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City police expect to face more mentally ill people in crisis

by Kathleen Haley, published on September 2, 2009 at 7:13 PM

Storyline: City Budget RSS Feed

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The city expects that its police officers will face more mentally ill people in crisis as a result of budget cuts to Sacramento County's Department of Behavioral Health Services. The budget cuts that will ricochet back to the city are spurred by the state: The state is providing less money to the county for mental health, and the county’s resulting cuts will affect the city, according to a Sept. 1 report from city officials.

Sacramento County expects to lose more than $10 million in state funding that would go toward its Behavioral Health Services, according to the city’s report. The state is dropping the funding because of its ongoing budget crisis.

To address the lack of mental health funding, the county department intends to shut down its crisis stabilization unit and cut 50 of 100 beds at the Sacramento County Mental Health Treatment Center on Stockton Boulevard, the report notes. At the crisis stabilization unit, adults have received crisis intervention and stabilization services for up to 23 hours, according to the county's website. But the cuts at the county mean the city will face a larger burden to address citizens’ mental health problems.

“A reduction of these services will have a negative impact on our ability to deliver services to the community,” the city’s report states. “We anticipate a significant increase in calls for service for people in crisis, and an increase in arrests as our options will be severely limited.”

Sacramento Police Department spokesman Norm Leong said the police have been dealing with occasional closures at the county mental health treatment center for months. At various times, the center has also not been able to accept new patients, Leong said. 

The police department responds to calls about people who cannot take care of themselves, or who are suicidal or dangerous to others, Leong said. When there was adequate county funding, the city police would take the mentally ill person to the county’s mental health treatment center, he explained.

Now, the police department has been trying to take mentally ill people to local hospitals or facilities, depending on the individual’s health insurance, Leong said.

The police can also arrest the mentally ill person if he or she is charged with a crime, he said, emphasizing that there must be a criminal reason in order for the police to make the arrest. The Sacramento County Main Jail has mental health facilities and mental treatment, he noted.

Finding a way for the person to receive mental health treatment “ultimately is the goal,” Leong said.

The police department does not keep statistics on the number of mentally ill people with a criminal charge who are booked at jail instead of in a mental health facility, he said.

Other state cuts affecting the city include the state’s plan to take $19.6 million from the Sacramento Housing and Redevelopment Agency in 2010. The state plans to take another $4 million from the city in fiscal year 2011, according to the city’s report.

The report also notes that the state will cut $1.3 million in grant funding for Sacramento Department of Parks and Recreation programs that serve disabled teens and provide child care and adult day care.

The report to the Sacramento City Council on budget cuts is available here.

Kathleen Haley is a staff reporter for The Sacramento Press.

 

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September 2, 2009 | 7:51 PM
We have already seen an uptick in incidents in the central city and it's only going to get worse.
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edited on  September 3, 2009 | 6:34 AM
This is a tragedy for the entire Sacramento metropolitan area--ALL demographics, not just the poor and mentally ill. Expect an increase in police shootings (similar to what happened to the mentally ill man in Folsom 6 weeks ago) and general havoc as the sick are left to rot. What kind of a society do we live in?!

Also, I have worked at the main jail and contrary to what you state there are NO actual mental health services there--the third floor is a 24 hour lock-down floor where they remove ALL clothing and do not provide any medication for up to a week due to the complete mismanagement of the medical contract there--they are very understaffed and woefully untrained. There is also extremely limited space for the mentally ill and they are usually housed in the general population. Remember, this is a jail that has had 8 suicides in the last few years and used the "prostraint" chair to control inmates. It is barbaric.

We have sunk so low; California is equivalent to a 3rd-world country. I am ashamed to be an American.
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edited on  September 3, 2009 | 2:29 PM
Perhaps consider leaving? Mexico has the largest of the US expatriot cities, just north of Guadalajara. There you will see what a 3rd world country is like to live in, yet still maintain most of the luxuries of your living standard.
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September 3, 2009 | 3:15 PM
Ye, right. Hey dimwit (thsas) have you ever lived in Mexico? I lived there for 9 years and in any of the big cities I have never seen the disgraceful treatment of people as I have seen since living back here. Want to be proud of America, take a walk down Los Angeles Street some time. The thing that bothers me is the fact that I can remember America when it was better. Mexico may be third world but they take care of their old, infirm, and mentally ill better than we do.

