Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
chapter
Amount, Duration, and Scope of Medical and Remedial Care and Services [12 VAC 30 ‑ 50]
Action Mental Health Skill-building Services
Stage Emergency/NOIRA
Comment Period Ended on 12/11/2013
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12/11/13  11:27 pm
Commenter: Mellisa May, QMHP, Hall Community Services, Inc.

Clearly it's time to talk about some things
 

The truth of the matter is depression, anxiety, bipolar disorder and schizophrenia

are not the only real issues causing continual trouble and distress to the clientele that MHS providers encounter daily, and we, as empathetic, educated  clinicians know first hand what it takes to be in support of the needed physical and psychological process of  restoration. However, we are continually subject to passed regulations that come too often, without warning or ample time to adjust, and many times the changes don’t seem to support or take the seriousness of client needs in account. Consequently, clients are left to suffer.

When clients experience issues like history of homelessness, history of fraudulent unjust treatment, have cognitive restrictions, or are involved with the criminal justice system, they experience unbalance. This lack of stability creates pain and a host of disarranged priorities which they need support meeting and maintaining. And while these real elements, (homelessness, history of fraudulent unjust treatment, cognitive restrictions, or involvement with the criminal justice system) contribute to the clients experience of mental or emotional suffering, these same elements aren’t being considered within treatable criteria for MHSS. It doesn’t make sense! How can you draw a fine line between those who will be able to receive MHSS because of psychiatric hospitalization, and those who are left without, and not cause an uproar and imbalance? You can’t! So why do it?

The changes seem quite unfair.

Is the life and hardships these clients endure not enough? Is the long list of medications they many times have to take just to fare their day not legitimate? Are the meager incomes they survive on not undesirable enough that insult should be added upon this population by taking away a service (MHSS) that many have as the only viable means to assist in meeting their activities of daily living through support and offered trainings of a qualified mental health clinician?

Think about it…and please, don’t take away our ability to positively impact the lives of so many clients that are going to be negatively affected by these changes.

CommentID: 29604