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mental health

Meg Wingerter / Kansas News Service

The foster care system in Kansas has problems, but a national child welfare group sees one area where it could lead the way for other states.

Tracey Feild, director of the child welfare strategy group at the Annie E. Casey Foundation, said work on childhood trauma by KVC Kansas, one of the state’s two foster care contractors, could be a model for others. The Casey Foundation sponsors the annual Kids Count report and other child-focused research.

File Photo / Kansas News Service

In voting for a $1.2 billion tax increase to bolster the budget for the next two years, the Kansas Legislature avoided a projected $900 budget hole and began restoring past cuts to the mental health system.

File Photo / Kansas News Service

Safety concerns continue to prevent recertification of Osawatomie State Hospital, although a recent inspection didn’t find any evidence of the patient violence that prompted federal officials to decertify it in late 2015.

Staffing shortages and concerns about security and patient safety prompted the initial order. Certain they had addressed those issues, state officials appeared confident the state-run psychiatric hospital would pass muster. 

Two national child advocacy organizations have filed a federal lawsuit against the Missouri Department of Social Services, alleging that children in the state’s foster care system are over-prescribed psychotropic medications with little oversight.

“They’re prescribed off-label, to control behaviors,” said Bill Grimm, an attorney for the National Center for Youth Law, which filed the lawsuit on Monday. “While many other states have instituted some sort of oversight … Missouri has very little to none of those safeguards in place.”

The suit seeks class action status. State officials declined comment, citing pending litigation.

File Photo / Kansas News Service

A bill to replace funding for Medicaid and the Kansas mental health system lost to budget-balancing cuts last year is headed to Gov. Sam Brownback.

Senate substitute for House Bill 2079 would increase a fee that health maintenance organizations, or HMOs, pay to do business in Kansas from 3.31 percent to 5.77 percent. HMOs are a type of health insurance that typically has lower premiums but only covers care within a network of doctors and hospitals. 

Elementary school kids form a line behind their teacher as they prepare to tour the House chamber in the Missouri Capitol building.

Statistically, about one in every nine of these kids will have a major depressive episode between the ages of 12 and 17, according to the Missouri Department of Mental Health.

State lawmakers, who draft laws that regulate and fund many mental health programs, just wrapped up their 2017 session.

More than half of Missouri’s counties don’t have a licensed psychiatrist, and nearly half don’t have a licensed psychologist.  

Until a few years ago, Addie Blankenship saw herself as a relatively healthy mom of three. She didn’t recognize that she was exhibiting symptoms of Obsessive Compulsive Disorder—a mental condition that leads to obsessive thoughts and compulsive actions.

“So I would spend hours and hours washing things. Or I would have a thought that something may be on my clothes, so I would change my clothes every time I’d have a bad thought, which sometimes was 10 times a day. Sometimes more,” Blankenship said.

Carolina Hidalgo / File/St. Louis Public Radio

The Missouri General Assembly’s first special session during Eric Greitens' governorship has come and gone, but the state's chief executive has signaled that more legislative overtime could be on the way. Today, we discuss that might mean for Missouri's part-time lawmakers.

Meg Wingerter / Kansas News Service

A few years ago, Olathe attorney Shanelle Dupree noticed a pattern in the foster care cases she handled: Most parents had little understanding of the system or what to do if they wanted their children back.

So she started a class to try to change that. Once a month, parents who have a child in foster care can meet in a Johnson County family law courtroom to learn more about the basics of the child welfare system. Most parents are referred by the courts as part of the plan to prove they can take care of their children, Dupree said.

Drive down a dirt road in Dallas County, under a thick canopy of walnut trees and over three cattle guards, and you’ll come to Rachel Harrison’s home in Windyville, Missouri.  

A few years ago, Harrison was using her Bachelor’s degree in biology in a hospital laboratory.

“I was a generalist, which means I was in charge of urinalysis, chemistry, special chemistry, hematology, blood banking, coagulation, I think I got it all—phlebotomy, all that kind of stuff,” Harrison said.

But at age 25, she began to hear what sounded like people talking.

Meg Wingerter / Kansas News Service

A new law will allow Kansas crisis centers to treat involuntary mental health patients for up to 72 hours, but it isn’t clear if lawmakers will fund it.

Gov. Sam Brownback on Wednesday signed House Bill 2053, which allows crisis centers to treat people deemed a danger to themselves or others because of a mental health or substance use disorder. The bill had passed the House unanimously and passed the Senate 27-12 after some amendments. 

Netflix

The Netflix series 13 Reasons Why has received praise and criticism for how it approaches weighty topics such as teen bullying, sexuality, mental illness and suicide. Today we speak with psychologist Wes Crenshaw, who says the drama can encourage important discussions between parents and their children.

Creative Commons-Flickr/Valerie Everett

Additional funding for some mental health facilities in Kansas may depend, at least in part, on the number of lottery tickets sold from new machines.

The Kansas House and Senate have approved versions of House Bill 2313, which would direct proceeds from newly legalized lottery ticket vending machines to crisis stabilization centers and mental health clubhouses.

