
Create Your Badge
As the money in York and Adams counties runs out because Pennsylvania does not have a budget, they ponder where to cut:
---Crisis Intervention Services, which helps place people in the midst of a breakdown?
---Inpatient treatment, trying to move them into recovery?
---Outpatient services, visits to the psychiatrist and filled prescriptions?
---Housing, the key to stability?
The state provides the majority of the money for York-Adams Mental Health/Mental Retardation. As Gov. Ed Rendell and the legislature battle over a budget that was due July 1, the two counties have yet to receive a check.
To date, MH/MR has not received $6.1 million in first-quarter funding the county had anticipated, said county administrator Chuck Noll. Normally, most of that money would have passed on to contracted service providers.
Some, such as Bell Socialization Services, have already gone without payments from the county. Soon, the county will have to cease paying others, said Bev Mackereth, York County's human service director.
So far, those providers have been able to continue services.
Advertisement"I don't know what will happen," Hileman said. "A lot of people are in housing and group homes. You can't just close them."
State Rep. Stan Saylor, R-Windsor Township, said the budget impasse might drag on until December, by which point almost all providers would be out of funding.
When a budget is signed, all sides agree it will almost certainly include a 2 percent cut from last year. Legislators are saying the 2010 and 2011 budgets will be equally spare, if not worse.
This comes at a time when those in the mental health community -- state and county officials, advocates, those living with severe mental illness and their families -- say not enough resources have been dedicated to providing care for the mentally ill as treatment has moved from large state hospitals to smaller, community facilities.
When the money's gone
If providers say they can no longer work without pay, York and Adams counties, which work together for mental health services, will have a choice, Mackereth said: They can take out a loan or discontinue services.
"We don't have the money to cover it," York County Commissioner Chris Reilly said. "The state has mandated programs, and it's not living up to its obligations. I say we discontinue the programs until they do."
The county would have to make sure it wasn't endangering those "who have the greatest dependence on the county," Reilly said, but some would have to go without. He said it would be up to MH/MR to decide what programs would continue.
R. Glenn Snyder, Adams County commissioner, agreed.
"If we can't find the money," he said, "the services will have to cease."
Neither county has a reserve fund, and a loan could get complicated.
By law, both counties would have to repay a loan by Dec. 31 to balance their budgets. Once Rendell signs a state budget, the county will not be paid for six weeks, Mackereth said. The county would be left with a huge deficit if Saylor's predicted timetable proves correct.
One tap, many problems
The York Chapter of the National Alliance for Mental Health receives all of its money from the state, via the county.
It was expecting a two percent budget cut for the fiscal year, executive director Rose Alberghini said. To deal with that, she said, NAMI expected to use its first payment from the county to provide services until a Sept. 26 fundraiser.
Because of the six-week delay, if the governor were to sign a budget today, the money from that fundraiser would be the first to reach NAMI's coffers since July.
The two full-time staffers are working without pay, but Alberghini -- one of them -- said she wonders how much longer they can do that. They have rent to pay, she said. An electric bills.
"We have classes coming up," Alberghini said. "We have people calling every day. We have support groups almost every day. What are they going to do?"
Like NAMI, Bell Socialization Services has no reserve fund. Bell's monthly budget is about $1 million dollars, about $450,000 of which is dedicated to mental health services. With no money coming in, Hileman said, it won't be long before it has to start laying people off.
"We can't borrow that kind of money (to support full operations)," he said.
WellSpan, which operates the psychiatric wing at York Hospital, is in a better position, since it is a more diverse organization, behavioral health director Allen Miller said.
"We'll do as much as we can for as long as we can," Miller said.
Some money does still exist.
Medicare eligible patients can continue treatment because HealthChoices funding is ongoing, said Joan Erney, the Deputy Secretary of the state's Office of Mental Health and Substance Abuse Services.
But that still leaves many people -- both those in crisis and those trying to make their way back -- potentially on their own.
"It's not as if these people go away," Erney said. "They'll still need services. They'll be in the emergency room or in jail or in real trouble."
Worse next year?
While the governor and legislators wrangle over this year's budget, the next two years look bleak as well.
