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0HQWDO +HDOWK 'D\ RQ WKH +LOO 0DUFK IMHCA www.imhca.net 225 NW School Street, Ankeny, IA 50023 Want to find out more about how you can take part in IMHCA’s advocacy efforts? Contact IMHCA’s Government Relations Committee for more information! Email: [email protected] 0HQWDO +HDOWK 'D\ RQ WKH +LOO 0DUFK ǡ ǯ Ǥ Ǥ Ȃ Ǥ

RQ WKH +LOO 0DUFK - IMHCA › wp-content › uploads › 2018 › 03 › 2018-IMHCA... · 2018-03-08 · 0HQWDO +HDOWK 'D\ RQ WKH +LOO 0DUFK IMHCA 1 225 NW School Street, Ankeny,

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  • 1 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    Want to find out more about how you can take part in IMHCA’s advocacy efforts? Contact IMHCA’s Government Relations Committee for more information!

    Email: [email protected]

    mailto:[email protected]

  • 2 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    TABLE OF CONTENTS GET TO KNOW IMHCA .............................................................................................................................. 3

    About Us .................................................................................................................................................. 3

    The Purposes of IMHCA ....................................................................................................................... 3

    IMHCA Board Members ....................................................................................................................... 4

    THE 87TH IOWA GENERAL ASSEMBLY ........................................................................................................ 5

    201 Iowa Session Leaders .................................................................................................................... 5

    Senate Leaders .................................................................................................................................... 5 House Leaders .................................................................................................................................... 5

    201 Committee Assignment ................................................................................................................. 6

    201 Session Timetable ........................................................................................................................ 11

    201 UPDATE ON TRACKED LEGISLATION .............................................................................................. 12

    Surviving the First Funnel ............................................................... 12

    Bills of Interest That Cleared the First Funnel .................................................................................. 12

    Bills of Interest That DDIIDD NNOOTT Clear the First Funnel .................................................................... 13

    LEGISLATIVE PROCESS ............................................................................................................................. 14

    Bill Drafting ...................................................................................................................................... 14 Introduction ...................................................................................................................................... 14 Read First / Read Second ................................................................................................................ 14 Committees ....................................................................................................................................... 14 Passage Vote for Engrossment ........................................................................................................ 14 Rinse and Repeat .............................................................................................................................. 14 Passage Vote for Enrollment ........................................................................................................... 14 Sent to Governor .............................................................................................................................. 14

    HELPFUL RESOURCES FOR FIRST TIME ADVOCATES ............................................................................. 15

    Prior to the visit/event: Prep Work .................................................................................................... 15

    During the Event: Talking to Legislators: ......................................................................................... 15

    After the visit/event: Follow-Up .......................................................................................................... 15

    ADDITIONAL STATE AND FEDERAL LEGISLATIVE RESOURCES ............................................................. 1 ATTACHMENTS: ......................................................................................................................................... 1

    Participation in Making Iowa Laws ................................................................................................... 1 Complex and Parking Maps ................................................................................................................ House/Senate District Info ...................................................................................................................

    IMHCA Events .................................................................................

  • 3 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    GET TO KNOW IMHCA About Us

    The Iowa Mental Health Counselors Association (IMHCA) is a chapter of the American Mental Health Association (AMHCA). IMHCA is the only organization dedicated exclusively to

    meeting the professional needs of mental health counselors in Iowa. Since founded we have worked to promote quality mental health services for all people, distinguish the identity of the profession, and influence public policy to maintain standards of care and opportunities in line

    with our professional ethics and values. We accomplish these goals by working with other professional organizations, the state legislature, state regulatory agencies, and clients to promote

    quality in mental health counseling practices.

