Current issues related to poverty and public services in Athens County, Ohio.
May 21, 2008
The Future’s Not So Bright
In Ohio, when an individual has reached the point that they are unable to take care of themselves, it is the duty of the Adult Protective Services worker to intervene and apply for guardianship for those who have no family and for those cases where there has been no estate-appointed fiduciary.
Sound like a simple plan? Maybe, except for the fact that there are no volunteers to be guardians for these individuals and no funding to pay someone to take on this difficult task. Even when you are able to find a few good-hearted souls willing to take responsibility for the life of someone they have never met; then you need to have the gall to ask them if they are willing to pay the $250.00 application fee. Even family members who are willing to apply for guardianship for a loved one, are often deterred by the expense that can be involved in the process.
Although many of us are thankful for the increase in life expectancy possible for people of our century, there is also the possibility of living to an age where we may experience some degree of disability. Not just a physical or mental disability, but some disabling event that may cause us to lose the very things that we struggle our whole lives to maintain.
It is heartbreaking to hear the stories about the elderly woman heating her home with her oven after her furnace breaks because she can’t afford to have it fixed; or the elderly gentleman forced to leave his home because he can’t afford to fix his leaking roof. Where is our compassion and sense of duty? These are our parents, our grandparents, but most of all, human beings in need of a little help.
Tara Wallace
Health Services Director
Athens County Job & Family Services
Feb 28, 2008
News Coverage of "Don't Turn Away, Ohio"
The Athens Messenger
The Athens News
Feb 27, 2008
Don’t Turn Away, Ohio
Simultaneously, other challenges facing many of these same families are growing worse as a result of insufficient support for basic child welfare, mental health and substance abuse programs. These issues are bound together. It is virtually impossible to resolve many of the behavioral health issues families are facing when they must focus all of their energy on simply surviving. We must place a greater priority on financial resources for the poorest of the poor. We understand that, in these difficult economic times, many working poor families are struggling and need assistance. We certainly support all efforts to provide as much as we possibly can to aid these families. But we feel very strongly that support should not come at the expense of those who are still even poorer and have even fewer services available.
Therefore, we are calling on the Governor and the Ohio General Assembly to support the following:
• Public assistance benefits offered through the Ohio Works First program should be increased by $100 per month as previously proposed by Representative Jimmy Stewart. Currently, the average family receives a combined income of cash and Food Stamps at roughly 50% of the poverty level.
• Health care services must be available to all adults who earn less than 100% of the federal poverty level. Individuals who are not eligible for Medicaid lack the capacity to provide themselves with essential health care and, as a result, cause serious problems that affect the rest of the family, including their children.
• Mental health and substance abuse services must be available to all adults and children below the poverty level. Families dealing with these issues often have their treatment jeopardized by a lack of basic human needs. Personal and financial recovery must proceed together.
• The disability determination process must be fixed. With two separate systems (Medicaid and Social Security) to navigate, disabled people waste many months or years trying to get the help they need. Meanwhile, they suffer without much needed health care and income.
The failure of Ohio to deal effectively with these issues has created serious and unnecessary hardships for poor families and individuals. We have created an overwhelming demand for emergency food and housing services which continues to grow. Untreated mental health and substance abuse problems decimate already poor families. The ability of these individuals to obtain or retain employment is greatly challenged by inadequate health and behavioral health services.
We call upon the President and Congress to address the federal issues related to this problem:
• Food Stamp benefits are too low. Food Stamp benefits must be increased to meet 100% of the nutritional needs of poor families and the minimum benefit level should increase from $10 to $100 a month. Currently, Food Stamps are intended to provide about 75% of a family's nutritional needs. The presumption is that people could make up the difference with their cash. With stagnant income levels for the poor and the increased cost of living, this is not possible. The end result overwhelms our food pantries and soup kitchens.