Some officials -- including representatives Eugene DePasquale, D-West Manchester Township -- say funding will likely remain stagnant for mental health services.
"It's clearly going to be a challenge to maintain current funding levels," DePasquale said.
Stimulus money for other programs will dry up. Pension costs are expected to rise. Revenues won't pick up until the economy rebounds.
DePasquale said officials will need to find more creative ways to be efficient. Perhaps that is regionalizing services or making cooperative purchases. Those are conversations that need to happen, he said.
In 2006, the state closed Harrisburg State Hospital, where those with severe mental illness from York and Adams counties had been treated for decades, and built new facilities in the community to promote recovery.
Now, some are bracing for the day when the state asks the two counties to pay for them.
"I fully anticipate that," Reilly said, adding that he thought opening three facilities around the county was a good idea.
Brinda Penyak, deputy director of the County Commissioners Association of Pennsylvania, said counties might have to step in and help pay for mental health services, which for some, will likely mean tax increases.
Erney disagreed. The funding formulas have not changed, she said, and she does not anticipate they will.
* * *The problem for today is the problem for tomorrow, advocates say.
When the economy, and state revenues, recover, mental health allocations will likely return to their previous levels.
But what happens, they ask, to those living with severe mental illness until then?
said 3 months ago Report Abuse · Permalink · 0 Comments
Monday, August 17, 2009
States plug budget holes, for now
By Pamela M. Prah, Stateline.org Staff Writer
Click here to read summaries by state or issue and other graphics about the 2009 legislative sessions so far. This
year’s state legislative session will go down as one of the most brutal
in recent memory as the national recession forced lawmakers to find
money to cover a staggering $215 billion in estimated budget gaps for
2009 and 2010 — the equivalent ofmore than $700 for every man, woman
and child in the country.Even with the federal stimulus package dumping billions of dollars into the states, California, Kentucky, Nevada, New York and Washington are among states that struggled with the largest deficits in modern history. California, by far, faced the biggest challenge — a whopping $26 billion gap — that forced the state to slash $15 billion in basic services, including program funds for K-12 education and health care for the poor, and to divert some $4 billion from local jurisdictions.
Stateline.org’s 2009 Legislative Review isan exclusive look at major developments in state capitols as the country enters the second year of a national recession.
While most statehouses have shuttered their doors for the year, newly emerging budget shortfalls caused by less-than-anticipated revenues will force many legislatures to reconvene to balance their budgets as required by law. The question is just how big the new holes will be. At least half the states already are running in the red less than a month after their new budgets began July 1. Arizona, Connecticut and Pennsylvania could not agree on a 2010 budget plan by July 1 and are still working to complete them. Michigan, the only state that begins its fiscal year Oct. 1, also is trying to close a budget shortfall.
Read the latest news, analysis and research on the economic crisis in the states in Stateline.org's new Recession and Recovery special section. Some states enacted the largest tax increases in recent memory to balance their ledgers while others made deep cuts, slashing budgets for prisons, mental health and higher education. Many states found short-term patches to plug holes, laying the groundwork for even bigger problems in the coming year, particularly when the federal stimulus money starts drying up.
Several of the new state tax hikes, for example, are temporary, including higher sales taxes in California and Nevada and heftier personal income taxes in Hawaii, New York and New Jersey. Illinois turned to another short-term fix by borrowing $3.5 billion to pay its pension obligation. Minnesota put off payments to school districts. California raided $2 billion from local governments to balance its books.
The Stimulus and theStates are trying to balance their budgets at a time when state and local sales tax collections experienced their worst decline in 50 years and demands for state services are up dramatically as laid-off workers and struggling families seek unemployment benefits, food stamps and health care.

Budget deficit estimates change constantly and vary depending on the organizations tracking them. The National Conference of State Legislatures figures states had to confront deficits of $142.6 billion when they were drafting fiscal 2010 budgets, but at the same time, lawmakers had to erase $72.9 billion in red ink in their 2009 budgets. At least $60 billion of deficits are looming in 2011, but that number will likely grow.
