With all the disastrous budget woes we are currently experiencing, now is not the time to irresponsibly start a social experiment with our most vulnerable citizens. Looking through the reports for “Money Follows the Person” report for January – June 2010, (Mathematica Reference Number 06352.400)
It is clearly evident that we do not have enough resources for those already in the community – why would anyone even consider moving more people with more complex needs out of their safe, cost effective home?
These are quotes from the MFP report:
2/3 states reported difficulty reaching transition goals – listed in order of importance
- Shortage of affordable and accessible qualified housing
- Complex needs of the target population
- Transition candidates not choosing to reside in an MFP-qualified residence
- Family opposition, particularly among candidates with developmental disabilities.
- Shortage of slots in their HCBS waivers
- Contracting delays
- Cuts in the state budget
- Inadequate service capacity
- Lack of caregiver supports
- Staff turnover
Rates of reinstitutionalization : most common factors are:
l. lack of informal supports in the community
2. Lack of formal paid service or supports in the community
Emergency Calls for backup assistance:
34.9% of calls were in response to direct service or support workers not showing up as scheduled
2.8% were to address transportation to get to medical appointments
MFP continues to encounter systemic challenges related to state budget cuts, scarce housing options, limits imposed on Medicaid HCBS benefits and shortages of services and providers.
Washington reports that hiring freezes, furloughs and lay-offs have strained available staff resources and in some cases limited the MFP program’s ability to make timely transitions, conduct trainings, or perform outreach.
Given this very dismal picture of what life in the “community” is like – how could anyone advocate to move a person from their safe home into these unchartered waters?
The charts below indicate the actual cost to our state for the care in our RHCs. This is the cost for comprehensive care with trained, stable staff. This is what we need to maintain and expand on to keep our most vulnerable and challenging citizens safe and healthy in addition to sharing these services with those who already reside in another community setting.