27655 Middlebelt Road, Suite 170, Farmington Hills, MI 48336
 
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Information and referral line: 248.706.0591


AMI Oakland Office

29548 Southfield Road, Suite 101

Southfield, MI 48076

Phone: 248.203.1998

News Media Contact
Fred Cummins, President
Phone: 248.752.3872

fred.a.cummins@gmail.com

Newsletter -

Hope Cummins

h.hope.cummins@gmail.com
Phone: 248.752.6616

Publicity -

Cheryl Patel

248-661-5684

Website comments or recommendations

should be directed to:

fred.a.cummins@gmail.com

AMI of Oakland CountyEducation
 
AMI of Oakland County offers education for consumers, family members, providers and the general public. These programs draw on the experience of mental health consumers and family members who have learned to live or are still learning to live with mental illness in their lives and are eager to help others.

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General Meeting--Everyone Welcome

These educational meetings are typically the fourth Thursday of each month--third Thursday in November and December. They are held at the Beaumont Hospital Administration Building. 3601 W. Thirteen Mile Road, Royal Oak, Michigan See map. In addition to updates on information of concern to families of persons with mental illness, there are speakers that include, psychiatrists, other mental health professionals, and service agencies. Refreshments will be available at 7:00 p.m. and the meetings begin at 7:30 p.m. If you have any suggestions for future meeting topics, you can call the AMI Oakland County information and referral phone.

Regular General Meetings are held at Beaumont Hospital Administration Building, Auditorium, 3601 W. Thirteen Mile Road, Royal Oak, Michigan. Enter the campus from 13 Mile Road on John B. Poole Drive.  Administration building is Southwest of the main hospital building.  Free parking is in the lot west of the building or south of the building in the Dr's lot or in the parking deck (entered from the East side). See map.

 

In bad weather, please confirm meeting by calling the Information and Referral Line.

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Date:  Thursday, July 28, 2016 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Services of the Community Housing Network   

Speakers:  Marc Craig, President, Community Housing Network

The Community Housing Network (CHN) is a non-profit organization dedicated to finding and developing affordable housing for people with disabilities in Oakland and Macomb counties. CHN is the largest permanent supportive housing provider in Oakland and Macomb counties, and, over the years, has developed 689 units of affordable housing.  Marc Craig has been the leader in formation and development of CHN.  He will describe the various services provided by CHN to assist people in obtaining appropriate, affordable housing..

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Date:  Thursday, June 23, 2016 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: What's Happening In Lansing   

Speakers:  Representative Christine Greig, Michigan Legislature, Farminington and Farmington Hills

Representative Greig is an active and well-informed legislator who understands many of the issues that are competing for legislators' time and Michigan tax dollars in this time of limited state funds.  She supports our advocacy to improve the mental health system.  She will present an overview of a number of current legislative issues and debates.

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Date:  Thursday, May 26, 2016 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Overview of the  Clubhouse Model and Testimonials   

Speakers:  Clubhouse managers and members

Clubhouse is a psychosocial rehabilitation program available through local community mental health services programs to consumers with severe mental illness. It is a nationally recognized model.  Clubhouse provides consumers with an ongoing support network of staff, other Clubhouse members and the community. The program includes a work-ordered day, pre-vocational training, supported employment and education, advocacy, peer support and community involvement.

There are four clubhouses in Oakland County.  At this meeting, all four will be represented by the clubhouse managers who will describe the program, and by members who will describe the benefit they have derived from participation.

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Date:  Thursday, April 28, 2016 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Perspectives on the Current Mental Health System Crisis   

Speaker:  Tom Watkins, CEO, Detroit-Wayne Mental Health Authority

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Mr. Watkins was the Director of the Department of Mental Health under Governor Blanchard.  The Department of Mental Health was later incorporated into the Department of Community Health which now has been incorporated into the Department of Health and Human Services. Since the Blanchard administration, Mr. Watkins has been the State Superintendent of Schools, and President of TDW Associates, trusted advisor to not-for-profit, education, healthcare and business clients.  Since August, 2013, he is the CEO of the largest mental health authority in Michigan.