    The Purposes of IMHCA

    Continuing Education

    Providing mental health counselors with continuing education opportunities to update andenhance their competencies

    Professional Support

    Providing a public forum and network throughout Iowa for counselors to address thesocial and emotional needs of their clients

    Promote the Profession

    Promoting high standards of professional commitment to persons who seek mental healthcounseling services in IowaPromoting attainable licensure and certification for counselors on state and nationallevelsIncreasing awareness of the role and function of mental health counseling and counselingservices to the publicProviding an alliance and increase advocacy for the profession by creating networks withcounselors in other specialties and other organizationsSupporting research into mental health concerns, counseling interventions, and theireffectiveness

  • 4 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    IMHCA Board Members

    President

    Past President

    President-Elect

    Treasurer Courtney Ackerson, 2016-2018

    Secretary

    ___________________________________________

    Kenneth Cameron, 2015-20

    Membership Chair 2017-2019

    Networking Communications ChairKyla Loucks, 2015-201

    Conference Committee Chair

    Member-at-Large

    Member-at-Large ,

    Student RepresentativeLauren Kern, 2016-2018

    Student Representative Corinne Harvey, 2017-2019

    Website CoordinatorJason Stark,

  • 5 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    THE 87TH IOWA GENERAL ASSEMBLY

    201 Iowa Session Leaders

    Senate Leaders President: Jack WhitverPresident Pro Tempore: Jerry Behn Majority Leader: Bill DixDemocratic Leader: Majority Whip: Charles SchneiderDemocratic Whip: Amanda Ragan Assistant Majority Leader: Michael BreitbachAssistant Majority Leader: Randy Feenstra Assistant Majority Leader: Amy SinclairAssistant Majority Leader: Dan Zumbach Assistant Democratic Leader: Joe Bolkcom Assistant Democratic Leader: William A. Dotzler Jr.Assistant Democratic Leader: Rita HartAssistant Democratic Leader: Liz MathisAssistant Democratic Leader: Matt McCoy Assistant Democratic Leader: Herman C. Quirmbach

    House Leaders Speaker: Linda L. Upmeyer Speaker Pro Tempore: Matt W. Windschitl Majority Leader: Chris HagenowMajority Whip: Zach Nunn Assistant Majority Leader: Megan Jones Assistant Majority Leader: Jarad J. KleinAssistant Majority Leader: Mike Sexton Assistant Majority Leader: John H. WillsMinority Leader: Mark D. SmithAssistant Minority Leader: Bruce Bearinger Assistant Minority Leader: Liz Bennett Assistant Minority Leader: Brian Meyer Assistant Minority Leader: Helen Miller

    https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=9768https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=140https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=22https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6257https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10829https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=110https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10730https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6565https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10729https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10733https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=123https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=157https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10734https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10318https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=134https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=161https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=180https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6282https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6584https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=14803https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10747https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=9408https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=1153https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=13794https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=64https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=10738https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=14806https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=6377https://www.legis.iowa.gov/legislators/legislator?ga=87&personID=219

  • 6 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    201 Committee Assignment

  • 7 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

  • 8 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

  • 9 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

  • 10 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

  • 11 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    201 Session Timetable

  • 12 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    201 UPDATE ON TRACKED LEGISLATION (Next Funnel Deadline March 27, 2017)

    Bills of Interest That Cleared the First Funnel

  • IMHCAwww.imhca.net

    225 NW School Street, Ankeny, IA 50023

  • 14 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    LEGISLATIVE PROCESS Bill Drafting

    The process starts when someone decides current law needs revision. A bill is drafted, which is essentially a list of changes to the existing compiled state statutes and code that may add, strike,

    or amend the text to confer new purpose, restrictions, etc.

    Introduction The bill is introduced into the first chamber. This often entails the chamber Clerk and registering

    the official introductory draft of the legislation.

    Read First / Read Second The definition of "read" varies however. Rare is the instance that the bill is read verbatim on the

    chamber floor. At this stage a synopsis of the legislation is presented and any initial discussion or decisions on the merit of the bill may be decided and then the bill typically referred to one or

    more committees will continue the life process of the bill.

    Committees In most states committees do the bulk of the legislative debate, modification. They are

    specialized by area of oversight or expertise and will discuss and research the bill, potentially amending or substituting a new draft. The committee typically recommends to the Committee of

    the Whole, another way of saying the entire chamber, that the bill either Pass or Do Not Pass.

    Passage Vote for Engrossment After a bill has been 'read' a third time it is put to a vote for passage out of the originating house. If the vote passes the bill is then considered to be ‘Engrossed’ and it is sent to the other chamber

    of the legislative body.

