Wednesday, April 23, 2014

SAMHSA condones discrimination

As a writer, my 2nd book continues to add chapters due to the life I live.  I don’t have to go to one of the beautiful ponds in Edmond to ponder on what subject I should write about.  I can continue to live at my residence, as the environment does not distract me.  All I have to do is try to obtain a tag for my Buick.

Stigma and discrimination run rampant.  My situation is condoned by SAMHSA.  You usually hear and read the word condone in a sentence where it is used in the negative, We don’t condone the actions taken by Mr. Smith to remove the hook of a 40# catfish using a chainsaw to…”.  Used in the affirmative, the sentence would read “ We accept and allow Mr. Smith’s behavior in how he used a chainsaw to make the fish create a loud guttural sound with each cut, which is considered morally wrong and offensive to other fishermen to continue.” In a shorter sentence, an example is “We accept and allow behavior that is considered morally wrong and found offensive to those who witnessed the event.

Cheese and Crackers!  All I wanted to do was to drive my Buick with a legal license plate.  Since I had changed by residence and changed my Buick insurance to be administered by my new state, I felt comfortable in obtaining a tag.  There is a law that requires the owner of the car to have a valid state drivers license.  An acquaintance told me where a “full service” office was located where I could get a drivers license, have the car inspected and receive my tag where I would not have to wait in line.  I drove to the neighboring city for convenience.  Upon arrival, since I am a new resident in the state I would need to be entered in to the “system” before I can be helped.  I drove to the location given me to be keyed in the system.  I had an additional cost of fuel and loss of   time, which was insignificant to my budget.

I took my number and proceeded to the waiting room.  My number was called a few minutes before noon, a break time for eating lunch.  My current license was entered in the system.  A form printed that was a questioner.  I filled out the paperwork, which included, by Federal HIPAA law, protected health information.  I circled mental illness and wrote my diagnosis on the form.  There was a question that confirmed I was telling the truth with the answers given.  I answered yes.  As I continued to fill out the form, I realized there was more to the question of telling the truth.  It included the confirmation  that it impaired my ability to drive.  I drew a line through the word Yes, initialized the removal of my answer and changed it to no.

The examiner stated my answer made no difference since I had revealed my diagnosis.  I was surprised with what happened next.  The examiner went over to the big printer and waited for pages to print.  The length of time was considerable.  It gave time for others to stare at me.  I was fine with that.  I had written a book, Mott’s Mind, which is my story living with a mental illness.  I was not about to lie since I wrote a book on the subject of the disease.  Finally, the printer started shooting out paper.  The examiner apologized for the length of time to obtain the forms, presumably because everyone in the room had  a good look at me.  In vanity, I could possibly sell a few books during the time it was taking to go through the mental illness process.  One of the questions was the medications taken for my illness.  I told the examiner I had no problem stating medications and prescriptions for dosage and the time of day to take the medication.  I said I was going to mingle the names between the generic and brand name.  She told me she was quite familiar with psychotropic medications.  I made a remark about this being a common and usual task she performed.  She replied saying no and justified it by having a son with mental illness and the frustration she had with dealing with his illness.  I told her she was not alone.  I asked if she knew about NAMI and the free educational classes they offered.
She had never heard of it. I took out my billfold to give her my business card for being a NAMI Volunteer.  I pointed out the contact information, the classes that were being held in the Edmond and North-OKC areas.  I gave her our website for the schedule and an explanation of each class.  She thanked me, put my card in her pocket and we resumed going over the forms with the title of Mental Health Evaluation. 

She informed me my doctor would have to fill out the forms and I was to hand deliver the completed forms to their office at 36th and Martin Luther King.  She said it would be best to go on a Wednesday, the day of the week their doctor should be in the office.  I restated what I thought she said. “I am ordered to drive to their office in Oklahoma City.  Park my car and hand deliver the evaluation to determine if I would be given the approval to drive in the state with a license issued by the state.” It was confirmed. I was given a case number, my license information was put on hold for review and to have a nice day.  I pondered if my instructions were an oxymoron.

I took the forms to my Doctor’s office.  I also looked up the address for 36th and MLK.  It is the Oklahoma Department of Public Safety.  It appeared red tape was in progress, meaning it will take considerable time for the state to determine what my outcome would be.  My urgency was to get a car tag before mine expired.

I received a phone call from my doctor, who had never seen such papers as a mental health evaluation, stating he felt uncomfortable filling out the forms and would refer me to a mental health provider who was familiar with the evaluation and took Medicare insurance to help keep my out of pocket expenses as low as possible.  It would take a few days to find someone to do the evaluation.  I didn’t have the few days as we were getting close to my tag expiration date.  But my hands were tied.

