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Lucas County, Ohio (OH) Detailed Profile. Health of residents in Lucas County based on CDC Behavioral Risk Factor Surveillance System Survey Questionnaires from 2003 to. Low-income preschool obesity rate: Here: 10.6%. Ohio battles to care for mentally ill. Share. Share. Email. Print. Edward Poelstra, formerly of Tucson, Ariz., and Rebecca Mallin of Toledo talk about their experience with Unison Behavioral Health Group on East Woodruff Avenue. Ohio Medicaid is undergoing a Disability Determination Redesign. Programs to help low-income residents with energy needs. A list of mental health treatment providers in your area. Poelstra said Unison has helped him to recover and function better on a daily basis. THE BLADE/JEFFREY SMITHEnlarge . The report attributed Ohio’s success to the 1. Ohio Mental Health Act, watershed legislation that transferred funds from expensive state hospitals to more cost- effective community- based agencies, marking the beginning of a deinstitutionalization process that became a model for the nation. But between 2. 00. Ohio cut more than $9. Today, thousands of individuals are not covered by Medicaid or private insurance and, unable to access treatment, end up on the streets or in more expensive settings such as nursing homes and jails, said Terry Russell, executive director of NAMI Ohio. Meanwhile, he said, untreated mental illness has caused the suicide rate in Ohio to reach a 1. Ohioans taking their own lives in 2. But recent changes in Ohio, pushed by Republican Gov. John Kasich, could change all that. The court battle being waged over expanding eligibility for Medicaid coverage in Ohio under the federal health- care law could have a profound effect on the level of mental health treatment available to people in Lucas County. The local community- based mental health system currently provides treatment to about 7,0. Scott Sylak, executive director of the Mental Health and Recovery Services Board of Lucas County. If the Medicaid expansion is upheld by the courts, he said, “We think that 9. This is significant because currently non- Medicaid funded people with a mental illness or substance abuse issue receive two- thirds less treatment than Medicaid recipients, Mr. Kasich’s decision to expand Medicaid was immediately opposed by six conservative Republican state representatives and the Cleveland and Cincinnati chapters of Right to Life.
The groups asked the Ohio Supreme Court to overturn the Ohio Controlling Board’s 5- 2 decision to accept $2. The high court has placed the lawsuit on the fast track and is expected to issue a ruling before Jan. A Quinnipiac University Poll released recently found a majority of Ohioans, 5. Mr. Kasich’s move to partner with the federal government to expand Medicaid coverage to about 2. Ohioans, mostly adults without dependent children. But 4. 0 percent did not. The additional Medicaid funds would help the Lucas County mental health board close the treatment gap, particularly for low- income men, with no children, who don’t qualify under current Medicaid guidelines. The increased cost of men with mental illness cycling through the criminal justice system could be eased with the Medicaid expansion, Mr. Sylak said. Downward spiral. Edward Poelstra, 4. West Toledo has personally experienced how untreated mental illness can cause a person’s life to spiral out of control and can land those battling mental illness in jail. Thirteen years ago, Poelstra was living in Tucson, Ariz., and was at the peak of his political career. A Republican, he was elected to the Arizona House of Representatives at the age of 3. At the end of two years in office, though, Poelstra’s life took a sour turn. He started experiencing severe depression and anxiety, to the point that he attempted suicide by drinking a dose of antifreeze. Diagnosed with bipolar disorder, he was prescribed daily cocktails of medications to keep his condition under control.“As a former state legislator, I know Arizona has very limited funding for mental health. They just give you medications, and they hope you will get better,” Poelstra said. Soon, the former state representative said he turned to small crimes, including possession of drug paraphernalia and theft, and was eventually sentenced to eight months in an Arizona prison in 2. A new start. After serving his sentence, Poelstra moved to Toledo and in October, 2. Unison Behavioral Health Group, one of the local mental- health providers. When he first arrived at the clinic he was overmedicated and could hardly walk. He was immediately admitted into the Genesis program, a partial hospitalization program that provides intensive therapy and daily support groups to help individuals in crisis stabilize. He was also told to cut back on his medications, to be replaced with individual counseling sessions. Today, Poelstra says he’s a new man. He rides the bus to Unison for his therapy sessions, the voices in his head are not as loud, and his vocabulary has improved significantly. More importantly, he wants to live. Poelstra attributed his recovery to the “consistent support and commitment” that he has received through Lucas County’s community- based mental health system.