Shin a kowane lokaci a baya an gano ku tare da nau'ikan tabin hankali ɗaya ko fiye kamar yadda aka ayyana ta Bincike da kuma na ilimin kididdiga Manual da shafi tunanin mutum cuta, Harshen Hudu (DSM-IV)? Yaya game da rashin zaman lafiya? Tashin hankali, misali? Shin yanzu kun nuna, ko kun taɓa nunawa, maimaituwa har ma da rashin kula da hakkoki da jin daɗin wasu? Kuna son yin barazana ko amfani da karfi don samun abin da kuke so daga wasu, a duk lokacin da kuke so?
Addiction, kuma. Kada mu manta da jaraba. Amurkawa suna yin haka ban mamaki addicts. Ko zuwa ga doka ko haramtattun abubuwa, ko ga wasu na yau da kullun na amfani. Domin a wannan mataki, dole ne Amurkawa su ƙunshi mafi yawan mutanen da suka kamu da cutar a doron ƙasa. Don haka. Har ila yau wata tambaya tana buƙatar amsa: Shin yanzu, ko kun taɓa kasancewa a kowane lokaci a baya, ku shiga halin jaraba?
Ban sani ba game da sauran ku. Amma ni ɗaya na fi son sanin yadda dukanmu za mu iya amsa waɗannan tambayoyin. Musamman yanzu da magajin gari da kwamitin amintattu na ƙauyen Evergreen Park suka amince da wata doka ta musamman a ranar 18 ga Yuli (aƙalla wannan shine yadda suke komawa ga haɗin gwiwa), EP kasancewa yanki ne na wasu mutane 20,000 a cikin mafi girma. Babban yankin Chicago, dake kudu maso yammacin babban birni.
(Danna nan don ganin hoton Evergreen Park kamar yadda ɗayan jirgin sama na Apollo ya ɗauka. Ana iya samun EP a kusa da kudu maso yammacin tafkin Michigan - wannan yatsan shuɗi mai zurfi yana jujjuya ƙasa daga tsakiyar ƙasar Arewacin Amurka. Da fatan za a lura cewa za ku iya fara ƙara girman hoton, kuma ku zagaya kaɗan don nemo tafkin. Hakanan ku tuna don squint gaske sosai.)
Dokoki Na 19 - 2005, a zahiri: Doka ta Share Mataki na VI, Amfani na Musamman, Shirye-shiryen Ci gaba, da Ƙara Sashe na 25 - 95, Ma'aikatan Jiya da Kayan Kula da Keɓaɓɓen, zuwa Lambar Zoning Park na Evergreen. Tunda kwafin Dokar Lamba 19 ba ta samuwa ta hanyar lantarki a yanzu-kuma maiyuwa ba zata taba kasancewa ba-barni in rubuta muku mahimman sakin layi anan.
Kamar yadda take na farilla ta umurci, tana share Mataki na VI, "Amfani na Musamman, Ci gaban Shirye-shiryen," daga Evergreen Park Zoning Code. Hakanan, yana ƙara sabon sashe mai lamba 25 - 94, "Ma'aikatar Jiyya da Kulawa ta Keɓaɓɓu," zuwa lambar Zoning iri ɗaya. (Da kaina, ban taɓa ganin lambar EP Zoning Code ko labarinta na baya na VI ba. Kuma ga wannan al'amari ban yi imani da cewa akwai wani kwafin Zoning Code ta hanyar lantarki da za a iya samu har zuwa wannan lokacin.—Ko da yake idan kun sami nasarar nemo ɗaya, don Allah wuce ta hanyar.)
Abin da dokar ke faɗi a Sashe na 1 game da Shafi na VI da aka goge a yanzu yana da kyau sosai. Ya karanta:
Kada a yi amfani na musamman na abubuwan da aka tsara a cikin ƙauyen. Duk amfanin da ba a fayyace dalla-dalla ba kamar yadda aka halatta amfani da su a gundumar yanki an haramta amfani da su kuma ana iya ba da izinin yin amfani da su kawai a kan aikace-aikacen saɓani.
