Bill Text: NY S05066 | 2011-2012 | General Assembly | Introduced


Bill Title: Creates a course of instruction to train mental health providers in veteran specific mental health issues.

Spectrum: Slight Partisan Bill (Republican 18-11)

Status: (Introduced - Dead) 2012-01-18 - REPORTED AND COMMITTED TO FINANCE [S05066 Detail]

Download: New_York-2011-S05066-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         5066
                              2011-2012 Regular Sessions
                                   I N  S E N A T E
                                      May 3, 2011
                                      ___________
       Introduced by Sens. FUSCHILLO, AVELLA, BONACIC, DUANE, GRISANTI, HANNON,
         JOHNSON,   LANZA,  LAVALLE,  LIBOUS,  MAZIARZ,  RANZENHOFER,  SAMPSON,
         SEWARD, VALESKY -- read twice and ordered printed, and when printed to
         be committed to the Committee on Veterans, Homeland Security and Mili-
         tary Affairs
       AN ACT to create a course of instruction to train mental health  provid-
         ers in veteran specific mental health issues
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Short title. This act shall be known and may  be  cited  as
    2  the "veterans mental health training initiative".
    3    S  2.  Legislative intent. The legislature finds and declares that the
    4  state of New York and the country at large are facing a formidable chal-
    5  lenge in serving the mental health  needs  of  veterans  returning  from
    6  active  duty  in Iraq and Afghanistan.  Since the beginning of Operation
    7  Enduring Freedom and Operation  Iraqi  Freedom,  over  one  and  a  half
    8  million  active  duty  and reserve members of the United States military
    9  have been deployed to Iraq or Afghanistan, and nearly  one-half  million
   10  have been redeployed. With each deployment, our service members encount-
   11  er  extreme  strains on their physical and mental health, which, in many
   12  cases have resulted in unprecedented rates of health and  mental  health
   13  problems,  most  notably post-traumatic stress disorder (PTSD) and trau-
   14  matic brain injury (TBI). Equally  alarming,  are  numerous  reports  of
   15  increased  suicide,  addiction  and  homelessness  among  our  returning
   16  soldiers. Further, family members are struggling with the  ramifications
   17  of  extended and/or multiple deployments, resulting in serious emotional
   18  and psychological tolls.
   19    In addition to high rates of PTSD,  providers  in  the  mental  health
   20  community  have  also begun reporting increased cases of traumatic brain
   21  injury sustained in the Iraq and Afghanistan theatres of combat  due  in
   22  large  part  to  the  use of improvised explosive devices (IED). Equally
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD00007-02-1
       S. 5066                             2
    1  disturbing is the rate at which  TBI  has  been  misdiagnosed  as  PTSD.
    2  Numerous reports have told the story of soldiers returning from Iraq and
    3  Afghanistan  with  brain  trauma,  but because there are no visible head
    4  wounds, symptoms such as memory loss and confusion are often mistaken as
    5  indicators of PTSD.
    6    Many  returning  service  members,  particularly  National  Guard  and
    7  Reserves, are not accessing services from the federal veterans  adminis-
    8  tration or through the department of defense tricare system upon return-
    9  ing  home;  but  rather, through community-based organizations and agen-
   10  cies. Therefore, community-based providers are experiencing an influx of
   11  returning service members for whom they are  not  entirely  prepared  to
   12  provide treatment.
   13    To  assure  that such care be provided by an adequately trained mental
   14  health workforce, the state shall, through an open grant process, engage
   15  associations of social workers to design and conduct,  in  collaboration
   16  with  an  association  of psychiatrists and associations of physicians a
   17  multi-disciplinary educational and training program  for  mental  health
   18  providers  to  assist such providers, within their lawful scope of prac-
   19  tice, to identify, diagnose, and put forward a course of  treatment  for
   20  combat  related  PTSD,  TBI  and  other  mental health issues, including
   21  substance abuse. This course shall also serve to educate service members
   22  and family members of service members in  accessing  mental  health  and
   23  related social services.