“I can’t fail this time. Even if I screw up, there’s always a safety net,” he said. Local providers such as Unison Behavioral Health Group, Harbor, Rescue Mental Health Services, and the Zepf Center — the four major providers in the area — have seen their client numbers rise steadily over the years. Between July, 2. 01. June, 2. 01. 2, about 2. As the number of clients increased, funding to mental health agencies steadily decreased. Between 2. 00. 9 and 2. Ohio cut more than $9. Mr. Lucas County lost about $4. Russell said. Encouraging signs. After years of holding the Lucas County mental health system together on a shoe- string budget, the tide began to turn last year when voters approved a new 1- mill,1. It is expected to generate about $5 million annually.“It basically moved us back to 2. What’s different though is that we are serving a dramatic increase in population. So while we are at 2. Mr. Sylak said. Mental health providers across the state of Ohio were also bolstered by an unexpected surprise in the state budget this year. As part of the 2. Mr. Kasich allocated an additional $5. Lucas County received a $2 million increase. This year has been a transition year for local mental health agencies. With the additional funding from the levy, the state budget, and possibly from the Medicaid expansion, there are more discussions about, and examination of, bringing in innovative treatments that have been proven to work in other communities. The mental health board is reviewing proposals from the local providers that will increase outreach and try to identify people at the early point before their situation spirals out of control, Mr. Sylak said.“You know one of the big knocks on our system is that it takes forever to get in — 3. We have a goal of everybody getting access to services within seven days,” he said.“For the first time, in a very long time, our system can say we are really close to being able to focus on everything, within reason, that can put people in the best position for stability and recovery,” Mr. Sylak said. On Monday: The mental health community moves toward a more holistic approach to treatment. Contact Marlene Harris- Taylor at: mtaylor@theblade. Furk. net : : Furk. You can use it to stream video or listen to your music from PC, smartphone, HTPC or even a game console (XBOX, PS3). We Found These Offers For You. Click on an Offer to Begin. Um Minecraft Pocket Edition v0.15.9 f How many Americans personally own guns, and what do they use them for? A recent Gallup Poll* shows that 3 in 10 Americans personally own a gun; most gun owners say. 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There are currently a few versions of Pro Tools available, including a budget, limited- capability option, Pro Tools Express, which comes with, and can be used only with, several specific audio interfaces. AVID, the parent company of Pro Tools, provides a table. Earlier iterations of the software required powerful computers with additional hardware, but Pro Tools 9 and up runs on a wider variety of computers, with or without added hardware. Pro Tools does require an i. Lok USB dongle as software authorization. On a desktop computer, it’s relatively simple to set that up and forget it, but it’s a persistent annoyance when using a laptop. The i. Lok must be connected at all times; be careful not to let the i. Lok get bent or twisted, you can damage the internal hardware on your laptop. Pro Tools is fairly picky about what hardware it runs on, and more important, what versions of computer operating systems are compatible. 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These higher performance specs really only come into play when one has many tracks of audio playing simultaneously, or the session has a very large number of edits. Luckily, large, speedy external hard drives are relatively affordable so adding that capacity is relatively painless. Painless too, is a simple act. Help Transom get new work and voices to public radio by donating now. Interfacing. You need to get audio in and out of your computer. Most computers have some basic soundcard, but their inputs and outputs are rarely up to the task for serious audio production. If most of your audio production involves importing sound files recorded elsewhere, having a high- quality audio interface may not be of paramount importance; you may be able to simply use the built- in audio hardware on your computer. If you do any real- time recording directly into your computer, such as voicing narration, or recording an interview directly into the computer, you will very likely want an external audio interface. That will give you better quality