Sa'an nan, a cikin Sashe na 2 na nama, "Ma'aikatar Jiyya da Kulawa ta Keɓaɓɓu," dokar ta ƙara sakin layi masu zuwa ga Lambar Zoning:
Duk wani wurin jinya da wurin kulawa na sirri wanda ya wanzu bisa doka a ranar da aka zartar da wannan dokar za ta kasance amfani da rashin daidaituwa na doka bisa tanadin Mataki na ashirin da IX, Rashin daidaituwa. Domin kasancewa bisa doka, wurin jinya da wurin kulawa dole ne su sami ingantacciyar lasisi na yanzu daga Jihar Illinois a ƙarƙashin Dokar Kulawar Gida.
Saboda tasirin da irin waɗannan wuraren suka nuna akan wuraren zama na maƙwabta, ci gaba da duk wani amfani da bai dace da doka ba yana ƙarƙashin iyakoki masu zuwa:
A. Ba za a ƙara yawan gadaje waɗanda Ma'aikatar Kiwon Lafiyar Jama'a ta Illinois ta ba da izinin wurin ba.
B. Ba za a ƙara yawan adadin gadaje a kowane nau'i (kamar ƙwararrun gadaje, gadaje na tsaka-tsaki, da sauransu) waɗanda Ma'aikatar Kiwon Lafiyar Jama'a ta Illinois ta ba da izinin wurin.
C. Ba sabon marasa lafiya da za a shigar da su a ƙarƙashin nau'ikan M / Anti-Social, Drug Addiction, da Ciwon Hauka. Duk wani majinyata da ke cikin irin waɗannan nau'ikan na iya zama, amma bayan cire su daga wurin, babu wani sabon majiyyaci da zai iya maye gurbinsa idan an shigar da shi ƙarƙashin rukunan da ke sama ko tare da gano cutar tabin hankali.
D. Bukatun kiliya a kan wurin ba za su kasance ƙasa da wurin ajiye motoci ɗaya ba na kowane gadaje uku waɗanda Ma'aikatar Kiwon Lafiyar Jama'a ta Illinois ta ba da izinin wurin da filin ajiye motoci guda ɗaya ga kowane memba na ma'aikata kamar yadda aka ƙaddara ta ɗaukar mafi yawan ma'aikatan kwanan nan ( ciki har da cikakken lokaci da na ɗan lokaci) kamar yadda Ma'aikatar Taimakon Jama'a ta Illinois ta ruwaito kuma ta raba uku. Matukar dai wurin bai cika wannan buƙatun yin parking a wurin ba, ba za a shigar da sabon majiyyaci ba, koda kuwa an maye gurbin majinyata da aka cire daga wurin.
Yanzu. Doka ta 19 ba ta fito daga inda ba. Lallai. Doka mai lamba 19 ta faru shine rashin haifuwa na ɓangarori biyu na rayuwar EP musamman: Yanayin jinya da wuraren kula da mutum a can, da kuma yanayin EP ta yanzu abin da ya dace da su.
Har zuwa watannin baya-bayan nan, aƙalla wuraren kulawa na dogon lokaci guda biyu suna aiki a cikin EP:
Emerald Park Healthcare Center
Cibiyar Kula da Lafiya ta Evergreen
Amma wannan shi ne. Biyu kawai. The Chicago-yankin unguwannin bayan gari wanda ko da yaushe ya lissafin kanta a matsayin "Village of Churches" bai taba yin lissafin kanta a matsayin Village of Nursing Homes, kamar yadda na sani. Me yasa sai ku ɗauki matsala don gyara Lambobin Zoning na EP don hana haɓaka sabbin gidajen kulawa? Don hana karuwar adadin gadaje a cikin gidajen da ake da su a halin yanzu? Kuma sama da duka, don hana shigar da kowane sabon mazaunin gidaje a ƙarƙashin nau'ikan da suka haɗa da "m," "anti-social," "jarabawar ƙwayoyi" da kuma, ƙarshe amma ba kalla ba, nau'in da ya ƙunshi duka "cututtukan tabin hankali". ? Kuma me yasa yanzu?
