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Kendra's law — Brooklynian

Kendra's law

whynot_31
edited November -1 in Brooklyn and Beyond

Subject: Kendra's law

This is the thread where I post stuff about NY State's evolving (devolving) mental health laws, with a special focus on the implementation of Kendra's Law.

It prevents me from posting this stuff in other threads.

NYAPRS Note: On the heels of unanimous approval by the NYS Assembly, the NYS Senate is poised to approve legislation extending Kendra’s Law and seeing expansion in voluntary service packages to at risk individuals (especially from communities of color), rather than to expand it and make it permanent. Please make the following calls today to urge NYS Senators to do the same!

Join Top NYS Mental Health Advocates In Supporting Extension Not Permanence for Kendra’s Law

Call NYS Senate TODAY and Urge Them to Pass S.7254 (Morahan)

A coalition of leading NYS mental health organizations (see below) all agree that a 5 year extension of Kendra’s Law, as recommended by the NYS Office of Health, introduced by the both Legislative Mental Health Committee Chairmen and approved unanimously by the NYS Assembly, is the most appropriate course to address numerous questions left unanswered by a legislative mandated study.

Now It’s Your Turn to Make Your Voice Heard: Make Two Calls Today!
Call Senate Leader John Sampson at 518-455-2788
Call Your Own State Senator at 518-455-2800 (Senate Switchboard)

And leave the following message:
“I’m a registered voter calling from (your locality) to strongly support passage of S.7254 (Morahan) extending Kendra’s Law (to ensure enhanced voluntary mental health outreach and engagement services are afforded to all New Yorkers with psychiatric disabilities).”
------------
BACKGROUND
In 2005, the Legislature extended Kendra’s Law, ordering an independent study to examine program disparities.

As Expected, the Study Found People Do Better When They Get Greater Access to Care…

But It Failed to Answer the Questions Posed by the Legislature

Do We Need A Court Order to Improve Access to Care? : 82% (8,275) of the orders emanate from New York City and Long Island with almost 7,000 voluntary service packages offered in the rest of the state. Yet the study failed to compare voluntary and court ordered care.

Do We Use/Need More Court Orders for People of Color? 64 percent of involuntary orders were levied at African American and Hispanic New Yorkers with mental illnesses. This striking imbalance continues to turn up even in areas of the state where those groups are vastly outnumbered.

“Culturally-centered innovative strategies for outreach and engagement must be first used when addressing the needs of Hispanics and other underserved communities.” Dr. Rosa Gil, Founder, President & CEO of Comunilife, Inc

Groups Backing Kendra’s Law Extender A.10790 (Ortiz), S.7254 (Morahan)
Association for Community Living • Center for Disability Rights • Coalition for the Homeless • Coalition of Behavioral Health Agencies • Communilife• Community Access• Families Together of New York State •Geriatric Mental Health Alliance • Greater New York Hospital Association •Mental Health Association of New York City • Mental Health Association in New York State • National Association of Social Workers– NYS • National Association of Social Workers– NYC • New York Association of Psychiatric Rehabilitation Services • New York Association on Independent Living• New York State Conference of Local Mental Hygiene Directors • NYS Council for Community Behavioral Healthcare New York State Psychiatric Association • New York State Rehabilitation Association • Schuyler Center for Analysis and Advocacy •Supportive Housing Network of New York• UJA-Federation of New York• Venture House

Give the Office of Mental Health 5 More Years to Address These Disparities!

Please Pass A.10790 (Ortiz), S.7254 (Morahan)

Comments

  • -NYAPRS stands for NY Association of Psychiatric Rehabilitation Services-

    NYAPRS Note: With unanimous approval of legislation to extend but not expand or make permanent Kendra’s Law, NYAPRS and many of our colleagues will now work with state and local systems to extend and expand voluntary efforts to engage and support people with psychiatric disabilities, especially in communities of color. Great thanks to all of you who worked so hard to reject proposals to expand the use of court mandates and to reject conclusions that they are either preferred or proven methods of engagement and service. More on this in future posts.



    Senate Gives Final Passage To Legislation Extending Kendra's Law
    By Cara Matthews Gannett News Service June 18, 2010


    ALBANY — The Senate gave final passage this morning to legislation for a five-year extension of Kendra’s Law, which authorizes court-ordered outpatient treatment for seriously mentally ill individuals who could harm themselves or others. The vote on the bill was unanimous — 55-0. It previously passed the Assembly and now goes to Gov. David Paterson, who is expected to sign it.

