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S.D. mental health services struggle
By Associated Press
Published: 12/27/2004

A lack of funding and the state's geographic size are among the obstacles South Dakota faces in providing adequate mental health services, according to professionals and families who live with mental illness.
Census data in 2000 shows 19,229 adults in the state suffered from serious and persistent mental illness. Additionally, 15,453 children had serious emotional disturbances -- about one out of every 12 children in the state.
"The stigma of mental illness, for one, results in people not seeking services early or at all, even though effective treatments are available," said Betty Oldenkamp, secretary of the South Dakota Human Services Department. "And the geography of the state, especially in frontier areas, frequently makes service delivery via traditional means difficult."
In South Dakota, 54 of the 66 counties are designated as federal mental health professional shortage areas. The ranking comes because there only are 71 psychiatrists registered with the state Medical Association, including eight who work solely with children and one who works with both adults and children.
Of those professionals, almost two-thirds work in Sioux Falls or Rapid City.
Jim Kinyon, director of Catholic Social Services in Rapid City, said the figure shows there are widespread gaps in mental health care coverage in South Dakota.
Oldenkamp said state officials have made gains within the constraints of a tight state budget.
In fiscal year 2003, the state spent $20.2 million on its community mental health centers and their related programs, and another $32 million on the Human Services Center in Yankton. On top of that, Medicaid paid out $12 million in services provided by private practitioners.
"Clearly, there are people who have difficulty obtaining services because there is no money to pay for it ... for a variety of reasons," said Terry Dosch, executive director of the South Dakota Council of Mental Health Center, which represents the state's 11 regional mental health centers. "But I am pleased to say that, from the publicly supported standpoint, we are serving more South Dakotans each year, and our budget continues to grow in modest increments versus the budget paring that many states are experiencing right now."


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