Want to find out more about how you can take part in IMHCA’s advocacy efforts? Contact IMHCA’s Government Relations Committee for more information! Email: [email protected]

IMHCA 1 www.imhca.net 225 NW School Street, Ankeny, IA 50023

TABLE OF CONTENTS GET TO KNOW IMHCA ...... 3 About Us ...... 3 The Purposes of IMHCA ...... 3 IMHCA Board Members ...... 4 THE 87TH IOWA GENERAL ASSEMBLY ...... 5 201 Iowa Session Leaders ...... 5 Senate Leaders ...... 5 House Leaders ...... 5 201 Committee Assignment ...... 6 201 Session Timetable ...... 11 201 UPDATE ON TRACKED LEGISLATION ...... 12 Surviving the First Funnel...... 12 Bills of Interest That Cleared the First Funnel ...... 12 Bills of Interest That DID NOT Clear the First Funnel ...... 13 LEGISLATIVE PROCESS ...... 14 Bill Drafting ...... 14 Introduction ...... 14 Read First / Read Second ...... 14 Committees ...... 14 Passage Vote for Engrossment ...... 14 Rinse and Repeat ...... 14 Passage Vote for Enrollment ...... 14 Sent to Governor ...... 14 HELPFUL RESOURCES FOR FIRST TIME ADVOCATES ...... 15 Prior to the visit/event: Prep Work ...... 15 During the Event: Talking to Legislators: ...... 15 After the visit/event: Follow-Up ...... 15 ADDITIONAL STATE AND FEDERAL LEGISLATIVE RESOURCES ...... 1 ATTACHMENTS: ...... 1 Participation in Making Iowa Laws ...... 1

Complex and Parking Maps ...... House/Senate District Info ...... IMHCA Events ......

IMHCA 2 www.imhca.net 225 NW School Street, Ankeny, IA 50023

GET TO KNOW IMHCA

About Us

The Iowa Mental Health Counselors Association (IMHCA) is a chapter of the American Mental Health Association (AMHCA). IMHCA is the only organization dedicated exclusively to meeting the professional needs of mental health counselors in Iowa. Since founded we have worked to promote quality mental health services for all people, distinguish the identity of the profession, and influence public policy to maintain standards of care and opportunities in line with our professional ethics and values. We accomplish these goals by working with other professional organizations, the state legislature, state regulatory agencies, and clients to promote quality in mental health counseling practices.

The Purposes of IMHCA

Continuing Education

Providing mental health counselors with continuing education opportunities to update and enhance their competencies

Professional Support

Providing a public forum and network throughout Iowa for counselors to address the social and emotional needs of their clients

Promote the Profession

Promoting high standards of professional commitment to persons who seek mental health counseling services in Iowa Promoting attainable licensure and certification for counselors on state and national levels Increasing awareness of the role and function of mental health counseling and counseling services to the public Providing an alliance and increase advocacy for the profession by creating networks with counselors in other specialties and other organizations Supporting research into mental health concerns, counseling interventions, and their effectiveness

IMHCA 3 www.imhca.net 225 NW School Street, Ankeny, IA 50023

IMHCA Board Members

President

Past President

President-Elect

Treasurer Courtney Ackerson, 2016-2018

Secretary ______ Kenneth Cameron, 2015-20

Membership Chair 2017-2019

Networking Communications Chair Kyla Loucks, 2015-201

Conference Committee Chair

Member-at-Large

Member-at-Large ,

StudentRepresentative Lauren Kern, 2016-2018

Student Representative Corinne Harvey, 2017-2019

Website Coordinator Jason Stark,

IMHCA 4 www.imhca.net 225 NW School Street, Ankeny, IA 50023

THE 87TH IOWA GENERAL ASSEMBLY

201 Iowa Session Leaders

Senate Leaders President:

President Pro Tempore: Jerry Behn Majority Leader: Bill Dix

Democratic Leader: Majority Whip: Charles Schneider

Democratic Whip: Amanda Ragan Assistant Majority Leader: Michael Breitbach

Assistant Majority Leader: Randy Feenstra Assistant Majority Leader: Amy Sinclair

