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Mental Health

SF 69 in 1995 established that each county would hire someone to monitor the money spent by the county on the Mentally Ill, Mentally Retarded and the Developmentally Disabled.  Cass County hired a CPC Administrator in June 1995.  The budget is made up of money from the State of Iowa and County Property Tax dollars. The amount the county can levy for this program was capped at the 1995 rate in 1997. The growth of the system is picked up by the State of Iowa. Cass County contracts with SWIMHC to provide a sliding fee scale for Cass County patients seeking outpatient services that contract is for $162,000.00.

Cass County pays for the following services:

• Outpatient Counseling
• Inpatient treatment at MHI’s (Clarinda, Cherokee, Independence and Mt. Pleasant.)
• Sheriff Transportation related to Commitments
• Mental Health Advocate services.
• Case Management.  (State Pays 2/3 County 1/3 of cost.)
• Other services management when the client is not eligible for T19 Case Management.
• Community Supported Living arrangements where the client lives in their own home and we contract staff to monitor their needs.  May include money management, medication management, apartment upkeep & cleaning, hygiene, personal cares.
• Diagnostics related to Commitments. (Chapter 229 of the Iowa Code covers how a person may be committed to a facility if he or she is a danger to self or others. 
• Sheltered Workshop settings
• Supported Employment settings
• Residential Care Facility Settings
• Intermediate Care Facility Settings for the Mentally Retarded. 
• Home and Community Based Waiver Services. (County pays 1/3 of the cost the state pays 2/3.)
• Adult Rehab option Services.  (County pays 1/3 of the cost the state pays 2/3.)
• Glenwood and Woodward State Resources Centers.                                                           

The Mental Health system in Iowa is fractured and the funding sources are hard to track.  Some services are paid by t19 and some are paid partially by t19 and part county funding and some are paid 100% county funding. 

The County is required to write a Mental Health Plan for the county; at first it was yearly now it is every 5 years.  The County has to write a Strategic Plan annually to the state and send in reports on who we serve annually. We hold stakeholder meetings to get input for our plans and information is inserted into the Plan as appropriate. 

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