   24    S  3. The office of mental health in consultation with the division of
   25  veterans' affairs shall:
   26    a. through an open and competitive process award a grant  of  no  less
   27  than  $500,000.00  for the purpose of developing and deploying an educa-
   28  tion and training program for health, mental  health,  and  other  human
   29  service providers. Such program will also provide training and education
   30  to  veterans  and family members of veterans on navigating mental health
   31  systems of care.
   32    Such program will be designed to maximize the treatment  and  recovery
   33  from  combat  related  post-traumatic  stress disorder (PTSD), traumatic
   34  brain injury (TBI)  and  other  combat  related  mental  health  issues,
   35  including  substance  abuse.    This  grant  shall be distributed in the
   36  amount of $250,000.00 at the beginning of each state  fiscal  year,  for
   37  two  years,  starting  in  2012;  however, a sum to be determined by the
   38  office of mental health may be forwarded for future years'  expenditures
   39  if it is determined to be necessary for the proper implementation of the
   40  program;
   41    b.  require  such  association  of  social  workers  to  implement the
   42  purposes of such grant in collaboration with an association of  psychia-
   43  trists,  an  association  of physicians and such other statewide associ-
   44  ations, as the office of mental health in consultation with the division
   45  of veterans' affairs shall deem appropriate; and
   46    c. have the power to audit  such  association  to  ensure  the  proper
   47  expenditure of state funds.
   48    S 4. The association receiving such grant pursuant to section three of
   49  this act shall:
   50    a.  develop and deploy an education and training program as prescribed
   51  in  section  three  of  this  act. Such program shall be consistent with
   52  national and state guidelines regarding the diagnosis and  treatment  of
   53  PTSD,  TBI  and  combat related mental health issues including substance
   54  abuse;
   55    b. conduct such program in multiple locations across the state;
       S. 5066                             3
    1    c.  establish an advisory committee to include experts in  the  fields
    2  of  neurology and psychiatry, to be recommended by the statewide associ-
    3  ation of physicians and the statewide association of psychiatrists.  The
    4  advisory committee will also include experts in traumatology, PTSD, TBI,
    5  military   mental  health,  veterans'  health  and  administration,  and
    6  licensed social work practitioners  with  a  demonstrated  expertise  in
    7  veterans  mental  health.  The  advisory  committee shall also include a
    8  combat veteran and a family member of a combat veteran;
    9    d. contract with an association of physicians and  an  association  of
   10  psychiatrists  to  (1) advise and assist with the design and development
   11  of core content with respect to matters  relating  to  the  practice  of
   12  medicine;  and  (2)  provide  physician  experts  in PTSD, TBI and other
   13  combat related psychiatric and neurological disorders for the program;
   14    e. produce a yearly report to the legislature, the division of  veter-
   15  ans'  affairs,  office of mental health and the office of alcoholism and
   16  substance abuse services regarding the progress, expenditures and effec-
   17  tiveness of the program;
   18    f. conduct the program in  direct  consultation  with  the  office  of
   19  mental health and the division of veterans' affairs; and
   20    g. provide a certified continuing education course on veteran specific
   21  mental health issues, to be made available online.
   22    S 5. The office of alcoholism and substance abuse services shall:
   23    a. consult with the office of mental health and the division of veter-
   24  ans'  affairs and provide guidelines necessary for the proper design and
   25  implementation of this program; and
   26    b. have the power to make recommendations  to  the  office  of  mental
   27  health  and  the division of veterans' affairs and legislature as to the
   28  effectiveness and future need for such a program.
   29    S 6. Nothing in this act shall be construed to  affect  the  scope  of
   30  practice  of  any profession licensed pursuant to the laws of this state
   31  or to authorize or compel any change therein.
   32    S 7. This act shall take effect April 1, 2012.
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