Assistant Majority Leader: Dan Zumbach

Assistant Democratic Leader: Joe Bolkcom Assistant Democratic Leader: William A. Dotzler Jr. Assistant Democratic Leader: Rita Hart Assistant Democratic Leader: Liz Mathis

Assistant Democratic Leader: Matt McCoy

Assistant Democratic Leader: Herman C. Quirmbach

House Leaders

Speaker: Linda L. Upmeyer

Speaker Pro Tempore: Matt W. Windschitl Majority Leader: Chris Hagenow

Majority Whip: Zach Nunn

Assistant Majority Leader: Megan Jones Assistant Majority Leader: Jarad J. Klein

Assistant Majority Leader: Mike Sexton Assistant Majority Leader: John H. Wills Minority Leader: Mark D. Smith

Assistant Minority Leader: Bruce Bearinger

Assistant Minority Leader: Liz Bennett

Assistant Minority Leader: Brian Meyer Assistant Minority Leader: Helen Miller

IMHCA 5 www.imhca.net 225 NW School Street, Ankeny, IA 50023

201 Committee Assignment

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IMHCA 7 www.imhca.net 225 NW School Street, Ankeny, IA 50023

IMHCA 8 www.imhca.net 225 NW School Street, Ankeny, IA 50023

IMHCA 9 www.imhca.net 225 NW School Street, Ankeny, IA 50023

IMHCA 10 www.imhca.net 225 NW School Street, Ankeny, IA 50023

201 Session Timetable

IMHCA 11 www.imhca.net 225 NW School Street, Ankeny, IA 50023

201 UPDATE ON TRACKED LEGISLATION (Next Funnel Deadline March 27, 2017)

Bills of Interest That Cleared the First Funnel

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IMHCA www.imhca.net 225 NW School Street, Ankeny, IA 50023

LEGISLATIVE PROCESS

Bill Drafting The process starts when someone decides current law needs revision. A bill is drafted, which is essentially a list of changes to the existing compiled state statutes and code that may add, strike, or amend the text to confer new purpose, restrictions, etc.

Introduction The bill is introduced into the first chamber. This often entails the chamber Clerk and registering the official introductory draft of the legislation.

Read First / Read Second The definition of "read" varies however. Rare is the instance that the bill is read verbatim on the chamber floor. At this stage a synopsis of the legislation is presented and any initial discussion or decisions on the merit of the bill may be decided and then the bill typically referred to one or more committees will continue the life process of the bill.

Committees In most states committees do the bulk of the legislative debate, modification. They are specialized by area of oversight or expertise and will discuss and research the bill, potentially amending or substituting a new draft. The committee typically recommends to the Committee of the Whole, another way of saying the entire chamber, that the bill either Pass or Do Not Pass.

Passage Vote for Engrossment After a bill has been 'read' a third time it is put to a vote for passage out of the originating house. If the vote passes the bill is then considered to be ‘Engrossed’ and it is sent to the other chamber of the legislative body.

Rinse and Repeat The process then repeats itself from Introduction to Third reading in the second legislative chamber.

Passage Vote for Enrollment Once the bill gets to third reading there is another vote for passage. Should it pass then the bill normally will be considered to be ‘Enrolled’. This version of the bill text is what will be sent to the Governor and will be codified by the Secretary of State as part of the official Chapter and Acts.

Sent to Governor In states where the Governor’s approval is required, the Enrolled bill is sent to the Governor. This may be ceremonial, or the Governor may have the power to veto the bill, or if left unsigned for a fixed period of time is de facto approved.

IMHCA 14 www.imhca.net 225 NW School Street, Ankeny, IA 50023

HELPFUL RESOURCES FOR FIRST TIME ADVOCATES First time? Don’t worry! IMHCA has you covered. See below for suggestions and information on how to discuss these very important issues with Iowa’s Senators and Representatives.