The
National Association of State Budget Officers and National Governors
Association put total state deficits at $230 billion betweenfiscal
2009 and 2011. And the Center on Budget and Policy Priorities estimates
states plugged $275 billion in gaps during 2009-2010 and predicts
budget gaps for the next two fiscal years — those already mostly closed
for 2010 and those projected for 2011 — to total at least $350 billion.The fiscal outlook is so bad for most states that even Republican governors, loath to raise taxes, bucked the tide of their national party and accepted — and sometimes suggested — tax increases. Mississippi Gov. Haley Barbour, a former national GOP chairman and tobacco lobbyist, agreed to a 50-cent tax increase on a pack of cigarettes, for the first hike in nearly 25 years, and a hospital tax.
Other Republican governors who had to accept tax increases include Arnold Schwarzenegger of California, M. Jodi Rell of Connecticut and Charlie Crist of Florida. One of the sticking points in the ongoing budget impasse in Arizona was Republican Gov. Jan Brewer’s insistence that the sales tax be raised, much to the dismay of the GOP-controlled Legislature.
The federal recovery money helped states avoid draconian cuts, but few programs were spared. California, Michigan and Utah ended adult dental coverage for low-income people. Virginia closed 18 highway rest stops, and Arizona closed six state parks two days a week. Colorado, Kansas, Michigan, New Jersey, New York, North Carolina and Washington shut down prisons. California's budget eliminates state funding for new textbooks for five years.
But at the same time, recession-weary lawmakers in 14 states managed to boost health care coverage for children, and at least nine states expanded programs for prekindergarten-age children.
Budget cuts felt widely
Americans, already distressed by rising unemployment rates and decimated savings investment plans, are feeling the impact of state budget actions far and wide.

Some
40,000 poor people were cut from Washington state’s basic health care
plan, and another 29,500 poor adults lost coverage when Minnesota
eliminated a program for individuals who don’t qualify for Medicaid.
Fewer poor people in New York will be eligible for free cancer
screenings because of budget cuts. And
30,000 legal immigrants will be cut from Massachusetts’ health care
plan— despite the state’s ambitious goal of universal health care.
California,
Connecticut, Georgia, Illinois, Michigan, New York, South Carolina and
Tennessee were among states that made significant cuts to mental health
programs.
Some 10,000 children in Illinois may not be able to go to preschool after the budget for prekindergarten programs was cut by 10 percent. California cuts may shorten its school year by five days. And in Hawaii, fewer students will be able to participate in school sports as athletic departments there got 65 percent of what they had in the last fiscal year. The $100 billion in the federal stimulus package for schools over the next two years helped many legislatures avoid severe education cuts, but shortfalls were too deep to avoid cuts for schools in California, Idaho, Illinois, Kansas, Nevada, Utah and Washington.
Drivers will pay more for gas in Oregon, Rhode Island and Vermont, and heftier vehicle registration or car rental fees are on tap in more than a dozen states. Cigarette smokers in a dozen states will see higher prices. New Jersey, New York and North Carolina increased both tobacco and alcohol taxes.
Businesses, travelers and motorists also will have to shell out more. Electricians, plumbers, funeral directors and Christmas-tree growers in Washington state will pay more for their licenses. Travelers to Hawaii, Indiana and Nevada will see higher hotel taxes. At least nine states hiked court fees to bring in more revenue. In Florida, for example it now costs $100 more for those seeking to adopt a child and $25 more for those caught driving 15 miles per hour over the speed limit. Massachusetts imposed a one-time satellite dish tax.
In Oregon, a voter-approved plan to impose longer prison sentences on those who commit property crimes was delayed by state lawmakers who said they could not pay for it. Tennessee’s department of corrections will save money by offering inmates less milk and meat in their daily meals. In Michigan, which has had the country’s highest unemployment since 2006, the budget picture is so bleak that the small town of Standish is hoping to import prisoners from California – or maybe Guantanamo Bay – to keep a local state prison in business.
States targeted online shopping as a source of tax revenue.New York was finally able to implement a law enacted last year that requires certain companies to collect sales taxes on goods bought over the Internet. (Amazon and Overstockchallenged the law in court and the case in on appeal). This year, North Carolina and Rhode Island passed similar measures.