    Rinse and Repeat The process then repeats itself from Introduction to Third reading in the second legislative

    chamber.

    Passage Vote for Enrollment Once the bill gets to third reading there is another vote for passage. Should it pass then the bill normally will be considered to be ‘Enrolled’. This version of the bill text is what will be sent to the Governor and will be codified by the Secretary of State as part of the official Chapter and

    Acts.

    Sent to Governor In states where the Governor’s approval is required, the Enrolled bill is sent to the Governor.

    This may be ceremonial, or the Governor may have the power to veto the bill, or if left unsigned for a fixed period of time is de facto approved.

  • 15 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    HELPFUL RESOURCES FOR FIRST TIME ADVOCATES First time? Don’t worry! IMHCA has you covered.

    See below for suggestions and information on how to discuss these very important issues with Iowa’s Senators and Representatives.

    Prior to the visit/event: Prep Work Know who your local legislators are! If possible, send an email to let them know you willbe at the capitol and seek them out after the event. The extra effort can go a long waydown the road! Identify 1-3 goals for your visit. Don’t try and accomplish too much as you will run outof time and the importance of your message could be lost. Break those goals down into 2-5 talking points each. Once you have established your goals and talking points, decidewhich committees and/or legislators you need to speak with. Note party line stance,committee role(s), voting record on the issue(s), etc. as you prepare.

    During the Event: Talking to Legislators: Use ‘Senator’ or ‘Representative’ when addressing all legislators.Introduce yourself and include your credentials and city of origin. For example: “Hello. Iam Suzy Smith, Licensed Mental Health Counselor and I work in Private Practice here inDes Moines.” or “Hello. My name is Joe Clark, and I am a student at XYZ Universitystudying mental health counseling.”Be courteous and to the point.Identify the bill you would like to discuss and explain why you support or oppose thisparticular piece of legislation. Be as specific as possible (for example, is it the entire billor just certain language in the bill that you support or oppose?). Reiterate the talkingpoints you developed for each bill, and respectfully communicate them, leaving time forquestions. If working in a group, designate 1-2 individuals to lead the discussion as youmay only have 5 minutes to make your point.Keep in mind that local examples concerning the impact of legislation are very powerful.Think of how the legislation being discussed would impact you at an individual level. Forexample, would it make it harder for you to be reimbursed for your services? Would itensure that consumers from your hometown get the kind of quality mental health servicesthey desperately need? Would it create new opportunities for upcoming graduates ornewly licensed counselors? This feedback is often what is desired during thesediscussions, so do not be afraid to weigh in!Let your legislators know if you agree or disagree on a particular vote. This feedback isimportant as it often takes several sessions for a bill to pass both the House and theSenate. She/he could be asked to vote on the same issue next year!Always thank them for their time.

    After the visit/event: Follow-Up If possible send a follow-up email or letter to reiterate what was discussed and againshow your appreciation for a willingness to discuss your concerns.

  • 15 IMHCA www.imhca.net

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  • 16 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    ADDITIONAL STATE AND FEDERAL LEGISLATIVE RESOURCES

    Websites with important information helpful in preparing for your “Day on the Hill” are highlighted for your convenience.

    The American Mental Health Counselors Association (AMHCA): The leading national organization for licensed clinical mental health counselors. AMHCA strives to be the go-to organization for LCMHCs for education, advocacy, leadership and collaboration. http://www.amhca.org/

    The Iowa Mental Health Counselors Association (IMHCA): The Iowa Mental Health Counselors Association is a chapter of the American Mental Health Counselors Association. IMHCA is the only organization dedicated exclusively to meeting the professional needs of mental health counselors in Iowa. Its sole purpose is to promote the profession of mental health counseling and the needs of our clients. http://www.imhca.net/

    Legislative News: The Iowa Mental Health Counselors Association follows and reports on new legislation and updates to current legislation affecting mental health counselors in Iowa. http://www.imhca.net/legislative-news

    Find Your Legislator: https://www.legis.iowa.gov/legislators; Committee Assignments and Agenda pages: https://www.legis.iowa.gov/committees; Legislative Document Research Page: https://www.legis.iowa.gov/publications/search

