Mercy, county discuss mental health crisis

By ANN MARIE AMES ( Contact )   Friday, June 20, 2008
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— It’s been a five-year discussion.

But a Rock County Board subcommittee took a couple steps forward Thursday.

The problem is the long time police officers have to sit in hospital waiting rooms with people in mental health, drug or alcohol crisis while they wait for medical clearance to move on to treatment.

A Mercy representative said the hospital has addressed an issue to speed up its process, while county representatives will continue to work on short- and long-term solutions.

Members of the Criminal Justice Coordinating Council System Process and Opportunities Subcommittee, along with Rich Gruber, a Mercy Health System vice president, took up the discussion again Thursday afternoon.

Gruber said it’s up to the county to find resources to support patients in crisis and relieve municipal officers so they can get back to their jobs.

“I do believe there is an absolute responsibility of the local community to provide adequate resources,” Gruber said. “Where is the county when the county should be there fulfilling its responsibilities?”

Since the county closed its psychiatric hospital in June 2002, Rock County must send residents in crisis who need inpatient treatment to University Hospital, Madison, or Mendota or Winnebago mental health institutes, Human Services Director Charmian Klyve said.

Those facilities require a local doctor to confirm the patient does not have a medical issue on top of his or her mental health issue, she said.

In many cases, that means a police officer from Janesville, Evansville or Beloit must sit with the patient and wait for the medical clearance.

Gruber said Mercy has done “some shifting of staffing” so a doctor from Mercy Options can respond faster to assess the person in crisis.

An emergency room doctor medically clears the patient, and the Mercy Options professional makes the call to the receiving facility—such as Mendota or Winnebago, Gruber said.

Subcommittee Chairman Neil Deupree assigned Elizabeth Pohlman McQuillen, the county’s newly hired criminal justice system planner and analyst, to continue studying the way Dane County handles crisis cases and to work with local planners to start writing plans for a short-term solution.







reader COMMENTS (13)
SarahB
Jul 25, 2008 at 1:23 a.m.
Suggest removal

Or detox in the tunnel.

nurse4u
Jul 25, 2008 at 12:33 a.m.
Suggest removal

I agree that we need to take care of our own, but hey, a tunnel seems to be the priority in this city..
Maybe people with a mental health issue can sleep in the tunnel?

besmom
Jul 25, 2008 at 12:12 a.m.
Suggest removal

Is everyone aware that Mercy Hospital has mental health facilities on their 5th floor? They also have detox facilities too....but since most of these people don't have insurance, Mercy will not consider admitting them. Therefore, they are being forced to be transferred to Madison or Oshkosh for hospitalization. I wish that Mercy would find a way to work with the county to provide services for these people. The minute Mercy finds out there is no insurance, they immediately call the Crisis workers. I guess I thought that Mercy had an obligation to the community as well??

optimism
Jul 22, 2008 at 9:24 p.m.
Suggest removal

We close the detox center because of a lack of funds....but we can find the funds to build a stinking tunnel under a road for walkers? I do believe that people in crisis is a situation that should take presedence with tax payers' money. This county better hurry up and get their act together, because I can guarentee that with General Motors just being the start of dwindling jobs, there are going to be a LOT OF PEOPLE in crisis...there aren't THAT many officers available.....

SarahB
Jun 22, 2008 at 6:15 p.m.
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They should have figured that the situation would worsen when they closed the county detox unit. It also served as a "holding place" to assess those in a mental health crisis. P.S. Local law enforcement vocalized their fears re: closing the unit. Of course, the county board did not listen ...

prevention
Jun 22, 2008 at 8:36 a.m.
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Thank you, Janesvillean! Very well stated.

janesvillean
Jun 22, 2008 at 3:57 a.m.
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This isn't a tale of government inaction. This is a tale of how low a priority mental health is in American society. I don't think we have it worked out any worse than most places, but there certainly are places that do it better, even in the US.

wisconsinheat
Jun 21, 2008 at 8:42 p.m.
Suggest removal

The short version is:

Non-voluntary mental health, drug or alcohol commitments require police intervention. As such it is looked at and treated essentially the same as any arrest. The police are responsible for that persons security until turned over to a certified mental health / detox facility.
Thus, they must maintain custody of the person even during the medical clearance stage.

nemesis
Jun 21, 2008 at 8:08 p.m.
Suggest removal

Why do facilities require police to sit with the patient?
Why couldn't a county appointed social/case worker do the job as well-unless of course the patient is violent or agressive or known to have a criminal background?
Unless the state requires it police shouldn't be involved.

prevention
Jun 21, 2008 at 7 p.m.
Suggest removal

Rockford, IL is another great example to view as a positive model to follow. Yes, there are glitches, but life has glitches.

I worked at an outpatient agency for those with mental illnesses. It was a trying job as a case manager/social worker as we worked with the ER, the state-operated facilities and all the red tape.

There is a stigma that remains in our society regarding people with mental illnesses. It is not a bad thing to be diagnosed with a mental illness. Yes, it is difficult to deal with, but kudos to those that want help. As for those that think that do not need help, that is a different story.

As a society, we owe it to our fellow man/woman/child, etc. to help them get the help they need.

I have been waiting to hear about this type of opportunity to take advantage of. Rather that being negative, would anyone like to follow me in calling up Mercy Options to ask how we can help this become possible? This type of option for fellow mankind is something that we need to be held accountable for and take charge in helping them.

MooShoo
Jun 21, 2008 at 6:01 p.m.
Suggest removal

Billie. I think you are being a little too cynical about this topic. The CJCC has only been in place for a year or so. They have made great strides in finding ways to reduce the jail population. That saves you and me property tax dollars.

The Mercy rep on the Council has a conflict of interest. Why is he telling the County to take care of the problem? Mercy has a Psych unit. Rather than push it on someone else, they should step up and take care of those who need help.

My guess is there is not enough profit for Mercy when it comes to treating the mentally ill. Perhaps a little competition is a good thing.

Rock1gal
Jun 21, 2008 at 4:32 p.m.
Suggest removal

I've observed second-hand how long it takes to get help for a mental health patient. Where are the social workers in the emergency room at Mercy Hospital? Every other facility I've heard of has them on staff to assist patients. Why not have the Rock Co. workers at the Emergency rooms to process people, and find them a place to go while they wait to be medically cleared? How is it we are paying for services in this county, but NOT getting them?

billnewbie
Jun 21, 2008 at 2:27 p.m.
Suggest removal

Only a government committee would recognise a crisis and discuss it for 5 years till they take "a couple steps forward". Although if you think about the name of the committee long enough, the "Criminal Justice Coordinating Council System Process and Opportunities Subcommittee", it could take a year of practise to say it without stammering just so that it could be called to order. And think of all the reams of paperwork they generate since the letterhead takes up half the page.

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