The recent budget proposal to privatize the Michigan public mental health system has exposed many of the current problems that would only get worse with privatization. The public mental health system is already in crisis as a result of inadequate funding. Many people in need of services are losing their services, and many potential, new recipients are denied access.

Mr. Watkins will meet and dialog with us to bring his perspective on the current mental health system crisis and how we might address it.  From his diversity of experience, he brings unique insights on the politics and challenges of mental health services

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Date:  Thursday, March 17, 2016 (Third Thursday) Rescheduled from February

Time:  7:30 PM to 9:30 PM 

Program Topic: Michigan Budget and Implications to Mental Health Services   

Speaker:  Senator James Marleau (R), Chair, Michigan Senate Appropriations Subcommittee on Community Health 

Senator Marleau will talk about the Governor's proposed budget and it's implications to mental health services.  There is increased competition for funding.  Millions have already been devoted to roads, and now we are faced with millions to resolve the problems of mismanagement of the Detroit Public Schools and the Flint poisonous water system.  In addition, the Governor's budget proposes privatization of the public mental health system diverting money to profits and creating new barriers to resolving problems with the system. We should have a dialogue with the Senator to help him understand the challenges faced by persons with mental illness and their families, particularly with a tight mental helath budget.

Senator Marleau represents Addison Township, Auburn Hills, Village of Beverly Hills, Village of Bingham Farms, Bloomfield Township, Village of Franklin, Independence Township, Keego Harbor, Oakland Township, Orion Township, Oxford Township, Pontiac, Southfield Township, Sylvan Lake, and Village of Clarkston.

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Meeting was rescheduled for March 17 (Third Thursday) due to bad weather.

Date:  Thursday, February 25, 2016 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Michigan Budget and Implications to Mental Health Services   

Speaker:  Senator James Marleau (R), Chair, Michigan Senate Appropriations Subcommittee on Community Health 

Senator Marleau will talk about the Governor's proposed budget and it's implications to mental health services.  There is increased competition for funding.  Millions have already been devoted to roads, and now we are faced with millions to resolve the problems of mismanagement of the Detroit Public Schools and the Flint poisonous water system.  In addition, the Governor's budget proposes privatization of the public mental health system diverting money to profits and creating new barriers to resolving problems with the system. We should have a dialogue with the Senator to help him understand the challenges faced by persons with mental illness and their families, particularly with a tight mental helath budget.

Senator Marleau represents Addison Township, Auburn Hills, Village of Beverly Hills, Village of Bingham Farms, Bloomfield Township, Village of Franklin, Independence Township, Keego Harbor, Oakland Township, Orion Township, Oxford Township, Pontiac, Southfield Township, Sylvan Lake, and Village of Clarkston.

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Date:  Thursday, January 28, 2016 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: A New Opportunity for Mental Health Services for Uninsured and Under-insured: Certified Community Behavioral Health Centers (CCBHC)   

Speaker:  Nicole Lawson, PhD., Manager, OCCMHA Clinical Practice and Health care Innovation  

State funding cuts are driving cuts to commumity mental health services and the discharge of CMH clients without Medicaid or on Medicaid spend0down.  This month's program will present a new model that may be a future source of services.  Dr. Lawson will talk about plans for development of a CCBHC under the Federal Excellence in Mental Health Act, co-sponsored by Senator Debbie Stabenow.  A CCBHC is a federally funded mental health clinic for low-income, uninsured people and under-insured people Fees are based on ability to pay.  Initial funding will be for demonstration programs .  OCCMHA plans to propose a demonstration projectWillie Brooks, CEO of OCCMHA plans to attend the meeting.