    Kendra’s Law was first passed in 1999 after the death of Kendra Webdale, who was pushed in front of a New York City subway train by Andrew Goldstein, a mentally ill man with a history of hospitalizations. It was renewed in 2005 and expires at the end of this month.

    The state Office of Mental Health, mental-health advocates and people with psychiatric disabilities were in favor of extending the statute for five years so there can be more research on the effectiveness of court involvement versus voluntary treatment. Families, law-enforcement groups and others said they believe its effectiveness has been proven and it should be made permanent.

    A Duke University study completed for the state last year found that New York’s program has improved outcomes for participants, but it found racial and geographic disparities in how it is used around the state. A total of about 63 percent of recipients statewide are Hispanic or black. Upstate counties are more likely to develop voluntary agreements rather than seek court-ordered care, the report said.

    “We’re certainly grateful to both houses for the unanimous support of the extender and not permanence,” said Harvey Rosenthal, executive director of the New York Association of Psychiatric Rehabilitation Services. “We think that this was the right approach to ensure that voluntary approaches take their rightful place in New York state and that improved outreach and engagement to communities of color be prioritized as well.”

    A few Senate Republicans said they would have preferred to vote on making the 10-year-old law permanent, but legislation to do that languished in committees in both houses.

    Sen. Catharine Young, R-Olean, Cattaraugus County, sponsored the unsuccessful bill in her house. “Kendra’s parents, Ralph and Pat Webdale, have fought tirelessly to try to get Kendra’s Law permanent, so I’m glad that we are renewing Kendra’s Law today, but I have to tell you it’s very disappointing to the family, it’s disappointing to a lot of the advocates that we are not making it permanent,” she said on the Senate floor.

    Young has said her bill would make a number of improvements, such as closing a loophole that makes court-ordered treatment unenforceable if someone moves to a different county, closing a loophole that allows prisoners receiving mental-health care to be discharged without putting community-based services in place, and ensuring that more people are considered for court-ordered treatment.

    Senate Mental Health and Developmental Disabilities Committee Chairman Thomas Morahan, R-New City, Rockland County, said in a statement that Kendra's Law has led to positive changes in local mental health-care delivery systems. Morahan, who is being treated for leukemia and was not at the Capitol, said the state's highest court has found the law helps people who have a history of not complying with treatment, so they can live safely in the community and their constitutional rights are not violated.

    Forty-four other states have similar laws.

    DJ Jaffe, founder of the New York Treatment Advocacy Coalition, said in a statement that the Legislature’s decision not to make the law permanent and close loopholes “is dangerous, expensive and cruel to individuals with serious mental illness and all New Yorkers. “As a result of this vote, both hospitals and prisons can continue to release seriously mentally ill individuals” who could present a danger to themselves or others “without first assuring they will get mandatory ongoing treatment to prevent them from becoming violent again,” he said.

    Rosenthal said he thinks supporters of making the law permanent are taking a “reprehensible approach to wrongly and unfairly play up the image of the ‘violent’ mentally ill.”

    Other groups in favor of making the law permanent include the state District Attorneys Association, the state Sheriffs’ Association and the state Association of Chiefs of Police.
  • NYAPRS Note: Earlier this year, New York’s highest court, The Court of Appeals, ruled that because the state’s Office of Mental Health had decided not to license the nursing homes, lawyers for the state’s Mental Hygiene Legal Services lacked jurisdiction there. Last week, the Assembly has passed a bill granting that jurisdiction; an identical bill is poised for full Senate consideration.



    Bill Would Allow Psych Patients Access To A Lawyer

    By Judy L. Randall Staten Island Advance June 21, 2010


    A bill that would permit the mentally ill in nursing homes and other facilities to be represented by legal services has passed the Assembly.

    The measure was authored by Assemblyman Michael Cusick, who said the impetus was an Advance story highlighting a loophole that denied some mentally ill individuals access to legal representation.

    The legislation authorizes Mental Hygiene Legal Services (MHLS) to represent the mentally ill in facilities, including nursing homes, not licensed by the state Office of Mental Health.

    "These individuals deserve access to quality legal representation just like any other citizen," said Cusick (D-Mid-Island). "Currently they are essentially deprived of their legal protections, and MHLS is unable to seek access to patients and their records from these facilities."

    "Seriously mentally ill individuals deserve the same protections that they would be afforded had they remained in the OMH licensed facilities," he added. "Many of these individuals have been in nursing homes for years without legal representation ... This will remedy that."
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