{"id":502309,"date":"2022-10-20T06:49:29","date_gmt":"2022-10-20T03:49:29","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/cuomos-sick-call-cut-psych-beds\/"},"modified":"2022-10-20T06:49:29","modified_gmt":"2022-10-20T03:49:29","slug":"cuomos-sick-call-cut-psych-beds","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/cuomos-sick-call-cut-psych-beds\/","title":{"rendered":"#Cuomo\u2019s sick call cut psych beds"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_84 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a2e25532f289\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #dd3333;color:#dd3333\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #dd3333;color:#dd3333\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a2e25532f289\" checked aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/buradabiliyorum.com\/en\/cuomos-sick-call-cut-psych-beds\/#%E2%80%9CCuomos_sick_call_cut_psych_beds%E2%80%9D\" >&#8220;Cuomo\u2019s sick call cut psych beds&#8221;<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/buradabiliyorum.com\/en\/cuomos-sick-call-cut-psych-beds\/#Hospital_cost-cutting\" >Hospital cost-cutting<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/buradabiliyorum.com\/en\/cuomos-sick-call-cut-psych-beds\/#Establishment_conflict\" >Establishment conflict<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"%E2%80%9CCuomos_sick_call_cut_psych_beds%E2%80%9D\"><\/span>&#8220;Cuomo\u2019s sick call cut psych beds&#8221;<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<div>\n<aside class=\"single__inline-module alignleft\">\n<\/aside>\n<p>One of Andrew Cuomo\u2019s more dubious legacies was his push to \u201ctransform\u201d mental health in New York by getting rid of psychiatric hospital beds that he said New York didn\u2019t need. Statewide, there were about 10,200 beds in 2014; now there are about 9,100.<\/p>\n<p>Though previous waves of \u201cdeinstitutionalization\u201d had strewn chaos in the streets of New York, Cuomo argued that this time it would be different.<\/p>\n<p>It wasn\u2019t.\u00a0<\/p>\n<p>As beds declined, mental health-related pressures grew on other systems, such as transit, homeless services, police departments, and jails. The promise of community-based care as a better, cheaper alternative to psychiatric hospitalization proved, once again, elusive.<\/p>\n<p>Throughout the 2010s, New York lost psych beds on two fronts: beds in state-run \u201cpsychiatric centers\u201d that specialize in inpatient mental health care, and in <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/general\/\" data-internallinksmanager029f6b8e52c=\"3\" title=\"General\" target=\"_blank\" rel=\"noopener\">general<\/a> hospitals.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Hospital_cost-cutting\"><\/span>Hospital cost-cutting<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Back in 2010, the New York Department of Health restructured Medicaid to incentivize general hospitals to reduce average lengths of stay for psych patients. The more days someone remained hospitalized, the less that Medicaid would reimburse that hospital for his care.<\/p>\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital1GSB.jpg?w=1024\" alt=\"New York Presbyterian Allen Hospital\" class=\"wp-image-24328972\" srcset=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital1GSB.jpg?quality=75&amp;strip=all&amp;w=2048 2048w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital1GSB.jpg?quality=75&amp;strip=all&amp;w=1536 1536w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital1GSB.jpg?quality=75&amp;strip=all 1024w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital1GSB.jpg?quality=75&amp;strip=all&amp;w=512 512w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\"\/><figcaption>As beds declined in hospitals, mental health-related pressures grew on other systems.