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Date:  Thursday, November 19, 2015 (Third Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Changes to Housing Assistance Opportunities   

Speaker:  Chuck Bratton, Housing Resource Manager, Community Housing Network  

Mr. Bratton will discuss recent changes and opportunities for housing supports. Appropriate housing for persons with a mental illness continues to be a challenge.  This may create new housing opportunities, but, with recent mental health budget cuts, persons who currently have appropriate housing may face new challenges.  It is important to remain up to date on the opportunities and challenges.

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Date:  Thursday, October 22, 2015 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Update on Important Mental Health Policy Issues   

Speaker:  Dr. Mark Reinstein, PhD, Mental Health Advocate and Retired President and CEO of the Mental Health Association in Michigan  

Mark remains an active advocate for changes in the Michigan mental health system. He will bring us up to date on such topics as changes to Kevin’s Law (outpatient commitment), Medicaid managed care medication formulary, guardianship issues, confidentiality of commitment proceedings, congressional activity in response to mass shootings, and the Federal waiver required to continue the Medicaid expansion under the Affordable Care Act (Obamacare).

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Date:  Thursday, September 24, 2015 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Scientific Advances in the Diagnosis and Treatment of Mental Illness and Substance Use Disorders  

Speaker:  Dr Leonard J. Rosen, Medical Director, Oakland County Community Mental Health Authority

Doctor Rosen will discuss advances in medical and computer technology and research leading to improvement in medical treatment and new insights into brain function.  These advances clearly demonstrate the biological basis for mental illness and substance use disorders.  He believes there is potential for significant improvements in treatment and recovery in the next few years.  We need to advocate for more research to bring these advances to medical practice. 

Copy this link into your web browser to download the presentation to your computer. http://www.amioakland.org/documents/LeonardRosenAdvancesinMentalIllnessResearch2015.pdf

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Date:  Thursday, August 27, 2015 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Increasing Challenges to Publically Funded Health Insurance Programs  

Speaker:  Marjorie Mitchell, Executive Director, MICHUHCAN

Marjorie Mitchell is a long-time advocate for disability rights and access to health insurance for Michigan families.  She is very knowledgeable about Medicaid, Medicare and the Affordable Care Act (Obamacare). There are considerable changes being explored both in the Federal government and in Michigan. This talk is not only important regarding care for persons with mental illness, but also for those getting health care under the Medicaid expansion or the healthcare exchange under the Affordable Care Act and all of us who rely on Medicare and/or Medicaid for health care in our senior years.

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Date:  Thursday, July 23, 2015 (Fourth Thursday)

Time:   

Program Topic: No Meeting This Month

Please join us next month, August 27, 2015 (Fourth Thursday)  

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     Meeting Re-Scheduled for August

Date:  Thursday, June 25, 2015 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Increasing Challenges to Publically Funded Health Insurance Programs  

Speaker:  Marjorie Mitchell, Executive Director, MICHUHCAN

Marjorie Mitchell is a long-time advocate for disability rights and access to health insurance for Michigan families.  She is very knowledgeable about Medicaid, Medicare and the Affordable Care Act (Obamacare). There are considerable changes being explored both in the Federal government and in Michigan. This talk is not only important regarding care for persons with mental illness, but also for those getting health care under the Medicaid expansion or the healthcare exchange under the Affordable Care Act and all of us who rely on Medicare and/or Medicaid for health care in our senior years..

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Date:  Thursday, May 28, 2015 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Court-Ordered Treatment Compliance under Kevin's Law  

Speaker:  Mack Hohmann, Court Liaison, Common Ground

Kevin’s Law is the Michigan statute for court ordered outpatient treatment for persons who are mentally ill and have multiple hospitalizations and/or involvement with criminal justice.  We have seen it produce good results.  Mack will tell us about the application of Kevin’s Law in Oakland County and his role in the process.

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Date:  Thursday, April 23, 2015 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Advocate for Incentives to Drive a Better Mental Health System  

Speaker:  Fred Cummins, President, Alliance for the Mentally Ill of Oakland County

Most of the people working in the Michigan mental health system became involved to help people with mental illness or developmental disabilities and their families.  Many are themselves family members.  However, when people need help from the mental health system, then timely, adequate and appropriate care may not be forthcoming. 