I made the decision to contact the deputy director of the Oklahoma Department of Mental Health and the director of public relations.  I personally knew these gentlemen and felt they would be interested in my situation.  “They can’t do that” was the reply from both men.  They both went in to action, contacting the department’s legal staff and others.  I greatly appreciated their willingness to help resolve the issue.  They had made contact with a person at the department of public safety, have contacted other divisions as in Public Affairs and Legal.  I have an attorney with the department of mental health who has been assigned to my case.

Since I am still under the pressure of time, I finally got a referral for someone who would do the mental health evaluation.  After speaking with this doctor, he was going to ask other professionals to find a person who had done such an evaluation.  I e-mailed the forms to him.  He would get back with me.  I told him of the timeframe I was under and he understood my situation.  A few more days went by.

Being a realistic person, the chances of having all of these contacts being able to investigate my situation in under 30 days would be an extremely difficult task.

I received a phone call from the referred doctor.  No one that he knew could see me before the 1st of May.  Since he understood my situation, he agreed to take my case.  He has a contract with Medicare.  It was his belief the coinsurance of 65% is still effective while I have given him documented proof, from Medicare, that 2014 claims are being paid at 80/20, just like any other medical benefit.   Regardless, since he does not know me I gave him a $100 deposit.  Since patients on disability with Medicare are the most difficult to collect out of pocket from, his first priority is being paid in full.  I am secondary.

A full evaluation is being performed on me, 2 hours of clinical time, 3 hours of testing and an undetermined amount of time for compiling the results.  I  anticipate my out of pocket expenses will be significant.  Plus, he would rather have me pay by 2013 standards and he will refund the amount of overpayment.  I’m not going to make a big deal about it as I will receive a copy of the EOB and we will settle, hopefully before the end of the year.  However, I am giving consideration to applying a huge rate of monthly interest on the amount I overpaid.  Sure, I’ll have to file it as earned income on my 2014 taxes that any reasonable person would understand.

A word of caution was given to me before today’s appointment.  I was asked if I wanted to retake the MMPI exam again as the results of such may be misleading.  He then went in to details.  I declined taking the test as I stated to him my answers would be the same as the previous test taken.  I have had ample time to write a response to what he feels may be misleading as he knows me not.

I received a phone call and e-mail from the Oklahoma Department of  Mental Health stating they have made personal contact with an individual within the Department of Public Safety.  I was given the person’s contact information.

I made the attempt to contact the person who is expecting my call.  At the first dialing the phone was busy.  I waited 30 minutes and dialed a second time.  It rang and rang followed by a message that said “Goodbye” and the call was ended.  I thought something must be wrong with their telephone answering system and redialed.  Same scenario, it rang and rang followed with “Goodbye” and the call was ended.  I can only conclude there is something wrong with the DPS today.

As I get ready to post this document I wonder what abuse or neglect I have subjected myself to, for being honest.  There is a protection and advocacy division within SAMHSA to keep people from being discriminated against to ensure SAMHSA is performing its mission.  It provides some of the funding for a state mandated entity to making sure my disability rights have not been exploited or as in my case, discriminated against.

I don’t have the right to drive my car that is debt free, where I would be perfectly happy to pay the personal property tax.  I don’t have the right to drive forward in my driveway, exposing a vehicle with an expired tag.  I don’t have the right to vote or declare a party affiliation. I don’t have the right to become a precinct committeeman, which I have been in the past.  I don’t have the rights to obtain a fishing license.  I don’t have the right to identify myself correctly when I go to get my prescription that includes a controlled  substance and when I go to a branch of my bank that I have been a customer with since 1980.  I don’t have the right to purchase legal substances where the cash register wants my birthday, even though my appearance shows to be 3 times the legal limit. 

I have a flight booked in my name, with the address of my residence to identify myself as the airline has request. Ironically, I am going to North Carolina to speak about my book, living with a mental illness.  I suspect the more things I want to do and am capable of doing, like anyone else, has the possibility to be denied.

Yes, it is time to contact my SAMHSA Protection and Advocacy Center located in my state.  But that is becoming a problem as well.  I read the 2011 SAMHSA self-evaluation of this division that goes by the acronym PAIMI.  SAMHSA does not like the PAIMI department they are responsible for.  Their evaluation documented that PAIMI did not know what they are doing.  It was confirmed they were also underfunded, a reason for its lack of perceived confidence.  It was obvious to me they want to rid themselves of what protected the people SAMHSA serves. I see the self-evaluation was self-incriminating.  By closing PAIMI, 36 million would be up for grabs or more than likely, a dollar amount hung like a carrot before the donkey that could be shaved from the budget without hurting the other divisions, especially the administrative department with a budget of 120 million.  Regardless of true motive, the casualty numbers from the loss of protection were within someone’s parameters.  I would estimate the casualty rate to be around 600 people per 2 million lives that equates to .03 % or .0003.    That’s an insignificant number that  hardly appear on a chart.  You are then able to state that discrimination is so insignificant, you can deny that discrimination against people with disabilities no longer exists.  You could tout that discrimination problems have been resolved, a job well done by SAMHSA.  The mandate of the ADA would go away. Around 60 offices around the nation would be vacated. 

