National Alliance on Mental Illness

NAMI INDIANA AFRLIATES

Indiana

March 28, 2016

Madison County (Anderson) Greater Bloomington South Central (Columbus) Elkhart County (Elkhart)

The Honorable Michael Pence Office of the Governor State House Room 206 Indianapolis, Indiana 46204-2797

Evansville

Dear Governor Pence,

Fort Wayne Gary Metnjpolitan Chapter

On behalf of the National Alliance on Mental Illness (NAMI) Indiana, strong support of the state's plans to build a neuro-diagnostic inst Southern Indiana (Jeffersonvilte) diagnose and treat those with complex brain-based disorders, includi Kokomo mental illness. The proposed state-of-the-art diagnostic and treatmen West Central (Lafayete) and systems-change will be an invaluable addition to our state's ment Uke County/Merrillville system. We also ask for the protection of the already limited servic LaPorte those with severe and persistent mental illnesses who require the ava Southeast (Lawrenceburg) extended inpatient care services. Indianapolis

Cass County (Logansport)

As Grant-Blackford Counties (Marion)

an advocacy organization representing individuals living with ment and their families, we know how important the addition of an easily a Delaware County (Munde) treatment, training, and referral point is to our mental health syst East Central (Richmond) increasing frequency of breakthrough discoveries such as the gene C4 SL Joseph County (South Bend) schizophrenia, and the knowledge that early intervention leads to the Wabash Valley (Terre Haute) outcomes, the importance and timeliness of the NDI cannot be overstat Porter County (Valparaiso) Additionally, the strategic and critical inclusion of forensic treatme Warsaw aligns beautifully with the State's current focus on mental and beha as a part of criminal justice reform. As proposed, the NDI will offer NAMI Campus Affiliates services for thousands of Hoosiers living with brain-based disorders Ball Stale University mental illness, intellectual and developmental disorders, addiction d Indiana University (Bloomington) neuro-degenerative disorders. Indiana University East (Richmond) Indiana Univeisity-Puidue University While Indianapolis (IL PUD Ivy Tacb North Central (South

I

we appreciate the purpose of each of the proposed units of the concerned about the loss of extended care beds for those living with Send) persistent mental illnesses. It is impractical to assume that the ad term and specialized units will immediately eliminate the need for th extended-term adult mental illness (MI) and substance use disorder (S currently available at Larue Carter Hospital (see attachment), which occupancy rate in 2015. Over time, N A M I Indiana hopes that advancemen psychiatric medicine, paired with a more coordinated and integrated reduce our reliance on state hospital beds for longer-temi psychiatr difficult-to-discharge patients. However, history has taught us that reduce the number of these beds before the demand has been demonstrab diminished.

NAMI Indiana • PO Box 2 2 6 9 7 • Indianapolis. IN 4 6 2 2 2 - 0 6 9 7 3 1 7 - 9 2 5 - 9 3 9 9 • 3 1 7 - 9 2 5 - 9 3 9 8 (fax) • n a m i l n d i a n a . o r g

National Alliance on Mental Illness

Indiana

State hospitals serve as a last resort for individuals for whom commu providers are unable or unwilling to safely and effectively treat. Ma represented by N A M I are family members of individuals with mental ill have been hospitalized or are currently hospitalized at a state opera (SOF). Oftentimes, families report that a SOF was the only place that level of care and supervision that their loved one needed when their most severe. Understanding the impracticality and high costs of keepi Carter Hospital open past 2018, N A M I encourages the consideration of capacity for longer-term psychiatric care at the other five SOFs and

NAMI INDIANA AFFILIATES Madison County (Anderson) Greater Bloomington South Central (Columbus) Elkhart County (Elkhart) Evansville Fort VIsyne Gary Metroiiolitan Chapter Indiana polls

Finally, to be successful in reducing the reliance on SOF beds for in serious mental illnesses, the N D I must operate in a functional mental Kokomo system. As stated in the N D I Feasibility Study, "Outpatient programs a West Central (Lafayette) therapy can be less expensive than inpatient care but do not meet all Lake County/Merrillyille many of the most impaired and seriously mentally ill residents in the LaPorte State." This is especially true today, as the services instrumental t Southeast (Lawrenceburg) based recovery are not consistently available throughout the state. A Community Treatment ( A C T Teams), integrated medical homes, supportive Cass County (Logansport) housing options, peer respite services. Clubhouses, and crisis care wi Grant-Blackford Counties (Marion) instrumental in the success of the state's intended new model of care Delaware County (Muncie) we also encourage the thorough review and implementation of recommend East (tentral (Richmond) made in the 2015 Crisis Study published by the Division of Mental Heal SL Joseph County (South Bend) Addiction. Southern Indiana (Jeffersonvilte)

Wabash Valley (Terre Haute) Porter County (Valparaiso)

N A M I Indiana thanks you and Secretary Dr. John Wemert for your leader efforts on behalf of those Hoosiers with mental illness and/or substa disorders. We look forward to working together to modernize and refor mental health system in a way that benefits all Hoosiers, including th severe and persistent mental illness.

Warsaw

NAMI Campus Aflillstes Ball State University Indiana University (Bloomington)

Indiana University East (Richmondl Indiana University-Purdue University Sincerely, Indianapolis (lUPUl) Ivy Tech North Central (South Bend) Joshua

Sprurn

l A M I Indiana Executive Director

Mary Bedel

N A M I Indiana President

C C : John Wemert, Kevin Moore

NAMI Indiana • P.O. Box 2 2 6 9 7 • Indianapolis, IN 4 6 2 2 2 - 0 6 9 7 3 1 7 - 9 2 5 - 9 3 9 9 • 3 1 7 - 9 2 5 - 9 3 9 8 (fax) • namiindiana.org

Attachment:

2015 Larue Carter Hospital Proposed NeuroChange (95% occupancy average) Diagnostic Institute # of Beds for 94 15 S M I + 12 SUD + Loss of between Adults with (includes SUD and up to 12 dual M I &31 and 43 beds Serious Mental 21 research beds) developmental (depending or on use Illnesses (SMI) intellectual disability of research beds) (DD/ID) + 12 stabilization (+12 potential flex adult/youth research beds)

Note: This chart compares the availability of beds that N A M I Indiana considers available fo serious and persistent mental illnesses who require extended inpatient treatment and for wh currently appropriate treatment options available in the community. In 2015, Larue Carter h for children and adolescents. In addition to the units mentioned above, the N D I will offer a forensic populations (24 beds), youth and adolescents (42 beds), assessment and diagnostics care (12 beds).