Prior to the visit/event: Prep Work Know who your local legislators are! If possible, send an email to let them know you will be at the capitol and seek them out after the event. The extra effort can go a long way down the road! Identify 1-3 goals for your visit. Don’t try and accomplish too much as you will run out of time and the importance of your message could be lost. Break those goals down into 2- 5 talking points each. Once you have established your goals and talking points, decide which committees and/or legislators you need to speak with. Note party line stance, committee role(s), voting record on the issue(s), etc. as you prepare.

During the Event: Talking to Legislators: Use ‘Senator’ or ‘Representative’ when addressing all legislators. Introduce yourself and include your credentials and city of origin. For example: “Hello. I am Suzy Smith, Licensed Mental Health Counselor and I work in Private Practice here in Des Moines.” or “Hello. My name is Joe Clark, and I am a student at XYZ University studying mental health counseling.” Be courteous and to the point. Identify the bill you would like to discuss and explain why you support or oppose this particular piece of legislation. Be as specific as possible (for example, is it the entire bill or just certain language in the bill that you support or oppose?). Reiterate the talking points you developed for each bill, and respectfully communicate them, leaving time for questions. If working in a group, designate 1-2 individuals to lead the discussion as you may only have 5 minutes to make your point. Keep in mind that local examples concerning the impact of legislation are very powerful. Think of how the legislation being discussed would impact you at an individual level. For example, would it make it harder for you to be reimbursed for your services? Would it ensure that consumers from your hometown get the kind of quality mental health services they desperately need? Would it create new opportunities for upcoming graduates or newly licensed counselors? This feedback is often what is desired during these discussions, so do not be afraid to weigh in! Let your legislators know if you agree or disagree on a particular vote. This feedback is important as it often takes several sessions for a bill to pass both the House and the Senate. She/he could be asked to vote on the same issue next year! Always thank them for their time.

After the visit/event: Follow-Up If possible send a follow-up email or letter to reiterate what was discussed and again show your appreciation for a willingness to discuss your concerns.

IMHCA 15 www.imhca.net 225 NW School Street, Ankeny, IA 50023

IMHCA 15 www.imhca.net 225 NW School Street, Ankeny, IA 50023 ADDITIONAL STATE AND FEDERAL LEGISLATIVE RESOURCES

Websites with important information helpful in preparing for your “Day on the Hill” are highlighted for your convenience.

The American Mental Health Counselors Association (AMHCA): The leading national organization for licensed clinical mental health counselors. AMHCA strives to be the go-to organization for LCMHCs for education, advocacy, leadership and collaboration. http://www.amhca.org/

The Iowa Mental Health Counselors Association (IMHCA): The Iowa Mental Health Counselors Association is a chapter of the American Mental Health Counselors Association. IMHCA is the only organization dedicated exclusively to meeting the professional needs of mental health counselors in Iowa. Its sole purpose is to promote the profession of mental health counseling and the needs of our clients. http://www.imhca.net/

Legislative News: The Iowa Mental Health Counselors Association follows and reports on new legislation and updates to current legislation affecting mental health counselors in Iowa. http://www.imhca.net/legislative-news

Find Your Legislator: https://www.legis.iowa.gov/legislators; Committee Assignments and Agenda pages: https://www.legis.iowa.gov/committees; Legislative Document Research Page: https://www.legis.iowa.gov/publications/search

The Bureau of Professional Licensure: The Bureau of Professional Licensure is a Bureau within the Iowa Department of Public Health with 19 licensure boards regulating 39 professions. The mission of the professional boards is to protect the public health, safety and welfare by licensing qualified individuals and enforcing Iowa's statutes and administrative rules fairly and consistently. https://ibplicense.iowa.gov

Centers for Medicare and Medicaid Services: https://www.cms.gov/ infoNET – Advocating for Change in the Iowa General Assembly: The 2 Guide to the Iowa Legislature contains a colorful guide (including pictures of Iowa’s legislators and information on what someone could expect during a trip to the Capitol for advocacy purposes) that was created to give advocates with disabilities the tools, information, and opportunities they need to take action. infoNET – Advocating for Change in the Iowa General Assembly: The Advocacy Toolkit is a great resource that outlines how to request a quick meeting with lawmakers on the floor of House and/or Senate, and what to do if those legislators are unable to meet. http://www.infonetiowa.org/documents/cms/docs/Toolkit4-7-15.2.pdf

