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Ashford: HHS should own up to gap in services

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By JoANNE YOUNG / Lincoln Journal Star

Sunday, Nov 16, 2008 - 12:45:49 am CST

One important thing needs to be said at Monday’s safe haven public hearing, the chairman of the Legislature’s Judiciary Committee said Saturday.

Omaha Sen. Brad Ashford wants to hear officials of the Nebraska Department of Health and Human Services — an integral agency in the protection of children of all ages in the state — acknowledge the state has a “huge gap” in mental health and behavioral services for children and youth.

“Then we can all start to work together,” Ashford said. 

Story Photo
Brad Ashford, Dist. 20, Omaha

It doesn’t have a lot to do with what Gov. Dave Heineman called the Legislature into special session to do: lower the age limit on the state’s safe haven bill.

But at the same time, it has everything to do with it.

Allowing for any age child to be dropped off at a hospital without prosecution of the parent or guardian for abandonment, as the state did in its new safe haven law, has exposed the dire straits of some families, both in this state and others.

As of Friday, 25 families — five from other states — had dropped off 34 kids at hospitals, most saying they had exhausted all attempts to get help for the children, most of whom have behavioral or mental health problems.

Todd Landry, director of the state Division of Children and Family Services, has said services are available and in many cases help is just a phone call away.

Ashford and others say that’s just not the case.

“HHS needs to get off the political mantra that says these families need to take care of themselves,” Ashford said. “It’s not a question of fault. But they need to acknowledge there’s a big gap (in services) here.”

The Judiciary Committee will decide what bills, if any, get to the floor for debate.

Or the committee could ask that the scope of the session be expanded.

Any bill can be amended during debate, as long as the amendment is germane to the subject of the bill. Speaker Mike Flood rules on whether an amendment is applicable to the bill.

He has said the issue of services for older children is too big to be decided in a special session and should be introduced in the regular session that opens Jan. 7.

Many senators are hearing from constituents urging them not to change the law.

The sands appear to be shifting  among senators, Ashford said. Many are moving from wanting to slam shut the safe haven door for older children to stepping through it and blazing a trail that leads to dealing with the problems of these families.

“Rather than be embarrassed … Nebraska has an opportunity to be at the vanguard of solving these problems,” he said.

Two bills dealing with the law were introduced Friday. One (LB1) would change the age limit for the safe haven law to 3 days. The other, introduced by Sen. Annette Dubas of Fullerton, would set the age limit at 1 year or younger, with a second set of provisions for parents or guardians of older children — up to their 16th birthdays — to continue to be able to seek immediate assistance for services from regional safe haven intervention teams.

That bill also will get a public hearing Monday, but it likely would be found to go beyond the limits of what can be enacted in the special session. 

With five days left in the session, senators seem no closer to agreement on how to modify the law than they were in the 2008 regular session — before a compromise on no age limit was reached.

On Saturday, the Legislature met for about 15 minutes. Lincoln Sen. Bill Avery submitted an amendment to LB1 that would change the 3-day age limit to 1 year.

Sen. Tom Hansen of North Platte said Saturday he will introduce an amendment to change the age limit to 4 months.

Whatever age limit is established should be backed up by evidence, Avery said. Infants are most at risk of being killed or harmed by their parents in the first year, he said, citing a 2002 study in the Journal of the American Medical Association.

“A lot of senators are saying they want to hear the debate,” Avery said. “I really don’t think the 3-day bill will pass.”

Reach JoAnne Young at 473-7228 or jyoung@journalstar.com.


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LaWanda wrote on November 16, 2008 2:25 am:
" Ashford is right about the gap in services. How many newspaper articles have I read here and elsewhere about the foster care system in which parents have said that they had to make their children wards of the state so the kids could get the mental health care that the parents could not afford on their own? The rehab program I went through to quit drinking also had a unit for teens and it broke my heart to listen to some of the stories they told about their home lives. I'm sure their parents found these kids unmanageable. On the other hand, I would likely have become unmanageable if I was 15 and my brand-new stepfather took his belt to me on a regular basis. One young women started drinking after her mother, made to choose between her daughter and the boyfriend who sexually abused the girl, chose the boyfriend. It's not always the parent's fault and it's not always the child's fault, but children shouldn't have to suffer alone due of the parents' shortcomings. More help needs to be available. "

There is more to come wrote on November 16, 2008 7:04 am:
" If you think there is no accountability now, just wait until Heineman rolls out his changes for DHHS economic assistance programs. Sounds like he's decided on two to three hastily planned Call Centers and the gutting of most local offices' jobs. If other states are a guide, help will be a phone call and 20 minute wait away. You'll get a different new to the agency agent every time. Once you get through, get your business done in 6 minutes or less. Need other help - tough luck. Area advocate agencies will have to pick up the work or it won't get done. "

lets lead wrote on November 16, 2008 9:00 am:
" I hear a lot of people saying Nebraska missed the boat but not adopting laws "just like other states". It appears to me that the other states didn't realize there was a problem and now thanks to the actions of our legislature, everyone has become aware that there is a bigger problem. I sure hope that our state legislature can become a leader by being the first state to provide care for these older children that other states can follow. "

Pat Batten wrote on November 16, 2008 9:23 am:
" This article is very appropriate to not only Nebraska, but our nation.
HHS needs to distinguish the vast difference between mental illness and behavioral issues. Our family is experiencing kids with mental illness, institutionalized and being treated for behavioral health. I find it more important to educate legislatures on these issues before setting age limits on unwanted children. Limit the age for unwanted babies, but by all means open your eyes to parents unable to access help for mentally ill kids and teens. "

