Saturday, August 18, 2007

Geriatric Mental Health Alliance News - Week of August 20 - 24, 2007

Geriatric Mental Health Alliance News
A weekly email to brief you on issues important to geriatric mental health

August 20, 2007 - Vol 1, Issue 21

Action Alert: Support Medicare Mental Health Legislation!

Contact your senators and urge them to support the mental health provisions in the Children's Health and Medicare Protection (CHAMP) Act
H.R. 3162.

In September, Congress will reconvene and form a conference committee to reconcile the differences between the House and Senate versions of the Children's Health and Medicare Protection (CHAMP) Act. The House version, which passed last week, contained a number of provisions to improve mental health under Medicare. Unfortunately, The Senate version did not include these provisions. SEND A LETTER to your Senators urging them to support the improved Medicare mental health provisions in the CHAMP legislation.
Here is a sample letter that you can cut and paste on your own letterhead. It should be sent to:

Senator Hillary Rodham Clinton
476 Russell Senate Office Building
Washington DC 20510

Senator Charles E. Schumer
313 Hart Senate Office Building
Washington DC 20510

If you are not in NY, to find your Senator, go to
http://www.senate.gov/ and select your state.

Thank you for you advocacy.

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GMHA Events

Medicare Optimization

September 18, 2007 - Medicare Optimization: Increasing Behavioral Health Services for Older Adults
Training designed for community behavioral health organizations that are currently billing Medicare. The training will provide up-to-date information about ways in which programs can enhance their use of Medicare. This training is co- sponsored by the Coalition of Behavioral Health Agencies. The training will take place from 9:00am to 4:00pm at the Coalition offices, 90 Broad St, 8th Floor, NY, NY.

Click here for more information and the registration form.

September 19, 2007 - Medicare Made Easy: How to Bill Medicare for Behavioral Health Services Training designed for community providers who have never billed Medicare for behavioral health services but want to learn how. This training is co-sponsored by the Coalition of Behavioral Health Agencies. The training will take place from 9:00am to 4:00pm at UJA Federation of New York, 130 East 59th Street, 7th Floor - Room 706/708.

Click here for more information and the registration form

Best Practices Presentations

September 17, 2007 - Back by Popular Demand:
Hoarding and Mental Illness hosted by the Geriatric Mental Health Alliance of New York and the Brookdale Center for Healthy Aging and Longevity of Hunter College. Presenters are:

  • Carmen Morano, Ph.D., Director of Education, Associate Professor, Hunter College School of Social Work
  • Judy Willig, LCSW, Executive Director, Heights and Hill Community Council

The event will be held from 3:00 - 5:00PM at the Hunter College School of Social Work - Auditorium, 129 East 79th Street, NYC, (Between Lexington and Park Avenues). Please make a registration by emailing yhsin@mhaofnyc.org or calling (212) 614-6356. The event is free but pre- registration is required.

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Upcoming Events

September 18, 2007- Mental Illness and the Older Client: A Challenge for Geriatric Care Managers sponsored by the Greater New York Chapter the National Association of Professional Geriatric Care Managers. Speakers include Michael Friedman, LMSW on Meeting the Mental Health Challenges of the Elder Boom and Mark Nathanson, MD on Geriatric Psychiatric Emergencies. The conference will take place from 8:00 a.m. - 4:15 p.m. at The New York Academy of Medicine, 1216 Fifth Avenue (at 103rd St.) New York, NY. Please view the
save the date card for more information.

Educational Seminar Series at Service Program for Older People (SPOP) This training opportunity features SPOP clinicians who have extensive experience with older adults and mental health. It is offered to the professional geriatrics community and all who work with seniors. Each seminar is held at: 302 West 91st Street at West End Avenue, New York, NY. Seminar fee: $15. Discount for 3 or more attendees from the same organization. Space is limited. Please register in advance by mail or online at
www.spop.org or call: 212-787-7102 ext.515.

For topics, dates, and registration information,
click here.

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Aging Research Translator

The
Aging Research Translator (ART) is a new web blog that summarizes and translates aging research articles published in peer reviewed academic journals on a weekly basis. The purpose of ART is to make valuable aging research more accessible to community based practitioners and programs so they may apply the knowledge to enhance the field of aging services.