Luke X. Martin / KCUR 89.3

For Mayor Sly James, this has been a particularly busy time. On Tuesday evening, he gave his State of the City Address, which we discuss today, along with a bond proposal James says will trim, but not eliminate, a backlog of public works projects in Kansas City, Missouri.

Bryan Thompson / KCUR 89.3

The social and health effects of isolation on some rural Kansas residents spurred three Catholic nuns to convert a storefront in Concordia into a drop-in center where women can find support and resources. 

Seven years after the center opened, two dozen women on average come through each day in the town of about 5,000 to socialize, do laundry, get a cooking lesson, or simply connect with others.

File Photo / Kansas News Service

Unless the Legislature makes a change, community mental health centers across Kansas will have to allow patients and staff to bring their guns starting in July.

File Photo / Kansas News Service

Correct Care Solutions, a Tennessee-based company that is the sole bidder for a contract to operate Osawatomie State Hospital, has a history of safety problems at the state psychiatric facilities it runs in Florida.

Officials with the Kansas Department for Aging and Disability Services declined to provide details this week on Correct Care’s bid to operate Osawatomie State Hospital, one of two state facilities for people deemed a danger to themselves or others.

Meg Wingerter / Kansas News Service

A bill that would allow treatment centers to detain Kansans in mental health crisis for up to three days moved forward Thursday after months of work to develop a compromise.

File Photo / Kansas News Service

A Kansas House committee overseeing budgets for social services offered appreciation to programs serving the elderly and people with disabilities or mental illnesses.

Legislators may not be able to offer much more than that.

Penguin Random House

Valentine's Day is next week, and it can be either the greatest or the worst holiday of the year. Today, we get some perspective on the nature of romantic love, and try to reconcile two different ways of thinking about it. Then, Sue Klebold recollects the morning her son, Dylan, and Eric Harris opened fire at Columbine High School. She speaks of the aftermath of the shooting, and her advocacy for mental health and suicide prevention.

Meg Wingerter / Kansas News Service

A key Kansas lawmaker says the state doesn’t have the money to fix problems in its mental health system, which a new report says are getting steadily worse.

Matt Hodapp / KCUR 89.3

  On this week's Statehouse Blend Kansas, Rep. Joy Koesten (R-Leawood) talks about mental health, school funding, and taxes.

Guests:

  • Joy Koesten, Representative (R-Leawood), Kansas Legislature

File Photo / Kansas News Service

Kansas’ two state-run psychiatric hospitals would lose nearly $20 million under the budget proposed by Gov. Sam Brownback.

In the current fiscal year, Osawatomie and Larned state hospitals are relying on state funds to make up for the loss of federal funding. Brownback’s recommendations for the fiscal year that starts in July would end that practice, leaving it to the hospitals to make up the lost revenue.

File Photo / Kansas News Service

Some Kansas lawmakers hope allowing community-based rehabilitation programs to bill Medicaid for their services will help more people with mental illnesses find work.

Rep. Dan Hawkins, a Wichita Republican and chairman of the House Health and Human Services Committee, introduced a bill earlier this month that would allow the psychosocial rehabilitation programs known as “clubhouses” to claim reimbursement from Medicaid as allowed by federal law. Some states already allow clubhouses to receive Medicaid funds.

Travis Morisse / Hutchinson News

Editor’s note: Every day, hundreds of Kansans with serious mental illnesses receive treatment in communities, state psychiatric hospitals or nursing facilities. But when a person with a serious mental illness slips through the growing gaps in the system, the results can be deadly.

This article examines how Brandon Brown, a Kansas man with schizophrenia, moved through the state’s mental health system — and how that system may have failed him and the man he murdered.

Photo courtesy of Cornerstones of Care

Five Kansas City area agencies that provide treatment and support services for children and their families have merged.

The five – Gillis, Healthy Families, Marillac, Ozanam and Spofford – already operated under the Cornerstones of Care umbrella. The merger gives them one board of directors instead of five and allows them to consolidate their programs.

“We believe that as one organization we can deliver an even higher quality of consistent care,” says Denise Cross, president and CEO of Cornerstones of Care.

Andy Marso / Kansas News Service

In tight budget times, Kansas mental health advocates are turning to the lottery for some financial help. 

Kyle Kessler, executive director of the Association of Community Mental Health Centers of Kansas, said the association will ask the Legislature to commit an additional $31 million over the next two fiscal years for the centers. That $31 million — pulled from Kansas lottery proceeds — would return funding for the 26 centers across the state to the 2007 fiscal year level.

Flickr/Mark Warner

If someone you loved had a psychiatric emergency, would you know what to do?

Because many people wouldn’t, Kansas mental health advocates are pushing for the state to recognize psychiatric advance directives to guide care for patients in crisis who are unable to communicate. 

Heartland Health Monitor

Dana Schoffelman sees one way to keep serving Kansas kids with serious mental health needs without going under financially: taking fewer of them and supplementing with out-of-state children.

Schoffelman, executive director of Florence Crittenton Services in Topeka, has new financial concerns because of a policy change by the Kansas Department for Aging and Disability Services.

File Photo / Courtesy U.S. Rep. Lynn Jenkins

The U.S. Senate is expected to vote early next week on a major medical research and mental health bill that two members of the Kansas congressional delegation played a role in.

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