God Bless America
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September 3, 2009 | 6:14 PM
aticama, are you high? Mexico take care of their people uh? Sorry, Mexico kicks it's people to the curb if they need medical help unless they have $$$ to pay for the services. I've been there and done that south of the boarder. If you don't have money you don't get help.
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edited on  September 3, 2009 | 8:26 PM
Trapper

In answer to your question, no, I am not high yet. But I am considering it later to clear my head of all of this disinformation from the left.

There is a glint of truth in what you say, but that is all. In most large cities there are General hospitals where the poor can go if they need serious help. They do not have to pay if they do not have the money, but they are expected to pay something if they can. In every small village throughout the country there is a free clinic that will take you any time of the day or night, if they determine you need to go to a hospital; they arrange your transportation to the nearest hospital. Most from small villages go to the general hospitals.

For everyone that works in Mexico, you and your employer pay into the IMMS, which is a kind of health maintenance program with doctors, clinics, and hospitals that they can go to. If you work for the government you have the ISSSTE, and you pay according to what you can afford and can go to hospitals, etc that deliver services to the government employees. There is also a group for the oil, telephone, and electrical workers. Again you pay what you can afford in all of these groups, it is taken from your pay just like it is here and covers your family.

And then of course there are the private medical practices and hospitals also. This is the one that I personally am most acquainted with, but being as I married into an indigenous family down there, I am also familiar with the other systems.

The only glint of light in your statement is the fact that because of the way the hospitals are run, they cannot afford to carry large supplies of medications. If the family has enough money, they are forced to go to the local pharmacies and purchase the medications needed to be used on their family member. If they cannot, there are charitable groups they can go to, and that go to the hospitals, mostly the Catholic Church, and get the things they need. I did not see one person go without what they needed because of the natural charity of the Mexican people. It also cuts down on the use of $15.00 Aspirin.

Now, what you most likely fell victim of while you visited Mexico was the Gringo scam, where locals will tell tourist they cannot get help in an attempt to get money.

As to your statement that the Mexican government kicks their people to the curb if they need medical help is just uneducated ranting. Do some research on the web and try actually living in Mexico, WITH THE PEOPLE, as I did for almost ten years and you will soon learn the truth. I almost died of congestive heart failure and needed a heart transplant while living in Mexico. I was in 4 different hospitals in Guadalajara, and at that time it cost me $25.00 a day for a private room with 2 full time nurses, TV, and a beautiful little private courtyard with a fountain. I understand that now this would cost me about $50.00 a day. I had fantastic care from very sharp doctors and the cost was so little I was astounded. Even the transplant doctors that reviewed my records here were impressed with what they saw.

The way they treat their mentally ill is also very astonishing, but it would make this post even longer. Sorry for being so long winded.

God Bless America
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September 3, 2009 | 8:19 PM
Sorry for the mistake in the posting above.

I should have said IMSS or Instituto Mexicano del Seguro Social.

ISSSTE is Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado.
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edited on  September 4, 2009 | 9:18 AM
Thanks for the name calling aticma. Your the smartest! Yes, 2 years in Mexico. The info I offered you was fact, not opinion. Hate the facts?
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September 3, 2009 | 11:05 PM
Well, I do call um as I see um. And I saw a lot of expats like you that sat around complaining about how much they hated the US, and down talked to the Mexicans to make themselves feel superior. That’s what those expat compounds are all about. I am sorry that I called you a dimwit, though; you most likely have not risen to that level of intelligence.

God Bless America
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September 4, 2009 | 9:12 AM
How about that, aticama say Mex. has free clinics just like here in the USA. The rest of what you say is half truths and I expected that from you.

Keep name calling Mr. think you know it all, your argument sound weak unless you insult someone right?
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September 4, 2009 | 9:21 AM
"Well, I do call um as I see um. And I saw a lot of expats like you" . No, you make them up as you want them to be. I am not an expatriot, please learn to read. "um"??? Have a nice day.
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September 4, 2009 | 10:47 AM
Trapper and THAS - Thank you for having the intelligence, and restraint to rise above Aticama's inacurate information and obvious lack of education. Mr. Aticama, Please help yourself to become a better person. There are many options for completing your education that will cost little (in some cases no cost at all). This will assist you in so many ways. You will learn how to express yourself in an adult fashion. Imagine having the ability to make a statement that expresses your views in a fashion that we might actually consider as a bonafide possability? As it stands, no one can possibly give any credence to your thoughts or opinions. Please understand that when you resort to calling other people names we are left to conclude that we are dealing with someone who never evolved beyond the 4th grade. I think that you will benefit greatly from all of the wonderful opportunities an education will bring. Best of luck to you!
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edited on  September 5, 2009 | 2:34 AM
I am sorry Kris, but expressing different views is one thing, outright lying is another, and that is what you and the other expats are doing.

