PROTECTION & ADVOCACY

Oklahoma Disability Law Center, Inc.  

September, 2002

IN THIS ISSUE:

 

v     U. S. Supreme Court Update

 

v     Oklahoma Court of Criminal Appeals Speaks on Death Penalty and Mental Retardation

 

v     State Department of Education Sends Handbook to RESC’s “Protecting Students from Harassment and Hate Crimes: A Guide for Public Schools”

 

v     SPECIAL EDUCATION:  Wrightslaw “Boot Camp” Scheduled for December in Oklahoma.

 

v     Secretary Thompson Announces HHS Creation of New Office of Disability

 

v     US DOT Aviation Consumer Disability Toll-Free Hotline

 

v     Children with Emotional Disorders in the Juvenile Justice System (NMHA)

 

v     NCD Releases Report on Mental Health Services and Supports

 

v     Letter Sent to State Medicaid Directors Regarding Olmstead Opinion and Best Practices

 

v     NASMHPD’s “Eliminating the Use of Seclusion and Restraint” Available Online

 

 

US SUPREME COURT UPDATE

 

July 2, 2002:  The United States Supreme Court has begun its summer recess and the Justices will take a break until the first Monday in October.  There will not be any decisions by the Court until that time, unless something unusual occurs between now and October.

 

 

OKLAHOMA COURT OF CRIMINAL APPEALS SPEAKS ON DEATH PENALTY AND MENTAL RETARDATION

 

Below is language from the new Oklahoma Court of Criminal Appeals opinion adopting standards for mental retardation in capital trials involving the death penalty. The case is known as MURPHY v. STATE, 2002 OK CR 32, Case Number: PCD-2001-1197, Decided: 09/04/2002, PATRICK DWAYNE MURPHY, Petitioner -vs- STATE OF OKLAHOMA, Respondent. Full opinion located online at
http://www.oscn.net/applications/oscn/deliverdocument.asp?citeID=413135


Excerpt of the Court's opinion on mental retardation:

According, we hereby adopt the following definition for mental retardation that will apply to individuals alleging they are not eligible to be sentenced to the death penalty, for use in capital trials: (FN18)

A person is "mentally retarded": (1) If he or she functions at a significantly sub-average intellectual level that substantially limits his or her ability to understand and process information, to communicate, to learn from experience or mistakes, to engage in logical reasoning, to control impulses, and to understand the reactions of others; (2) The mental retardation manifested itself before the age of eighteen (18) (FN19); and (3) The mental retardation is accompanied by significant limitations in adaptive functioning in at least two of the following skill areas: communication; self-care; social/interpersonal
skills; home living; self-direction; academics; health and safety; use of community resources; and work.

It is the defendant's burden to prove he or she is mentally retarded by a preponderance of the evidence (FN20) at trial. Intelligence quotients are one of the many factors that may be considered, but are not alone determinative. However, no person shall be eligible to be considered mentally retarded unless he or she has an intelligence quotient of seventy or below, as reflected by at least one
scientifically recognized, scientifically approved, and contemporary (FN21) intelligent quotient test.

This standard shall be used at all future and pending capital trials, until such time as it may be replaced by a suitable legislative enactment.

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FOOTNOTES:
18 Our use of the terms mentally retarded and mental retardation is limited to cases where a person claims he or she is mentally retarded to the extent to be ineligible for the death penalty.

19 "Manifestation before the age of eighteen" is a fact question intended to establish that the first signs of mental retardation appeared and were recognized before the defendant turned eighteen. Lay opinion and poor school records may be considered. Thus, a defendant need not, necessarily, introduce an intelligent quotient test
administered before the age of eighteen or a medical opinion given before the age of eighteen in order to prove his or her mental retardation manifested before the age of eighteen, although such proof would surely be the more credible of that fact.

20 We adopt a preponderance of the evidence standard here in spite of the "clear and convincing" standard adopted by our Legislature in House Bill 2635, which was patterned after North Carolina's statute. In so doing, we recognize other states that have adopted statutory procedures relating to the proof of mental retardation are split on the burden of proof, i.e., approximately five states utilize a clear and convincing standard while approximately eleven states use preponderance of the evidence. To date, the United States Supreme Court has not mandated a particular standard, but has left the task to the  Individual states to develop appropriate ways to address the issue. While I would have followed our Legislature's stated intent, the Court, as a whole, has opted for a preponderance of the evidence standard.

21 By contemporary, we mean the intelligent quotient test registering seventy or below was administered some time after the capital crime was committed or is one that may be understood by contemporary standards.

22 The defendant's request for an Atkins hearing shall be made in writing, filed of record, and submitted to the trial judge within ten (10) days of the jury verdict and prior to formal sentencing. The hearing thereon shall be held on the date set for sentencing but prior to formal sentencing. No additional evidence from that entered into the trial record may be used, but the par ties shall be allowed to make oral arguments from such trial evidence.