<\/figcaption><figcaption><span class=\"credit\">Gabriella Bass<\/span><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"683\" src=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital11GSB.jpg?w=1024\" alt=\"New York Presbyterian Allen Hospital\" class=\"wp-image-24328973\" srcset=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital11GSB.jpg?quality=75&amp;strip=all&amp;w=2048 2048w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital11GSB.jpg?quality=75&amp;strip=all&amp;w=1536 1536w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital11GSB.jpg?quality=75&amp;strip=all 1024w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/031118Shah_Ally_Allen_Hospital11GSB.jpg?quality=75&amp;strip=all&amp;w=512 512w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\"\/><figcaption>The need for more psychiatric hospitalization to respond to the current crisis may seem obvious to New Yorkers. <\/figcaption><figcaption><span class=\"credit\">Gabriella Bass<\/span><\/figcaption><\/figure>\n<p>Hospital systems responded by increasing discharges and cutting beds entirely in the interest of pursuing more profitable \u201clines of business.\u201d During the recent pandemic, many systems converted psych beds for COVID overflow. This raised fears that those beds would never be brought back post-COVID.<\/p>\n<aside class=\"single__inline-module alignright\">\n    <\/aside>\n<p>Back in February, Gov. Hochul announced a $27.5 million boost to Medicaid reimbursement for inpatient psychiatric care in general hospitals. This was done to incentivize the return of those beds converted during COVID and to bring a measure of stability to inpatient mental health in New York.<\/p>\n<p>As for beds in state psychiatric centers, one reason why New York has so often targeted them for cuts is it could not bill Medicaid, and thus the federal government, for the cost. That is due to a long-standing provision in Medicaid known as the \u201cIMD Exclusion.\u201d\u00a0<\/p>\n<p>In 2018, the Trump administration authorized states to <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/download-scripts-themes-apps\/\" data-internallinksmanager029f6b8e52c=\"9\" title=\"Download Scripts &amp; Themes &amp; Apps\" target=\"_blank\" rel=\"noopener\">app<\/a>ly for a waiver from the IMD Exclusion.<\/p>\n<p>Earlier this month, the Hochul administration announced plans to apply for a waiver. New York will not be using waiver funds to \u201crevive the asylum\u201d nor would federal Medicaid officials even allow that. New York cannot use the new funding for adults who need long-term institutionalization.\u00a0<\/p>\n<p>But, on net, New Yorkers should view more Medicaid funding for inpatient psychiatric care as a necessary condition of mental health reform.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"738\" src=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/hochul-strategy-393.jpg?w=1024\" alt=\"kathy hochul\" class=\"wp-image-24328988\" srcset=\"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/hochul-strategy-393.jpg?quality=75&amp;strip=all&amp;w=2048 2048w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/hochul-strategy-393.jpg?quality=75&amp;strip=all&amp;w=1536 1536w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/hochul-strategy-393.jpg?quality=75&amp;strip=all 1024w, https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/hochul-strategy-393.jpg?quality=75&amp;strip=all&amp;w=512 512w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\"\/><figcaption>Gov. Kathy Hochul announced a $27.5 million boost to Medicaid reimbursement for inpatient psychiatric care in general hospitals. <\/figcaption><figcaption><span class=\"credit\">Mike Groll\/Office of Governor Kathy Hochul<\/span><\/figcaption><\/figure>\n<p>Further progress will require an even more decisive break with Cuomo-era mental health policies. Hochul has not repudiated Cuomo\u2019s \u201ctransformation plan\u201d and she even touted, in her budget, the \u201csuccess\u201d of her predecessor\u2019s policy that resulted in cutting hundreds of \u201cunnecessary, vacant inpatient beds\u201d from psychiatric centers.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Establishment_conflict\"><\/span>Establishment conflict<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>To many New Yorkers, the need for more psychiatric hospitalization to respond to the current crisis may seem obvious. But that view is not shared by many mental health professionals, who disdain the very topic of psychiatric crisis.\u00a0<\/p>\n<p>Mentally ill people in crisis behave erratically and sometimes violently. Thus focusing on them, per the mental health establishment, perpetuates \u201cstigma.\u201d The establishment prefers the themes of prevention and recovery.