USA.gov: Online guide to government information and services. https://www.usa.gov/laws-and- regulations

IMHCA 16 www.imhca.net 225 NW School Street, Ankeny, IA 50023

ATTACHMENTS:

Participation in Making Iowa Laws Complex and Parking Maps House/Senate District Info IMHCA Events

IMHCA 17 www.imhca.net 225 NW School Street, Ankeny, IA 50023

PARTICIPATION IN MAKING IOWA LAWS

The state Senator and state Representative from each district are elected to represent constituent interests when making the laws of Iowa. Citizens can take part in the decisions made by those elected officials.

For locating constituent Senators and Representatives, or to learn more about the Iowa Legislature, contact the Legislative Information Office (LIO). Search the web using Find Your Legislator on the Iowa General Assembly website: www.legis.iowa.gov

E-mail: [email protected] Legislative Information Office – Room G16 Legislative Services Agency Iowa State Capitol, Des Moines, Iowa 50319 Telephone: 515-281-5129

Contact Senators during the legislative session at the Capitol by calling the Senate Switchboard at 515-281-3371, or address mail to the , State Capitol, Des Moines, IA 50319. Contact Representatives during the session at the Capitol by calling the House Switchboard at 515-281-3221, or address mail to the Iowa House of Representatives, State Capitol, Des Moines, IA 50319. The Iowa General Assembly website lists e-mail addresses of all legislators, or call the LIO.

• Legislators may also be contacted at their homes (call the LIO or check listings on the Iowa General Assembly web site). The Iowa Constitution requires the legislative sessions of each General Assembly to convene yearly on the second Monday in January. Adjournment usually comes at the end of April. During the legislative session, both the Senate and House have operators on duty to take phone calls and relay messages to legislators. Any citizen visiting the Capitol can arrange to meet with legislators.

• Observe the session. The debates may be viewed from galleries in the Senate and House chambers. The public may attend committee meetings and public hearings on legislation. Live audio of the Senate and House debates is available on the Iowa General Assembly website.

Committee Work The first part of the session is devoted to committee meetings. All bills that are debated must be approved by committee. A standing committee is a group of legislators that review all bills relating to a specific subject area. Once a bill is assigned to a committee, the committee chairperson appoints a subcommittee. The subcommittee, usually composed of three members of the standing committee, reviews the bill in detail and reports its conclusions to the full committee. The full committee then discusses the subcommittee’s conclusions and makes recommendations to the entire chamber. The committee may recommend to pass the bill, to pass the bill with amendment, to refer the bill to another committee for study, to postpone the bill indefinitely, or to send the bill to the floor for debate with no recommendation. Debate When debate on a bill is finished, the bill’s title is read aloud to the chamber for the third and final time. If a constitutional majority (at least 26 Senators and 51 Representatives) votes to pass the bill, it moves to the other chamber. If fewer legislators than a constitutional majority vote to pass the bill, the bill fails.

Second Passage Amendments adopted by the chamber of origin are incorporated in the bill before it is sent to the other chamber. As the bill proceeds through the Legislature, the procedure in both chambers is basically the same. A bill introduced in the Senate will retain its original Senate number as it travels through the House and a bill introduced in the House will retain its original House number as it travels through the Senate. If the bill is further amended by the other chamber, the amended bill is sent back to the chamber of origin for approval. If the chamber of origin concurs or agrees with the amendment(s), the bill has passed both chambers in identical form and will be sent to the Governor for review. If the chamber of origin refuses to concur with the other chamber’s amendment(s), the bill is returned to the other chamber, which may recede from or insist upon their amended version of the bill. If they recede, the bill is sent to the Governor; however; if they insist upon their amendment(s), a conference committee is appointed to work out the differences.