    The Bureau of Professional Licensure: The Bureau of Professional Licensure is a Bureau within the Iowa Department of Public Health with 19 licensure boards regulating 39 professions. The mission of the professional boards is to protect the public health, safety and welfare by licensing qualified individuals and enforcing Iowa's statutes and administrative rules fairly and consistently. https://ibplicense.iowa.gov

    Centers for Medicare and Medicaid Services: https://www.cms.gov/

    infoNET – Advocating for Change in the Iowa General Assembly: The 2 Guide to the Iowa Legislature contains a colorful guide (including pictures of Iowa’s legislators and information on what someone could expect during a trip to the Capitol for advocacy purposes) that was created to give advocates with disabilities the tools, information, and opportunities they need to take action.

    infoNET – Advocating for Change in the Iowa General Assembly: The Advocacy Toolkit is a great resource that outlines how to request a quick meeting with lawmakers on the floor of House and/or Senate, and what to do if those legislators are unable to meet. http://www.infonetiowa.org/documents/cms/docs/Toolkit4-7-15.2.pdf

    USA.gov: Online guide to government information and services. https://www.usa.gov/laws-and-regulations

    http://www.amhca.org/http://www.amhca.org/http://www.imhca.net/http://www.imhca.net/legislative-newshttps://www.legis.iowa.gov/legislatorshttps://www.legis.iowa.gov/committeeshttps://www.legis.iowa.gov/publications/searchhttps://ibplicense.iowa.gov/https://www.cms.gov/http://www.infonetiowa.org/documents/cms/docs/2016_Legislative_Guide_Website_Revised_1.8.16.pdfhttp://www.infonetiowa.org/documents/cms/docs/Toolkit4-7-15.2.pdfhttps://www.usa.gov/laws-and-regulationshttps://www.usa.gov/laws-and-regulations

  • 17 IMHCA www.imhca.net

    225 NW School Street, Ankeny, IA 50023

    ATTACHMENTS:Participation in Making Iowa Laws

    Complex and Parking Maps

    House/Senate District Info

    IMHCA Events

  • PARTICIPATION IN MAKING IOWA LAWS

    The state Senator and state Representative from each district are elected to represent constituent interests when making the laws of Iowa. Citizens can take part in the decisions made by those elected officials.

    For locating constituent Senators and Representatives, or to learn more about the Iowa Legislature, contact the Legislative Information Office (LIO). Search the web using Find Your Legislator on the Iowa General Assembly website: www.legis.iowa.gov

    E-mail: [email protected] Information Office – Room G16

    Legislative Services Agency Iowa State Capitol, Des Moines, Iowa 50319

    Telephone: 515-281-5129

    Contact Senators during the legislative session at the Capitol by calling the Senate Switchboard at 515-281-3371, or address mail to the Iowa Senate, State Capitol, Des Moines, IA 50319. Contact Representatives during the session at the Capitol by calling the House Switchboard at 515-281-3221, or address mail to the Iowa House of Representatives, State Capitol, DesMoines, IA 50319. The Iowa General Assembly website lists e-mail addresses of alllegislators, or call the LIO.

    • Legislators may also be contacted at their homes (call the LIO or check listings on theIowa General Assembly web site). The Iowa Constitution requires the legislativesessions of each General Assembly to convene yearly on the second Monday inJanuary. Adjournment usually comes at the end of April. During the legislativesession, both the Senate and House have operators on duty to take phone calls and relaymessages to legislators. Any citizen visiting the Capitol can arrange to meet withlegislators.

    • Observe the session. The debates may be viewed from galleries in the Senate andHouse chambers. The public may attend committee meetings and public hearings onlegislation. Live audio of the Senate and House debates is available on the IowaGeneral Assembly website.

    Committee Work The first part of the session is devoted to committee meetings. All bills that are debated must be approved by committee. A standing committee is a group of legislators that review all bills relating to a specific subject area. Once a bill is assigned to a committee, the committee chairperson appoints a subcommittee. The subcommittee, usually composed of three members of the standing committee, reviews the bill in detail and reports its conclusions to the full committee. The full committee then discusses the subcommittee’s conclusions and makes recommendations to the entire chamber. The committee may recommend to pass the bill, to pass the bill with amendment, to refer the bill to another committee for study, to postpone the bill indefinitely, or to send the bill to the floor for debate with no recommendation.

