The Clinton Herald, Clinton, Iowa

Features

October 21, 2013

Kennedy's vision for mental health never realized

(Continued)

But one problem with the legislation was that it didn’t provide money to operate the centers long-term.

“Having gotten them off the ground, the federal government left it to states and localities to support,” Appelbaum said. “That support by and large never came through.”

Later, during the Reagan administration, the remaining funding for the act was converted into a mental health block grant for states, allowing them to spend it however they chose. Appelbaum called it a death knell because it left the community health centers that did exist on their own for funding.

Robert Drake, a professor of psychiatry and community and family medicine at Dartmouth College, said some states have tried to provide good community mental health care.

“But it’s been very hard for them to sustain that because when state budget crunches come, it’s always easiest to defund mental health programs because the state legislature gets relatively little pushback,” he said. “Services are at a very low level right now. It’s really kind of a disaster situation in most states.”

Sharfstein points out that most mentally ill people are at a very low risk of becoming violent. He said it’s unthinkable we would go back to the era when people were housed in “nightmare” conditions at overcrowded, understaffed and sometimes dangerous state hospitals.

“The opportunity to recover is much greater now than it was in 1963,” he said.

But for those who do not take their medication, don’t recover from their first episode of illness and don’t seek treatment and support from professionals, they are vulnerable to homelessness, incarceration and death, he said.

Linda Rosenberg, president and CEO of the National Council for Behavioral Health, counts among its 2,100 member organizations many of the original community mental health centers that were built under the 1963 legislation.

“Whenever you pass a piece of legislation, people would like to think that you’ve solved the problem,” she said. “It did some very important things. It laid some ground work. It’s up to us now to move forward.”

Text Only
Features
  • Meet Your Neighbor: JR Kuch takes the reins at Clinton High School

    Working as a high school helper during his senior year at North Scott High School, JohnRyan "JR" Kuch first stepped onto the path of teaching and administration.

    July 26, 2014

  • Evergreen job fair in the works

    The Clinton Regional Development Corp. and the Clinton Area Chamber of Commerce are lining up companies to participate in a job fair exclusively for the soon-to-be displaced employees of Evergreen Packaging.

    July 26, 2014

  • Zeiser photo 85 years a nun By Brenden WestAssistant EditorCLINTON — There are things you outlive over a lifetime.Sister Bertha Zeiser, 103, grew up in a Clinton County town that no longer exists (formerly known as Browns); the house she was born in is now a cornfield somewhere

    July 26, 2014 1 Photo

  • cleaning supplies Don't judge mothers with messy homes

    I was building shelves in my garage when a neighbor girl, one of my 4-year-old daughter's friends, approached me and said, "I just saw in your house. It's pretty dirty. Norah's mommy needs to clean more."

    July 25, 2014 1 Photo

  • Technology plays key part in battling police brutality (with VIDEO)

    Allegations of police brutality are nothing new -- as long as there has been law enforcement, citizens have registered claims that some officers cross the line. But in the last few years, the claims of excessive force are being corroborated with new technology from cell phone cameras, police dash-cams and surveillance videos. 

    July 24, 2014

  • Stewart McCaskill photo McCaskill settles into new role at shoe store CLINTON — An Oklahoma boy at heart, Stewart McCaskill is settling into Clinton and Brown’s Shoe Fit.The 35-year-old has worked with the Brown’s Shoe Fit company for seven years. His brother-in-law, who manages a Brown’s in Colorado, brought Stewart i

    July 24, 2014 1 Photo

  • Darth Vader is polling higher than all potential 2016 presidential candidates

    On the other hand, with a net favorability of -8, Jar Jar is considerably more popular than the U.S. Congress, which currently enjoys a net favorability rating of -65.

    July 23, 2014

  • Darryl Hogue mugshot Hogue will lead River Bend schools FULTON, Ill. — Nearly eight months after opening the search, the River Bend School Board has found a replacement for the retiring district superintendent Robert “Chuck” Holliday.Darryl Hogue, principal of Morrison Junior High School, in Morrison, Ill

    July 23, 2014 1 Photo

  • 7-22-14 water 2 Rotary Club donation gets water to Haitians CLINTON — Nine Haitian communities now have the blessing of clean water due to the work of local Iowa Rotary clubs, including Clinton’s, and the charity Water for Life.Water for Life Directors Joy and Leon Miller have been drilling wells for years as

    July 22, 2014 1 Photo

  • 7-22-14 Emily Evans 7 seek pageant crown CLINTON — The time has come for Miss Clinton County Brandy Herrington to pass her crown on to the next lucky contestant and this year the competition is thick.When the event commences on Saturday at the DeWitt Central Performing Arts Center, seven yo

    July 22, 2014 7 Photos

Clinton Herald Photos


Browse, buy and submit pictures with our photo site.

Facebook