Disability care – Philippine Cerebral Palsy http://philippinecerebralpalsy.org/ Tue, 24 May 2022 15:53:56 +0000 en-US hourly 1 https://wordpress.org/?v=5.9.3 https://philippinecerebralpalsy.org/wp-content/uploads/2021/11/cropped-icon-32x32.png Disability care – Philippine Cerebral Palsy http://philippinecerebralpalsy.org/ 32 32 Newsom’s ‘CARE Court’ faces an enemy: shortage of treatment beds, housing https://philippinecerebralpalsy.org/newsoms-care-court-faces-an-enemy-shortage-of-treatment-beds-housing/ Tue, 24 May 2022 15:00:51 +0000 https://philippinecerebralpalsy.org/newsoms-care-court-faces-an-enemy-shortage-of-treatment-beds-housing/

“It just seems to undermine a lot of the principles of disability rights, the right to self-determination, the need for services to accommodate people with disabilities,” said Lili Graham, an attorney with Disability Rights California. “And there’s this coercive component because it’s within the mandate of the court.”

But Hull is also optimistic. If there is any chance that CARE Court can help, she would welcome the change.

“Sometimes there are a lot of things you don’t like and you have to do it,” Hull said. “So yeah, if it’s a chance for someone to be housed and get the word out, I’m all for it.”

Newsom’s administration poured $12 billion into homelessness and mental health programs last year – with another $2 billion proposed this year. But the state still faces severe shortages of behavioral health workers, treatment programs and housing. And Hull’s most recent help-seeking experience illustrates the hurdles that CARE Court will have to overcome to ensure that Hull, and others with similar experiences, can break the cycle of homelessness and successful treatment.

A slow process

When Hull realized hospital staff were going to send her back to the streets, she called her sponsor in a panic. He called the Coalition on Homelessness in San Francisco.

This is how Hull first met Christin Evans, owner of the Booksmith, an independent bookstore in San Francisco, and also a volunteer with the coalition. Evans stepped in as a defender to help Hull find a place to stay.

Hull has a paid social worker appointed by the city. But with a heavy workload, Evans said, the city’s social worker isn’t always able to give Hull as much time as she needs.

Across California, the behavioral healthcare industry faces a labor shortage, and it is expected to grow. A 2018 study from the University of California, San Francisco found that by 2028, California will have 50% fewer psychiatrists and 28% fewer psychologists, licensed therapists and social workers than neededdue to retirements and attrition.

The pandemic has only exacerbated that shortage, said Dr. Le Ondra Clark Harvey, CEO of the California Council of Community Behavioral Health Agencies. And Newsom’s administration estimates that 7,000 to 12,000 people will qualify for CARE Court each year, adding to that workload. All of these people will, by definition, be high-need cases.

“As the system currently stands, we’re already struggling,” Harvey said. “We need to be able to have reliable, well-trained workers within this CARE justice system to make it a success. »

Without Evans’ volunteer support, Hull said she would have been lost.

“I would be downtown, going to case manager after case manager, praying there was an opening somewhere, praying I was safe, sleeping in the doors,” Hull said.

Evans was able to take action. She started by convincing the hospital to keep Hull for a few more days – days that Evans spent trying to find accommodation.

She could not place Hull in an emergency shelter in the Tenderloin, where Hull knew the heroin dealers. Sober for a week, Hull didn’t want to be tempted to use drugs again.

“The options for her for emergency shelter were really limited,” Evans said.

She found a drug treatment program that agreed to do an initial assessment, but not right away.

In the meantime, the hospital discharged Hull, who was able to stay with her godparents over the weekend. It wasn’t a long-term option, as they only let Hull stay with them when she’s sober and undergoing treatment.

However, when it came time for the program to conduct the initial assessment, staff determined that Hull needed more care than it could provide. She wouldn’t find a bed there. So Evans started again, looking for a place that could provide both addiction and mental health treatment for Hull’s dual diagnoses.

“We started doing cold calling, basically,” Evans said. “We were informed that there were really no readily available dual diagnosis beds for her to go to that night.”

To enter the dual diagnosis programs, Hull had to fill out a five-page application, get tested for tuberculosis and get a referral from a primary care doctor, which took several days. Hull spent those nights with her godparents and in an overnight urgent care facility.

Finally, she entered The Avenues Transitional Care Center. But it was only temporary.

She had to wait a few more weeks until a bed was opened at Baker Places Inc., which operates a 90-day treatment program in San Francisco. The whole process took about a month.

“I really believe that in her case, she’s not service-resistant,” Evans said. “The system resists serving it.”

Mourners gather at the Civic Center Plaza to commemorate the homeless people who died in San Francisco, December 18, 2014. Supporters at CARE Court say it’s about preventing the deaths of people living on the streets with a untreated mental illness. (James Tensuan/KQED)

california faces a shortfall of nearly 5,000 psychiatric beds for short- and medium-term care, according to the RAND Institute, as well as nearly 3,000 long-term care beds.

