Speech given on 12/16/2004 at Ramsey County Citizen's Advisory Council 
Legislative Breakfast

Good Morning, and thank you for being willing to come for this event. My name 
is Charlie Mishek, and I represent the Chemical Health Committee of the 
Citizens Advisory Council. 

The main focus of our committee has been to provide information to the board in 
areas relating to chemical health, abuse and dependency, and its larger impact 
on the county. It is well known and yet bears periodic restating, that chemical 
health issues have an impact on all areas of human services, not only 
treatment, but corrections, social services, homelessness, employment, and 
child protective services. 

How are the children? Unfortunately, children often bear life long scars from 
growing up in a home where there is chemical abuse or dependency. 

With the growth of abuse of Methamphetamine statewide, and, specifically, in 
Ramsey County itself, there are significant ramifications for those who have to 
address the children caught up in this particular drug world. The manufacture 
of the drug in homes where children are being raised exposes them to toxic 
chemicals that the authorities themselves only handle garbed in hazardous 
material suits. 

We don't yet know the long term impact of being around these chemicals. We do 
know that there appears to be a higher out of home placement rate for children 
coming out of these situations, which coincides with the lower recovery rates 
among meth users. 

But this is only one challenge. We have seen the funding for chemical health 
services get increasingly restricted, to the extent that there are people who 
cannot get access to treatment unless they lose everything first. This puts 
entire families at risk. 

While innovative things are being done to address the every more complex 
problems persons coming to treatment present, for example, mental health 
problems in addition to their chemical health problems, programs are finding it 
difficult to ensure that everyone who comes to their doors will get the care 
they need. We continue to see use among adolescents grow, yet services struggle 
to find ways to provide the kind of care needed in times of increasingly 
restricted funding streams. 

While the recent news about the impending state budget deficit seems to point 
the finger at increasing spending in healthcare as one of the main culprits, it 
is not in the area of behavioral health that these increases have occurred. 
Coordination of services between schools, treatment providers, corrections, 
medical providers, and employers remains challenging, and involves much effort. 
But the pay off is a better outcome in the effort to address chemical health 
problems. 

Our committee hopes that you will bear this in mind as you face the difficult 
legislative tasks ahead.

********************************************************************

Ren�e Jenson
Como
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