COLUMBIA, S.C. - A coalition of law
enforcement officers, judges and mental health advocates have asked
the state Legislature to set aside about $10 million to help reduce
the number mentally ill people waiting in jails for state
treatment.
The call for crisis stabilization units comes after a mentally
ill inmate in Richland County died Jan. 22, about a week after he
was found in his cell suffering from profound hypothermia. And the
state Department of Mental Health has had to eliminate nearly 250
treatment beds and close two facilities because of severe budget
cuts.
The 24-hour crisis units would give law enforcement officers an
additional option when they are called to deal with mentally ill
people who are causing disturbances, said Dave Almeida, co-founder
of the coalition South Carolina Partners in Crisis.
Mark Fitzgibbons, director of the Beaufort County Detention
Center and vice president of the state Jail Administrators
Association said the deterioration of services in the Department of
Mental Health "has had a devastating effect on our operations."
"I have served as a jail administrator for over fourteen years,
and I can honestly say that never have our state's local detention
facilities faced such a situation as we do today," Fitzgibbons wrote
in a letter to state legislators. "The crisis stabilization program
represents a lifeline for those of us who deal with the mentally
ill."
Almeida said people with psychiatric disorders are filling up
jails, the worst place to be with a mental illness.
"Often, officers know something is wrong with a person and that
the person needs help, but if they take them to the hospital the
officers have to sit for hours, even days, waiting for a treatment
bed, so they end up taking the person to jail instead," said
Almeida, who is also the executive director of the state National
Alliance for the Mentally Ill.
The crisis stabilization units would provide quick cost-effective
psychiatric intervention for people who are a potential threat to
themselves or others, Almeida said. Once the person is stabilized,
they could either be returned home for follow-up care or sent to a
hospital.
The units would be housed at the 17 Department of Mental Health
community treatment centers statewide.
Jeff Moore, executive director of the state Sheriff's
Association, said law enforcement officers see the need for drastic
improvements in the mental health-care system.
"Sheriffs tend to be the mental health taxi system because they
are the only 24-7 agency at the local level," Moore said. "Picking
people up after a probate judge has signed a commitment order used
to take five and six hours between picking up the order,
transporting the person to the hospital for an exam, then
transporting them on to the state hospital. Now, the lack of beds at
state hospitals have turned it into a four-, five-, six-, even
10-day process."
Fitzgibbons said a pilot program in Charleston has saved more
than $2,000 per admission over standard psychiatric hospitalization
costs.
Rep. Rick Quinn, R-Columbia, said chances are good the House will
approve funding for the crisis stabilization units but he did not
say where the money would come from.
Information from: The
Herald