 

SDE SENDS HANDBOOK TO RESC’S “PROTECTING STUDENTS FROM HARASSMENT AND HATE CRIMES:  A GUIDE FOR PUBLIC SCHOOLS”

 

By letter dated July 29, 2002, Darla Griffin sent the following handbook to the RESC's the Regional Accreditation Officers and the IDEA State Advisory Panel: "Protecting Students from Harassment and Hate Crimes: A Guide for Public Schools." The guide provides schools and others with practical guidance for developing a comprehensive approach to protecting all students from harassment and violence. Permission to reprint this public domain publication is not necessary. The document is available in alternate formats for people with disabilities.

Also, you may get a copy on the internet at:
http://www.ed.gov/pubs/Harassment/
http://www.ed.gov/pubs/Harassment/attygens.html

You should ensure that your local school has the  appropriate policies and practices in place as you start the school year. Your school should have a copy of this book plus additional resources. If you need any information to share with your school, please let ODLC know.

 

SPECIAL EDUCATION:  Wrightslaw “Boot Camp” Scheduled for December in Oklahoma

 

Wrightslaw Boot Camp: Two-Day Training Session
http://www.wrightslaw.com/speak/index.htm#bootcamp

December 6-7, 2002
Constitution Hall, University of Central Oklahoma
Edmond, Oklahoma

No charge to students with disabilities and their families if registered 30 days before conference.  Reasonable fee for others.  Circulate this information to interested persons.

 

SECRETARY THOMPSON ANNOUNCES CREATION OF THE HHS OFFICE ON DISABILITY


HHS Secretary Tommy G. Thompson announced the creation of the HHS Office on Disability to oversee the coordination, development and implementation of programs and special initiatives within HHS that impact people with disabilities. Margaret J. Giannini, M.D., F.A.A.P., currently the principal deputy assistant secretary for aging at the Administration on Aging (AoA), has been appointed the director to the new HHS Office on Disability.


The announcement builds on the work of President Bush's New Freedom Initiative, a comprehensive plan to tear down barriers facing people with disabilities, which prevent them from fully participating in community life.  The new office will help centralize many of the recommended  strategies outlined in a report to President Bush, which explored solutions to reducing barriers in all areas of society for people with disabilities.

 

"HHS is engaged in important and dynamic work to help the nearly 54 million Americans living with disabilities," Secretary Thompson said. "The new Office on Disability will bring increased focus and awareness to the issue, and will allow the department to interact with valuable partners in the most effective manner. Margaret Giannini will bring a wealth of expertise to the position and we look forward to her leadership."

 

As head of the new office, Giannini will oversee the coordination of HHS disability issues and special initiatives. Preparations are currently underway to officially open the new office in the fall of 2002.

 

Prior to joining AoA, Giannini was the deputy assistant chief medical director for Rehabilitation and Prosthetics of the Department of Veterans Affairs in Washington, D.C. In 1979, former President Jimmy Carter appointed Dr. Giannini as the first Director of the National Institute of Handicapped Research, now known as the National Institute of Disability and Rehabilitation Research.

 

Additionally, Giannini was a founder and director of the University Center of Excellence on Developmental  Disabilities of New York Medical College, the first and largest facility for the developmentally disabled in the United States and the world. She is a Diplomate, American Board of Pediatrics; a Fellow, American Academy of Pediatrics; and a member of the Institute of the Medicine of the National Academy of Sciences.

 

US DOT AVIATION CONSUMER DISABILITY TOLL-FREE HOTLINE

 

The U. S. Department of Transportation's aviation consumer disability toll-free hotline became operational on August 5, 2002. The toll-free numbers for the aviation consumer disability hotline are 1-866-266-1368 (voice) and 1-866-754-4368 (TTY).

DOT is asking disability organizations and agencies to help spread the word about the establishment of the hotline. People with disabilities are encouraged to call the hotline for information and assistance if they should experience disability-related air service problems.

Disability groups helped to test out the hotline before it became operational and DOT will use caller feedback to fine tune the system for effective response to disability issues in air travel.

 

Children with Emotional Disorders In the Juvenile Justice System

http://www.nmha.org/children/justjuv/

 

Each year one million children come into contact in some way with the juvenile justice system. Over 100,000 of these youth are detained each day in a correctional facility. Studies have consistently found the rate of mental  disorders to be higher among the juvenile justice population than among youths in the general population. In fact, federal studies suggest that as many as 60-75 percent of incarcerated youth have a mental health disorder and 20 percent have a severe disorder. As many as half have substance abuse problems.