Last year the the state budget included $2.2 billion to create or acquire residential treatment facilities, including pensions and retirement homes for people with mental health problems. This year’s proposed budget includes an additional $1.5 billion for short-term housing for people exiting homelessness and entering behavioral health treatment programs.

But Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California, said all of these facilities will need continued funding.

“These are buildings. These are not the people to work in buildings,” Cabrera said. “We still haven’t increased funding at the state level to support the expanded services that would be needed to accompany these buildings.”

Governor’s proposed budget includes $65 million to implement CARE Courtincluding $39 million to facilitate county court proceedings, $10 million to fund a support program through the state Department of Aging, and $15 million to provide county governments with training and technical assistance.

It does not specify any additional funds to increase services for new CARE Court registrants. But that includes an $11.6 billion proposal for county behavioral health departmentswho are responsible for providing services to people on Medi-Cal – an increase of nearly 50% over the previous year’s budget.

Health and Human Services Secretary Dr Mark Ghaly said in an interview that it was about prioritization.

“Our objective [is] on prioritizing this population,” Ghaly said, “not only making sure they are no longer out of line, but that they are on the front line and getting these services as a priority.

Shortage of housing

Hull does not know where she will go when her treatment program ends in early July. Evans fears that all the work done to get Hull sober and stabilized will be undone if she returns to homelessness.

The shortage of affordable housing remains a huge problem in California, especially for people who often need on-site services to help them stay in stable housing. Nearly 14,000 homeless people voluntarily sought mental health services last year, but only half were placed in housing, according to a survey conducted earlier this year by the County Behavioral Health Directors Association of California.

For the other half, there were simply not enough affordable options to meet the needs of people with complex behavioral health needs.

“We kind of fell victim to the boiling real estate market in California,” Cabrera said, noting that the state has lost many residential treatment facilities in recent years. “We ourselves have very limited resources to meet the housing needs of our clients.

The CARE Court legislation, as currently written, does not require the county to provide housing, only that it provide a list of options and provide assistance in applying for them. There is no guarantee that the accommodation will actually be available.

Hull is trying not to think about what will happen to her in July, “because I don’t want to fall into a depression,” she said.

She will be 31 in September and she is still far from her goals. Sitting in the cafe at San Francisco’s Civic Center, she said she knew that ultimately it was up to her to get there.

“At the end of the day, the government has this and they have that,” she said. “That’s really up to you to fight for.”

She turned her face to the golden dome atop City Hall.

“But the fight shouldn’t be that hard,” she said.

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Growing up in care ‘should be a protected characteristic’ under Equality Act https://philippinecerebralpalsy.org/growing-up-in-care-should-be-a-protected-characteristic-under-equality-act/ Mon, 23 May 2022 05:00:00 +0000 https://philippinecerebralpalsy.org/growing-up-in-care-should-be-a-protected-characteristic-under-equality-act/

Writing in The Telegraph, Mr MacAlister called on companies ‘to play their part’ in helping care leavers who lack a family support network and to eliminate nepotism when hiring by working with councils to providing mentorship, internships and training opportunities.

“It is now up to the government to decide whether it wants to keep pouring money into a leaky bucket that is yielding bad results or invest in reforms that control spending and, more importantly, help children and families,” he said.

In response to the review, the government did not immediately commit to most recommendations, but said they would be considered over the longer term. However, an insider from the Equalities Office said that at present there are no plans to review the Equality Act or the protected features it contains.

Nadhim Zahawi, education secretary, said the government was up to the challenge and will release plans for “bold and ambitious change” in the coming months.

A government spokesperson said: ‘This report will be essential in advancing our ambition to ensure that every child has a loving and stable home, and we will continue to work with experts and people who have experience of caring for make changes on the ground. We will outline our plans for bold and ambitious change in the months ahead. »


We need employers to step up and create well-supported programs for care leavers

By Josh MacAlister, chief executive of social work charity Frontline

Aunt Sarah might have heard there was a job in her office or Uncle Mo might point out an apprenticeship program at his engineering company. This is how families work, but what about young people who start life without a family network? About 13,000 young people leave the English healthcare system each year. For too many people, their 18th or 21st birthday is a cliff edge when the state slips away.

I have spent the last 15 months chairing the Independent Child Welfare Review. It was a privilege to hear from children and young people still in care and from adults who have had time to reflect on the impact growing up in care has had on their lives.

Today I set out ambitious plans to reform child welfare in England. It is now up to the government to decide whether to continue pouring money into a leaky bucket that is yielding poor results or to invest in reforms that control spending and, more importantly, help children and families.