I am sure that your father is not one of the exploiters of Mexico that sets up phony substandard sweat shops to exploit the Mexican people, especially the women, and makes the environment un-livable around them. He would not be involved in contributing to the rapes and murders of hundreds of Mexican female fabrica workers in Ciudad Juarez were the rich fabrica owners will not even light the parking lots the women have to walk through to get to and from work. I am sure of that. No decent Human Being would do such a thing.

I was not privileged to live in the big cities (actually I did not want to), and only traveled there once in a while, and when I was desperately ill. I was fortunate enough to live in a small fishing village on the central west coast of Mexico, called, off all things, Aticama in the state of Nayarit, Municipal San Blas. I think at the most there were about 5-9 other Americans, Canadians, and European there at one time, and it only had one public phone.

On my wife’s Rancho we had no electricity, no running water, and washed body and clothing in a 20 ft jungle waterfall. I was a gringo in paradise. So you are far better educated in the big city and expat compounds then I, by your own admission.

I traveled all the time to the capitol city of Nayarit, Tepic, and in nine years only saw two people sleeping on the streets at night. I was astonished to see that because it was so rare. In Aticama and the surrounding villages the ajidos gave homes to mentally ill people to live in. I know because my wife was a member and spokesperson in the ajido of Aticama, and I saw it happen.

What you, trapper and thsas are touting are just blatant lies from expats that live in gringo compounds because basically they do not like America or Mexicans. I met plenty like you down there. Spending several months a year in Mexico and still paying 47% I am sure that your Mexican home is in one of the gated villas that cordon off the beaches so even the Mexicans cannot swim in their own oceans. And because of you everything is priced so high that the locals cannot even afford to shop in their own markets and buy the basic needs for survival.

I would give you a URL to the site with pictures of how I lived in Mexico with my indigenous wife (half Huichol and half Cora), but I would not want you going over there spewing your lies about the culture, as they are in enough trouble at this time because of interference from do-gooding gringas like yourself. People that are more worries about the Mexican dogs and cats then the people.

I willl give you a blind site where I store some of my pics.
http://prose-workshop.com/chavie@me.bmp
http://prose-workshop.com/easterpuddingl.jpg
http://prose-workshop.com/water8.jpg
http://prose-workshop.com/roof4.jpg
http://prose-workshop.com/waterfall8.jpg
http://prose-workshop.com/tub2.jpg
http://prose-workshop.com/chavieandchavie.jpg
http://prose-workshop.com/mother.jpg
http://prose-workshop.com/hut1.jpg


You know nothing of Mexico except what you see from the barred window in you villa. If the medical treatment in Mexico is so bad, why do over one million Californians alone go to Mexico each year for treatment. It cost $250US+- a year to get full coverage medical in Mexico, this includes everything, I know I pay for my wife’s IMSS in Mexico each year.

I know what I am for, fixed terms, fixed taxes, and freedom of choice, and I have never been involved in any kind of law enforcement. You just struck out. Even if ANYTHING you have said about the Mexican people was true, they still take better care of their elderly, infirmed, and mentally impaired then us, the great advanced white race, does. Please show me a site that can dispute any of the Social services I wrote about in my statement.

Something else you should have learned from the people while down there. Poverty is not the lack of things as we whites judges it; poverty is the lack of compassion in your heart for other people. So, povresita para tu.

As to your ramblings above, go back and retake your junior high school debating class, you must of failed it the first time around.
God Bless America.

http://www.imss.gob.mx/
http://www.issste.gob.mx/index2.html
http://en.wikipedia.org/wiki/Health_care_in_Mexico
http://www.medtogo.com/mexico-health-care-system.html
I can get a lot more if you wrongly informed need further education.
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September 3, 2009 | 2:14 PM
These cuts are very harmful, but they are partly a result of voter opposition to the May ballot initiatives. If we want to live in a state with low taxes, we should expect fewer services. If we want to live in a state with more services we should expect higher taxes.
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edited on  September 3, 2009 | 4:30 PM
"The police department does not keep statistics on the number of mentally ill people with a criminal charge who are booked at jail instead of in a mental health facility, he said."
Did Haley happen to ask why police not keep such statistics? That data is very important and educational to elected officials when making budget decisions.