Why don’t mental health leaders and professionals just do the right thing?  That question was considered in a work group formed as part of Governor Snyder’s Mental Health Commission.  The work group was one formed by Representative Phil Cavanagh who chaired the committee on Mental/Physical Health Integration and Service Delivery.  While the proposal did not meet the required unanimous support of the Commission, we should advocate for these changes. Mr. Cummins will discuss the recommendations of the work group that would help mental health leaders and professionals do the right thing, and drive a better mental health system.

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Date:  Thursday, March 26, 2015 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Oakland County's Adult Treatment Court and the Mental Health Component

Speaker:  Heather Willis, M.A. LPC, Adult Treatment Court, Mental Health Liaison, Common Ground

Ms Willis will describe the court program available as a sentence for a criminal conviction of a person with a mental illness and substance abuse in Oakland County. We should be aware of this program in case our family member with mental illness becomes involved with criminal justice.  While the program focuses on persons with substance abuse, we should consider advocating for broader application to persons with mental illness.

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Date:  Thursday, February 26, 2015 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Legislative Perspectives on the Public Mental Health System

Facilitator:  State Senator Vincent Gregory, lead Democrat on the Senate Appropriations Committee

Senator Gregory will bring us up to date on budgeting activity and other initiatives related to the mental health system.  This is our opportunity to express our concerns about budget cuts and other problems with mental health services experienced by persons with mental illness and their families.  Senator Gregory will help us understand the legislative process and priorities, and how we might advocate for improvements to the mental health system.

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Date:  Thursday, December 18, 2014 (Third Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Advocacy Planning for Adequate and Appropriate Mental Health Care Funding

Facilitator:  Fred Cummins, President, AMI Oakland

The recent budget reductions experienced by Oakland County Community  Mental Health Authority (OCCMHA) as well as the CMH organizations of Wayne and Macomb counties have drawn attention to the unmet needs of persons with mental illnesses.  The budget cuts are putting the welfare of some people at risk, and are undermining the quality of life of others.  At the same time, we have many people with mental illnesses who are receiving no mental health services and are living with their families, homeless or in our jails and prisons.

 

We need to educate legislators and the public regarding the unmet needs for mental health services as well as the potential for persons receiving services to improve their level of functioning and realize a better quality of life.  While some of us may be satisfied with current services, there is a significant risk that those services will be reduced.  In addition, the current quality of our services is very dependent on the specific individuals we happen to have providing those services.

Please join us to clarify our issues and goals, and to discuss strategies for improving the public mental health system and thus the quality of lives of persons with mental illness and their families.

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Date:  Thursday, November 20, 2014 (Third Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Oakland County Community Mental Health in Crisis

Moderator:  Fred Cummins, President, AMI Oakland

We need your input. Some of you are aware that Oakland County Community Mental Health is suffering from budget cuts. Some of you have experienced reductions in services.  These cuts will get bigger and are a danger to recipients of mental health services.

Macomb and Wayne County CMHs are suffering from similar cuts.  The consequences of these cuts started in the Fall of 2013, but the initial impact was reduced when OCCMHA used reserve funds to compensate.  Nevertheless, most of the service providers were directed to reduce costs.  You may have seen some of the consequences ranging from reduced staffing and fewer case management visits to discharge of some people from some services.  These reductions in service may have been “justified” as a response to improvement of a person receiving services.

The reductions in 2014 are only the beginning.  The reserve funds are nearly depleted and the budget reductions remain in effect for fiscal year 2015 (starting October 1, 2014).  In addition to the budget cuts, there is an increase in recipients of services due to Medicaid Expansion.  While the Federal government will pay 100% of the Medicaid Expansion, the funding is delayed resulting in an additional, short-term deficit.  Furthermore, the recent increase in the minimum wage has increased the costs of direct care providers without increased funding. Some group home providers are closing group homes because they cannot survive the funding shortfall.