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In the News

A Grass-Roots Effort to Grow Old at Home

By Jane Gross

From the NY Times, August 14, 2007

WASHINGTON - On a bluff overlooking the Potomac River, George and Anne Allen, both 82, struggle to remain in their beloved three-story house and neighborhood, despite the frailty, danger and isolation of old age.

Mr. Allen has been hobbled since he fractured his spine in a fall down the stairs, and he expects to lose his driver's license when it comes up for renewal. Mrs. Allen recently broke four ribs getting out of bed. Neither can climb a ladder to change a light bulb or crouch under the kitchen sink to fix a leak. Stores and public transportation are an uncomfortable hike.

So the Allens have banded together with their neighbors, who are equally determined to avoid being forced from their homes by dependence. Along with more than 100 communities nationwide - a dozen of them planned here in Washington and its suburbs - their group is part of a movement to make neighborhoods comfortable places to grow old, both for elderly men and women in need of help and for baby boomers anticipating the future.

"We are totally dependent on ourselves," Mr. Allen said. "But I want to live in a mixed community, not just with the elderly. And as long as we can do it here, that's what we want."

Their group has registered as a nonprofit corporation, is setting membership dues, and is lining up providers of transportation, home repair, companionship, security and other services to meet their needs at home for as long as possible.

Urban planners and senior housing experts say this movement, organized by residents rather than government agencies or social service providers, could make "aging in place" safe and affordable for a majority of elderly people. Almost 9 in 10 Americans over the age of 60, according to AARP polls, share the Allens' wish to live out their lives in familiar surroundings.

To read the rest of the article,
click here.

Monday, August 6, 2007

Geriatric Mental Health Alliance News - Week of August 06 - 10, 2007

Geriatric Mental Health Alliance News
A weekly email to brief you on issues important to geriatric mental health

August 06, 2007 - Vol 1, Issue 20

U.S. Houses Passes Medicare Mental Health Legislation

On August 1st, the House of Representatives passed the Children's Health and Medicare Protection (CHAMP) Act
H.R. 3162. This legislation is critically important for geriatric mental health as it would:

  • Gradually provide parity between Medicare mental health services and services for physical conditions
  • Increase by 5% Medicare Part B payments to social workers and psychologists
  • Provide a 0.5% increase in the current physician payment system, which impacts mental health providers
  • Allow Medicare reimbursement to services provided by marriage and family therapists and licensed professional counselors.
  • Authorize new benefits for preventive items and services, including mental health services
  • Eliminate the exclusion of benzodiazepines from required coverage under the Medicare Part D prescription drug program
  • And more

The major purpose of the legislation is to reauthorize the State Children's Health Insurance Program (SCHIP). The bill will also make other improvements in Medicare, in addition to those listed above, including helping make health care more affordable and accessible for low-income Medicare beneficiaries.

Next Steps

This week, the Senate is set to pass its version of SCHIP reauthorization, which does not include the Medicare provisions. Congress will recess and return in September, when the House and Senate will go to conference to reconcile the major differences between the two bills. The president has said that he plans to veto the legislation. If so, it is likely that the SCHIP and Medicare provisions would be split into two bills and dealt with separately.

Watch for advocacy alerts: We will ask for you to contact your Senators to urge their support of the critical Medicare mental health provisions!

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Update on the OMH Hearings

Earlier this week, OMH held the last two briefings and hearings on the 2007 Update and Interim Report to the 2006-2010 OMH Plan in the downstate area. At both hearings, there were constituents that testified about geriatric mental health, especially with regards to the hearing themes - housing, coordinated care, and family support. Click on the links below to read Alliance members testimony that were either on, or included, the mental health needs of elders:

Geriatric Mental Health Alliance presented by Kim Steinhagen Coalition of Behavioral Health Agencies presented by Michael Polenberg Martha Rados, Kingsbrook Jewish Medical Center MHA of Nassau presented by William Bell

If you publicly testified at one of the hearings or submitted testimony about geriatric mental health, send it to us and we will distribute it in a later newsletter.

At the briefing, OMH Commissioner, Michael Hogan presented his priorities which include recovery, employment, increased access to care, Child and Family Clinics Plus, reform of clinic financing, housing, implementation of Personal Recovery Oriented Services (PROS), reducing the length of stay in state hospitals, and the health needs of people with long-term psychiatric disabilities.