A karkashin Labari na I, Gajeren Take da Ma'anoni, na Jihar Illinois' Dokar Kulawar Gida, a wurin kulawa na dogon lokaci yana nufin (Sak. 1?113):
gida mai zaman kansa, ma'aikata, gini, wurin zama, ko kowane wuri, ko ana sarrafa shi don riba ko a'a, ko gidan gundumomi ga marasa lafiya da marasa lafiya… , ta hanyar mallakarsa ko sarrafa shi, kulawa ta sirri, kulawar matsuguni ko jinya ga mutane 3 ko fiye, ba alaƙa da mai nema ko mai shi ta jini ko aure ba. Ya haɗa da ƙwararrun wuraren jinya da wuraren kulawa na tsaka-tsaki kamar yadda aka bayyana waɗancan sharuɗɗan a Taken XVIII da Title XIX na Dokar Tsaron Zaman Lafiya ta Tarayya. Hakanan ya haɗa da gidaje, cibiyoyi, ko wasu wuraren da ko ƙarƙashin ikon Sashen Kula da Tsohon soji na Illinois.
(Game da abin da wurin kulawa na dogon lokaci yake yi ba hada da...... To. Za ku iya ko da yaushe duba shi da kanku a kan yanar (Sak. 1:113).
The Ma'aikatar Kiwon Lafiyar Jama'a ta Illinois (IDPH) ta samar da jimillar bayanai game da mazaunan daga dukkan wuraren kulawa na dogon lokaci na jihar—wanda akwai wasu 1200, in ji jihar.Gidajen jinya a cikin Illinois).
Abin takaici, bayanan da ake da su a halin yanzu sun fi watanni 18, an tattara su a lokacin rahoton da ya ƙare a ranar 31 ga Disamba, 2003.
Duk da haka. Har yanzu yana da kyau a duba. Tun daga Disamba 31, 2003:
Emerald Park Healthcare Center ("Mazauna ta hanyar ganewar asali") da 239 mazauna. Daga cikin wadannan, 140 suna da "masu tabin hankali" da aka jera a matsayin ganewar asali na farko, 11 "Cutar Alzheimer," da 0 "nakasawar ci gaba."
Cibiyar Kula da Lafiya ta Evergreen ("Mazauna ta hanyar ganewar asali") da 194 mazauna. Daga cikin wadannan, Zero suna da "masu tabin hankali" da aka jera a matsayin ganewar asali na farko, 23 "Cutar Alzheimer," da 5 "nakasawar ci gaba."
Don haka. Nan da nan mun ga cewa a ranar 31 ga Disamba, 2003, akwai ƙarin mazauna a Cibiyar Kiwon Lafiya ta Emerald Park waɗanda farkon ganewar su shine "rashin lafiya tunanin mutum"(140, a gaskiya) fiye da akwai a Cibiyar Kiwon Lafiya ta Evergreen (Zero), wasu mil biyu da rabi. A Emerald Park, wato, shida-cikin goma mazauna (59%) ya zama mazauna ƙarƙashin "lafiyar hankali" ganewar asali.
IDPH tana ba da wasu nau'ikan bayanai game da mazauna gidajen jinya na jihar ma. Misali, daga ranar 31 ga Disamba, 2003:
Na mazauna 239 na Cibiyar Kiwon Lafiya ta Emerald Park ("Mazauna ta Shekaru, Jinsi, da Matsayin Kulawa"), duka 239 suna samun "kulawan jinya." Daga cikin wadannan, 134 maza ne masu shekaru 18 - 64 - kyawawan samari, aƙalla cikin shekaru, don gidan kulawa. Mazauna maza 23 ne kawai ke da shekaru 65 zuwa sama. Kimanin mata 82 ne mazauna wurin. 18 sun kasance shekaru 64 - 27; mata 65 ne kawai ke da shekaru XNUMX zuwa sama.