\u00a0<\/p>\n<aside class=\"single__inline-module alignleft\">\n    <\/aside>\n<p>From their perspective, the best way to fight stigma is, whenever psychiatric crises make headlines, to change the subject as quickly as possible and refocus attention on programs that support people in recovery and can prevent people from falling into crisis in the first place.<\/p>\n<p>But, as former National Institute of Mental Health director Thomas Insel explained in his recent book \u201cHealing,\u201d \u201crecovery may be an important goal, but it feels irrelevant to someone in crisis. If our house is on fire, we need a fire extinguisher, not a three-part plan for renovation.\u201d<\/p>\n<p>That has to start with hospitals. There are now about 1,000 seriously mentally ill people in city jails. Any serious solution to the \u201ccriminalization of mental illness\u201d must involve psychiatric hospitalization, which is more humane than incarceration. And, for the most troubled mentally ill offenders, it\u2019s much more viable than community services.<\/p>\n<p>However urgent it may have once been to scale back the old \u201csnake pit\u201d asylums, more urgent, now, is New York\u2019s lack of beds. Sometimes, respecting someone\u2019s civil liberties is indistinguishable from abandoning them. New York plainly has a mental health crisis, and psychiatric hospitals are the definitive crisis response program.<\/p>\n<p>Stephen Eide is a senior fellow at the Manhattan Institute and author of \u201cHomelessness in America.\u201d\n                        <\/p><\/div>\n<blockquote><p><strong><span style=\"color: #ff6600;\">If you liked the article, do not forget to share it with your friends. Follow us on\u00a0<span style=\"color: #ff0000;\"><a style=\"color: #ff0000;\" href=\"https:\/\/news.google.com\/publications\/CAAqBwgKMLG0nwswvr63Aw\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Google News<\/a><\/span>\u00a0too, click on the star and choose us from your favorites.<\/span><\/strong><\/p><\/blockquote>\n<blockquote>\n<p style=\"text-align: center;\">For forums sites go to <span style=\"color: #ff9900;\"><a style=\"color: #ff9900;\" href=\"https:\/\/forum.buradabiliyorum.com\/\" target=\"_blank\" rel=\"noopener\">Forum.BuradaBiliyorum.Com<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n<blockquote>\n<p style=\"text-align: center;\"><strong>If you want to read more <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/news\/\" data-internallinksmanager029f6b8e52c=\"2\" title=\"News\" target=\"_blank\" rel=\"noopener\">News<\/a> articles, you can visit our <span style=\"color: #ff9900;\"><a style=\"color: #ff9900;\" href=\"https:\/\/en.buradabiliyorum.com\/news\/\" target=\"_blank\" rel=\"noopener\">News category.<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n<p><span style=\"color: black;\"><a style=\"color: #ff9900;\" href=\"https:\/\/nypost.com\/2022\/10\/19\/restore-hospital-wards-to-help-nycs-deranged-cuomos-sick-call-cut-psych-beds\/\" target=\"_blank\" rel=\"noopener\">Source<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;Cuomo\u2019s sick call cut psych beds&#8221; One of Andrew Cuomo\u2019s more dubious legacies was his push to \u201ctransform\u201d mental health in New York by getting rid of psychiatric hospital beds that he said New York didn\u2019t need. Statewide, there were about 10,200 beds in 2014; now there are about 9,100. Though previous waves of \u201cdeinstitutionalization\u201d&#8230;<\/p>\n","protected":false},"author":1,"featured_media":502310,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/nypost.com\/wp-content\/uploads\/sites\/2\/2022\/10\/newspress-collage-24328910-1666235765317.jpg?quality=75&strip=all&1666221416&w=1024","fifu_image_alt":"","footnotes":""},"categories":[70897],"tags":[134296,70430,20763,81576,32681],"class_list":["post-502309","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-10-19-22","tag-andrew-cuomo","tag-cuomo","tag-hospital","tag-politics"],"_links":{"self":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/502309","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/comments?post=502309"}],"version-history":[{"count":0,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/502309\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media\/502310"}],"wp:attachment":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media?parent=502309"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/categories?post=502309"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/tags?post=502309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}