RBC I Three state agencies have launched a joint audit of Mind Springs Health, sending state investigators to review documents and financial records at the nonprofit mental health agency for 10 Western Slope counties.
The organization, one of 17 regional community mental health centers that receive millions of dollars each year in public funding, has been at the forefront of criticism as policymakers look to revamp Colorado’s behavioral health safety-net system.
Mind Springs, which serves residents from Summit County to Mesa County, was the subject of a recent Colorado News Collaborative investigation that found local officials — including the Summit County jail — were ending contracts with the mental health center. Public officials and local residents said the center has failed to help needy people in mental health crisis and that its leadership was not publicly accounting for how it spent tax dollars.
The mental health center gets public funding, mainly from the state Medicaid program, to care for needy people who are covered by Medicaid, are underinsured or lack insurance.
The Colorado Department of Health Care Policy and Financing, which oversees the Medicaid program, confirmed the site review of Mind Springs on Tuesday, acknowledging that it had sent state investigators to Mind Springs’ offices in western Colorado. Two other state agencies — the Colorado Department of Human Services and the Colorado Department of Public Health and Environment — are participating in the audit.
The review will look for signs of fraud, waste and abuse, as well as health and safety standards and financial transparency, according to a joint statement from the three departments.
Mind Springs public relations director Stephanie Keister said the review is “not an investigation.” Instead, she said the center is “collaborating and working closely” with the three state agencies to “develop opportunities to enhance care” in the community.
“We’re looking forward to this joint process and the outcomes,” she said, via email.
The “joint site review” comes after community complaints about Mind Springs reached the state level, according to the statement from the three state departments. The audit is intended to produce a list of “opportunities and obligations” for Mind Springs to address, state officials said.
Mind Springs has multiple clinics in its coverage area, which includes Summit, Eagle, Garfield, Grand, Jackson, Mesa, Moffat, Pitkin, Rio Blanco and Routt counties. It also provides mental health services in jails and schools and runs West Springs Hospital in Grand Junction, the only psychiatric hospital on the Western Slope.
Mind Springs CEO and President Sharon Raggio had planned to step down in June but resigned this month following the Colorado News Collaborative investigation.
“With the negative press recently, she felt that by resigning sooner she could allow the organization to focus on positive change that will truly help our communities, versus the negative rhetoric surrounding her personally,” Keister said.
Doug Pattison, the organization’s chief financial officer, was named interim CEO following Raggio’s resignation. In his first week, he is “focusing on transparency” and has been meeting with local county commissioners and community leaders to provide information about funding sources and services offered by Mind Springs, which offers mental health therapy and addiction counseling.
Colorado’s 17 community mental health centers receive $437 million per year in tax dollars and have come under scrutiny recently from lawmakers and behavioral health officials who have questioned the system’s lack of oversight. The centers, now facing severe worker shortages, are serving fewer patients than they were before the coronavirus pandemic began, a period in which the demand for mental health services has escalated.
In the Mind Springs region, Summit County voters passed a tax measure in 2018 to fund mental health care and an alternative to Mind Springs. Since then, the county has ended three Mind Springs’ contracts and is working to end its relationship with Mind Springs.
Summit County hopes to join the new community mental health center in Eagle County, called Eagle Valley Behavioral Health. The center was started by a $60 million investment from the local nonprofit hospital, Vail Health, because local leaders said Mind Springs was failing to keep up with the community’s mental health crisis.
The findings of the joint state review of Mind Springs will be made public when the review is complete, state officials said.
By JENNIFER BROWN
The Colorado Sun
This (Mind Spring/Mental Health) issue defines what results when: “Somebody SHOULD do something.” Public gas lighting is used to whip up support for spending more of our grandchildren’s money – sure, to help people in need and serve families here in RBC. We all agree on that part. But what actually gets done? Remember, when all is said and done – a lot more gets said than done. The main failure in programs such as this one, is to not set a target with measureable ‘data-points’ to assure that needs are being met. For example, what were the needs being expressed by those who reached out through the system – asking and seeking some help? What were the needs to be addressed? Then strategies are devised to meet those needs and feedback mechanisms are in place to assure and provide oversight for success. It is most often a failure to properly structure the foundation of the organization – in this case – public assistance – that does not guide providers and patients to achieve the goals. For example – getting OFF public assistance instead of exploiting it further. It will be interesting to watch the money trail in this investigation. Thank you to all those who care enough to bring this to our attention. Good reporting. Thank you.