The fact is discrimination exists.  I doubt many of my peers have the resources to overcome the obstacles they are faced with.  How many of my peers have a rainy day fund where they can take $300 to pay up front costs for their discrimination hurdles?  How many of my peers become victims rather than survivors?        

Regardless of count, SAMHSA wants to be in a position where the entity wants to accept and allow behavior that is considered morally wrong and found offensive to those who witnessed the discrimination.

Tomorrow, Thursday April 24, 2014, is the day Representative Tim Murphy [R-PA-18] reviews his entire bill, H.R. 3717. with the entire Health subcommittee.  I’ll have to look to see what channel it will be on.   This is a bill I have been promoting as it is for the greater good for Helping Families in a Mental Illness Crisis that need the help the most.  It addresses many of the issues I have personally witnessed that needs to be fixed, without doubt or hesitation. 

The mindset of 3717 is solid, Evidence Based Practices.  If there is something that works, show it to Rep. Murphy.  If there is something you want to squash, prove it doesn’t work.  That’s exactly what SAMHSA has been attempting to do. The  2011 self-evaluation was written in such a way to show evidence PAIMI doesn’t work.

I feel something is going on that I have not received an e-mail on yet.  A miniscule 5 million dollars budget has been left under PAIMI.  Is it a reform budget to transition PAIMI out of SAMHSA and be placed elsewhere where discrimination is not accepted and does not allow for behavior that is considered morally wrong and found offensive to those who witnessed the discrimination.  I don’t have the answer today but I will receive the answer and will post it accordingly.

Tuesday, April 8, 2014

No co-sponsors in my home state, I see why.

Dear Signers and Readers of my petitions,


Since this on-line petition campaign was launched, an additional 16 congressmen are now co-sponsoring The Helping Families In Mental Health Crisis Act, Ensuring Psychiatric Care for Those in Need of Help the Most.

Numbers now tally 66 co-sponsors, 44 Republicans and 22 Democrats.

Mental Illness is not a respecter of party affiliation

There is representation in 32 states, including Washington, D.C.and the Virgin Islands

Mental Illness is not a respecter of territorial boundaries.

Regretfully, none of the 4 congressmen from my home state of Kansas are co-sponsors.  This saddens me greatly.  It is an embarrassment to me and those I know who advocate for mental illness within that state.  There are many organizations of advocates but I have only heard from 6 people who have raised their voice of approval to Congressman Huelskamp (2), Congresswoman Jenkins (0), Congressman Yoder (1) and Congressman Pompeo (3).  Those numbers are not enough to make a bleep on the radar screen.

Below are the states and number of representatives cosponsoring.  If you live in the remaining 17 states, please sign this petition that will automatically send an e-mail to your representative.  You are also able to voice your remarks that are contained in the e-mail that is being sent on your behalf.


Click on the link below and ask your representative to co-sponsor HR3717.


Alabama [1]
Alaska
Arizona [2]
Arkansas [2]
California [4]
Colorado [1]
Connecticut
Delaware
District of   Columbia [1]
Florida [2]
Georgia [1]
Hawaii [1]
Idaho
Illinois [3]
Indiana [3]
Iowa [1]
Kansas
Kentucky [2]
Louisiana [2]
Maine [1]
Maryland
Massachusetts
Michigan [2]
Minnesota [1]
Mississippi [1]
Missouri [3]
Montana
Nebraska [2]
Nevada
New Jersey [1]
New Hampshire
New Mexico
New York [4]
North Carolina [1]
North Dakota
Ohio [4]
Oklahoma [2]
Oregon
Pennsylvania [8]
Rhode Island
South Carolina [1]
South Dakota
Tennessee [1]
Texas [4]
Utah
Vermont
Virginia 
Virgin Islands [1]
Washington
West Virginia [2]
Wisconsin [1]
Wyoming

Sunday, April 6, 2014

Ideas for MH? Fix it, don't patch it. I like it, I want it.

Hi,

My name is Randy and I know a psychologist who wants to fix the broken mental health system.  The psychologist is Congressman Tim Murphy[R-PA-18].  I like his ideas. I want his bill to pass.  Won't you join me?

