Virginian pilot article

I probably should not watch the news.  I get too upset over injustice.  A prisoner in our jail who was mentally ill died.  He was in jail for shoplifting candy.  Most times he would spend a few days in and be out.  He was detained for months on a mental health order.  No bed was available.  He did not get proper treatment.  He was malnourished and suicidal.  He died.  The news papers and TV are all over it.  But there are no beds it isn’t our fault.  Why was he in jail so long for a shoplifting offense.  He wasn’t even convicted.  Jail guards are not prepared to deal with chronic mental illness.  He was in solitary, which deteriorated his condition.  His family tried to get him out.  Many visits were denied due to his behaviors. If there was no bed, he should have been sent home with a mental health skill building agency to work with him.  Oh wait, there aren’t enough of those.  Why is that?  I applied in 02/15 to be a mental health skill builder provider.  I was number 178 on the list.  Now in May I am number 38 on the list.  They have two workers in Richmond processing all the applications for developmental group homes, outpatient, MHSB, TDT, IHH, IOP, substance abuse, and transitional living.  The whole state of Virginia has two workers to process at the present time 258 applications.  This isn’t the department that audits and monitors.  I bet the fraud unit to recoup medicaid money has more than two workers.

The young man needed help.  His family wanted to help him.  We let him down by trying to save money.

Do the math.  Each agency would probably hire about 10 workers at over minimum wage.   258 x 10=2,580 jobs in our state.  New graduates just out of school in all parts of the state. One of those workers could have helped him, but the paperwork has bogged down their agency.

We should be ashamed.  Call your state delegate and senator.  The next person might be someone you love.

Accusations

How often do you put up with something before you leave?  How long do you let something go before you complain about it?  What level do you complain to someone high up?

The scenario.  I had a client call the EAP over four months from the visit.  They alleged that I spent the entire session on the phone.  Who would sit in a session for an hour while someone was on the phone?  Why wait four months to complain about it?  The whole thing of suspect from the beginning. My word against hers.  I have answered the phone during a session, but I usually do not.  After hours you don’t have a secretary, and a client could be in crisis.  The next client could be calling for directions.

So now I hang in the balance and could be kicked off the panel on the word of one person.  I even sent a letter to her about why I hadn’t seen her in awhile. Why would I do that if I had been on the phone for an hour?

I shouldn’t let this bother me.  My practice has seen almost 128 clients in a year with no compalints.  128 vs. 1.  Do counselors get the benefit of the doubt?

Patience is a virtue

I applied to be credentialed with Humana on December 23, 2014, along with several other companies.  I am good at following through with things.  I called on 02/03/15, 02/17/15, 04/06/15, 04/29/15, 05/20/15, 07/06/15, 07/19/15, 08/06/15, 08/12/15, 08/24/15, 08/27/15, and 08/29/15.  I was told many times that it was escalated and a supervisor was contacted.  I was credentialed with everyone else by March 2015.  I was given on 08/24/15 an actual supervisor with extension to contact if I had not heard by the 26.  I have called her twice.  I also emailed provider relations many time; 02/03/15, 07/09/15, 08/07/15 and 08/24/15.  Counselors need to be on panels to attract customers.  I am getting 4 or 5 from each panel, which means that Humana is costing me business in that their customers cannot utilize my services.  The usual fee is 60 to 80 dollars an hour.  So you do the math, 4 customers at 60 is 240 a week, since march.  When do I lose my patience?  My husband tells me to not get them riled up because they will stall longer or not credential me at all. What if Humana customers live in my area and I am the closest practitioner?  Aren’t they denying client care at this point?  What should I do now that my patience has worn out?