Na Cibiyar Kiwon Lafiya ta Evergreen mazauna 194 ("Mazauna ta Shekaru, Jinsi, da Matsayin Kulawa"), duka 194 suna samun "kulawan jinya." Amma sabanin tsarin Emerald Park na ƙaramin-fiye da 65, anan, a Evergreen Healthcare, kawai 14 maza mazauna sun kasance 18 - 64. Hamsin da shida sun kasance shekaru 65 da sama. Daga cikin mazauna mata 124, 17 suna da shekaru 18 – 64. Sauran 107 kuma sun cika shekaru 65 da haihuwa.
A wasu kalmomin, 79% Mazauna Emerald Park sun kai shekaru 64 ko sama da haka - tarin matasa da yawa don gidan kulawa. Musamman idan aka kwatanta da mazaunan Evergreen Healthcare, inda 84% sun kai shekaru 65 zuwa sama.
Har yanzu sauran bayanan mazauna sun yi tsalle a gare mu:
A Cibiyar Kiwon Lafiya ta Emerald Park ("Mazauna ta Ƙungiyoyin Kabilanci/Kabilanci"), 166 mazauna sun kasance baki, kuma 67 fari. (Wasu 6 kuma 'yan Hispanic ne.)
A Cibiyar Kiwon Lafiya ta Evergreen ("Mazauna ta Ƙungiyoyin Kabilanci/Kabilanci"), 132 mazaunan fari ne, kuma 59 sun kasance baki. (Tare da 'yan Hispanic guda 2 da Ba'amurke 1, bisa ga bayanan Jiha).
Don haka a cikin sharuddan kashi, da raunin launin fata na Emerald Park Healthcare da Evergreen Healthcare sun kasance kusan sabanin juna. Ganin cewa Emerald Park ya kasance 69% baki da 28% fari, Evergreen Healthcare ya kasance 68% fari kuma 30% baki.
Karshe, dangane da wanda ya biya kudi ga mazauna a waɗannan wuraren kulawa na dogon lokaci guda biyu:
A Cibiyar Kiwon Lafiya ta Emerald Park ("Mazauna ta Ƙungiyar Shekaru da Tushen Biyan Kuɗi“), gwamnati (Medicare, Medicaid, da “jama’a”) ita ce tushen biyan kuɗi duk sai daya daga cikin mazaunanta 239.
A Cibiyar Kiwon Lafiya ta Evergreen ("Mazauna ta Ƙungiyar Shekaru da Tushen Biyan Kuɗi"), gwamnati (Medicare, Medicaid, da "jama'a") sun biya kudaden 139 mazauna; tushen biyan kuɗi ga ɗayan 55 mazauna wurin sun kasance masu zaman kansu (watau, ko manufofin inshora na keɓaɓɓu ko wasu masu zaman kansu, tushen aljihu). A gaskiya ma, lissafin kuɗi don 43 na mazauna (22%) a Cibiyar Kiwon Lafiya ta Evergreen an rufe su ta hanyar masu zaman kansu, tushen aljihu.
Don taƙaita shi: Anan akwai nau'ikan bayanan mazaunin-hudu waɗanda suka kama ni da mahimmanci kuma hakan ya bambanta sosai sosai-wasu kyawawan ban mamaki-tsakanin Cibiyar Kula da Lafiya ta Emerald Park ta EP da Cibiyar Kula da Lafiya ta Evergreen: (1) ganewar asali na farko (ko hujjar sanya mutum a cikin wurin kulawa na dogon lokaci); (2) shekarun zama; (3) lalacewar launin fata; da (4) tushen biyan kuɗi.
