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Published Online: 4 April 2003

What Did Oregon Cut?

The New York Times covered Oregon’s elimination of prescription drug benefits in March and their temporary reinstatement, but other damaging cuts have occurred with less attention since January 1.
Here is a sample of cuts in the Department of Human Services budget affecting people with mental illness and those with developmental and other disabilities.

Inpatient services

•. 
Delay until July 2003 the opening of a new Oregon State Hospital forensic ward. The hospital constantly is at capacity. (This represents the third delay of the opening.)
•. 
Terminate 17 contracts with hospitals that provide local acute inpatient units for care for Oregon Health Plan clients who have been accepted to the waiting list for long-term care in the state hospital system.
•. 
Eliminate funding for 122 beds of adult residential mental health treatment.
•. 
Reduce statewide residential treatment for children and special contracts for children who need specialized short-term placements.
•. 
Reduce adult residential alcohol and substance abuse treatment by 115 beds, nearly one-third of the total.
•. 
Reduce child-welfare residential treatment for children in state custody by 30 beds.

Community-based services

•. 
Place 53 people scheduled to receive in-home and community-based services on waiting lists.
•. 
Eliminate the supported employment program for 121 people with mental illness.
•. 
Eliminate 164 psychiatric day-treatment slots for children and adolescents.
•. 
Eliminate community mental health services for more than 10,000 adults and 700 children who are not eligible for Medicaid.
•. 
Reduce development of additional community residential placement capacity. (As a result, 25 people with special needs will have to remain in the state hospital because of a lack of community-based services.)
•. 
Eliminate the remainder of the sheltered services program for 93 people with severe disabilities.
•. 
Eliminate 10 regional programs that provided training and other day programs for 5,512 children and adults with developmental disabilities.

Crisis services

•. 
Eliminate all around-the-clock crisis mental health services.
•. 
Do not open two crisis homes. They were to have provided stabilization and placement planning for 40 children with developmental disabilities.

Reimbursement

•. 
Cut reimbursement rates for foster care, adoption assistance for children with special needs, nursing facilities serving Medicaid patients, hospitals, and pharmacies.
This information and other budget documents are posted on the Web at www.dhs.state.or.us/aboutdhs/budget.

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Published online: 4 April 2003
Published in print: April 4, 2003

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