DMR, Governor' Cuts Target the Most Disabled

 This is the article from the December COFAR VOICE. For a discussion on the "Blue Mass Group" blog of DMR's tactics in dealing with the cuts, see (and add your own two cents):

 http://www.bluemassgroup.com/showDiary.do?diaryId=14087#163643 

 FY09 Budget, Governor’s Veto, Layoffs, and now… More Cuts for DMR!

Severe and Profoundly Retarded Hardest Hit

      Despite overall gains in the DMR FY09 budget now already in its fifth month, residential services for the most disabled people served by DMR took hard cuts in the FY09 budget. Then came mid-year cuts announced Oct. 15, which again axed facility funding.

     The six developmental centers and the approximately 100 state-operated group homes were funded below DMR’s request throughout the state budget process, then forced to absorb 2008 fuel bills, slammed by Governor Patrick’s veto of $750,000 from facilities, and ended up about $5 million short, more if the price of oil and gasoline stay high.

     As a result, up to 200 layoffs at five of the six developmental centers began in September, with voluntary retirement incentives. Facility directors were given a number, and were able to refuse resignations in vital areas, but inevitably program will suffer.

     Then came the worse news: Another $3 million slashed out of the facilities line Oct. 15 as declining state revenues forced another round of cutbacks. As this issue goes to press, DMR has not described how it can  accomplish another cut to the facilities line without falling below Medicaid staffing mandates, endangering the residents and risking a new round of scandals in the much-improved former “state schools.”

     Although a federal appeals panel Oct. 1 reversed Judge Tauro’s 2007 order and appeared to clear the way for closing the Fernald Center (see “Tauro Reversed,” page 4), state officials had emphasized an orderly and legal process, which would have little impact in FY09. The governor's note on the October 15 9C cut mentioned savings to be realized by closing a facility, but as COFAR has repeatedly demonstrated, there are not savings to be realized by a unilateral closing at Fernald.

     “In any case,” said COFAR Executive Director Colleen Lutkevich, “Other state cutbacks will make it very hard to move anyone in the DMR system. State-operated group homes have less money than last year, and the community residential budget is also slightly reduced. With the logjam in residential services, we felt we had to recommend deferring the governor’s ‘Community First Initiative’ – to get elderly and disabled people out of nursing homes and back home or into active treatment, even though we generally support that goal. And the Governor agreed, but that dries up another funding source to make a few more DMR residential beds.

     “Meanwhile, there is another $7 million in new cuts across the DMR system, so it’s harder for people in all settings, harder to get help from DMR administrators to navigate the minefield, and we are even losing Medicaid matching funds in the Autism waiver.”

     The forum at www.cofar.org is a good place to post observations on where the DMR cutbacks are most obvious to you.

     The other large cuts made by the Governor are to DMR administration, where they may send the caseloads of service coordinators toward an impossible 60 people each; to the Autism department, which was increasing the number of families receiving early intervention; and to DOE-DMR, a joint program which attempts to coordinate community based services for young people with special needs and DMR eligibility to keep them at home and avoid expensive residential school placements. It can be argued that all of these cuts target the minority of the most disabled people served by DMR, but the flat-funded or slightly cut contracted community-residential system is also under great demographic pressure, and thus more people with mild and moderate MR/DD are waiting around longer without any or adaquate services, although provider capacity is at least being maintained.

--end--, but comments are enabled!

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DMR -- The Novel by Daniel Trask

DMR – The Novel

Paperback: 319 pages $15.95

Publisher: One Tiny Pizza Publishing (April 28, 2008)

http://www.otppub.com/dmr.html

COFAR members will probably not want to read this well-written novel, based on the author’s six months of real-life work at a state-operated group home. That’s too narrow a slice to get everything right, as family members understand from a lifetime with our loved ones. Trask also made a literary decision to make his central character a slacker and binge-drinker, who is even more clueless about the DMR system than the average six-month hire.

But when our friends offer to give us a copy of DMR, we should suggest that they read it. Trask does a very good job with the characters who have severe-to-profound MR/DD, and with the group dynamics of a small residence. So little has been written, fact or fiction, about that world, that his novel is a good read for the general audience, and bound to provoke more interest. We wish there were a few non-fiction studies, TV documentaries, even academic works to recommend next, but for now we can point out that there are volunteer opportunities in every city and town.

            If readers ask about facts, we will have to remind them of a brief reference deep in the book to the state-operated group homes serving the most disabled people. To call the book “DMR” without clarifying that point is unfair to the majority of people with MR/DD who are better able to communicate and thrive in community settings. The book almost entirely omits family members, or any other guardians. Don’t give this book to a career mental retardation worker, either. Most of the employees are described as goldbricking, sleeping on overnights, routinely falsifying paperwork, and neglecting treatment plans. COFAR members do encounter workers like that, but there are also the saints and miracle workers. There are some good workers in the book, and a lyrical passage about taking the residents for a swim. 

            Most troubling for COFAR members will be the author’s decision to center the character’s moral vacuity on a sexual relationship between a staffer and a non-verbal resident.  The character doesn’t know what to think, and it is left up to the reader. Informed readers will know that a profoundly retarded woman cannot consent to rape, and that the character has neglected his duty as a mandated reporter, by doing nothing.

             The novel is not widely distributed, but it is in some Mass. bookstores, and the author does readings and appearances. The link above will give you a way to order the book on Amazon. If there is interest here, COFAR did an email "interview" with author Trask which has his serious reflections on the state of he DMR system in which he worked, and a more positive view of the work itself.      

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