A Emerald Park, fiye da rabi (59%) na mazaunan da aka shigar a ƙarƙashin ganewar "lafiyar hankali"; 79% na duk mazauna sun kasance shekaru 64 ko sama da haka, kuma 56% maza; 69% sun kasance baki; kuma 99% na kudaden mazauna an biya ta shirye-shiryen gwamnati.
A Evergreen Healthcare, a gefe guda, m na mazaunan da aka shigar a ƙarƙashin ganewar "lafiyar hankali"; 84% na dukan mazauna sun kasance shekaru 65 ko fiye; 68% sun kasance fari; kuma 72% na kudaden mazauna an biya ta shirye-shiryen gwamnati.
A cikin wadannan rukunai guda hudu, na hudu kawai. tushen biyan kuɗi, ya nuna ko da wani m misali a tsakanin mazauna mazaunan EP biyu reno da kuma na sirri wuraren kula. Amma dangane da sauran ukun-ganewar asali na farko, shekarun zama, Da kuma lalacewar launin fata- bambance-bambancen sun kasance masu kaifi-zuwa ban mamaki, kuma asymmetries sun yi yawa. Cibiyar Kiwon Lafiya ta Emerald Park tana da kawai da yawa fiye da "masu tabin hankali" mazauna, a da yawa fiye da samari mazauna, Da kuma wani yawa fiye da baƙi mazauna fiye da Cibiyar Kula da Lafiya ta Evergreen.
Kar a manta: Hakan ya kasance tun daga ranar 31 ga Disamba, 2003. Amma tsakanin lokacin zuwa yanzu, kokarin da jami'an Evergreen Park, wakilan Jiha da Sanatoci, Ma'aikatar Kiwon Lafiyar Jama'a ta Illinois, da Babban Lauyan Jihar suka yi nasarar rufe- saukar da Cibiyar Kiwon Lafiya ta Emerald Park a matsayin wani ɓangare na yarjejeniyar da aka yi da masu mallakarta, suna ambaton "rashin rashi da yawa" da kuma wani mummunan ra'ayi mai ban sha'awa-duk da cewa rikodin waƙa wanda ban yi imani ba kwata-kwata ne na wuraren kulawa na dogon lokaci a cikin United Jihohin da mazaunansu suka dogara da yawan Medicare da Medicaid don tsira. (Duba, misali, "Masu Emerald Park sun Amince da Dakatarwa da Miƙa Lasisi” (Sakin Labarai), Sashen Kiwon Lafiyar Jama'a na Illinois, Yuli 15; gani kuma"'Labarin tsoro' ya ƙare"Stephanie Gehring, Daily Southtown, Yuli 13; "An dakatar da masu su daga sabbin kasuwanci"Stephanie Gehring, Daily Southtown, Yuli 16; kuma"Ma'abota gidan jinya sun sasanta, sun bar lasisi"Lori Rackl, Chicago Sun-Times, Yuli 17.)
A halin yanzu, sauran wuraren kulawa na EP na dogon lokaci, Cibiyar Kula da Lafiya ta Evergreen, tana nan a buɗe.
Har yanzu. Abin da zan so in sani shi ne daidai inda ƙauyen Evergreen Park's Order 19 ya fito. Tsammanin cewa ba sarari ba ne. Kuma an ba da gaskiyar cewa an rufe Cibiyar Kiwon Lafiya ta Emerald Park tun ranar 3 ga Yuni. Duk mazaunanta sun ƙaura-ta masu laifin jima'i rajista hada. Kuma an dakatar da lasisin tsoffin masu shi (15 ga Yuli). Ciki har da hukuncin da ya hana su yin aiki da wurin kulawa na dogon lokaci a wuri guda na shekaru 50 masu zuwa.
Game da wanda: Ƙari wani lokaci.
