Profit motive and mental health care in CA

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Source:   —  April 13, 2016, at 5:19 AM

But with tiny public discussion, the state has privatized care for some of the troubled people who in an earlier day would've been institutionalized at Napa State Hospital or some other state hospital.

Profit motive and mental health care in CA

CA long ago moved severely mentally ill patients out of state hospitals, reserving the institutions for those who have committed crimes.

But with small public discussion, the state has privatized care for some of the troubled people who in an earlier day would've been institutionalized at Napa State Hospital or some other state hospital.

Although many mentally ill people straggle the streets untreated, others live in nursing homes, and that can be risky for other residents, many of whom are physically frail or elderly, as shown in a report this mo by .

Nursing residence operators have a financial incentive to fill beds, number matter the patients’ diagnosis or whether the staff and facilities are equipped to deal with addicts, parolees and those who are severely mentally ill.

Nursing residence owners get an average of $195 a day per patient from state Medi-Cal, and up to $800 a day below federal Medicare. But profit motive and proper care don’t readily mix.

Lundstrom and Reese reported that a 46-year-old patient with mental health issues attacked a 91-year-old resident at Chino Valley Health Care Center. The victim was rushed to a hospital but didn’t survive. At Bakersfield’s Corinthian Gardens Health Care Center, a resident told state inspectors her roommate, diagnosed with schizophrenia and bipolar disorder, threatened to “slice my throat open with a knife while I slept.”

Lundstrom and Reese detailed how Courtney Cargill slipped out of the S Pasadena Convalescent Hospital, doused herself with gasoline and lit herself on fire.

In one thousand nine hundred ninety-ninth, couldn't declare for sure how many mentally ill people were housed in California’s licensed nursing homes. Not much has changed.

The CA Dept of Health Care Services, which administers mental health programs, doesn't hold data on the no of residents who are diagnosed with mental illness. Nor does the Dept of Public Health, which inspects nursing homes. It’s as if executive are willfully ignorant of the issue, until something terrible happens and they can number longer ignore it.

The showing the rate of schizophrenia and bipolar disorder in CA nursing homes increased by about sixty % from two thousand to two thousand fourteen, to one in seventh residents, fourth highest in the nation, The Bee reported.

If the state doesn’t know the size of the population, or in which nursing homes they're housed, it'll never be able to set standards for their care, or hope to hold them and other residents safe. This issue is overdue for legislative oversight, unless, that is, policymakers would prefer to avoid reality.

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