Kentucky Vermont, Washington and Wisconsin all expanded the sales taxes to certain digital products, such as software and cell phone ring tones in Kentucky and online music in Washington. Tennessee extended the sales tax to software maintenance contracts.
State employees, once thought to have the most secure jobs with the best benefits, are being furloughed, or forced to take unpaid days off in at least 17 states. California’s furloughs are the nation’s harshest, with about 210,000 state workers losing three days each month until June 2010. Another 9,000 state employees in six states took early buyouts. Nearly 80,000 Pennsylvania state workers went unpaid for more than a month amid a state budget impasse.
The federal stimulus package blunted many cuts in health care programs because Congress threatened to withhold $87 billion in Medicaid money from states that had toughened eligibility standards and application processes they had on July 1, 2008. That meant some states like California and South Carolina had to roll back newer policies that cut people from their Medicaid programs.
A few states were able to cut, not raise, taxes. Maine, North Dakota and Vermont reduced income tax rates. North Dakota was so flush that lawmakers gave themselves and state employees a 5 percent pay raise and approved $400 million in income and corporate tax cuts. Montana and Wyoming cut property taxes.
California not alone with budget woes
This year’s budget debacle in California overshadowed similar budget showdowns in Arizona, Connecticut, Illinois, North Carolina, Ohio and Pennsylvania, but experts say the Golden State’s dilemma could be a precursor of the fiscal headaches yet to come as states weather the longest recession since World War II.
California'sSchwarzenegger
(R) and the Democratic-controlled legislature finally agreed to a
controversial plan to close the state’s monstrous shortfall, after
voters in May rejected a plan that would have allowed the state to
borrow $5 billion from future lottery profits and extended for another
two years the temporary 1-cent sales tax increase approved earlier in
the year. State finance officials already are projecting a $7 billion
to $8 billion shortfall for the next fiscal year.
New
York, pummeled by Wall Street’s implosion, is bracing for deficits
expected to climb to $6 billion over the next year after it closed a
$17.7 billion budget hole this year by raising income taxes on the rich
and imposing a variety of hefty fees on state services.
Even states that have been largely spared from the recession are being forced to make cuts. Idaho reduced year-over-year funding for elementary and secondary education for the first time in its history. Energy-rich Wyoming trimmed its budget for the first time in at least 20 years as it financial forecasts sobered.
Worse is yet to come
State leaders began the year knowing that the country was officially in a recession, but few could predict how dire their fiscal predicament would be.
In the current recession — now19 months long and still going — states have tackled greaterbudget shortfalls thanthey faced in the five years it took them to recover from the last national recession after the 2001 terrorist attacks, according to NCSL data.
While 2009 is grim, states worry 2010 and beyond will be even worse. Even if the national recession ends this year as many predict, the outlook for states is bleak. State fiscal conditions historically lag behind national economic recovery. The year after a recession ends is typically when state budgets are hit hardest, because by then, Medicaid rolls have swelled with the higher numbers of the unemployed who have lost their health insurance.
Many state leaders also predict serious budget trouble when the flood of federal stimulus money ends in 14 months. At least six Republican governors came under fire for turning back a small portion of their stimulus share for fear of trouble funding new or expanded programs after the stimulus money runs out.Most of the $275 billion that states will receive from the $787 billion package will be spent in fiscal 2009, 2010 and 2011 budgets, with fewer dollars available in fiscal 2012.
See Related Stories:
Reports: Bleak state budgets through 2011 (6/4/2009)
State budget gaps top $200 billion; fees,taxhikesin the works (4/24/2009)
Downturn creates state spending 'czars' (4/9/2009)
Tracking the recession – Much ado about a small stimulus pot (4/6/2009)
Tracking the recession: Stimulus holds states accountable (3/3/2009)
Govs split over expanding jobless benefits (2/26/2009)
Stimulus to ease, not fix, state budget woes (2/14/2009)
Depressed economy wallops states (10/24/2008)
2007 marked by activism (12/31/2007)
Surpluses, social issues mark 2006(12/26/2006)
Contact Pamela M. Prah at pprah@stateline.org.