While waiting for their full response, there is a lot we can do as a society. One area where we can act is that of employment. While 12% of 19-21 year olds are not in employment, education or training, this figure rises to 41% among people leaving care at the age of 19-21.

Business can’t solve all of society’s ills, but it can play an important role in helping young people who don’t have Aunt Sarah or Uncle Mo to help them get ahead in life.

What might this look like in practice? Companies could partner with great charities like Drive Forward or join the Care Leavers Covenant – which I recommend should be elevated to the same status as the Armed Forces Covenant. Employers could work directly with councils to provide mentoring, internships or training opportunities or provide tailored staff support and pathways to leadership positions.

So that businesses and the public sector can take into account that these young people have been through so much at such a young age, I recommended that the care experience become a protected characteristic.

Many employers are already doing this type of work by creating bespoke apprenticeship and internship programs. Last year, led by Dame Sharon White, John Lewis made it clear that it wanted to hire people with experience in care and help them gain skills and experience.

As I undertook the review, I saw the power of the Public Service Leavers Internship Program. What we need now is more employers to step up and create well-supported programs. It’s a double win because it supports young people to whom we all have an obligation and it’s smart business because it helps employers access the unique contributions and experiences of those who have been supported. .

On Monday, I’m calling on more businesses to play their part, to step up for children and young people and provide them with the path to employment they may not get through family and friends.

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We need to improve the system for children in care, says LYNN PERRY | Express a comment | Comment https://philippinecerebralpalsy.org/we-need-to-improve-the-system-for-children-in-care-says-lynn-perry-express-a-comment-comment/ Sun, 22 May 2022 10:38:19 +0000 https://philippinecerebralpalsy.org/we-need-to-improve-the-system-for-children-in-care-says-lynn-perry-express-a-comment-comment/

The care system exists to support children who cannot live with their biological parents or who do not have a stable and supportive family life. At best, it can protect children from harm and help them recover from traumatic early experiences.

At Barnardo’s we know from our direct experience of supporting thousands of children in care across the UK that one of the biggest challenges they face is instability.

For far too many children, living in care can feel like being ‘jostling’ through a system, with frequent changes of residence leaving them constantly destabilized.

In his first speech as Prime Minister, Boris Johnson spoke of the need to “level up across Britain”.

I firmly believe that for this vision to succeed, we must achieve lasting change for the nation’s most vulnerable children.

We must intervene earlier to help families in difficulty and improve support for children who need to be placed in foster care or in an institution.

The number of children in care is now at an all-time high of over 80,000 in England alone.

Many of them carry burdens that young shoulders shouldn’t have to bear.

They are three times less likely to be in education, employment or training when they reach the age of 19 and almost half of the children in care suffer from a mental health disorder.

We cannot fight against this inequality without ensuring that effective early support is at the heart of the healthcare system.

The government is reviewing the child welfare system in England.

We now have a unique opportunity to give these children the same opportunities that we expect of our own young people.

With the impact of the pandemic and the current cost of living crisis threatening their future prospects, urgent support for families has never been more necessary.

Children and young people are cared for when they cannot stay at home. It’s either because it’s not safe for them to be there, or because their parents can’t take care of them.

Some of the most common reasons a child or young person is in care include abuse, neglect, family breakdown, or the illness or disability of a parent or child.

Through the work of our Family Hubs, we know it is possible to help families access crucial support before things reach a boiling point. The key is early support. We want to see the government provide earlier support for the country’s most vulnerable families: so children can have safer childhoods and more positive futures.

As a society, we need to provide parents and caregivers with the “village” it takes to raise a child.

Whether it’s help with nutrition and mental health, or support for issues like poverty or domestic violence, we need to make sure families get what they need, when they need it, to bring about lasting positive change in their lives. Early support also makes financial sense.

Barnardo’s research shows that providing intensive, personalized support to families through community centers can save taxpayers millions of pounds a year and, crucially, improve the future of children and families.

We are proud to be a caring country, a country that supports its most vulnerable.

It cannot therefore be fair that children who grow up in childcare are much less likely to acquire good qualifications, get a job or have good mental health.

It is not fair that children who experience the care system are more likely to become homeless or end up in prison.

It is not fair that, during their most volatile moments, children in care can move from one pillar to another.

And it cannot be right for us as a society to let all of this and more happen without demanding change.

Correcting this fundamental inequality for children in care is a major undertaking.

However, if the government can get the care and support system in place, then we can really start to “improve” opportunities for everyone, everywhere in the country.

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California ‘CARE courts’ raise concerns over forced treatment https://philippinecerebralpalsy.org/california-care-courts-raise-concerns-over-forced-treatment/ Sat, 21 May 2022 00:02:00 +0000 https://philippinecerebralpalsy.org/california-care-courts-raise-concerns-over-forced-treatment/ By Sarah Martinson | May 20, 2022, 8:02 p.m. EDT
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