Conference Committee Conference committees are composed of Senate and House members representing both the majority and minority parties and both sides of the issue in dispute. The 10 members of a conference committee are appointed by the Senate Majority Leader and the Speaker of the House to study the points of disagreement between the chambers in an attempt to reach a compromise. If an agreement is reached, it is presented to both chambers in a report that contains the compromise version of the bill. The report cannot be amended by either chamber. If the report is rejected by either chamber, a second conference committee may be appointed. If no agreement is reached, the bill fails. If the conference committee report is adopted, the chambers again vote on the bill. If the bill is approved it will be enrolled and sent to the Governor for review.

Final preparation of a bill before it is sent to the Governor is called enrollment. When both chambers have passed the bill in the same form, it is prepared with all approved amendments incorporated. After the bill is enrolled, the President of the Senate and the Speaker of the House sign the enrolled version and the Secretary of the Senate or Chief Clerk of the House certifies that the bill originated in that chamber. The bill is then sent to the Governor for final action.

1/13/14 Legislative Information Office – Room G16 Iowa State Capitol Iowa General Assembly web site: www.legis.state.ia.us Organization of the Iowa General Assembly

Citizens Elect

Senate House 50 Members 100 Members

Senate Elects House Elects

Majority Senate Minority Majority House Minority Leader President Leader Leader Speaker Leader

Assistant President Assistant Assistant Speaker Assistant Majority Pro Minority Majority Pro Minority Leaders Tempore Leaders Leaders Tempore Leaders

Secretary Chief Clerk of the of the Senate House

Senate Standing Committees Joint Appropriations Subcommittees House Standing Committees

Agriculture Administration and Regulation Administration and Rules Appropriations Agriculture and Natural Resources Agriculture Commerce Economic Development Appropriations Economic Growth Education Commerce Education Health and Human Services Economic Growth Ethics Justice System Education Government Oversight Transportation, Infrastructure, and Capitals Environmental Protection Human Resources Ethics Judiciary Government Oversight Labor and Business Relations Human Resources Local Government Judiciary Natural Resources and Environment Labor Rules and Administration Local Government State Government Natural Resources Transportation Public Safety Veterans Affairs State Government Ways and Means Transportation Veterans Affairs Ways and Means

1/13/14 Legislative Information Office – Room G16 Iowa State Capitol Iowa General Assembly web site: www.legis.iowa.gov

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305 IOWA SENATE DISTRICTS Effective Beginning with the Elections in 2012 for the 85th General Assembly

LYON OSCEOLA DICKINSON EMMET KOSSUTH WINNEBAGO WORTH MITCHELL HOWARD WINNESHIEK ALLAMAKEE

1 26 SIOUX O'BRIEN CLAY PALO ALTO 4 HANCOCK CERRO GORDO FLOYD CHICKASAW 28 2 FAYETTE CLAYTON

PLYMOUTH CHEROKEE BUENA VISTA POCAHONTAS HUMBOLDT WRIGHT FRANKLIN BUTLER BREMER 27 32 3 5 WEBSTER BLACK HAWK BUCHANAN DELAWARE DUBUQUE WOODBURY IDA SAC CALHOUN HAMILTON HARDIN GRUNDY 50 7 30 25 31 48 29 6 24 TAMA BENTON LINN JONES JACKSON MONONA CRAWFORD CARROLL GREENE BOONE STORY MARSHALL 9 36 34 23 33 CLINTON 38 35 CEDAR HARRISON SHELBY AUDUBON GUTHRIE DALLAS POLK JASPER POWESHIEK IOWA JOHNSON 49 20 19 15 37 18 SCOTT 10 16 43 22 17 MUSCATINE 46 POTTAWATTAMIE CASS ADAIR MADISON WARREN MARION MAHASKA KEOKUK WASHINGTON 21 4547 13 39 LOUISA 11 8 44 MILLS MONTGOMERY ADAMS UNION CLARKE LUCAS MONROE WAPELLO JEFFERSON HENRY 14 40 DES MOINES 42 FREMONT PAGE TAYLOR RINGGOLD DECATUR WAYNE APPANOOSE DAVIS VAN BUREN ¨ 12 41 LEE Senate District County

Prepared by the Iowa Legislative Services Agency IOWA HOUSE DISTRICTS Effective Beginning with the Elections in 2012 for the 85th General Assembly

