The Good, the Bad and the Ugly
Peck, Richard L., Behavioral Healthcare
This month's coverage of the "state-of-the-state budgets" (p. 16) has been highly revealing in many ways. It will be a surprise to no one in today's economy that all state budgets for behavioral services are under intense pressure, with no end in sight. Program cutbacks, staff reductions and lengthening waiting lists are hitting several states and, to that extent, writer Brian Albright's "States of Despair" title is apt. A close look at the status quo, though, discloses a mixed picture--some of it arguably good news. Let's take a closer look at the mix:
The good: Our contacts in several states indicated that elected officials are trying to hold the line on behavioral program funding and avoid cutbacks that they now realize will lead to costlier impacts on state budgets, particularly more institutional care. Moreover, some states are showing greater respect for behavioral services and have allowed them to grow, albeit slowly, from their virtually minimal status of 10 or 15 years ago. In short, the hard work and unceasing devotion of behavioral health advocate groups over the years seems to have paid off, which is especially good news in today's hard times.
The bad: Mental health and substance abuse programs of all descriptions are being cut by states throughout the nation. In our reporting, you will see examples, and note that some states in particular--such as California, Illinois, and Ohio--can rightfully be called behavioral care "basket cases. …