  • Debate When debate on a bill is finished, the bill’s title is read aloud to the chamber for the third and final time. If a constitutional majority (at least 26 Senators and 51 Representatives) votes to pass the bill, it moves to the other chamber. If fewer legislators than a constitutional majority vote to pass the bill, the bill fails.

    Second Passage Amendments adopted by the chamber of origin are incorporated in the bill before it is sent to the other chamber. As the bill proceeds through the Legislature, the procedure in both chambers is basically the same. A bill introduced in the Senate will retain its original Senate number as it travels through the House and a bill introduced in the House will retain its original House number as it travels through the Senate. If the bill is further amended by the other chamber, the amended bill is sent back to the chamber of origin for approval. If the chamber of origin concurs or agrees with the amendment(s), the bill has passed both chambers in identical form and will be sent to the Governor for review. If the chamber of origin refuses to concur with the other chamber’s amendment(s), the bill is returned to the other chamber, which may recede from or insist upon their amended version of the bill. If they recede, the bill is sent to the Governor; however; if they insist upon their amendment(s), a conference committee is appointed to work out the differences.

    Conference Committee Conference committees are composed of Senate and House members representing both the majority and minority parties and both sides of the issue in dispute. The 10 members of a conference committee are appointed by the Senate Majority Leader and the Speaker of the House to study the points of disagreement between the chambers in an attempt to reach a compromise. If an agreement is reached, it is presented to both chambers in a report that contains the compromise version of the bill. The report cannot be amended by either chamber. If the report is rejected by either chamber, a second conference committee may be appointed. If no agreement is reached, the bill fails. If the conference committee report is adopted, the chambers again vote on the bill. If the bill is approved it will be enrolled and sent to the Governor for review.

    Final preparation of a bill before it is sent to the Governor is called enrollment. When both chambers have passed the bill in the same form, it is prepared with all approved amendments incorporated. After the bill is enrolled, the President of the Senate and the Speaker of the House sign the enrolled version and the Secretary of the Senate or Chief Clerk of the House certifies that the bill originated in that chamber. The bill is then sent to the Governor for final action.

    1/13/14 Legislative Information Office – Room G16 Iowa State Capitol Iowa General Assembly web site: www.legis.state.ia.us

  • Citizens Elect

    Agriculture Appropriations Commerce Economic Growth Education Ethics Government Oversight Human Resources Judiciary Labor and Business Relations Local Government Natural Resources and Environment Rules and Administration State Government Transportation Veterans Affairs Ways and Means

    Administration and Rules Agriculture Appropriations Commerce Economic Growth Education Environmental Protection Ethics Government Oversight Human Resources Judiciary Labor Local Government Natural Resources Public Safety State Government Transportation Veterans Affairs Ways and Means

    Administration and Regulation Agriculture and Natural Resources Economic Development Education Health and Human Services Justice System Transportation, Infrastructure, and Capitals

    Senate Standing Committees House Standing Committees Joint Appropriations Subcommittees

    Senate 50 Members

    Senate Elects

    Majority Leader

    Senate President

    Minority Leader

    Assistant Majority Leaders

    President Pro

    Tempore

    Assistant Minority Leaders

    Secretary of the

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    Chief Clerk of the

    House

    Assistant Majority Leaders

    Speaker Pro

    Tempore

    Assistant Minority Leaders

    Majority Leader

    House Speaker

    Minority Leader

    House Elects

    House 100 Members

    Organization of the Iowa General Assembly

    1/13/14 Legislative Information Office – Room G16 Iowa State Capitol Iowa General Assembly web site: www.legis.iowa.gov

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  • IOWA SENATE DISTRICTSEffective Beginning with the Elections in 2012 for the 85th General Assembly

