Showing posts with label government funding. Show all posts
Showing posts with label government funding. Show all posts

Saturday, March 16, 2013

SHORTSIGHTED CUTS TO DRUG TREATMENT


http://www.newsday.com/opinion/letters/letter-shortsighted-cuts-to-drug-treatment-1.4809203

Shortsighted cuts to drug treatment

Andrew Malekoff

March 14, 2013

Regarding the escalating drug problem on Long Island ["Deadly turn to heroin," News, March 11], six months ago, County Executive Edward Mangano held a news conference on the growing heroin and prescription pill problem in Nassau County. He stood with the mothers of children who died from drug overdoses.

To remedy this he announced that Nassau had been certified by the New York State Department of Health to train its employees, as well as families of at-risk individuals, in administering the overdose-reversal agent Narcan to anyone who has ingested large amounts of opioids like heroin.

Any step to save lives is welcome. However, at the news conference there was no mention of $7.3 million in human services funding that was cut on July 5, 2012, which included $1.75 million for outpatient drug treatment.

I am reminded of the parable about the small village on the edge of a river. One day a villager saw a baby floating down the river. He jumped in the river and saved the baby. The next day he saw two babies floating down the river. He and another villager dived in and saved them. Each day that followed, more babies were found floating down the river. The villagers organized themselves, training teams of swimmers to rescue the babies. They were soon working around the clock.

Although they could not save all the babies, the rescue squad members felt good and were lauded for saving as many babies as they could. However, one day, one of the villagers asked: "Where are all these babies coming from? Why don't we organize a team to head upstream to find out who's throwing the babies into the river in the first place!"

Mobilizing county resources to pull babies from the river while simultaneously cutting back on activities to prevent the babies from being tossed into the river in the first place makes no sense.

Andrew Malekoff

Editor's note: The writer is the executive director of the nonprofit North Shore Child and Family Guidance Center in Roslyn Heights.

Friday, January 4, 2013

THEY LOBBY FROM THEIR GRAVES

THEY LOBBY FROM THEIR GRAVES

by Andrew Malekoff © 2013

It was not necessary for the slaughter of innocents at Sandy Hook Elementary School to validate what we are reminded of daily - that there is evil in the world. But what it did do is to affirm that if the massacre of six- and seven-year-old children is not off limits, then nothing is.

Immediately after the murderous rampage in Newtown, CT, mental health experts offered tips to speechless parents about how to soothe their children. The advice sounded like this: Be available emotionally, be compassionate, limit media exposure, reassure safety, offer distractions to prevent obsessive worry, monitor for angry outbursts and depression and, if symptoms persist, seek professional help.

Can you imagine how the advice might have sounded if parents spoke from their guts instead of their heads and hearts? The advice might have sounded like this: It’s a cruel world, evil is everywhere, toughen up, watch your back, be vigilant, don’t trust anyone and (for older children) just because you’re paranoid doesn’t mean that they’re not out to get you.

In the last 30 years, America has mourned at least 61 mass murders. After some time passes, the latest homegrown massacre will become another tombstone in our collective psyche, alongside Columbine, the World Trade Center, the Long Island Railroad, Virginia Tech, Oak Creek, Aurora and more.

We seem always to move forward believing that we have seen the last and worst of it; until the next time. Denial is a healthy defense when the alternative is all-consuming, paralyzing and debilitating fear. We do all we can to protect our children emotionally, as well as physically. And, so we support their denial, using psychological bromides to seal their emotional scars.

The two major talking points since Newtown are preventing gun violence and promoting mental health. On the issue of gun violence, I wholeheartedly support the right to bear arms and taking steps to get certain guns out of uncertain hands. On the issue of mental health care, the chronic under-funding of children's outpatient community-based mental health services in Nassau County and New York State, is a disgrace.

New York State has ensured easy access to community-based mental health care for Medicaid recipients and neglected the needs of underinsured middle class and working poor families. Their answer is always that the marketplace will take care of it. It won’t. They know full well that private practitioners often do not accept private insurance and will not provide the labor-intensive services that licensed community-based mental health agencies do.

The gun lobby is formidable and well-heeled. Children, on the other hand, don’t have a voice until they are in the ground. Children are killed, grieving parents become tireless advocates and laws are passed. Timothy’s Law (mental health parity), Megan’s Law (making information available to the public regarding registered sex offenders) and Katie’s Law (making aggravated vehicular homicide a crime) come to mind.

Think about it. After the Newtown shootings there was not one parent in the United States who was able to escape the tyranny of imagining their child being murdered in their neighborhood school. How many more children will be taken from us before lawmakers devote the same energy and resources it takes to launch their re-election campaigns, to safeguarding our children?

Wake up lawmakers, elected and appointed officials, and government bureaucrats. Our children are suffering and dying, families are struggling and desperate. Support the constitutional right to bear arms, take steps to prevent gun violence and provide adequate funding for community-based mental health centers to support the emotional well-being of all of our children.