mental health

Swope Health Services

In a roundtable conversation on Thursday, Missouri Gov. Jay Nixon heard from police and mental health workers about their collaboration in efforts to provide treatment, not punishment, for the mentally ill.

There are five so-called "community mental health liaisons" in the Kansas City area, thanks to a three-year effort by Nixon's administration. These liaisons assist law enforcement in crisis situations such as a threatened suicide or person suffering from delusions.  

As part of a series on mental health care in Kansas by Heartland Health Monitor, we take a look at the history of Topeka's landmark mental health center: the Menninger Clinic.

Guest:

  • Roy Menninger, former president, Menninger Clinic
Andy Marso / Heartland Health Monitor

The leaders of some Kansas community mental health centers say they are having trouble getting paid for some Medicaid services they believe their clients need.

Brenda Mills, CEO of Family Service and Guidance Center, a Topeka-based community mental health center that serves children, spoke Thursday at a meeting of the Robert G. (Bob) Bethell Joint Committee on Home and Community Based Services and KanCare Oversight.

Courtesy Kansas Department for Aging and Disability Services

Editor’s note: Heartland Health Monitor partner KHI News Service conducted a months-long investigation into what led federal officials to deem Osawatomie State Hospital as a facility too dangerous for Medicare patients and whether officials can rebuild the hospital for a successful future. This is the fifth and final story of the series.

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Years of problems at Osawatomie State Hospital reached a crisis point in the fall of 2015, when the sexual assault of a hospital employee by a patient triggered two failed inspections and the loss of federal funding.

Kansas had relied more on OSH after it reduced the number of state hospital beds in the 1990s. The idea was to put more money into community mental health services, but that hadn’t happened since the early 2000s — and those services actually lost money during the Great Recession. 

A top Kansas official said he hesitates to propose renovating all of Osawatomie State Hospital until he knows federal inspectors will give the state a “fair shake.”

Federal officials cut Medicare payments to OSH in December after inspectors found safety issues, including patients assaulting one another and the sexual assault of an employee. Losing the payments has cost the state about $1 million per month.

Mike Sherry / Heartland Health Monitor

One of the area’s leading mental health service is cutting services for more than 800 adults and children.

Wyandot Inc., an umbrella organization for four nonprofit agencies in Kansas City, Kansas, said today that it would need to cut services due to revenue losses and Gov. Sam Brownback’s decision earlier this year to reduce Medicaid reimbursements by 4 percent.

Heartland Health Monitor

Administrators at Osawatomie State Hospital worked to maintain a delicate balance in 2011 as they struggled to cope with rising demand for care and funding that hadn’t kept up.

OSH superintendents had credited the facility’s experienced workforce for pulling it through lean times before, but that key source of stability soon would be diminished.

Editor’s note: Heartland Health Monitor partner KHI News Service conducted a months-long investigation into what led federal officials to deem Osawatomie State Hospital a facility too dangerous for Medicare patients and whether officials can rebuild the hospital for a successful future. This is the second story in a series.

Kansas State Historical Society

Editor’s note: Heartland Health Monitor partner KHI News Service conducted dozens of interviews to chart how Osawatomie State Hospital went from a respected facility to one that federal officials deemed too unsafe for Medicare patients and how the hospital could rebuild for the future. This is the first story in a series resulting from that investigation.

The final federal inspections of Osawatomie State Hospital in 2015 painted a picture of a place where both employees and patients were in danger and low staffing levels compromised care.

KU Center for Mental Health Research and Innovation

The director of a University of Kansas research center that recently lost the contract for its main body of work is open to resuming negotiations with state officials.

Rick Goscha, director of the KU Center for Mental Health Research and Innovation, said he continues to receive emails and phone calls from mental health providers across the state who want to see the center and the Kansas Department for Aging and Disability Services work through their differences so that a longstanding training and evaluation program operated by the center can continue.

What appears at first blush to be little more than a contract dispute between a state agency and a University of Kansas research center is actually much more than that.

The state’s failure to renew a contract with the KU Center for Mental Health Research and Innovation is another assault on the state's mental health system, according to the directors of several community mental health centers.

File photo

Kansas community mental health centers are sending a distress signal to state policymakers.

The association that represents the state’s 26 community mental health centers issued a statement Wednesday expressing “strong concerns” about the $30 million in funding cuts that it says its members have suffered in the past 12 months.

“The community mental health centers have taken one devastating hit after another over the last year,” said Kyle Kessler, executive director of the Association of Community Mental Health Centers of Kansas Inc.

In the wake of a mass shooting, politicians, the media, witnesses, and victims alike all struggle to make sense of the events. It's easy to characterize a shooter as being mentally ill, but is it accurate? One University of Missouri researcher thinks that assessment is often wrong.

Guests:

  • Tahir Rahman studies severe mental illness and is associate professor of psychiatry at the University of Missouri School of Medicine.
Rebecca Lyn Phillips, of Topeka, has schizophrenia and writes a blog about the challenges of living with the disorder. She says the prospect of step therapy is 'terrifying' to many people with severe and persistent mental illnesses.
Jim McLean / Heartland Health Monitor

Although every state has now adopted some form of “step therapy” to control prescription drug costs, patient advocacy groups in Kansas remain deeply distrustful of the policy scheduled to take effect July 1.

Also known as “fail first,” the policy requires providers participating in KanCare, the state’s privatized Medicaid program, to start patients on less expensive drugs before moving them to more expensive alternatives if medically necessary.