—Stateline.org staff writers Stephen C. Fehr, John Gramlich, Christine Vestal, Daniel C. Vock, Pauline Vu and interns Emily Kimball, Kimberly Leonard, Tony Romm and Rob Silverblatt contributed to this report.
Issues:
Homeland Security
Politics
Crime and Courts
Health Care
Education
Recession
Taxes and Budget
Welfare & Social Policy
Technology
Economy and Business
Environment
Transportation
Elections
Energy
Topics:
preschool
Transportation
federal dollars
Medicaid
gay adoption
lottery
internet sales tax
Environment and Energy
legislature
state policy
capital punishment
abortion
home foreclosure
legal aid
prison reform
health care costs
alternative energy
state lawmaker
sales tax
state budget
prison
Democrat
legislator
death penalty
cigarette tax
health insurance
mortgage
Tax and Budget
state revenue
infrastructure
school funding
Republican
highways
Politics
income tax
gas tax
tax
property tax
SCHIP
Economy and Business
Social Policy
state policymaker
Governor
gaming
casinos
tuition
state assets
gun control
universal health
corrections
gay marriage
state economy
tobacco
mental health
gambling
Crime and Courts
Elections
There are no comments yet, would you like to add one?
Read the latest news, analysis and research on the economic crisis in the states in Stateline.org's new Recession and Recovery special section.
The Stimulus and the




On the Go? Download and Print our weekly PDF to stay on top of important stories.
Weekly Content Archive
Stateline.org
has compiled an extensive list of state issue political blogs to make
it convenient for you to follow state government.
Blogs organized by Issue
Blogs organized by State
Stateline.org
has put together a list of state public policy resources organized by
issue. Here, you will find useful links to essential information from
government, academia, and think tanks. If you have a link to add,
please email us.
The
Pew Charitable Trusts applies the power of knowledge to solve today’s
most challenging problems. Pew's Center on the States identifies and
advances state policy solutions.
said 3 months ago Report Abuse · Permalink · 0 Comments
said 4 months ago Report Abuse · Permalink · 0 Comments
By Karen Knee
Inquirer Staff Writer
Back in 1971, Philip Zimbardo locked students in basements beneath Stanford University to see what would happen.
It's not difficult to imagine his doing this. Zimbardo, with his slicked-back, black hair, sharp nose, and devil T-shirt, looks remarkably like a cartoon villain. And the outcome of his Stanford Prison Experiment was truly dark - in less than a week, ordinary college students assigned to the role of prison guard had turned viciously sadistic, while those designated as prisoners cowered in terror.
But now, Zimbardo says, he's changed. In his opening lecture last month at the First World Congress on Positive Psychology in Philadelphia, he emphasized this point by blasting Santana's "Evil Ways" through the speakers of the Center City Philadelphia Sheraton. And 1,600 positive psychologists stood up and danced.
For too long, says Zimbardo, psychologists - including himself - have spent most of their time trying to understand how and why things go wrong. This work has produced, among other benefits, effective therapies for mental illnesses. But mental health, like physical health, means more than just eliminating sickness. It means activelythriving.
Can science shed light on what it takes to flourish? Zimbardo thinks it can. "We ask big questions and come up with solid answers based on the best experimental data," he explained. Below, we offer a few snapshots from talks presented at the congress, featuring positive psychologists quantifying some of the most personal aspects of the human experience - things such as passion, love, and our perception of time.
Facts. Emotions. Logic. If you ask most people what they base their decisions on, this is the type of answer you're likely to get. But Zimbardo thinks it's not the whole story - or even most of it.
"The main thing that determines your decisions," he said, "is something you're unaware of - your perspective on time."
Imagine going out to lunch with co-workers and deciding whether to have that second martini. You could approach the decision by considering what happened last time you drank too much at lunch, or by envisioning how it would affect your work performance later in the day. You could focus on how much fun it would be right now. Or you might figure that you never get much done in the afternoon anyway, so why not?
These four responses are typical of distinct time perspectives: past, future, present-hedonistic, and present-fatalistic.
