* Oy…
The Illinois Department of Human Services is struggling to provide services as some workers face caseloads of more than a thousand people.
Michelle Saddler, the agency’s director, said that the department is understaffed. “Many of you have probably heard DHS is behind or DHS has a backlog,” she told a House human services budget committee today. “We at DHS overall need more realistic staffing.” The department is asking for $3.6 billion for fiscal year 2014, the same amount proposed under Gov. Pat Quinn’s budget. DHS is expected to spend more than $3.2 billion this fiscal year. The department was cut by almost $150 million under the current fiscal year’s budget.
Linda Saterfield, director of the division of family and community services at DHS, said some of her caseworkers have caseloads as big as 2,600. “If you calculate that out, that leaves that worker less than 45 minutes over the course of a year to serve that family.” The average caseload in the division, which administers such core safety net programs as Temporary Assistance for Needy Families and the Supplemental Nutrition Assistance program, averages more than 900 cases per worker. That compares with the year 2000, when the average was just under 250 cases per worker. Saterfield said that one in four residents are served through one of the division’s programs. “Our caseload has grown dramatically, but our staffing levels have reduced so much that we are unable to adequately meet the needs for services,” she said.
Kevin Casey, director of the Division of Developmental Disabilities at DHS, said there are about 11,000 people with developmental disabilities waiting for services in Illinois. He said the wait time can be up to four years. “It really is a struggle to understand how they get from one day to another at times,” Casey told the committee. He said the department does have a plan to reduce the number of people on the wait list over the next few years. Casey told committee members that he would later calculate what it would cost to address the wait list immediately. “It’s a choker of a number. It would take a good deal of money to serve everyone on that waiting list.”
Theodora Binion, acting director of the Division of Mental Health at DHS, said that more than 80 percent of people in need of mental health services are not receiving them. “Eighty percent of the people who need mental health services aren’t getting them? Something fundamentally is wrong with that system,” said Rep. David Leitch, who serves on the committee. Leitch said that he thinks lawmakers should prioritize mental health funding over other requests the department might have. “To overlook this, to me, is quite a crisis. I think we should as a committee take a very hard look [at it] before we add a lot of new employees at DHS and do some of the other things.” Binion said steps are being taken to serve more people through managed care programs. “I think that there are plans afoot to increase the capacity.”
* Oy…
Social service advocates say agencies providing in-home care for seniors could be at risk if additional state money is not set aside to pay them.
The Illinois Department of Aging notified service providers in a letter March 7 that it would soon run out of money to fund the Community Care Program for the current fiscal year, which ends on June 30. Providers say that $173 million is needed to properly fund service through the end of Fiscal Year 2013. Kimberly Parker, the Department of Aging’s spokeswoman, said in an email it was “common knowledge” the legislature did not give the agency enough money to continue to pay providers through the entire fiscal year and that administrators are hopeful additional money could be found. She said that so far, providers have continued to administer services, but without more funding, payment would likely be delayed until the start of next fiscal year.
The program serves mainly lower-income seniors who apply for assistance through the state for home-based long-term care assistance, with everyday needs ranging from preparing meals and running errands to dressing and bathing, according to the agency’s website. The program helps to care for an estimated 80,000 senior citizens in the state. Aside from at-home providers, it also helps to pay for background checks for at-home caregivers, adult day centers that watch elderly clients during the day and a program designed to preventing elderly spouses from being burdened by their spouses in-home care and falling into poverty. To qualify, Illinois residents must be at least 60 years old, the state must determine that they need long-term care and they must have less than $17,500 in assets aside from their home, car and furniture.
* Meanwhile, the mother of a Murray Developmental Center resident confronted the governor this week, and WUIS’ Amanda Vinicky jumped in…
WINKELER: “It is not safe, one size does not fit all…”
QUINN: “Well I understand that.”
Winkeler’s son, Mark, is 28-years-old…
WINKELER: “He functions like a nine-month old, has an IQ of twelve, needs total round the clock care, diaper changing, feeding, clothing.”
Like the kind care she says he gets at Murray.
Winkler says Quinn might realize that if he ever saw it firsthand.
VINICKY: “Governor, actually have you visited Murray Center, or Jacksonville Developmental Center?”
QUINN: “I made a decision based on what I think was right for the people of Illinois, it’s not an easy decision but a necessary one.”
VINICKY: “But did you visit either of them ever?”
QUINN: “No. I have not. I’ve seen plenty of information about it.”
*** UPDATE *** From the governor’s office…
The one-size-fits-all approach is exactly what we are moving away from. Before Governor Quinn took office, Illinois institutionalized more people than any other state. Now we are rebalancing the way the state provides services for people with developmental disabilities and mental health challenges, increasing community care so that families have more choices and people have a higher quality of life.
Whether it be an institution (once Murray is closed, there will be six institutions left Illinois); community care (which is proven to provide a higher quality of life, which is why we have increased community care and are building more capacity every day); or private intermediate care facilities (of which there are 298 across Illinois) — this is the opposite of a one-size-fits-all approach.
[ *** End Of Update *** ]
* Related…
* The state of mental health funding in Illinois is ill.
* Illinois lawmakers eye $2.5 bln bond deal to pay bills
* Harris: “We’re not solving the problem” by borrowing $2B to pay old Medicaid bills
* Illinois looks to borrow $2 billion
* House votes to end access to state pension system for part-time board members
