their communities, and so out-patient mental health clinics can remain open and operating. It is unfair and inhumane to force families to wait for days before they can find an inpatient bed for a loved one who is suffering. It is unacceptable that mental health clinics are closing and reducing their patient load when the need is so great. Behavioral health needs cannot be met when MassHealth reimbursement rates are so inadequate. NAMI Mass calls for a comprehensive remedy to this problem in the FY2019 budget by increasing funding to ensure adequate access to critical hospital and outpatient services throughout the Commonwealth of Massachusetts.
Updated January 26, 2017
NAMI Massachusetts Position Papers:
Massachusetts Emergency Behavioral Health Services Program (PDF) Find Your Legislators: To find who your legislators are or where to vote call 617-722-2000