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	<title>Comments on: Finally a fix for Human Services. Please contact your representatives!</title>
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	<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/</link>
	<description>Reality-based commentary on politics and policy in Massachusetts and around the nation</description>
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	<item>
		<title>By: bean-in-the-burbs</title>
		<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/#comment-114625</link>
		<dc:creator>bean-in-the-burbs</dc:creator>
		<pubDate>Wed, 30 Nov -0001 00:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.bluemassgroup.com/diary/10889/#comment-114625</guid>
		<description>&lt;p&gt;I hope he can move the Speaker on this. &#160;&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>I hope he can move the Speaker on this. &nbsp;</p>
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		<title>By: dave-from-hvad</title>
		<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/#comment-114626</link>
		<dc:creator>dave-from-hvad</dc:creator>
		<pubDate>Wed, 30 Nov -0001 00:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.bluemassgroup.com/diary/10889/#comment-114626</guid>
		<description>&lt;p&gt;but it&#039;s not clear to me how this bill will fix the problem. &#160;The problem is that the governor and Legislature haven&#039;t adequately funded the system.&lt;/p&gt;

&lt;p&gt;&lt;&lt;/p&gt;

&lt;p&gt;p&gt;I&#039;m also skeptical of the Mass. Taxpayers Foundation report, which largely calls for reducing or eliminating regulation of the provider system, which contracts with the Department of Mental Retardation and other human services agencies. &#160;There is too little oversight of this system as it is. &#160;Medication errors, physical and sexual abuse and neglect are rampant problems in community-based group homes in the state. &#160;The commonwealth has few resources to inspect those homes, and yet the MTF is calling for less oversight and regulation. &#160;&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>but it&#8217;s not clear to me how this bill will fix the problem. &nbsp;The problem is that the governor and Legislature haven&#8217;t adequately funded the system.</p>
<p>&lt;</p>
<p>p&gt;I&#8217;m also skeptical of the Mass. Taxpayers Foundation report, which largely calls for reducing or eliminating regulation of the provider system, which contracts with the Department of Mental Retardation and other human services agencies. &nbsp;There is too little oversight of this system as it is. &nbsp;Medication errors, physical and sexual abuse and neglect are rampant problems in community-based group homes in the state. &nbsp;The commonwealth has few resources to inspect those homes, and yet the MTF is calling for less oversight and regulation. &nbsp;</p>
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		<title>By: heartlanddem</title>
		<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/#comment-114627</link>
		<dc:creator>heartlanddem</dc:creator>
		<pubDate>Wed, 30 Nov -0001 00:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.bluemassgroup.com/diary/10889/#comment-114627</guid>
		<description>&lt;blockquote&gt;Medication errors, physical and sexual abuse and neglect are rampant problems in community-based group homes in the state. &lt;/blockquote&gt;

&lt;p&gt;&lt;&lt;/p&gt;

&lt;p&gt;p&gt;Could you provide some documentation?&lt;/p&gt;

&lt;p&gt;&lt;&lt;/p&gt;

&lt;p&gt;p&gt;I am not sure these types of blanket statements are useful.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<blockquote><p>Medication errors, physical and sexual abuse and neglect are rampant problems in community-based group homes in the state. </p></blockquote>
<p>&lt;</p>
<p>p&gt;Could you provide some documentation?</p>
<p>&lt;</p>
<p>p&gt;I am not sure these types of blanket statements are useful.</p>
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		<title>By: heartlanddem</title>
		<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/#comment-114628</link>
		<dc:creator>heartlanddem</dc:creator>
		<pubDate>Wed, 30 Nov -0001 00:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.bluemassgroup.com/diary/10889/#comment-114628</guid>
		<description>&lt;p&gt;and management strategies for bulk purchase of supplies? &#160;How are energy and facility maintenance costs managed?&lt;/p&gt;

&lt;p&gt;&lt;&lt;/p&gt;

&lt;p&gt;p&gt;Maybe, along with special education we need a dialog about consumers/families contributing to sevices for special needs individuals when the financial means exist?&lt;/p&gt;

&lt;p&gt;&lt;&lt;/p&gt;

&lt;p&gt;p&gt;It is pretty clear that all of the current systems (health care, education, social services, infrastructure, law enforcement...) are collapsing and paradigm shift is needed.&lt;/p&gt;

&lt;p&gt;&lt;&lt;/p&gt;

&lt;p&gt;p&gt;Raise consumption taxes and explore user fees based on financial means-test?&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>and management strategies for bulk purchase of supplies? &nbsp;How are energy and facility maintenance costs managed?</p>
<p>&lt;</p>
<p>p&gt;Maybe, along with special education we need a dialog about consumers/families contributing to sevices for special needs individuals when the financial means exist?</p>
<p>&lt;</p>
<p>p&gt;It is pretty clear that all of the current systems (health care, education, social services, infrastructure, law enforcement&#8230;) are collapsing and paradigm shift is needed.</p>
<p>&lt;</p>
<p>p&gt;Raise consumption taxes and explore user fees based on financial means-test?</p>
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		<title>By: lynpb</title>
		<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/#comment-114629</link>
		<dc:creator>lynpb</dc:creator>
		<pubDate>Wed, 30 Nov -0001 00:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.bluemassgroup.com/diary/10889/#comment-114629</guid>
		<description>&lt;p&gt;You need to learn more about community programs. There is a lot of oversight by the state. DMR Service Coordinators visit the houses once a month, Survey and Certification (formerly known as QUEST) monitor annually, and then there are the random visits by Citizen Monitoring Teams.&lt;/p&gt;