    Prepared by the Iowa Legislative Services Agency

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    DES MOINES

    MONTGOMERY

    83

    2

    1 7

    5

    17

    10

    24

    27

    51

    20

    21

    80

    56

    12

    4

    18

    54

    82

    11

    23

    52

    7258

    88

    48

    78

    50

    76

    55

    47

    28

    84

    75

    64

    96

    25

    73

    22

    49

    63

    95

    97

    9

    29

    57

    19 77

    6

    7926

    83

    98

    30

    81

    92

    71

    53

    91

    6160

    4569 68

    13

    87

    62

    70

    94

    74

    16

    44

    90

    9914

    67

    59

    86

    100

    66

    89

    65

    93

    85

    15

    46

    IOWA HOUSE DISTRICTSEffective Beginning with the Elections in 2012 for the 85th General Assembly

    Prepared by the Iowa Legislative Services Agency

    43

    19

    30

    3739 38

    4442 3341

    31

    3536 32

    34

    40

    Polk County Inset

    ¨House District

    County

  • 5

    Prevalence and Rate of Treatment Lifetime prevalence of mental illness - 1 of 2 people

    Annual prevalence - 1 of 5 experience a mental illness (the illness can be mild, moderate, or severe)

    4.2% have severe mental illness - 131,000 people Half of all lifetime cases begin by age 14

    Three-quarters by age 25 13% of youth age 8-15 live with mental illness causing significant

    impairment in their day to day lives This figure jumps to 21% in youth age 13-18.

    Less than half get help Youth mental health is worsening

    A Public Health Crisis Dec 2017 – NAMI-GDM-TVBIowa Ranks at the Bottom of the 50 states in Mental Health Care

    Beds – Acute Care, Sub-acute, Crisis 50th in the nation for mental health institute beds

    760 staffed acute care beds statewide (includes 96 at MHI's & 10 at VA & 654 in hospitals)

    compared to 131,000 with severe mental illness Eligible beds are full every day, people are boarded in emergency

    rooms, are turned away for treatment, tragedies happen No facility based subacute beds - only 10 ACT teams

    86 crisis residential beds No place outside of criminal justice system to place persons with

    challenging behaviors for which effective treatment has not been found

    How is the southern half of the state given the closing of two MHI's at Mt. Pleasant and Clarinda?

    Suicide 454 suicides in Iowa in 2016 compared to 55 homicides (2014)

    42,000 suicides nationally compared to 16,000 homicides 2 of 3 gun deaths are suicides

    Suicide is now the first cause of injury deaths, followed by car crashes, poisoning, falls and murder

    From 1999 to 2014 – there has been a greater rise among middle-aged white people, particularly women,

    people with less education and people living in rural areas Among white women ages 45-64, the suicide rate jumped 63%,

    among white men the suicide rate jumped 43%. Among girls 10 to 14, the suicide rate tripled from 50 to 150.

    White men over 75 still have the highest suicide rate/age group. Most who complete suicide have visited their medical doctor within

    one month of their death Males complete suicide 4X the rate of females

    Completed suicides are more likely to be men over 45 who are depressed or alcoholic.

    Over 4600 youth die from suicide each year Over 90% of those who complete suicide have a mental disorder - 1/3 have

    alcohol or other drugs in their system In recent wars, there have been more suicides than combat deaths

    20 veterans complete suicide every day

    Stigma, Lack of knowledge and empathy for persons with mental illness

    A mental illness is a medical illness - a disease - a neurodevelopmental disorder, not a criminal offense

    Mental Illness is an equal opportunity disease. It strikes families from all walks of life regardless of age, race, income, religion and education.

    A flaw in brain chemistry, not character An ambulance won't respond to a request for medical assistance, our

    help comes from law enforcement Treatment is needed, not punishment

    Those with severe mental illness die on average 25-30 years sooner than the general population

    Workforce – Services Without adequate workforce, there is no mental health system, there

    are no services or beds Iowa is: 47th for # of psychiatrists,

    46th for # of psychologists 46th for overall mental health workforce availability

    Less than 300 prescribers in the state (123 psychiatrists in private practice, 117 ARNP's and 28 PA's with

    psychiatric emphasis) Broadlawns, Unity Point, Mercy setting up psychiatric residency

    programs, first graduates expected after 2022 Problems with poor reimbursement, high caseloads, frequent burn-out, not enough training locations and dollars, incentives, loan forgiveness

    programs Nationally, only 55% of psychiatrists accept insurance - they want cash

    and no interference from insurance to treat individuals Dire need for direct care professionals, peers, home aides

    Less access to care means more incarceration

    Criminalizing a Me Illness Iowa builds prisons instead of recovery centers

    40%+ of male inmates have mental illness 60%+ of female inmates have mental illness

    70% have a substance use disorder Local jails have larger percentages.

