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Massachusetts DMH to close state hospital

January 30, 2012
by News release
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The Massachusetts Department of Mental Health (DMH) informed members of the Massachusetts Nurses Association/National Nurses United (MNA/NNU) of its plan to close Taunton State Hospital, one of six state operated mental health facilities in the state to care for people suffering from acute and chronic mental illness.

The announcement came at a meeting held with senior DMH staff, and will result in the loss of more than 169 beds to a mental health system in Massachusetts that already is "overloaded." According to Karen Coughlin, RN, a nurse at Taunton State Hospital and vice president of the MNA/NNU, the decision will have "devastating consequences" for the state's mentally ill population.

"We have no mental healthcare safety net in Massachusetts. There are not, and have not been, enough beds or services in the system for years," Coughlin said. "This decision will only exacerbate a long standing crisis. This closure along with other cuts to programs and services represents the state's continued abandonment of the mentally ill in our society."

In announcing its decision, the state claims it will move 120 of the 169 beds to the new Worcester State Hospital, with the other 45 beds going to Tewksbury State Hospital. However, the decision to build the new Worcester State Hospital was made to compensate for the closure of Westborough State Hospital a number of years ago. 

"Their plan makes no sense," said Coughlin. "Our system has been operating well over full capacity for years. We can't provide the care people need even with our facility open. The other issue is geography. We are now forcing patients and families to travel to Worcester, Tewksbury or out to Western Mass for their mental health care. It's a travesty."  

She noted that that a large percentage of the state's patients have a dual diagnosis of mental illness and substance abuse, which complicates their placement in community settings. In addition, the system also treats women suffering from serious trauma, who are self-abusive and suicidal, and need intensive mental health monitoring and care.

"These are patients that often have nowhere else to go in the system," she added. 

According to a recent statement by Massachusetts Attorney General, Martha Coakley, in a report concerning the disposition of psychiatric beds following sale of hospitals to Cerberus/Steward Health Care, "The need for inpatient psychiatric and detoxification hospital beds is critical. Any further reduction in these services would have a significant negative impact on the ability of the Commonwealth to provide for mental health services."

A 2009 report by the DMH showed that the census at the facilities like Taunton State were running at an average census of 97 percent, and as of today's announcement, the census at Taunton State was over capacity. The same DMH document, pointed to "an already significant reduction to DMH community services with the elimination of day and employment services and a reduced case management work force."

It further stated that, "more than 200 of the 788 adult patients in DMH continuing care facilities are ready for discharge but appropriate community services are not available." 

The MNA/NNU, which represents nearly 100 RNs and health professionals who work at Taunton State Hospital, and more than 1,800 staff who work throughout the state system, is committed to working with policy makers and elected officials to ensure that Massachusetts, which used to be a leader in the provision of mental health care, maintains its commitment to the most vulnerable residents of the Commonwealth. 

"This has gone beyond an issue of funding and finances," Coughlin concluded.  "This is a moral and ethical issue of human rights and common decency."

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Comments

Most large institutions for those persons with mental illness have proven to be dehumanizing and dependence engendering for those who have been placed for treatment. Unfortunately, political corruption can and has resulted in politicians seeing the value not in terms of the best treatment and preparation of a person for a satisfying community life but as a means of providing jobs and sustaining a tax base. This in a sense defines the person committed for treatment in the institution as chattel, a harsh judgment but a potential reality. Maybe we should be looking to the use of funds to develop improved community based mental health services for treatment and rehabilitation. This may also provide crisis services dedicated to the alleviation of psychiatric crises rather than having psych services as an adjunct to a general hospital.

I have been waiting anxiously to see any development in the original plans to open numerous peer-run respite programs in this state. What I am hearing is that the number has already downsized before the contracts have even been awarded and the whole process has stalled again.
Sad and not in the spirit of evidence based practices.

I agree strongly with the criticism on the lack of necessary community supports and the sad situation of holding back on creating and supporting peer run services especially peer run respites.

As a parent of a son at Taunton State Hospital I can tell you it is not dehumanizing. What is dehumanizing are the homeless on our streets, waiting in hospital emergency rooms for days, for a bed at an inadequate facility. What is dehumanizing are the mentally ill ending up in jails for crimes committed due to inadequate out patient care.
Community services for the severely mentally ill are non-existent.The care given to the severely mentally ill at places like Taunton State Hospital are far superior.

Instead of forcing the state to keep the Hospital open, NAMI and ohter political organizations should praise the closure of the hospital, and lobby for the money saved be spent on community placements. Recovery doesn't happen in the hospital, it happens in the community of one's choice, living the life one wants.

Having the hospital stay open will do nothing to solve the problem of ER overcrowding or homelessness. In MA, having more acute care, short-term inpatient beds, and alternatives, will solve that issue.

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