&lt;p&gt;&lt;&lt;/p&gt;

&lt;p&gt;p&gt;I have been working in the community for one agency for 16 years. There has not been one incidence of physical or sexual abuse or neglect.
&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>You need to learn more about community programs. There is a lot of oversight by the state. DMR Service Coordinators visit the houses once a month, Survey and Certification (formerly known as QUEST) monitor annually, and then there are the random visits by Citizen Monitoring Teams.</p>
<p>&lt;</p>
<p>p&gt;I have been working in the community for one agency for 16 years. There has not been one incidence of physical or sexual abuse or neglect.</p>
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		<title>By: lynpb</title>
		<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/#comment-114630</link>
		<dc:creator>lynpb</dc:creator>
		<pubDate>Wed, 30 Nov -0001 00:00:00 +0000</pubDate>
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		<title>By: dave-from-hvad</title>
		<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/#comment-114631</link>
		<dc:creator>dave-from-hvad</dc:creator>
		<pubDate>Wed, 30 Nov -0001 00:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.bluemassgroup.com/diary/10889/#comment-114631</guid>
		<description>&lt;p&gt;were voiced by U.S. Attorney Michael Sullivan in his report last year to Judge Tauro in the Fernald case. Sullivan based his statements on reports by the Disabled Persons Protection Commission. Also the Wrentham Association documented abuse in the community system in a brief filed in the Fernald case in 2006. An account of the Wrentham brief can be found in the &lt;a href=&quot;http://www.cofar.org/VOICE_March2006.pdf&quot; title=&quot;COFAR Voice&quot; rel=&quot;nofollow&quot;&gt;March 2006 issue of the COFAR Voice&lt;/a&gt;.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>were voiced by U.S. Attorney Michael Sullivan in his report last year to Judge Tauro in the Fernald case. Sullivan based his statements on reports by the Disabled Persons Protection Commission. Also the Wrentham Association documented abuse in the community system in a brief filed in the Fernald case in 2006. An account of the Wrentham brief can be found in the <a href="http://www.cofar.org/VOICE_March2006.pdf" title="COFAR Voice" rel="nofollow">March 2006 issue of the COFAR Voice</a>.</p>
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		<title>By: dave-from-hvad</title>
		<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/#comment-114632</link>
		<dc:creator>dave-from-hvad</dc:creator>
		<pubDate>Wed, 30 Nov -0001 00:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.bluemassgroup.com/diary/10889/#comment-114632</guid>
		<description>&lt;p&gt;Are you sure the agency has not had one incidence of physical abuse or neglect? &#160;That would be quite unusual. &#160;As for QUEST and consumer satisfaction surveys, I would refer you to the Wrentham Assn. brief (noted in my comment to HeartlandDEM above). &#160;As the COFAR Voice article about the U.S. Attorney&#039;s investigation notes, the Wrentham brief found DMR&#039;s oversight of the community system to be inadequate.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>Are you sure the agency has not had one incidence of physical abuse or neglect? &nbsp;That would be quite unusual. &nbsp;As for QUEST and consumer satisfaction surveys, I would refer you to the Wrentham Assn. brief (noted in my comment to HeartlandDEM above). &nbsp;As the COFAR Voice article about the U.S. Attorney&#8217;s investigation notes, the Wrentham brief found DMR&#8217;s oversight of the community system to be inadequate.</p>
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		<title>By: lynpb</title>
		<link>http://bluemassgroup.com/2008/03/finally-a-fix-for-human-services-please-contact-your-representatives/#comment-114633</link>
		<dc:creator>lynpb</dc:creator>
		<pubDate>Wed, 30 Nov -0001 00:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.bluemassgroup.com/diary/10889/#comment-114633</guid>
		<description>&lt;p&gt;Have you ever been to a community program?&lt;/p&gt;

&lt;p&gt;&lt;&lt;/p&gt;

&lt;p&gt;p&gt;It is easier to hide abuse in the institutions. In the community there are more eyes.&lt;/p&gt;

&lt;p&gt;&lt;&lt;/p&gt;

&lt;p&gt;p&gt;Yes I am sure that there has not been one incident of abuse or neglect.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>Have you ever been to a community program?</p>
<p>&lt;</p>
<p>p&gt;It is easier to hide abuse in the institutions. In the community there are more eyes.</p>
<p>&lt;</p>
<p>p&gt;Yes I am sure that there has not been one incident of abuse or neglect.</p>
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