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Seattle P-I: County’s mentally ill fade into the system, Homes are closed, more people cycle from jail to street and fixes far away

Even as county mental health officials herald an ambitious new plan to spend sales tax money to expand housing for people with mental illness, they’ve quietly let the boarding homes close because they no longer fit the preferred model, which emphasizes independent living.

In a memo to the buildings’ owner last month, mental health director Amnon Shoenfeld said the county didn’t want to invest in repairing the debilitated boarding homes because they weren’t consistent with its “recovery principles.” Recovery refers to a philosophy that people with mental illness can and do improve with appropriate treatment, housing and support.

Meanwhile, waiting lists for mental health housing in King County — and around the state — continue to grow.

Plymouth Housing Group, one of the largest providers of such housing, has 800 people on its list and a two-year wait, said Tara Connor, Plymouth’s policy director.

The lack of housing has created backups at Western State Hospital, where more than 100 patients are cleared for discharge but have nowhere to go.

The problem is even more acute for those not leaving a psychiatric facility. Western State patients have priority for community housing. Others may have to wait months to years for supported housing, said Robert Fors, a probation officer with Seattle’s mental health court.

I’ve worked at both Western State Hospital and within the District Mental Health Court of King County. During the past three years, I got first-hand experience with these difficulties while working as a social worker in these systems. During this same time as the counties scramble for funding for serving their clients locally, this funding was siphoned off of Western State Hospital, and wards have been closed, eliminating some of the capacity. Within the King County system, we were promised earlier this year that we were going to see an increase in funding that would help pick up the slack. We saw the start up of the PACT teams (Program for Assertive Community Treatment) which were understaffed and overburdened within the first 6 months, and in my personal experience, some members of the teams were counter productive in their goal of supporting client independence and self-sufficiency.

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I’m closing in on my first month without a job. This is part of a three month, intentional exercise in finding out where my next employed step will be. Yesterday, I found myself pondering why it’s so frustrating trying to be a social worker/therapist in Seattle. Granted, I’m still finding my way around Seattle given I’ve only been here for 4 yrs, but this is a bit of what I’ve found so far.

There are a lot of people in private practice in the helping professions. Not only do we have the University of Washington, that turns out MSW’s from not just one, but two campuses, but we have a number of other universities and professional schools that offer Masters degrees that can lead to counseling positions. Up until recently, Washington did not the require licensure to be in private practice (though the Registered Counselor issue is soon being rectified.) I happen to know of one prominent local woman that, last I checked, had no verified credentials listed on the Department of Health license list, but yet she offers not just counseling and therapy, but also classes and personal sessions on more intimate topics.

More than a couple of my former clients at both the hospital and with the mental health court would tell me that they had found a naturopath that could treat their schizophrenia or bipolar disorder. While I do not discount that lifestyle, dietary and supplemental changes can have a positive impact on mental health, usually by the time I’ve met this person, they’ve gotten themselves in some serious trouble that sends a clear signal that something wasn’t working.

I actually love going to my naturopath (ND) as that I’m more interested in getting wellness tips on a regular basis than seeing someone once every two years (or more) for an infection that’s not self-resolving. The problem with ND’s is the same problem I find with many of the people advertising as therapists in the Seattle area: how do you distinguish from the grounded, holistic, respectful of conventional medicine/practice individuals and the flighty, fanatical, anti-establisment practitioners? Jon reminded me of an ND he saw once a few years back who went on an anti-semetic rant regarding 9/11, which was a stark contrast to the professionalism and level-headedness of my ND.

Both of them were Bastyr graduates, if I recall correctly.

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Now, not just anyone can be a counselor

By Michael J. Berens

Seattle Times staff reporter

One of the most loosely regulated health-care professions will be abolished and more than 18,000 people stripped of their counseling credentials as part of legislation signed Tuesday by Gov. Christine Gregoire. Eliminated will be the “registered counselor” profession, which state legislators created 20 years ago in response to reports of patient abuse by unlicensed practitioners. But a hastily crafted law required applicants to do little more than pay a $40 application fee and attend a four-hour AIDS awareness class. The state ended up giving the credential to high-school dropouts and even to convicted sex offenders.

No other state has registered so many counselors under such scant guidelines. As a result, Washington has been a haven for sketchy profiteers of every type — from miracle healers to psychics — who have bolstered their credibility as state-sanctioned counselors, a 2006 Seattle Times investigation found. The new legislation creates eight mental-health titles, each carrying progressively higher standards for education, supervision and training. Current registered counselors have until July 1, 2010, to qualify for one of the new regulatory titles through the state Department of Health. Read the rest of this entry »

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Today I got a mass email from a case manager w/ my agency whose program was cut, and he declined the offer of a FT position. He welcomed people to keep in touch w/ his private practice website.

So I went to the website. Clicked on “credentials” and find that he claims to have a Master of Arts in Counseling Psychology from 2006 (shit, I graduated in 2004!) from “Mars Hill Graduate School,” which is no accredited school I’ve ever heard of. I go to the Mars Hill Graduate School website and find they are still in application for accreditation of their MA in Counseling program. He’s got a registered counselor number.

Do you know what it takes to be a registered counselor?

Go ahead, guess.
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Coffee vs. Social Work

Early this afternoon I was getting my Nico (a coffee drink at Vivace in Seattle) and chatting with Don, one of our usual baristas. We see Don most days he works, because we are at Vivace most every day. Somehow or another, we started talking about the new Stumptown (Portland-based coffee roasters) locations on the Hill. I mused a bit on how maybe I should quit my job and try being a barista. I told him, though, my barista training came from Starbucks (not to mention my brief time at Seattle’s Best Coffee), and I’m not sure that was adequate. Don encouraged me, reminding me that I did work at the ‘bucks before their push-button machines. Don said something about Stumptown like, “I hear they pay well and have good benefits…”

Maybe I should quit social work and try to be a Seattle barista?

He suggested us swapping jobs. I laughed.

If only!

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