Kauyen Evergreen Park (Shafin Gida)
Ma'aikatar Lafiya ta Amurka da kuma Ayyukan Dan Adam (Shafin Gida)
Cibiyar Medicare da Ayyukan Medicaid (HHS)
Kwatanta Gidan Jiya (National Database ya kiyaye ta Cibiyar Medicare da Ayyukan Medicaid)Ma'aikatar Kiwon Lafiyar Jama'a ta Illinois (Shafin Gida)
Gidajen jinya a cikin Illinois (IDPH)
Dokar Kulawar Gida, Babban Taro na IllinoisEmerald Park Healthcare Center, 9125 S. Pulaski (bayanan nazari da Ma'aikatar Kiwon Lafiyar Jama'a ta Illinois ta bayar)
Cibiyar Kula da Lafiya ta Evergreen, 10124 S. Kedzie (bayanin nazarin da Ma'aikatar Kiwon Lafiyar Jama'a ta Illinois ta bayar)Wasika zuwa ga Yosef Meytel, Mai Gudanarwa, Cibiyar Kula da Lafiya ta Emerald Park, daga Maryann Ream, Shugaba, Sashen Tabbatar da Ingancin Kulawa na Tsawon Lokaci, Ma'aikatar Kiwon Lafiyar Jama'a ta Illinois, Afrilu 25, 2005
Babban Lauyan na Illinois (Shafin Gida)
"Madigan, IDPH, 'yan majalisa, jami'an yankin sun yaba da rattaba hannu kan sabuwar dokar da za ta kara kare mazauna gidajen kula da jinya da jihar ta samu daga masu yi mata fyade da masu lalata da mata.” (Sakin Latsawa), Babban Lauyan Jihar Illinois, Yuli 12, 2005
"Masu Emerald Park sun Amince da Dakatarwa da Miƙa Lasisi” (Sakin Latsawa), Sashen Kiwon Lafiyar Jama'a na Illinois, Yuli 15, 2005"'Labarin tsoro' ya ƙare. Matsaloli a gidan jinya na Evergreen Park sun kawo canji a dokar jiha"Stephanie Gehring, Daily Southtown, Yuli 13, 2005
"An dakatar da masu su daga sabbin kasuwanci. Ƙungiyar Kula da Lafiya ta Emerald Park ba za ta iya buɗe sabbin gidaje har zuwa shekaru uku ba"Stephanie Gehring, Daily Southtown, Yuli 16, 2005
"Ma'abota gidan jinya sun sasanta, sun bar lasisi"Lori Rackl, Chicago Sun-Times, Yuli 17, 2005
"An fadada dokar hana jinya. Evergreen Park ya hana shigar da masu tabin hankali, masu shan giya"Stephanie Gehring, Daily Southtown, Yuli 20, 2005
"Haramcin gidan jinya ba bisa ka'ida ba, in ji masana. Evergreen Park yana hana masu shan barasa, masu tabin hankali daga wuraren ƙauyen"Gregg Sherard Blesch, Daily Southtown, Yuli 24, 2005
"Rashin lafiyar hankali, dokar jaraba a ƙarƙashin wuta a Evergreen Park"Gregg Sherard Blesch, Chicago Sun-Times, Yuli 25, 2005
"Dokokin gidan jinya sun yi nisa a Evergreen Park,” Editorial, Daily Southtown, Yuli 28, 2005
"Masu fafutuka sun yi zanga-zangar adawa da gidan jinya", Kate McCann, Daily Southtown, Yuli 30, 2005
"Iyali sun yi asara a cikin gaggawar rufe Emerald Park"Gregg Sherard Blesch, Daily Southtown, Yuli 31, 2005
"Dokokin gidan jinya sun zo da farashi mai nauyi"Gregg Sherard Blesch, Daily Southtown, Agusta 11, 2005Gestapo Jarida, ZNet, Afrilu 24, 2005
A cikin Penal Colony, ZNet, Mayu 4, 2005
M / Anti-social, Drug Addiction, shafi tunanin mutum cuta, ZNet, Agusta 15, 2005
ZNetwork ana samun kuɗi ta hanyar karimcin masu karatun sa.
Bada Tallafi