• Supplemental Security Income (SSI) benefits are too low and therefore need to be increased substantially. SSI payments for the elderly and disabled in Ohio average $430 a month or about 55% of the federal poverty level. The maximum payment is $637 per month or 75% of the federal poverty level. These people cannot work, yet we force them to live with the constant struggle to meet their basic needs.
We call upon our state and federal elected representatives to not turn away from these serious problems. We must take immediate action. This is already a crisis for the people affected by these issues.
$100 a Month OWF Grant Increase
There are 125,000 children who depend on the Ohio Works First TANF-funded cash assistance program. These families are very poor. We spend a great deal of money, time and effort through our local County Department of Job and Family Services offices to prove that families receiving OWF assistance don’t have other resources and comply with all program work requirements and time limits. After all this, we give them only about half of the money we know they need to live on. There is no doubt that this has caused many hardships for these children and their families.
We provide a typical OWF family with about $320 a month in cash and $280 in Food Stamps. This does not meet their basic needs. Ohio has developed the largest balance of unspent TANF funds in the nation because we are unwilling to provide a decent level of assistance for these kids.
The Governor’s budget calls for a “cost of living adjustment” in January of 2009, at a cost of $4.6 million. For a family of three, this equates to roughly a 3% increase, or about $10 a month. These children will clearly be much worse off in a year than they are now. Although the Governor’s budget does a lot to help children, it does not help our poorest children.
Health Care for All Adults below the Poverty Level
Much has been said during recent years about the state of health care and its availability. Some feel health care is a basic need and should be universally available regardless of socioeconomic status. Others disagree, calling such an approach “socialized medicine,” thus politicizing the process and making the issue a heated debate. No matter which side of that ideological fence one chooses, it is undeniable that those with health insurance, and thus access to health care, live a different lifestyle that those without it. Many Americans are facing tough choices about whether to take medicine that enables them to live in better health or to feed their families. The basic medical procedures that many of us take for granted are being denied to people who do not have insurance, as health care facilities often will not even attend to an uninsured patient. Additionally, the poor cannot afford to practice preventive medicine. Medicaid and Medicare help children, the elderly and those who are disabled. The OWF program provides health care for some adults, but many poor parents and other adults are not eligible for Medicaid and can’t afford health services.
Mental Health and Substance Abuse Services for All Poor Adults
We must increase access to mental health and substance abuse services for all adults who need services and live below the federal poverty level. With state funding cuts and the increased need to provide local funds for Medicaid match, services to non-Medicaid adults are extremely limited. Medicaid primarily serves elderly, disabled or child clients. Other poor adults are covered only in very limited circumstances. As a result, many are not eligible for Medicaid funded behavioral health services.
This creates a dual challenge to recovery and treatment. Much needed counseling or support services are limited or not available and the adult is left struggling with the day-to-day challenge of meeting their basic human needs.
The impact of untreated mental health or substance abuse issues goes far beyond the individual to affect the whole family and community in general. The state must fund adequate behavioral health services for everyone below the poverty level.
Social Security Disability and SSI Denials
We must reform the disability determination process. The majority of applicants for Social Security Disability or SSI are denied at the time of their initial application. Although 60% of all applicants who appeal an initially denied claim are eventually approved for disability benefits, the 1.5-2.5 year process can have devastating affects on them and their families. Not only are their financial futures in jeopardy, but so is there personal health. Despite their best efforts, they are unable to meet the basic needs of their families.
Waiting more than a year to receive benefits puts an additional strain on already hurting families. The number of backlogged cases is continuing to rise. Unless this issue is addressed, disabled workers who have paid into a system they thought they could depend on will continue to be let down, and the wait will only continue to grow.
Many people have lost their homes, and some their lives, while waiting to receive benefits. These people put their faith into a system that was supposed to help. The system has failed them and could fail thousands more if immediate, effective changes are not made. We must take adequate steps to reduce the number of initially denied applicants.