Claiming patients who experience psychosis have a chemical imbalance is an easy and incomplete explanation to a complicated problem. Treating patients with medication doesn't work for everyone, but other options do exist. Some are finding hope and better quality of life with a more holistic approach.

Guests:

Megan Hart / Heartland Health Monitor

While the Kansas Legislature’s final budget bill did increase spending on mental health hospitals by $17 million, more than two-thirds of that funding will be used to maintain the status quo.

That’s because $11.7 million — or 69 percent of the $17 million in extra funds the Legislature appropriated early Monday in Senate Bill 249  — will be used to replace federal funding the state hospitals lost or pay contract facilities to assist when Osawatomie State Hospital is at capacity.

File photo / Heartland Health Monitor

Federal officials have reversed position on a long-standing ban on paying for some inpatient psychiatric care, giving a possible boost to Kansas crisis centers.

The Centers for Medicare and Medicaid Services released a proposed rule Monday that will place new requirements on managed care organizations administering Medicaid, such as the three insurance companies that operate KanCare, the state’s privatized $3 billion program.

Andy Marso / Heartland Health Monitor

Two employees of Larned State Hospital made rare public comments Monday about difficult working conditions at the mental health facility.

Kyle Nuckolls and Lynette Lewis described for a legislative committee the toll that mandatory overtime and limited time between shifts is taking on workers at the short-staffed facility and their families.

“I’ve never seen it this bad,” said Lewis, a pharmacy technician who has worked at Larned for 18 years.

Kansas Department for Aging and Disability Services

A health care consultant who lists experience with hospital turnarounds will take over the top job at Larned State Hospital for the next six months.

Tim Keck, interim secretary of the Kansas Department for Aging and Disability Services, announced Wednesday that he had appointed Chris Mattingly to serve as interim superintendent.

Tom Kinlen, who had been Larned’s superintendent since 2012, resigned in March, and Bill Rein, who is KDADS commissioner of behavioral health services, served in an interim capacity until Mattingly was appointed this week.

Newman Regional Health

Newman Regional Health will continue to receive Medicare payments after federal officials determined staff at the Emporia hospital had addressed their concerns about policies for patients with mental health issues.

A news release from the hospital Tuesday announced the Centers for Medicare and Medicaid Services determined Newman had complied with its requirements. In March, CMS had raised the possibility of stopping Medicare payments after a psychiatric patient was discharged too soon in September 2015.

Tammy Worth / Heartland Health Monitor

On Megan Younger’s third day on the job, she accompanied police officers to the home of a woman whose family hadn’t heard from her in days. The woman was found in the bathtub – where she had been for three days – and had chemically burned off all of her hair.

She was psychotic and delusional, but she was otherwise healthy and her lawn was mowed, her house clean and her pets well-groomed. After talking with her for a while, Younger determined the woman wasn’t suicidal or harmful to others. She was left at home where a mobile crisis team checked on her the next day.

File photo

A new report from the U.S. Department of Health and Human Services estimates Medicaid expansion would help 34,000 uninsured Kansans with mental illness or substance use disorders gain access to behavioral health services.

The figure represents the number of Kansans with behavioral disorders whose incomes would have qualified them for Medicaid — had the state expanded its privatized program known as KanCare — in 2014. That’s the most recent year for which figures are available.

Joseph Scozzari / Wikimedia--CC

Federal officials may halt Medicare funding to an Emporia hospital because a mental health patient was discharged too soon — an incident that hospital officials say resulted in part from a lack of mental health beds in Kansas.

The Centers for Medicare and Medicaid Services conducted a follow-up visit March 10 at Newman Regional Health to determine if it had corrected the lapse in procedure that led to a patient being improperly discharged in September. CMS has not made results of the follow-up visit public.

Andy Marso / Heartland Health Monitor

If he had a magic wand, Bill Persinger would turn back the clock to May 2009.

Failing that, however, he would increase resources for crisis care and substance abuse treatment, said Persinger, who is CEO of Valeo Behavioral Health Care in Topeka.

Dave Ranney / Heartland Health Monitor

Federal officials found fault with the way Kansas had screened people for admission to psychiatric hospitals, but left the door open for the state to divert patients if it reforms its screening procedure.

A look at the Veterans Treatment Court programs in both Jackson County, Missouri and Johnson County, Kansas. 

Guests:

Mike Sherry / Heartland Health Monitor

Hit by recent cuts in state mental health programs, Wyandot Inc., an umbrella organization for four nonprofit agencies in Kansas City, Kansas, has eliminated 26 positions.

Six of the positions were vacant and won’t be filled and six other employees accepted transfers to other positions in the organization, leaving a total of 14 who lost their jobs.

Elle Moxley / KCUR 89.3

U.S. Sen. Roy Blunt toured the Metro YMCA Head Start in Kansas City, Missouri, Monday to learn more about a program that helps kids deal with trauma.

“Here’s a case where you’re investing early and trying to figure out what you can do to intervene in the life of a child that has some traumatic experience,” Blunt said after sitting in on a lesson at the Crittenton Children’s Center.

The teacher used baby dolls to show the 3-, 4- and 5-year-olds how to care for someone else.

Becoming pregnant and giving birth is a joyous time for many women. And yet, many suffer from serious depression during pregnancy and after birth. Now, the federal government is recommending that pregnant women and new mothers get screened for depression.

Guests:

  • Kim Vandegeest-Wallace is a psychologist and sex therapist with the Women’s Specialty Clinic at KU Med.
  • Jane McKinney a licensed social worker with the Lakewood Counseling Service.

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