In
the past year since the President’s New Freedom
Commission on Mental Health
released its report, we’ve seen vigorous advocacy around the
Commission’s findings and
recommendations. But the President and the Department of Health
and Human Services
have “low-keyed” the report, whose one-year anniversary
passed without mention by the
administration.
A July 26 Presidential Proclamation marking the 14th
anniversary of the Americans with
Disabilities Act, cited the Commission in laying out a list of
its ADA-related
accomplishments: “My Administration has also begun implementing
the recommendations
of the New Freedom Commission on Mental Health. The Commission
was established by
Executive Order and its report lays out steps that can be taken
to improve mental health
services and support for people of all ages with mental illness.”
But specific elements of that implementation remain
a mystery. A governmental “action
plan,” coordinated by the Substance Abuse and Mental Health
Services Administration (SAMHSA), is reportedly nearing
completion. Yet SAMHSA Administrator
Charles Curie, MA, ACSW, told a Senate
hearing panel last year that he hoped to
provide them an “action agenda” within 60
days. Only one federal department has
publicly and enthusiastically embraced the
Commission’s recommendations, the
Department of Veterans Affairs (VA).
Most important, however, the president’s
FY 2005 budget for SAMHSA proposed new
funding to support the establishment of a
program of “state incentive grants for
transformation” (SIG grants). As described
in the SAMHSA budget justification, the
program is aimed at “implementing the
Commission’s findings” and “will support
development of a comprehensive State
mental health plan and improve the mental
health services infrastructure.” The
program’s goal is to engage multiple service
systems and state agencies in statewide
planning focused on system change and to
enhance the use of existing resources to
meet needs of people who have mental
illnesses. The budget proposed $44 million
in funding for such grants, to include $30
million in new funds.
While FY 2005 funding for most federal
programs, including SAMHSA's, still awaits
final congressional action after the elections,
the SIG grant proposal has faired reasonably
well to date, given competing demands for
funding, including restoration of funding for
many programs that the administration
sought to cut. The House of
Representatives allocated $20 million in
funding for the new grant program, while
the Senate Appropriations Committee
proposed to fund the initiative at the $44
million.
As a founding member of the steering
committee of the Campaign for Mental
Health Reform, a coalition dedicated to
advancing through federal legislation the
recommendations of the Commission,
NMHA has actively supported the new SIG
funding as well as other funding and
legislative goals tied to the Commission’s
report. Watch The Bell for updates.
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