Crisis in Adult Care Homes: The IMD (Institutions for Mental Deficiency) Exclusion
NAMI North Carolina Policy Position on DOJ/Adult Care Homes
Cara’s Case: Adult Care Home Crisis
See accompanying video HERE
SOUTHPORT, NC (WECT) – Cara Oathout has difficulty getting around right now. She hobbles around using crutches, recovering from a broken ankle that makes walking along a pond in Hugh MacRae Park a challenge. But the 38-year-old is also fighting against something most people cannot see, which is the never ending struggle against her own mind.
“The medications are poison, absolute poison, necessary poison but absolute poison to the brain,” said Stan Oathout, Cara’s father. “So, not surprisingly to psychiatrists and others, and to us, her situation has declined.”
Cara became a danger to herself and others. Stan and his wife Kitty had to put their daughter in the care of experts. For the past two and a half years, Cara has lived in an adult care home, where Cara says she feels safe again.
Read full story HERE
NC Plan for Implementing the USDOJ Settlement Agreement – 10/12
DOJ Plan Flow Chart - 10/12
Judge signs order retaining jurisdiction to enforce the settlement agreement – read HERE
Adult care home plan for NC under way - APNewsBreak 7/26/12
Medicaid Rules for Consolidating Personal Care Services Into a Single State Plan Benefit - July 2012
Motion to Intervene – ACH as IMDs – Press Release from Disability Rights NC 6/19/12
Separating elderly from the mentally ill will take time, money – N&O 6/13/12
WRAL story on Gov Ops Report on the IMD and PCP issue – 4/4/12
Open Letter to Governor Perdue – Disability Rights NC 11/2011
Mental health services – It’s the state’s choice – News and Observer 11/27/2011
Time for the Governor to do “the right thing” with adult care homes – NC Policy Watch 11/2011
Adult Care Home Report: scheduled to be presented to the Buncombe County Board of Commissioners at their meeting on Tuesday, April 17. Their meetings start at 4:30pm. It appears that Buncombe DSS, sheriffs dept, EMS, and WHN will present the report. Click HERE for the powerpoint of the report.
The IMD Exclusion – Paper by TAC
The Outdated Institution For Mental Diseases Exclusion:
A Call To Re-Examine And Repeal the Medicaid IMD Exclusion
Read it HERE
IMD Exclusion – One Family’s Story
Editor,
My husband and I are natives of North Carolina. We are the parents of a son with a mental illness that he did not choose. Every mother’s desire is for her child to be healthy. When our son became sick in his late teens, this began the battle for my son’s very life.
Read the full Letter to the Editor in The Herald Weekly HERE
Read Department of Justice’s Report On NC’s Services for Individuals with Mental Illness HERE
Heard in the Halls – July 27, 2011
- This edition focuses on defining the problem of the IMD Exclusion- (Institutions for Mental Deficiency ). This exclusion means that medicaid will not pay for certain freestanding psychiatric facilities. Relevant information will be shared, as well as suggestions for advocacy