Concerned for a very long time wrote on November 16, 2008 10:08 am:
" Thank you Mr. Ashford for bringing to light, once again, this very important issue. Take it from a family who knows, help has NEVER been a phone call away. Finding help is the fight of your life, when the only real fight you should have to deal with is the fight to attain some meaningful quality of life for your child. Beginning with recognizing these behavioral and mental health problems, including the brain-injured population of this state, this has been "visited" time and time again, without REAL resolution and for once, this window of opportunity might make the difference. "

Dee wrote on November 16, 2008 10:12 am:
" Why have we not heard about the mental health parity bill that was the basis for bank bail out? This would provide for mental health coverage at the same rate that we provide for medical health. This bill could be used as the catalyst for the help these youngsters need. The state in its efforts to curb costs of medical and mental health care and in the interests of making this a business friendly place have allowed insurance companies, including the one they contract with to manage the Medicaid costs to limit and deny mental health care to these kids, their families or parents. This is not just with Medicaid but with the way employers are allowed to not offer insurance and the lack of independent, low cost alternatives. The end result is a good looking bottom line when they turn the budget in but an abysmal bottom line when the truth of it comes out in the form of housing these kids after they murder, steal, assault and commit other crimes that require years of incarceration. A very wise man, signer of the declaration of independence and founder of our country, Benjamin Franklin said an ounce of prevention is worth a pound of cure. What we are seeing with all these families and kids being dropped off and with the vast numbers of parents at home contemplating doing the same is the result of the state with holding the ounce and gambling that some other state or entity will have to pay the pound. If we want a functional society we have to have hope. Consequences mean nothing if there is no hope. "

sandhills shelly wrote on November 16, 2008 10:38 am:
" Now I believe the senators are on the right track. Take the time to look at this situation and be wise in their decision. No to the three day bill, yes to the up to one year bill and yes, yes, yes to looking at the lack of services for teens with mental and behavior problems. People need help with these children and not just fear of having the state get involved. "

HHS fails again wrote on November 16, 2008 11:10 am:
" I am sick of my tax money going for the high salaries of those administrators in HHS doing nothing for the youth of this state. Our foster care system is dispicable, our care for developmentally disabled is shameful, and look at what our governor and yes Mike Johanns has done to our mental health system!! It is shameful when I see youth and families who vitally need assistance, going without help until that youth reaches the age where they can be arrested. Then they are shoved around in our courts when they could have gotten help and avoided law enforcement altogether if help was given while they were small. Admit it Nebraska, we just dont care about our communities when we say "the parents should do something, we dont offer any help. What if they arent as well off as you are and dont even know where to start? I live in a county with the highest suicide rate in Nebraska!! Do you think that is because of the water here? NO its because when it all comes down to it, Nebraskans dont care about each other. Is that the legacy to our children here? Disgusting. "

CD wrote on November 16, 2008 11:58 am:
" While HHS might provide services it lacks authority to provide "safe haven" for parents who face a dire situation. Thank you Mr. Ashford for taking a step that has been ignored. The governor hasn't addressed the actual problem that was exposed and glossed over it when he called for the expensive special session. Why he is cowering from the real problem seems obvious.. he is simply out of touch and afraid of the Pandora's Box that was opened with the existing law.. "

mother of two wrote on November 16, 2008 1:05 pm:
" I really feel that the 1 year period is a much better choice and much safer for these infants that are at risk,and that are being harmed or not taken care of. We as a comunnity need to make sure our younger generatshion is safe and healthy. As a mother I am concerned about what is going to happen to theese children if we don't do something to help them now! "

Buddha wrote on November 16, 2008 3:12 pm:
" I hope the Legislature thumb their noses at the Governor and adjourn this special session without passing anything, leaving it for the new Legislature to take up in January. "

I hear ya on the lack of HHS support wrote on November 17, 2008 10:52 am:
" The comment on a phone call and 20 minute wait. Try more like over an hour. My son has called HHS due to child support issues because he lost his job. Well 15 calls and waiting equivalent to 5 hours total (he kept track to show the system is flawed), he has NEVER spoke to a live body. These call center sound good on paper but do not work. HHS needs to take respnosibility and stop sluffing. Yes you are FORCE to make your child a ward of the state for help due to costs. Yes, her program was changed 9 times by 7 caseworkers in 2 years. HHS you messed her up more than any treatment center. Am more worried we are allowing HHS to take over the safe haven kids--dangerous move. "

excuses wrote on November 17, 2008 5:02 pm:
" HHS Should own up??? What about the legislature? HHS is constantly the scapegoat for this kind of stuff when it is the legislature and NE Government that has insisted that the funding for HHS services be cut, that the services for the citizens of NE albeit developmentally disabled, mentally ill, teenagers etc...be completed in the community and the funding for those services left HHS and went to the community. How is this HHS's problem? HHS did own up and it is the legislature that has shut down state run homes and services. "

I think wrote on November 19, 2008 9:10 am:
" I think that both the Legislature and HHS need to address this issue with EXPERTS (aka people that have actually worked in this field before and know how it REALLY is). There is a gap in services for children and teens but there is also a gap in adult services as well. I am constantly having this discussion with my fellow coworkers (we all work for HHS). We get these people coming in and saying "you should do this, this, and this" but yet they have never actually set foot on a mental health unit.
It is enough to make you want to quit but if you do then it will take them 6 months to fill your position and create more gaps in care... "