Overlooking the Basics
Policymakers have cited the importance of early childhood intervention in preparing children for a successful education. Numerous studies have documented the importance of providing children with a variety of education, childcare and parenting programs to help accomplish this goal. Unfortunately, the most important factor in promoting a child’s readiness and success in school is often overlooked or ignored: a safe, stable and secure family.
Programs that address education and child care will not work for families or children who do not have their basic needs met first. Children who are facing continual chaotic or stressful lives due to extreme poverty in their families will not thrive no matter how much their school or daycare improves. By having policies that assure that hundreds of thousands of children will spend time in households that can’t meet their basic needs, we are undermining the potential success of our early childhood intervention efforts.
We must provide sufficient benefits through our safety net programs to meet all basic needs for these families. Below are comments from studies on child care, school readiness and brain development. They all emphasize the prime importance of a safe, secure, and stable family as a prerequisite for success:
“The major providers of early childhood experience are parents. Programs to support and strengthen the family will increase the likelihood of optimal childhood experiences.”
Child Trauma Academy. http://www.childtrauma.org/. How Experiences in Early Childhood Create a Healthy Society.
“In marked contrast to the child-care effects just described, parenting quality significantly predicted all the developmental outcomes and much more strongly than did any of the child-care predictors.”
Belsky, Jay; Vandell, Deborah Lowe; Burchinal, Margaret; Clarke-Stewart, K. Alison; McCartney, Kathleen; Owen, Margaret Tresch. The NICHD Early Child Care Research Network (2007). Are There Long-Term Effects of Early Child Care? Child Development, March/April 2007, Volume 78, Number 2, pages 693.
“The family plays the most important role in a young child’s life. Public policies should seek to support families in this role and to expand parents’ options for the care, health, and education of their children.”
National Governors Association. Final Report of the NGA Task Force on School Readiness. Building the Foundation for Bright Futures, page 1. Found at: http://www.nga.org/Files/pdf/0501TaskForceReadiness.pdf, last accessed January 3, 2008.
“Responsibility for school readiness lies not with children, but with the adults who care for them and the systems that support them. Public policies should seek to provide comprehensive information, resources, and support to all who are responsible for children’s development.”
National Governors Association. Final Report of the NGA Task Force on School Readiness. Building the Foundation for Bright Futures, page 1. Found at: http://www.nga.org/Files/pdf/0501TaskForceReadiness.pdf, last accessed January 3, 2008.
“The NGA Task Force on School Readiness believes that the family plays the most important role in a young child’s life. Parents have the primary responsibility for nurturing, teaching, and providing for their children. It is the relationship between parent and child that is the most critical for the positive development of children. Children need supportive, nurturing environments. However, the new economy has brought changes in the workforce and in family life. These changes are causing financial, physical, and emotional stresses in families, particularly low-income families… Consequently, the role of parents and the condition of families should be central concerns for policymakers interested in promoting school readiness.”
National Governors Association. Final Report of the NGA Task Force on School Readiness. Building the Foundation for Bright Futures, page 7. Found at: http://www.nga.org/Files/pdf/0501TaskForceReadiness.pdf, last accessed January 3, 2008.
“Parents play a primary role in the development of their children. Children who experience sensitive, responsive care from a parent perform better academically and emotionally in the early elementary years. At the same time, not surprisingly, financial and emotional stresses negatively impact parents’ well-being and adversely affect their attentiveness and sensitivity to their children. For children who receive most of their care from a parent in the home, it seems clear that providing families with the resources, information, and tools they need is an appropriate approach for promoting school readiness.”
National Governors Association. Final Report of the NGA Task Force on School Readiness. Building the Foundation for Bright Futures, page 13. Found at: http://www.nga.org/Files/pdf/0501TaskForceReadiness.pdf, last accessed January 3, 2008.
