Programs to Aid Mentally Disabled Could Receive a Boost in
Funding
By Chris L. Jenkins
Washington Post Staff Writer
Thursday, February 21, 2008; B05
The Virginia
General Assembly is considering a sharp increase in funding for community
living programs for people with mental disabilities, continuing the state's
efforts to reverse long-standing gaps in care.
The increase
is being led largely by Republican budget writers in the House of Delegates,
who announced a plan yesterday to increase state spending by $38.1 million over
two years for programs for people with mental disabilities. The money would
allow 800 people with such conditions as Down syndrome to live in group homes
close to their families, or receive in-home nursing or other local services,
instead of being placed in state institutions that are predominantly in the
southern and western parts of the state.
The House
plan rivals more modest proposals by Gov.
Timothy M. Kaine (D) and the state Senate; both have offered enough money
in their budgets for 150 additional people to receive vouchers that pay for
their care through Medicaid,
the federal-state program for the poor and the disabled. Members of both
chambers will review the plans and negotiate a compromise, which must be
approved by Kaine.
"We
felt we had to continue our investment to these families," said Del. Phillip
A. Hamilton (R-Newport
News), who helped develop the plan. "We've taken some time to address
our waiting list, and we wanted to continue the progress we've made."
Until
several years ago, Virginia
moved slowly in providing community placements and services, which generally
are about half the cost of institutional care. In 2002, a national study found
that about one in four Virginians with mental or developmental disabilities
lived in institutions, twice the national rate.
Over the
past four years, however, the state has added more than 1,350 group-home slots
to address what many lawmakers acknowledged was the state's poor track record.
But the
state still has a waiting list of 4,056 people, about half of whom are
considered in urgent situations, such as an elderly parent taking care of an
adult child. Advocates said that in a tight budget year, the potential for
hundreds of additional slots shows a change in how the state is addressing
issues of people with mental disabilities.
"This
does show how far we've come," said Nancy Mercer, executive director of
the Arc of Northern
Virginia, which advocates on behalf of people with mental disabilities.
The
differences in the three proposals are significant. If the House plan were to
pass, for instance, Fairfax
County and the city of Falls
Church could help 93 people obtain community placements and services. If
Kaine's or the Senate plan were to pass, the county and city would receive five
slots.