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Round up: A look at inpatient psychiatry
in New England
CONNECTICUT

(May 2006 Issue)

Wayne Dailey, public information officer for the Department of Mental Health and Addiction Services (DMHAS) reports that state-operated bed capacity remained constant throughout the state and even saw the addition of eight beds at the Connecticut Mental Health Center, whose capacity increased to 33 beds.

Connecticut was one of seven states that received the mental health system transformation grant from the federal government, to support movement toward accomplishing the recommendations of the President's new Freedom Commission on Mental Health Report. "We received the grant award late last year," Dailey says. "We're working on the transformation process right now."

"A major feature of our work that Connecticut is trying to highlight is the implementation of a recovery oriented system of care for people with mental illness … that encompasses a large part of our focus in the transformation process," he says. "The transformation grant also brings together 14 state agencies and the judicial branch in coordinating their efforts to reduce fragmentation in mental health care."

The state recently received national attention when a National Alliance on Mental Illness (NAMI) survey ranked Connecticut and Ohio tied for first place with the best rating in the country for their public mental health systems. "A big part of it had to do with the recovery orientation," he says. Both states received a B; the national average for the country was a D (see related story on page 1).

The NAMI report praised the state for "recovery as a vision and goal, prior to the President's New Freedom Commission" and for its training institute with Yale, among other achievements. "One of the criticisms of Connecticut was in the operation of Connecticut Valley Hospital, so we are doing some work to look at that," he says. "There were some issues raised about safety and the use of seclusion and restraint so we are looking at that. So even though the state did well, we know there's room for improvement. The candor of the NAMI report is useful for the states and we appreciated that."

The department has been working toward enhancing community-based programs and services to develop its recovery-oriented system of care.

"In Connecticut, one of the highlights of our approach is we're working toward achieving a system that promotes resilience for all Connecticut citizens and recovery for people with psychiatric disabilities … taking more of a preventative kind of approach," Dailey says. "Part of it is looking at ways to improve the early identification and intervention with people who may have emerging mental illness."

Pamela Berard