Pubdate: Sun, 09 May 1999 Source: Augusta Chronicle, The (GA) Contact: http://www.augustachronicle.com/ Author: Carrol Foster Note: The author is the director of quality management with the Community Mental Health Center of East Center in Georgia. AGENCY WORKS TO FULFILL A MOTHER'S DAY WISH "My daughter is now 17 and I want the opportunity to live together with her again, to be the mom she wants me to be." This is the Mother's Day wish of Susan B. (a pseudonym used to relate the true story of a mental health consumer) an articulate, 33-year-old, single mother who suffers from chronic, severe depression. She has spent more than 1,000 days -- that's three years of her life -- as an inpatient at Georgia Regional Hospital at Augusta from paralyzing depression and polysubstance abuse. Her escape anesthetic of choice was crack cocaine, which quickly escalated into a $600 to $800 a day habit. Free floating through various crack houses, she contracted HIV from intravenous drug use. Prior to and intermittently during her severe depressive episodes and drug descent, Susan worked in fast-food restaurants and a for a landscaping business. Chronic depression is a common disease affecting one is six adults. The social cost to family members and communities cannot be tallied or predicted. At best, it can be successfully managed. Susan's story, dire as it is, has a new, more positive chapter being written. She is living in her own apartment where she is supported by her intensive case manager and her personal support provider. Susan hopes to return to employment in the near future. She says that she would prefer a job working out of doors in landscaping. A collaborative effort by the Community Mental Health Center of East Cen tral Georgia and the Georgia Regional Hospital staff has facilitated Susan's successful placement in the community. Hospital staff provider detoxification and mental health treatment services to stabilize her physically and mentally while CMHC staff planned and developed the services to support Susan's re-entry to community living. It is doubtful that Susan's success story would have been possible without the availability of Chronically Mentally Ill (CMI) Residential funding. This funding package provides sufficient resources to address the care needs of challenging clientele such as Susan. CMI funding for residential services was obtained by the CMHC through the award of a new contract from MHMRSA Region Board 12 this year. Perhaps you know a family or neighbor who is trying to cope with a relative who suffers from mental illness, mental retardation or addictions. Where would you turn for help with a loved one? Last year, 7,000 area families turned to the Community Mental Health Center of East Central Georgia off Highway 56 -- Mike Padgett Highway. A client seeking or brought for help is assessed, a comprehensive care plan is then developed and implemented by the center's 400 plus staff in cooperation with family member. In some cases where there is no family, the staff acts in that capacity, supervising the care of the client. Twenty-five years ago, most mentally ill or retarded patients would have been packed away in institutions -- warehoused -- their entire lives wasted. Today we enjoy the benefits of years of research, intervention strategies and psychiatric drugs that allow clients to functions productively and live with their families in their own homes. In the public's mind, mental illness, mental retardation and addictive disease are poorly understood and feared. CMHC clients run the gamut from leading normal lives with coordinated support to those who must be hospitalized in crisis. The latter are served in CMHC's 24-bed residential facility for mental health crisis or detoxification. After the crisis has been resolved, clients step down to less intensive outpatient services. Roughly 100 clients are served there each month with stays averaging three to six days. The primary focus of all services is to limit or prevent the need for hospitalization, and to provide the support needed for stabilized clients to resume as normal a life as possible. CMHC has targeted individuals with persistent and chronic mental disabilities living in Richmond, Columbia, Lincoln, McDuffie, Taliafero, Wilkes and Warren counties since 1976. It is a vital resource for families and communities needing help ranging from out-patient counseling to in-patient crisis management. The CMHC team monitors client's progress, provides on-going case management support and allows people to get life "back on track." This Mother's Dau, May 9, Susan B. is back on track for fulfilling her wish. May also is mental Health Awareness Month. - --- MAP posted-by: Jo-D