LYON OSCEOLA DICKINSON EMMET KOSSUTH WINNEBAGO WORTH MITCHELL HOWARD WINNESHIEK ALLAMAKEE 1 7 51

SIOUX O'BRIEN CLAY PALO ALTO HANCOCK CERRO GORDO 53 FLOYD CHICKASAW 56 4 2 55 8 52 FAYETTE CLAYTON 3 PLYMOUTH CHEROKEE BUENA VISTA POCAHONTAS HUMBOLDT WRIGHT FRANKLIN BUTLER BREMER

5 54 63 64

13 11 10 WEBSTER BLACK HAWK BUCHANAN DELAWARE DUBUQUE WOODBURY IDA SAC CALHOUN 9 GRUNDY 62 100 14 HAMILTON HARDIN 59 57 50 60 6 61 96 99 48 TAMA BENTON LINN 95 JONES JACKSON MONONA CRAWFORD CARROLL GREENE BOONE STORY MARSHALL 58 17 46 71 66 67 47 49 72 75 65 45 70 CLINTON 98 18 12 69 68 CEDAR HARRISON SHELBY AUDUBON GUTHRIE DALLAS POLK JASPER POWESHIEK IOWA JOHNSON 97 29 74 73 19 SCOTT 30 76 77 85 92 44 86 89 20 MUSCATINE POTTAWATTAMIE CASS ADAIR MADISON WARREN MARION MAHASKA KEOKUK WASHINGTON 91 93 94 26 90 22 25 79 78 15 28 LOUISA 16 21 88 MILLS MONTGOMERY ADAMS UNION CLARKE LUCAS MONROE WAPELLO JEFFERSON HENRY 80 81 DES MOINES Polk County Inset 23 27 84 FREMONT PAGE TAYLOR RINGGOLD DECATUR WAYNE APPANOOSE DAVIS VAN BUREN 87 19 82 LEE 24 37 83 ¨ 39 38 35 30 House District 40 36 32 44 43 31 County 41 33 42 34 Prepared by the Iowa Legislative Services Agency 5 A Public Health Crisis Dec 2017 – NAMI-GDM-TVB Iowa Ranks at the Bottom of the 50 states in Mental Health Care Prevalence and Rate of Treatment Stigma, Lack of knowledge and empathy for Lifetime prevalence of mental illness - 1 of 2 people persons with mental illness Annual prevalence - 1 of 5 experience a mental illness A mental illness is a medical illness - a disease - a neurodevelopmental (the illness can be mild, moderate, or severe) disorder, not a criminal offense 4.2% have severe mental illness - 131,000 people Mental Illness is an equal opportunity disease. It strikes families from all Half of all lifetime cases begin by age 14 walks of life regardless of age, race, income, religion and education. Three-quarters by age 25 A flaw in brain chemistry, not character 13% of youth age 8-15 live with mental illness causing significant An ambulance won't respond to a request for medical assistance, our impairment in their day to day lives help comes from law enforcement This figure jumps to 21% in youth age 13-18. Treatment is needed, not punishment Less than half get help Those with severe mental illness die on average 25-30 years sooner than the general population Youth mental health is worsening Workforce – Services