This is an immediate problem for a number of persons with developmental disabilities because they have received notice that their group homes will be closed effective November 1, and they don’t know where they will go.  Some of them have relied on these services for decades.

The full impact of this reduced funding will hit in the 2016 fiscal year, beginning October 1, 2015.  I have given public comment to the OCCMHA Board several times.  I have asked that they provide information on how providers are implementing the funding reductions.  We only hear about some of the consequences since many of our members believe this is only happening to them. Willie Brooks, the new Executive Director, asserts that he is aware of the cuts and implies that they are not adversely affecting recipients.  We are aware of some significant consequences.  We still don’t know what the specific cuts are and how many people are affected. 

We need to hear about the impact from the front lines—that is you who are experiencing service reductions.  Please attend this meeting.  We will try to put together a picture of how these budget cuts are affecting persons with a mental illness and what you can do.  We will try to identify the scope of the changes and those with the most serious consequences as a basis for advocacy with legislators and the Department of Community Health. 

We need your input.  We also would like you to join in the advocacy.

In the meantime, I encourage you to attend the next OCCMHA Board meeting, November 18, 6:00 pm; at the Resource and Crisis Center (Common Ground), in Building 12E in the County Complex.  Just listen or give public comment to express your concerns.

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Date:  Thursday, October 23, 2014 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Channel 7 TV Series on the Michigan Mental Health System

Speaker:  Ross Jones, Investigative Reporter for Channel 7 News

Mr. Jones has presented a series of Channel 7, TV interviews providing insights on the state of the Michigan public mental health system and the recent budget cuts. He has held excellent interviews with both government leaders and families coping with the mental illness of a family member.  He will share his insights and is interested in hearing experiences and concerns from the audience. This is an opportunity to share your experiences and concerns for attention in future news coverage.

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Date:  Thursday, September 25, 2014 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: An Overview of Medicaid and Spend-Downs

Speakers:  Belinda Arbogast, Department of Human Services (DHS) District Manager for Oakland County, Walled Lake Office, and Sallie Kuhne, DHS Program Manager for Oakland County Madison Heights Office

Our speakers have extensive knowledge in the area of Medicaid and spend-downs.  Ms. Arbogast has been with the Department of Human Services for 32 years.  Ms. Kuhne has been with the department for 15 years.  Since Medicaid is the primary funder of mental health services in Michigan, this meeting is important to gain an understanding of qualifications for Medicaid, Medicaid-covered services, the changes that have recently occurred and what might be coming.  Bring your questions.

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Date:  Thursday, August 28, 2014 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: Legislative and Administrative Issues Affecting Persons with Mental Illness

Speaker: Mark Reinstein, PhD, President and CEO, Mental Health Association in Michigan)

Dr. Reinstein is active in a number of state-wide advocacy initiatives.  He will discuss current state and national legislation and administrative issues of concern to persons with mental illness and their families.  For example, many people are being affected by budget cuts, some recommendations of Governor Snyder’s mental health commission have been implemented and others have not, and the commission recently completed recommendations on diversion of persons with mental illness from criminal justice.  It is important to understand these issues, particularly in an election year.  Candidates should be challenged to take positions on these issues, and you should consider their answers when you vote.

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Date:  Thursday, July 24, 2014 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: : Oakland County Community Mental Health Moving Forward

Speaker: Willie Brooks, New Executive Director, Oakland County Community Mental Health Authority (OCCMHA)

Mr. Brooks was recently appointed Executive Director of OCCMHA.  As the previous Chief Financial Officer, he comes withan understanding of OCCMHA. He will speak about the challenges he sees in this new position, current issues that will affect persons with mental illness served by OCCMHA, and his vision for OCCMHA in the future.  Tis will also be an opportunity for you to express your concerns.