Savemidtown is right. There are more incidents. For two days in a row a bearded man with a blanket thrown over his left shoulder was pacing up and down three midtown streets, shouting and cursing until he lost his voice for a while. He entered people's front yards and walked up to their stairs and cursed the residents there. When he started destroying a businesses' property, and pedestrians felt their safety was threatened, they called PD, but PD never responded.
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September 3, 2009 | 5:57 PM
If a person is booked into jail they are being charged with a crime. The mental state may be noted in the medical clearance that a nurse gives but is not separately recorded on any individualized form. Many stats would be nice to track for a variety of reasons and we do track a lot of data but not every data can nor is tracked.
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September 4, 2009 | 12:03 PM
All data collected is set up on a priority basis. Knowing the " customer "(mentally ill offender) is essential to the success of any business. This applies just as much to PD as anyone else. If this is not yet a priority, it should be, because so many other cities send their homeless and mentally ill here.
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edited on  September 4, 2009 | 8:43 PM
advocate, I have never heard that before, where can I see some data?
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September 3, 2009 | 7:44 PM
In November the County will fire everyone who's left and only rehire them again if they take 2 furlough days a month. Hmmm, sounds better than the alternative.
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September 3, 2009 | 9:58 PM
I think that this topic is multi faceted with so many layers of topics and issues. My father was an executive with a company who has factories in Mexico. I had the opportunity to live in several cities and of course, travel all over Mexico for the first 18 years of my life. I am 40 now and still spend several months of the year in Guadalajara and Mexico City with my parents and family. Aticama, I am LAUGHING after reading your comments regarding our medical care! If you ever venture outside of the pearly gates of the American colonies and spend some time in the REAL Mexico, you will see what I see. You will find FILTHY medical clinics, an ASTOUNDING number of mentally ill and assorted substance abusing homeless. I for one will NEVER be "ashamed" to be an American. I can also assure you, despite your displeasure at our treatment of homeless population, we provide more assistance and offer many hospital and clinic options for the low and no income citizens (along with our "guests" who lack green cards) As a country, America can only do so much. How much more would you like to be removed from your paycheck? As it stands, The 47% that I give to Federal and State taxes has taxed (no pun intended) my generosity to the limit. Aticana, feel compelled to assist you in basic manners. Despite my disagreeiment with your opinions, have I called you names? For instance, if I read something that I believed was inaccurate I wouldn't call you stupid or allude to your perceived lack of intelligence by calling you a dimwits' stupid brother. How would you feel if Mr. Leong pointed out that you were a jailer and said something hurtful and mean such as you are a cop wanna be who couldnt make it? Hopefully, you can find a more adult manner in which to express yourself in the future! You might try to remember that freedom to express opposing views is what makes America so wonderful. God Bless America.
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September 4, 2009 | 12:30 PM
47% of your income for federal and state taxes? Does that include local property taxes? Shocking! And for that you get free education thru college, free health care, here like 60 minutes program when it aired Denmark Happiest Place in the World where they pay only three per cent more than you are paying. . . .

http://www.cbsnews.com/stories/2008/02/14/60minutes/main3833797.shtml

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edited on  September 4, 2009 | 8:44 PM
Where is the free healthcare? (Our family out of pocket medical is about $10k a year.)

To your point advocate, Federal income tax at 36%+and State 11%+ seems to get rates up there pretty fast. Add other required wage withholding like SSN, etc., then add your spent sales tax, property insurance, car plate taxes, utility taxes, (look at your utility bills, taxs are near 40%). I think all told, taxes are really near 70%?

I dont think you can claim that anything our family has gotten was "free".
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September 4, 2009 | 6:19 AM
Please see this article in today's Bee:

"Nurse shortage delays bookings at Sacramento County jail"

http://www.sacbee.com/topstories/story/2159810.html

(why doesn't the SacPress use hotlinks?)

And Officer Leong, many inmates are there for crimes that could be better handled at detox or true mental health centers, i.e., disturbing the peace or public intoxication, which would ease the incredible workload your dedicated officers must labor under.

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September 4, 2009 | 2:57 PM
The Sacramento Press does not condone personal attacks or name-calling between users. We appreciate and encourage debate and constructive criticism but would also like to maintain a civil commenting forum.
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edited on  September 5, 2009 | 1:06 AM
Oh, I understand my bad. If a conservative American calls someone a dimwit for outright lying, that is a no-no, Right Casey? But if one of your liberal crones insults a conservative, well that gets a good mark. Here is a quote from Bill Albertson from a different string. But I did not see you pop your little head up and correct him. “Actually, advocate has had an account with activity on sacpress prior to today- unlike yourself (tpierce2), aticama, czfuller, and artsydee47. You need to work on your banter and astroturfing scripts a bit, maybe appear to be involved in the community (other than mentioning the Bee), before you start casting aspersions as to who is a "plant", ok?”