The above recommendations are endorsed by the following:
Athens-Hocking-Vinton 317 Board
Earl Cecil, Executive Director
http://www.317board.org/
Athens County Job and Family Services
Jack Frech, Director
http://jfs.athenscountygovernment.com/
Athens County Children Services
Andrea Reik, Director
http://www.athenschildrenservices.com/
Hocking County Job and Family Services
Robert Smith, Director
350 State Route 664 North
P.O. Box 548
Logan, Ohio 43138-0548
Hocking County Children Services
Julie Mogavero, Director
93 West Hunter Street
Logan, Ohio 43138
Vinton County Job and Family Services & Children Services
Jody Walker, Director
30975 Industry Park Drive
McArthur, Ohio 45651
Nov 28, 2007
A Human Crisis Ignored
Our agency recently released a report regarding the huge backlog and denials for Social Security disability programs. While most of the report is based on the situation in Athens County, there is also evidence that the problem is pervasive throughout the state and the nation. The bottom line is sick and disabled people are not receiving the benefits they are entitled to, in a reasonable amount of time or, in many cases, not at all.
The majority of applications for Social Security disability or SSI are denied at the initial application. Upon requesting a review of their case by a hearing officer, those cases are then largely approved. In Ohio, the average length of time for a denied applicant to receive the opportunity for a hearing is almost two years. With a majority of those applying for disability assistance being denied, this clearly poses a huge challenge in protecting the well-being of our disabled population. One can not help but wonder why we are not able to do a better job determining eligibility accurately in the first place.
The Ohio Medicaid disability determination process utilizes the exact same criteria in determining disability as does the Social Security Administration, yet the majority of Medicaid initial applications are approved. While this process of determining eligibility takes an average of 120 days, they seem to be more likely to get it right than the Social Security Administration, which deals with their initial applications within 90 days. Perhaps if the Social Security Administration provided the same case management support and time frame utilized by Ohio’s Medicaid Program, we could take a step in the right direction to resolve this issue and cut down on unnecessary litigation.
It is of interest that a recent report issued by the USDA regarding Food Stamp recipients indicates that since 2000, the number of Food Stamp recipients with no income has more than doubled. Perhaps this has something to do with the disability applicants who are waiting years to get their benefits and living with no income in the meantime. It is difficult to do justice to the serious personal crisis that this poses for those sick and disabled people who not only wait months to get medical care, but perhaps years to get income support to meet their basic needs.
Is this the way we should or want to treat our sick and disabled people? Our federal and state representatives have known of this problem for years and yet nothing seems to be done to fix the situation.
We need to treat this as the human crisis that it is and react in much the same way as we do with natural disasters. We must use all the resources we can to fix this problem as soon as possible.
[where: Athens, Ohio 45701]
Aug 1, 2007
Help is NOT on the way
On July 29, 2007, USA Today ran stories: Disabled worker cases at record and Disability delays can lead to personal havoc, about the lengthy delays individuals have to wait for Social Security disability claims. The articles included a list of the Social Security Administration offices with the shortest and longest average waits for hearings on whether an applicant is too disabled to work, which included on the longest waits: Columbus with 841 days and Dayton with 735 days.
In Ohio, this means an average wait of 2 to 2 ½ years for determination; one of the slowest states in the nation. Not only is this havoc for the applicants, but for their families, many of which have dependent children. Families waiting for Social Security determinations are forced to rely on cash assistance (Ohio Works First) benefits from the state in the meantime. But living on cash assistance in Ohio, means living well below the poverty level; and in Ohio, there is a lifetime limit of 36 months for cash assistance benefits – which is likely to run out before disability determination is made. A typical family of three receiving OWF benefits would receive a maximum of $410 a month (Federal Poverty Level for family of three is $1431 per month).
For these families life is a constant struggle to meet basic needs. In Athens County, nearly one-third of the adults receiving OWF assistance have some serious disability. And, their family struggles are further compounded by the fact that the one or more caretakers in these families are disabled and trying to care for children while trying to deal with their own disabilities.
From the article, Social Security Commissioner Michael Astrue says the backlog of cases doubled in six years and could reach 1 million by 2010. Clearly, no help is on the way.