Poll: Cuts for Mental Health Facilities
Dozens of states have slashed spending on mental health care over the last four years, driven by the recession's toll on revenue and, in some cases, a new zeal to shrink government.
But that trend may be heading for a U-turn in 2013 after last year's shooting rampages by two mentally disturbed gunmen.
The reversal is especially jarring in state Houses dominated by conservative Republicans, who aggressively cut welfare programs but now find themselves caught in a crosscurrent of pressures involving gun control, public safety and health care for millions of disadvantaged Americans.
In many states, lawmakers have begun to recognize that their cuts "may have gone too deep," according to Shelley Chandler, executive director of the Iowa Alliance of Community Providers.About 30 states have reduced mental health spending since 2008, when revenues were in steep decline, according to the National Alliance on Mental Illness. In a third of those states, the cuts surpassed 10 percent.
As a result, nine state-run psychiatric hospitals were closed and another 3,200 beds for mental health patients were eliminated, dramatically reducing treatment options for the poor and people in the criminal-justice system. Thousands of patients were turned onto the streets.
Making matters worse, the cuts came as unemployment was rising, causing more people to lose private insurance and forcing them to shift to public assistance.
The sudden pause reflects anxiety from last year's shootings in a Colorado movie theater and a Connecticut elementary school.
Although little is known about the mental health of either gunman, the attacks have shaken state legislatures that until recently didn't intend to consider more social spending.
In some cases, gun-rights advocates are seeking mental health reforms as an alternative to more gun laws.
South Carolina eliminated 600 full-time case workers and closed five treatment centers. That led to an increase in the number of people with mental illness in jail in Columbia - so much that it now exceeds the patient total at the city's public psychiatric hospital.
Tonight in the Daily Pulse we're wondering: Do you agree with states making spending cuts for mental health facilities? Yes or no? Why or why not?