Zimbardo and his colleagues created a time-perspective survey and gave it to thousands of people. Many had a single, strong time orientation, but some were more mixed.
Not surprising, college students scoring high in the present-hedonistic category were more likely to drink, smoke, use drugs, and drive dangerously.
But in older people recovering from heart trouble, a present-hedonistic orientation had the opposite effect. Elderly people who lived for the moment were more likely to take responsibility for their health.
That's because older people can't take good health for granted, the Canadian researchers who conducted the study said. Many simple daily pleasures are only possible if seniors take care of their bodies. And some activities that give immediate gratification - such as socializing with friends and being physically active - also have long-term health benefits.
The first step to making better decisions, Zimbardo says, is to understand how your own time perspective biases your thinking. Then you can start nudging it a little closer to the ideal: feeling positive about the past, planning for the future, and savoring the occasional splash of present hedonism. Take the test and see how you measure up atwww.thetimeparadox.com.
Whether it's a dream set far in the future or a momentary pleasure, most of us are passionate about something. But University of Quebec professor Robert Vallerand is passionate about, well, passion.
He and his research group developed a survey to measure people's passion for their favorite activities. People rate how strongly, on a scale of one to seven, they agree with statements such as, "If I could, I would only do this activity," or "This activity reflects qualities I like about myself." Strong agreement with either statement is a sign of passion.
Not just the intensity, but also the type of passion matters. Vallerand and his colleagues identified two main kinds of passion: obsessive and harmonious. A person who is obsessively passionate about his favorite activity would agree more with the first statement, while someone whose passion is harmonious would agree more with the second.
When things are going well, it's hard to distinguish between these two types of passion. But when obstacles arise, they can lead to very different behavior.
Obsessively passionate cyclists braved Quebec's frigid winter weather to complete their daily bike rides, while those who were more harmonious spun at home or at the gym. Similarly, obsessively passionate dancers had more trouble taking enough time off to fully heal after an injury, sometimes leading to chronic damage.
Passion matters not only to individuals, but also to society, Vallerand said.
When he compared high-achieving professionals profiled by the Montreal newspaper La Presse with a random sample of people from an evening commuter train, he found that the high achievers were more passionate. They also worked an average of nine hours more per week.
What can you do to cultivate harmonious passion? Vallerand suggests three steps. First, select an activity you like, and set aside enough time to do it regularly. Second, internalize the activity - make it part of how you see yourself. Finally, focus on enjoying the activity and improving your own performance - not avoiding failure or doing better than others.
Passion can ignite romantic attraction, but the fate of relationships may depend on surprising details - such as how one spouse responds to the other sharing some good news.
Shelly Gable, a psychologist at the University of California at Santa Barbara, studies how couples respond to positive events, which could range from winning a casual Frisbee game to getting that long-awaited promotion at work.
Psychologists already knew that if one partner in a relationship provided support after a negative event, this helped the other partner and strengthened the relationship. But no one had looked at positive events.
When Gable did, the results surprised her. Enthusiasm after a positive event strengthened the relationship more than support after a negative event.
"I thought it would be important, but not as important as it was," she said, adding that needing help can make people feel incompetent or indebted.
Another unexpected result was that a passive, supportive response - like saying, "That's nice, honey," and then turning back to the computer - was almost as damaging as actually putting down the good event.
Luckily, giving active, constructive responses is a skill anyone can develop. "You don't have to be effervescent," Gable said. All you really have to do is show you care.
Contact staff writer Karen Knee atkknee@phillynews.comor 215-854-5728.
Find this article at:
SAVE THIS|EMAIL THIS|Close © Copyright | Philly Online, LLC. All Rights Reserved. Any copying, redistribution or retransmission of any of the contents of this service without the express written consent of Philly Online, LLC is expressly prohibited.
said 4 months ago Report Abuse · Permalink · 0 Comments
Copyright © 2009 Yahoo! Inc. All rights reserved. | Copyright/IP Policy | Terms of Service | Community Guidelines
NOTICE: We collect personal information on this site. To learn more about how we use your information, see our Privacy Policy