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Relinquishing A Child's Custody To Get Mental Health Care

By G.J. Gregory Sunday, December 16, 2007


From an article written a few years ago by the National Council on Disability:

 

 

"Services are often denied not out of malice, but because of the lack of coordination among systems of care and complexity of funding arrangements..."

 

"...Moreover, the criteria that youth must meet before they can receive services can easily be interpreted to deny services. In practice, many states do not have specific definitions of all covered services, so it is likely that many Medicaid-eligible children receive neither the mental health screens nor the mental health treatment to which they are entitled by EPSDT (Medicaid's Early and Periodic Screening, Diagnosis, and Treatment Program). The shortage of knowledgeable legal advocates virtually ensures that the rights of many children to EPSDT services will not be enforced."

Did you all see this from the sentence above? "...the criteria that youth must meet before they can receive services can easily be interpreted to deny services." Can anyone show me a mental health agency who is committed to PROVIDING services instead of finding reasons to DENY services?

This isn't a federal issue, in fact federal law seems more lenient. Per the Child Welfare League of America:

"Federal law does not require parents to give up their parental rights or transfer custody to place their children with a child welfare agency. It includes specific language that allows voluntary placements. Federal funding can be used for foster care payments for up to 180 days under a voluntary placement agreement. If your child needs to remain in foster care longer than 180 days, federal law says that the court must get involved. The court must decide that remaining in out-of-home care is in your child’s best interests. But the court is not required to transfer your child’s custody to the child welfare agency."

I will be the first to say that my state can better care for its residents than the federal government in many situations, and perhaps that's the case here. But this is a tragic injustice, and to fix this we will need federal government assistance - it's not going to be done at the state level. Perhaps a federally funded program administered by the states? No matter how it's addressed, this is something I'll be asking my elected officials to consider this upcoming year. We just can't let this travesty continue.
12/19/07 7:33am

Hi G.j,

 

I would suggest you repost your article because somehow you got buried and I think what you have to say on this subject is important and most didn't get a chance to read it. 

12/22/07 1:29am

Hi Eric,

 

Thanks for that.  Depending on what's going on, a post may or may not be a featured post.  It's still available to those who browse this site, and will shortly come up on a Google search.   

 

Thanks for reading and leaving your comment, it's much appreciated. 

12/19/07 8:26am

this has to be one of the most disturbing things i have read...

i had no idea they could actually take a kid from a good home or a home that is trying to meet the needs of a child, THEIR child that they love deeply just because they need mental health care....i had absolutely no idea and to me....well it rings of the days gone by that aren't so very long ago where bps were rounded up...IN AMERICA and how forced sterlization came to be not only in America but in Germany, China and other countries....this is absolutely so disturbing....

and i'd like to know what there is that can be done about it...who do i need to write, who do i need to contact, to let my voice be heard and speak for these precious children who are already overwhelmed with a disorder and don't need any more trauma in their life...gee...wonder if they have even THOUGHT about that, seriously, how can this be HELPING THEM????ARGGHHHH!!!
I so am an advocate for children and have been all my life in various forms and this sooo bothers me, my gosh....NOT ONE SINGLE ONE OF US ARE IMMUNE TO THESE KIND OF TRAVISTIES!!!!!!
please advise what one can do...

AND THANK YOU FOR THE POST WE ALL MUST STAY AWARE>>>as you know i've stated that so many times and with this post it is even MORE evident...

thanks

ctrygirl

12/22/07 1:38am

ctrygirl,

 

Thanks once again for your comment.  I very much respect your compassion, and your passion about this topic.

 

I'll try to stay on top of this topic in the future.   I'll revisit this at some point.

 

Thanks again, and a joyous holiday season  to you and yours. 

 

 

12/22/07 7:54am

GJ

Thank you so much for all you do for all of us. I am truly thankful for you and this site and during this Christmas time I so realize how much support and love is on here. Thank you for always keeping a watchful eye out for us, I had no idea of some of the things you educate me on, and I am an education addict, admittedly.....feel knowledge is vital to our successes.....and I so appreciate you bringing this to the forefront for attention, I know I certainly had no clue this was going on at all.....pitiful...

But I so want to wish you and your family a cozy, relaxing, togetherness, happy Christmas Season, and hope all have the time of their life.....value every second, every droplet of time together...

With great respect and thankfulness for your kind heart, and Joy and Comfort for you and yours this holiday season....

You've really touched a lot of people GJ and will continue to do so I am sure, we love you on here.....take care dear friend...

ctry girl

12/25/07 6:19pm

Hi, G.J.,

I just wanted to add a little story, too.  When I was first disabled, the doc who took over my practice kept me on as a consultant and my health care was covered.  After 18 mos, he decided not to do this anymore.  I was disabled so could not get gap coverage and my private disability policy provided too much income to qualify for medicaid or medicare.  So i have no health insurance, let alone mental health insurance.  I tried to get a private plan through BCBS, but after admitting BPD, a suicide attempt, 3 hospitalizations, much therapy, and multiple meds, they quoted me a price of $2400/mo with a $1000 cap on meds.  My doc costs $100/visit and my meds cost >$900/mo.  If i require hospitalization for ANYthing I am screwed.  So it's not only children who get the short  stick with mental health insurance.  I have been borderline psychotic a few times this past year and my pdoc has helped me down from there by himself through phone and e-mail contact which kept me out of the hospital.  God bless him.

If i go back to work, will i get insurance through my employer?  I would hope so.  But I would increase the cost of a group plan significantly.If I go back to work as an MD, self employed, I still have the same worries as my risk pool will be high and will cost both me and my employees more.  I hope i live to see universal healthcare...I mean, I plan to live long enough to see it!

1/ 2/08 1:00pm

That's obscene.  You are in a position where everything you've worked for is at risk because  you can't afford health insurance. 

 

I've been hearing sound bites from the presidential hopefuls campaigning.  One thing I've heard several times that really gets my blood boiling is that "their plan" won't help those who can afford it but "choose not" to purchase insurance.  Pardon me?  I drive a '99 Ford.  I could "afford" to drive a Cadillac Escalade if I was willing to feed my kids Ramen Noodles every day.   Maybe you can afford $2400 a month, but at what sacrifice and ultimate cost?

 

That's just wrong...

 

Thanks for sharing that with us. 

Anonymous
Anonymous
5/ 1/08 6:10am

CryFirst I'm afraid that someday my kids will be out of health insuranse because of adhd,bi-polar,anxiety issuses, and depression. They have been on our insurance since we addopted them. The twins and soon will be 18 and graduate next year.  I found I lot about their biological parents. They have the same mental issues.  I applying disablity now because we feel they wouldn't be able to hold down a job. So, we are hoping to get insurance coverage for them.  I remember in grade school how they wanted be to sign my rights over because conciling would cost to much.  I had insurance and did select my own counciling and then went to school classes with him.  In a 5 minute time they changed into different things 3 times and he was one first thing. I took him to Iowa City hospital to be evaluated and found out he was adhd and fustated.  Where was teacher in the class room?  I had to pay this out of my pocket because in insurance didn't pay for Iowa city testing. This tests shown how they learn and how to teach them also.  I

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By G.J. Gregory— Last Modified: 01/11/12, First Published: 12/16/07