Beds – Acute Care, Sub-acute, Crisis Without adequate workforce, there is no mental health system, there 50th in the nation for mental health institute beds are no services or beds 760 staffed acute care beds statewide Iowa is: 47th for # of psychiatrists, (includes 96 at MHI's & 10 at VA & 654 in hospitals) 46th for # of psychologists compared to 131,000 with severe mental illness 46th for overall mental health workforce availability Eligible beds are full every day, people are boarded in emergency Less than 300 prescribers in the state rooms, are turned away for treatment, tragedies happen (123 psychiatrists in private practice, 117 ARNP's and 28 PA's with No facility based subacute beds - only 10 ACT teams psychiatric emphasis) 86 crisis residential beds Broadlawns, Unity Point, Mercy setting up psychiatric residency programs, first graduates expected after 2022 No place outside of criminal justice system to place persons with Problems with poor reimbursement, high caseloads, frequent burn-out, challenging behaviors for which effective treatment not enough training locations and dollars, incentives, loan forgiveness has not been found programs How is the southern half of the state given the closing of two MHI's Nationally, only 55% of psychiatrists accept insurance - they want cash at Mt. Pleasant and Clarinda? and no interference from insurance to treat individuals Dire need for direct care professionals, peers, home aides Suicide Less access to care means more incarceration 454 suicides in Iowa in 2016 compared to 55 homicides (2014) 42,000 suicides nationally compared to 16,000 homicides Criminalizing a Me Illness 2 of 3 gun deaths are suicides Iowa builds prisons instead of recovery centers Suicide is now the first cause of injury deaths, followed by car 40%+ of male inmates have mental illness crashes, poisoning, falls and murder 60%+ of female inmates have mental illness From 1999 to 2014 – there has been a greater rise among middle-aged white 70% have a substance use disorder people, particularly women, Local jails have larger percentages. people with less education and people living in rural areas Beds are increasing in prison, less in the public sector Among white women ages 45-64, the suicide rate jumped 63%, Nationally, there are 10X more people with mental illness in jails and among white men the suicide rate jumped 43%. prison than hospital beds Among girls 10 to 14, the suicide rate tripled from 50 to 150. We've come full circle from the 1840's - Dorothy Dix would find more White men over 75 still have the highest suicide rate/age group. persons with mental illness in jails and prisons than in hospital beds in Most who complete suicide have visited their medical doctor within 2017, just like she did in the 1840's one month of their death People with mental illness and substance abuse need treatment, Males complete suicide 4X the rate of females not punishment Completed suicides are more likely to be men over 45 We need investment in the public sector – an adequate mental health who are depressed or alcoholic. workforce and sufficient reimbursement to establish a continuum of Over 4600 youth die from suicide each year care of services for both children and adults Over 90% of those who complete suicide have a mental disorder - 1/3 have In 1955 – we had 4 mental health institutes with 5300 beds alcohol or other drugs in their system In 2017 – we have 2 mental health institutes with 96 beds In recent wars, there have been more suicides than combat deaths In 1955 – we had 3 prisons with around 2200 inmates 20 veterans complete suicide every day In 2017 – we have 9 prisons with around 8300 inmates, and over 30,000 in community corrections A direct result of lack of access to care. Top 5 Reasons to Are you ready Become a Member Strengthen the profession

______to join? Network and connect with other professionals The Iowa Mental Health Counselors Association ______(IMHCA) is a chapter of the American Mental Health Association (AMHCA). IMHCA is the only Members only training organization dedicated exclusively to meeting discounts the professional needs of mental health ______counselors in Iowa. Since we started we have worked to promote quality mental health Access to professional services for all people, distinguish the identity of development opportunities the profession, and influence public policy to ______maintain standards of care and opportunities in line with our professional ethics and values. We Stay informed on accomplish these goals by working with other profession updates professional organizations, the state legislature, state regulatory agencies, and clients to promote quality in mental health counseling practices. Advocacy for - MEMBERSHIP OPTIONS - the mental AMHCA Unified – Regular – Student – Retired – Associate health Visit www.imhca.net for more information profession.

Iowa Mental Health Counselors Association th Annual Charity Golf Tournament Fundraiser for scholarships & mental health education awareness

DATE: TIME: Sign-in at 7:30 am, 8:30 am shotgun-start PLACE: Toad Valley Golf (toadvalleygolfcourse.com) 237 NE 8Oth St, Pleasant Hill IA ENTRY FEE: $70 online registration (per person) $80 registration per person at the event Includes: cart, breakfast, & more

NAME: ______CONTACT: Donald Gilbert ADDRESS: ______515-964-5003 [email protected] ______Online registration PHONE: ______http://www.imhca.net

EMAIL: ______MAILING ADDRESS: IMHCA TEAM NAME (or volunteer name)______225 NW School St. Ankeny, IA, 50266 Player 1 Name (YOU):______

Player 2 Name: ______*One entry form per Player 3 Name: ______team

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