    Beds are increasing in prison, less in the public sector Nationally, there are 10X more people with mental illness in jails and

    prison than hospital beds We've come full circle from the 1840's - Dorothy Dix would find more persons with mental illness in jails and prisons than in hospital beds in

    2017, just like she did in the 1840's People with mental illness and substance abuse need treatment,

    not punishment We need investment in the public sector – an adequate mental health workforce and sufficient reimbursement to establish a continuum of

    care of services for both children and adults In 1955 – we had 4 mental health institutes with 5300 beds In 2017 – we have 2 mental health institutes with 96 beds

    In 1955 – we had 3 prisons with around 2200 inmates In 2017 – we have 9 prisons with around 8300 inmates,

    and over 30,000 in community corrections A direct result of lack of access to care.

  • Advocacy for the mental

    health profession.

    - MEMBERSHIP OPTIONS -AMHCA Unified – Regular – Student – Retired – Associate

    Visit www.imhca.net for more information

    Are you ready to join?

    Top 5 Reasons to Become a Member Strengthen the profession

    _________________________________

    Network and connect with other professionals

    _________________________________

    Members only training discounts

    _______________________________

    Access to professional development opportunities

    _______________________________

    Stay informed on profession updates

    The Iowa Mental Health Counselors Association (IMHCA) is a chapter of the American Mental Health Association (AMHCA). IMHCA is the only organization dedicated exclusively to meeting the professional needs of mental health counselors in Iowa. Since we started we have worked to promote quality mental health services for all people, distinguish the identity of the profession, and influence public policy to maintain standards of care and opportunities in line with our professional ethics and values. We accomplish these goals by working with other professional organizations, the state legislature, state regulatory agencies, and clients to promote quality in mental health counseling practices.

    http://www.imhca.net/

  • Iowa Mental Health Counselors Association

    Charity Golf Tournament Fundraiser for scholarships &

    mental health education awareness

    NAME: ___________________________________________

    ADDRESS: ___________________________________________

    ___________________________________________

    PHONE: ___________________________________________

    EMAIL: ___________________________________________

    TEAM NAME (or volunteer name)________________________ Player 1 Name (YOU):______________________________

    Player 2 Name: ___________________________________

    Player 3 Name: ___________________________________

    Player 4 Name: ___________________________________

    DATE: TIME: PLACE:

    ENTRY FEE: $70 online registration (per person) $80 registration per person at the event Includes: cart, breakfast, & more

    CONTACT: Donald Gilbert 515-964-5003

    [email protected]

    Online registration http://www.imhca.net

    MAILING ADDRESS: IMHCA

    225 NW School St. Ankeny, IA, 50266

    *One entryform per

    team

    th Annual

    Sign-in at 7:30 am, 8:30 am shotgun-start Toad Valley Golf (toadvalleygolfcourse.com) 237 NE 8Oth St, Pleasant Hill IA

    http://www.imhca.net/civicrm/event/info?id=8&reset=1

  • Get to Know IMHCAAbout UsThe Purposes of IMHCAContinuing EducationProfessional SupportPromote the Profession

    The 87th Iowa General Assembly2017 Iowa Session LeadersSenate LeadersHouse Leaders

    2017 Update on Tracked LegislationSurviving the First Funnel: HSB 138 / HSB 174 / HF 229Bills of Interest That Cleared the First FunnelBills of Interest That DID NOT Clear the First Funnel

    Legislative ProcessBill DraftingIntroductionRead First / Read SecondCommitteesPassage Vote for EngrossmentRinse and RepeatPassage Vote for EnrollmentSent to Governor

    Helpful Resources for First Time AdvocatesPrior to the visit/event: Prep WorkDuring the Event: Talking to Legislators:After the visit/event: Follow-Up

    Additional State and Federal Legislative ResourcesAttachments:Participation in Making Iowa LawsComplex and Parking MapsHouse/Senate District InfoIMHCA Events and Membership Information

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