Allow family members to be part of the treatment team.

click I like it,        I want it.





Health Clinic and Mental Health Center working together in
Hutchinson, KS to treat the whole person, An Evidence Based Practice.
click I like it,           I want it.




Meeting the need of  behavioral health for rural and underserved populations

click I like it,        I want it.







Stabilizing Individuals after the ER

click I like it,    I want it.





If these ideas sound good to you,  

An e-mail will be sent automatically to your congressman, your senator and Jean Williams, promoter of H.R. 3717.  Your e-mail may contain any remarks you wish your legislators to read.  The e-mail will be sent on your behalf immediately after you  sign my petition. 

Then, forward this e-mail to 5 of your friends to see if they like Representative Murphy's bill.  

Thank you.

Randy Conyers
Author of Mott's Mind
Volunteer for NAMI Oklahoma - Edmond North-OKC

Friday, April 4, 2014

Is the answer in Turkey?

Finding the Audience for Mott's Mind


I find it interesting that the slice of pie grows wider in the country of Turkey and becomes thinner in the United States.  Its growth continues as the number of posts increase.

Why the country of Turkey?

What in the text do I write has interest from computers in Turkey?

After a quick Google, I find Turkey fascinating:

Because of its geographical location the mainland of Anatolia has always found favour throughout history, and is the birthplace of many great civilizations. It has also been prominent as a centre of commerce because of its land connections to three continents and the sea surrounding it on three sides.

I question the surname of Mott.    Is it known by its great deeds or has it been judged by its deed?   I do not know.  I know nothing about the country but what I read 5 minutes ago.

I looked at the country flag.


I rotated counterclockwise.


The flag is a crest, a typical crest with a traditional star.  The star is actually east of the moon but I rotated the flag as the characteristics of the crest looked very familiar to me.
The difference is the Mott Crest does not contain a star.  I don't know the significance of such, certainly an issue to be researched.

I mean no disrespect to the Turkey flag.  It may have a meaning, being displayed other than intended.  I apologize for my ignorance.




I removed the star, resulting in the Mott Crest.   Was the picture that accompanied the blog the reason for interest?

Perhaps my words are meaningless and it is the picture, the crest, the moon rotated or the disappearance of the star?

Perhaps the interest is not the subject of mental illness.

I do not know.  I do not have a clue without researching.

For now, I can only affirm the Mott Motto, "Let us be known by our deeds, as we shall be judged by our deeds."

Wednesday, April 2, 2014

Important Advocacy for Mental Illness on Congressional Bill H.R. 3717

I believe Rep. Murphy's Bill H.R. 3717 - The Helping Families In Mental Health Crisis Act, ensuring Psychiatric Care for Those in Need of Help the Most, has the fix for all problems found in the Oversight and Investigation report.

I have experienced the problems sighted with my consumer peers, working for a Community Mental Health Center and as a field organizer for NAMI, National Alliance on Mental Illness.

Solutions driven by evidenced based care include:
Empowering parents and caregivers by revising the HIPAA law,
Addressesing the shortage of inpatient psychiatric beds by changing the cap of beds per unit from 16 to 32,
Giving alternatives to institutionalization,
Reforming the Department of Justice jail diversion programs,
Reforming the accountability of the Substance Abuse & Mental Health Services Administration (SAMSHA) by instituting a new oversight position reporting to congress

Goals include:
Reaching underserved and rural populations,
Stabilizing beyond the ER
Advances critical medical research
Provides high quality community behavioral health services,
Increasing awareness in the behavioral health needs of children and teens,
Integrate primary and behavioral care,
Increasing physician volunteerism.

That's why I created a petition to Jean Williams, NAMI Oklahoma/Edmond North-OKC, The United States House of Representatives, and The United States Senate, which says:

"The Energy and Commerce Subcommittee on Oversight and Investigations revealed the approach by the federal government to mental health is a chaotic patchwork of antiquated programs and ineffective policies across numerous agencies. Representative Tim Murphy, PhD [R-PA-18} has the fix.” Please support (H.R. 3717) The Helping Families In Mental Health Crisis Act, ensuring Psychiatric Care for Those in Need of Help the Most.

Will you sign my petition? Click here to add your name:

Sign my Petition and Fix Mental Illness

http://petitions.moveon.org/sign/fix-why-so-many-living-1?source=c.em.cp&r_by=547594
(you may need to copy and past this URL in to your browser)

Can I ask one more thing from you? No, No, I don't need money, contribution or donations. I need for you to forward this e-mail to your list of contacts. We need nation-wide coverage as the Subcommittee on Health has scheduled a hearing on Thursday, April 3 at 10:30AM in 2322 Rayburn House Office Building, Washington, D.C.

Thank You!