He also expressed great interest in encouraging providers to test innovative models and then for providers to contact OMH when they encounter barriers.

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GMHA Events

September 17, 2007 - Back by Popular Demand: Hoarding and Mental Illness hosted by the Geriatric Mental Health Alliance of New York and the Brookdale Center for Healthy Aging and Longevity of Hunter College. Presenters are:

  • Carmen Morano, Ph.D., Director of Education, Associate Professor, Hunter College School of Social Work
  • Judy Willig, LCSW, Executive Director, Heights and Hill Community Council

The event will be held from 3:00 - 5:00PM at the Hunter College School of Social Work - Auditorium, 129 East 79th Street, NYC, (Between Lexington and Park Avenues). Please make a registration by emailing yhsin@mhaofnyc.org or calling (212) 614-6356. The event is free but pre- registration is required.

September 18, 2007 - Medicare Optimization: Increasing Behavioral Health Services for Older Adults Training designed for community behavioral health organizations that are currently billing Medicare. The training will provide up-to-date information about ways in which programs can enhance their use of Medicare. This training is co- sponsored by the Coalition of Behavioral Health Agencies. The training will take place from 9:00am to 4:00pm at the Coalition offices, 90 Broad St, 8th Floor, NY, NY.

Click here for more information and the registration form.

September 19, 2007 - Medicare Made Easy: How to Bill Medicare for Behavioral Health Services Training designed for community providers who have never billed Medicare for behavioral health services but want to learn how. This training is co-sponsored by the Coalition of Behavioral Health Agencies. The training will take place from 9:00am to 4:00pm at UJA Federation of New York, 130 East 59th Street, 7th Floor - Room 706/708.

Click here for more information and the registration form

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Upcoming Events

September 18, 2007- Mental Illness and the Older Client: A Challenge for Geriatric Care Managers sponsored by the Greater New York Chapter the National Association of Professional Geriatric Care Managers. Speakers include Michael Friedman, LMSW on Meeting the Mental Health Challenges of the Elder Boom and Mark Nathanson, MD on Geriatric Psychiatric Emergencies. The conference will take place from 8:00 a.m. - 4:15 p.m. at The New York Academy of Medicine, 1216 Fifth Avenue (at 103rd St.) New York, NY. Please view the
save the date card for more information.

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In the News

Too Few Geriatric Psychiatrists When They're Needed Most

Rich Daly, Psychiatric News
July 20, 2007

As the number of elderly Americans has been rising, so has the number of them who need mental health care. These trends are occurring at the same time that the ranks of geriatric psychiatrists are thinning. These trends indicate that the large number of elderly patients already treated by general psychiatrists are sure to grow.

The long-anticipated retirement of the baby-boom generation is about to begin, and the number of elderly Americans is set to take off. The number of U.S. residents over age 65 was fewer than 35 million in 2000 but according to Census Bureau estimates that group is set to grow to more than 50 million by 2020 and 70 million by 2030.

This expanded population, while healthier and less averse to mental health and addiction care than previous generations, is expected to have significantly higher rates of illicit substance use and related mental illness, due to the rise of the drug culture in the 1960s and more sedentary lifestyles. Research indicates that 20 percent of this population will have a mental illness. The mental health care of this group will be further complicated by the higher rates of misuse of readily available pharmaceuticals.

To read the complete article,
click here.

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Groups Seek To Address Cultural Barriers to Alzheimer's Disease Care

From the Kaiser Daily Health Report, July 23, 2007

The
Alzheimer's Association and other groups have begun a campaign to address cultural barriers to care for dementia patients in minority communities, the Boston Globe reports. As part of the campaign -- which targets blacks, Hispanics, Asian-Americans and other ethnic and racial groups, the association has developed and distributed educational materials in English and Spanish for patients and physicians. In addition, the association plans to launch a media campaign in English and Spanish and increase efforts to help physicians identify patients at risk for dementia.

"Driving the initiatives is concern that increasing numbers of African-Americans and Latinos are at high risk of Alzheimer's and other types of dementia because they have cardiovascular disease or diabetes and because they are reaching their 60s, 70s and 80s, when dementia typically strikes," the Globe reports. In addition, some recent studies also have found that minorities are more likely than whites to develop dementia and Alzheimer's. The association also seeks to ensure that minorities have access to new treatments for dementia (Dembner, Boston Globe, 7/23).