Well, I had not called anyone anything until them, and since Bill was a long time authority on the subject and called us astroterfers, I just assumed return is fair play. I will defiantly apologies for calling anyone a dimwit, and will just say in the future they are not very smart, and basically know nothing about the health system in Mexico.

“So those irresponsible anti-American clowns mislead the public in order to stir up emotion.” Advocate.

“What an imbecile” Jim Knapp

“I think you're a plant, but that's irrelevant.” Ayatollah Gondola

I have seen other references to conservatives on this site as tea baggers, astroterfers, and conservative idiots in which you did not pull your little lecture on. So if you are going to play the “your being bad game, at least try to apply it with the appearance of equality.

But you do condone outright lies and misinformation, right? Because there is enough of it on all of these blogs.

God Bless Amercia
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edited on  September 6, 2009 | 11:57 AM
Aticama, You live in a unique fantasy world of facts and quotes. You decide that others are iliberal expatriot who hates America. I read and re-read comments that preceded your comments and nowhere were these statements to be found! I also feel compelled to inform you that my father has never comitted a rape in any country. The factories are air conditioned with every amenity that you would find in a factory that is located in America. These factories also employ many Americans and British citizens. My first after school and summer jobs were also at this factory. These "sweat shops" pays well and the employees are given benefits that are well above the standard and are equal to the counterparts located in America and Europe. I have no need to revisit highschool for debate class or anything else. I dont think that you have a true understanding of what a debate is. I can tell you what it is not,though. No one has been debating in this forum Aticama. This is a forum that allows people to share their views. Its human nature to wish you could convince everyone to agree with your views. What you dont seem to realize is that your childish rantings and name calling only distracts from the topic and incites disdain for those who read your comments. As a long time Conservative and very active member of the Republican party, I am shocked at your behavior. You have lost any possabilty of succeeding in your endeavor to sway any readers to your school of thought. I for one WELCOME opping beliefs and recognize that opposing view srent always wrong and I can learn from others. Hopefully in the future you will put more research, thought and dignity into your editorials and comments. You have created backgrounds, stories and comments for nearly every writer on this forum. You are welcome to respond to this in any manner that makes you feel vindicated or to in some way justify your astounding lack of judgement, education and tact. You can be assured that it will remain unread. Unless you make the decision to become a better person who can accept the fact that everyone isnt going to agree with everything you say and that (as shocking as it may be) You DO make mistakes. I am trying to be as gentle as possible in telling you this because it has become quite apparent that you have many personal issues that you are dealng with. You have the tendancy to believe that EVERYONE is below average in intelligence and EVERYONE else has inaccurate facts and information. You do what teenagers (especially girls) do to hide their insecurities. They call others names, insult and chastize them-and for what? TO MAKE THEM FEEL BETTER ABOUT THEMSELVES! Are you finding any similarities? I will no longer read any of your postings. You have taken away from the topic and wasted my time. I also strongly suggest to the other readers and posters to do the same and just skip over Aticama's comments
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November 7, 2009 | 2:06 PM
Got to love the Mexico thread! Well, my little family and I live in the village of Aticama Nayarit during the winter months and in Portland Oregon the rest of the year. It is coming on 25 years that I have been in Ejido Aticama and I have never, ever, not once, seen someone sleeping in the street or on a corner because they had to. In Portland I have raised money to help shelter the hundreds of people sleeping on the street EVERY NIGHT. I am no expert on Mexican health care but I can tell you first hand (and provide photos to prove it) that the clinics I have seen were clean and open to all, regardless of nationality. My daughter was born at General Hospital in Tepic 5 years ago. Excellent care, every bit as good as Good Samaritan in Portland. Cost in USA for my son's hassle free delivery 9 years ago? $16,000 us dollars. Cost for my daughter? $125.00 (one hundred and twenty five dollars us). Hmmmmmmm.......... I have traveled and lived in Mexico for over 35 years and it is true - there are at least 2 Mexicos. The big 98% of all Mexicans style Mexico that Aticama speaks of and then there is the 2% Mexico that Cris and Trapper speak of. Both are correct in their own fashion - as true as a new Rolls Royce is not a beater '82 Oldsmoble, even though both are cars and do the same basic thing. Its just not likely that you would find Cris driving the latter! In closing I would ask any Mexican Health Care Basher this question - "If you didnt have a dollar to your name, where would you rather live on the street, here in the USA or in Mexico?" Before you answer, take a drive downtown in any major city and take a good look and smell..........
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