NMHA's Justice for Juveniles Program
http://www.nmha.org/children/justjuv/jjprogram.cfm

Checking Up on Juvenile Justice Facilities: A Best Practices Guide
http://www.nmha.org/children/justjuv/checkingUpOnJJFacilities.cfm
Go to this page for a downloadable version.
Or, for a free hard copy of the booklet, call the NMHA Affiliate Helpline at 800-969-NMHA (6642) and select option 5.

NMHA has another booklet entitled, "When Your Child is Behind Bars: A Family Guide to Surviving the Juvenile Justice System." In order to get a copy, go to this page: http://www.nmha.org/children/justjuv/
Then, go to the list of documents on the right and click on, "When Your Child is Behind Bars" It will download as a pdf file.

Community Perspectives on the Mental Health and Substance Abuse Treatment Needs of Youth Involved in the Juvenile Justice System: Commentary and Call To Action
http://www.nmha.org/children/justjuv/youth_treatment.cfm

 

 

NCD RELEASES REPORT MENTAL HEALTH SERVICES AND SUPPORTS

 

The National Council on Disability (NCD) Released its
report The Well Being of our Nation: An Inter-Generational Vision of Effective Mental Health Services and Supports, http://www.ncd.gov/newsroom/publications/mentalhealth.html, calling for fundamental reform in a mental health system in crisis.

This report examines some of the root causes of the crisis in mental health, and seeks to "connect the dots"  concerning the dysfunction of a number of public systems that are charged with providing mental health services and supports for children, youth, adults and seniors who have
been diagnosed with mental illnesses. This report is intended to provide an overview and is not a comprehensive review of all that is known about the public mental health system and its shortcomings. That undertaking has been begun by the U.S. Surgeon General, in the massive 1999 report entitled Mental Health: A Report of the Surgeon General (located online at: http://www.surgeongeneral.gov/library/mentalhealth/home.html), and will be carried on with President Bush's New Freedom Commission on Mental Health, which held its first public hearings in July 2002.

One of the most significant findings of this report is that children and youth who experience dysfunction at the hands of mental health and educational systems are much more likely to become dependent on failing systems that are supposed to serve adults. In parallel fashion, adults
whose mental health service and support needs are not fulfilled are very likely to become seniors who are dependent on failing public systems of care. In this fashion, hundreds of thousands of children, youth, adults and seniors experience poor services and poor life outcomes, literally from cradle to grave.

The mental health system in this country is in crisis. For decades, state mental health systems have been burdened with ineffective service-delivery programs and stagnant bureaucracies.

There is no single antidote for the current dysfunction of the public mental health system. Clearly, visionary leadership, adequate funding and expansion of proven models (including consumer-directed programs) are essential ingredients. More than these, however, there needs to be a
dramatic shift in aspirations for people with psychiatric disabilities.

What is most needed now is a dramatically new vision of what people with psychiatric disabilities can achieve, if given the supports they need to succeed. That vision must start with the premise that recovery is possible and ought to be seen as an objective for every person with a psychiatric disability. The vision must also incorporate the principles of the Americans with Disabilities Act (ADA) and the Supreme Court's Olmstead decision. A final component of this new vision will require a commitment to fund effective supports and services and to fund enforcement of the rights guaranteed under ADA, the  Individuals with Disabilities Education Act, Medicaid, and other federal statutes.

The Federal Government can play an important role in establishing funding and other incentives for state mental health systems to adopt new models that support this vision and that are consistent with Olmstead and President Bush's New Freedom Initiative.

 

 

LETTER SENT TO STATE MEDICAID DIRECTORS REGARDING OLMSTEAD DECISION & BEST PRACTICES

 

Below is a link to the latest letter to State Medicaid Directors regarding the Olmstead decision. It is
a compilation of state "Promising practices".

http://www.cms.hhs.gov/states/letters/smd81302.pdf

In the “Progress on the Promise” Report to the President under the New Freedom Initiative, the Department of Health and Human Services promised to work with states and people with disabilities to assure Medicaid-eligible persons with disabilities of all ages are served in the most appropriate setting according to their needs and preferences. This letter focuses on strategies available to states under current authority to assist individuals to avoid or leave
unnecessary nursing facility placement. This letter  highlights promising state practices, such as programs in which “money follows the person,” and outlines some early
lessons learned from states that previously awarded nursing facility transition grants.

 

NASMHPD’s “Eliminating the Use of Seclusion and Restraint” Available Online

 

A double issue of NASMHPD's "networks" newsletter entitled "Eliminating the Use of Seclusion and Restraint" is available in PDF format at http://www.nasmhpd.org/ntac/networks/SummerFall2002.pdf
There are several excellent articles, including one by Susan Stefan of the Center for Public Representation, on the legal and regulatory aspects of restraint. The newsletter is in the public domain and may be reproduced.



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