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Date:  Thursday, June 26, 2014 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: : Minds on the Edge: Facing Mental Illness

Speaker: PBS Video and Open Discussion

This video describes the state of the United States mental health system through a dialog with a number of experts on different aspects of mental illness in the United States.  We will view the video followed by an open discussion of current problems facing persons with mental illness and their families in Oakland County

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Date:  Thursday, May 22, 2014 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: : Navigating and understanding mental health issues and care in Michigan's prisons

Speaker: Natalie Holbrook, Program Director, American Friends Service Committee, Michigan Criminal Justice Program

Natalie Holbrook, Program Director, is a prisoner rights advocate.  She has worked for the American Friends Service Committee¹s Michigan Criminal Justice program for eleven years advocating for and with people held in Michigan¹s prisons around a myriad of issues including access to adequate health care and mental health care, conditions of confinement, parole related issues, and solitary confinement.  She has co-authored various reports for public education on prison related issues and self-help information for people in prison.  Natalie has an MA in Social Foundations of Education from Eastern Michigan University.

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Date:  Thursday, April 28, 2014 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: : State Legislative Issues in Health Care and Services for Persons with Mental Illness

Speaker: State Representative Ellen Cogen Lipton, 27-th District

Representative Lipton will discuss changes in Michigan health care and the impact on services for persons with mental illness.  The Medicaid expansion will put added demand on Community Mental Health (CMH) at the same time that CMH is experiencing budget cuts.  There is discussion in Lansing of reducing or eliminating general fund dollars for CMH.  Close to half of the individuals with mental illness that CMH are not on Medicaid and are served by general fund dollars.  Cutting these funds will be catastrophic to these people.  This will also violate the mental health code which requires CMH to serve people with mental illness regardless of their ability to pay for services or their Medicaid status.

Representative Lipton represents Berkley, Huntington Woods, Oak Park, Royal Oak Township, Ferndale and Hazel Park.

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Location: OCCMHA Resource and Crisis Center

Conference room at 1200 N. Telegraph Road (county complex), Building 32E

Date:  Thursday, March 27, 2014 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: : Common Ground Overview and New Facility Tour

Speaker: Heather Rae, MA, LLP, Vice President, Programs and Services, Common Ground

Common Ground provides mental heatth crisis intervention and is the gateway to community mental health hospital and community services for persons with mental illness in Oakland County.  Common Ground recently moved to a new, modern facility in the Oakland County complex.  Persons in need of services may be admitted for services at a CMH core agency, they may be admitted for psychiatric hospitalization, or they may be provided intensive services with medical supervision at the new Common Ground site.  Ms Rae will present an overview of Common Ground services and then take participants on a tour of the new facility.

To get to Common Ground, take Telegraph Road to the North intersection of County Center Drive and turn East.  Take the second right, Hospital Drive, to the right.  Building 32E is on the right and parking is on the left.

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Date:  Thursday, February 27, 2014 (Fourth Thursday)

Time:  7:30 PM to 9:30 PM 

Program Topic: : Social Capital: What Is it and Why Do I Care?

Speaker: Amy Smolski, Commonwealth Administrator, Macomb County Community Mental Health

Social capital is the value people obtain from personal relationships with others.  Persons with a mental illness tend to be somewhat isolated, and it is important that we understand their need for relationships and the importance of relationships to a person’s well-being, including their physical and mental health.  Ms Smolski will discuss the nature of social capital, the potential benefits to individuals, and her efforts to incorporate these concepts to improve the lives of persons served by Macomb County Community Mental Health.

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Regular General Meetings are held at Beaumont Hospital Administration Building, Auditorium, 3601 W. Thirteen Mile Road, Royal Oak, Michigan. Free parking is in the lot west of the building or south of the building in the Dr's lot or in the parking deck (entered from the East side). See map.

 

 

Educational Outreach/Speakers Bureau

 
Presentations to civic, religious and professional groups are available on request. Please contact Fred Cummins, President, at fred.a.cummins@gmail.com for information. These may include talks on nature of mental illness, family experiences, public policy, stigma, the metal health system, etc. We will tailor the presentation to the specific interest and forum.
 
 
 
 
 
 
 
 
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