microphone inputs, and will do the analog- to- digital conversion of your audio outside of the electrically chaotic environment of a computer chassis. Even if you never record directly into your computer, and only work with audio files imported from elsewhere, you may still want an external interface, simply to improve the quality of the audio playback over the audio outputs built into your computer. Pro Tools 9 and newer will work with a wide variety of external interfaces, made by AVID, or many other manufacturers (or with your computer’s built- in hardware). Setting Up. You’ve installed Pro Tools on your computer and authorized your i. Lok; it’s time to get started. First, make a new session. When Pro Tools starts up, it offers you options to open a recent session, or create a new one. If Pro Tools is already open you can make a new session by choosing File> New Session — or hitting Command- N on a Mac OS computer or Control- N on Windows OS. When creating a new session,a dialog box opens asking you to decide on Session Parameters. In most cases you will want to use the following settings: Audio File Type: “BWF (. WAV)”Sample Rate: “4. Hz” or “4. 8 k. Hz”Bit- depth: “1. Bit” is the conventional setting, unless your source audio was recorded at 2. Like high sample rates, larger bit- depths eat- up more disc space and increase processing overhead, and are usually of little benefit in the world of audio documentary production. I/O Settings: “Last Used”, or you can set this to whatever audio interface you are using, or ignore it if you’re using the computer’s built- in audio. For most audio productions, 4. In most cases you’ll want to use whatever sample rate the majority of your source audio uses. If you’re working with sound files recorded on a flash recorder, pick the sample rate that matches those files. If you’re using audio from music CDs, those are encoded at 4. Hz, and it is most convenient to work at that sample rate. Pro Tools allows you to work at higher sample rates, such as 8. Hz, but that is rarely practical or necessary for audio documentary work. When you “OK” the settings in this dialog, Pro Tools asks you to name the session, and choose a location to save it. You’ll most often want to save the session to a hard drive that you’ve designated to hold your audio projects, preferably not the internal system drive of the computer. Each time you create a new session, Pro Tools (1. A main project folder named after your session. A session file with the extension “. Pro Tools)An Audio Files folder. A Clip Groups folder. A Session File Backups folder. A Video Files folder. You should be good to go, but first, check that Pro Tools is set to work with whatever audio device you’ve chosen to use, even if that’s the built- in audio on your computer. Go to the top Setup menu, and pick Playback Engine. The top box in that dialog box shows you what audio hardware is used to play back your audio. If you’re not using an external audio interface, that should be set to “Built- In Output”. If you are using an audio interface, you should pick the name of that interface from the list. If you don’t see the name of your device, you may need to install drivers. Any changes made in this set- up causes your session to save, close, and re- open. Reminder: Save Your work! Frequent saves are highly advisable. Pro Tools does make backups of your sessions automatically (and stores them in the “Session Backups” folder). But it is much easier to recover from mistakes or return to an earlier version of a project if you have a series of session files that are named in a logical fashion (e. The key is to save frequently and with some easily recognizable series of filenames. Don’t worry about taking up drive space, these session files are very small. Remember that no audio is ever saved in the file “yoursessionname. That session file only has pointers to the audiofiles, and other information about the session, but no actual audio. If you move your project from one workstation to another, be sure to copy and bring the entire contents of your project folder, including the “. AND the “Audio Files” folder, along with any other folders Pro Tools has created within your main project folder. Check that you have these files saved on your external hard drive or burned to CD or DVD as data before you move to a new workstation. To be extra safe, there’s a process that guarantees that all necessary files are present when moving a project: from the File menu, choose Save Copy In. That makes a new copy of your session, and duplicates all audio used in your session, even if those audio files were not located in your session’s Audio Files folder. Recording New Audio into Your Pro Tools Session. Check Your Input Settings. Before you do anything else, check your input settings. Under the setups menu, choose “Hardware.” In the Dialog that opens, choose the device that you’d like to use, and check the settings. Then go to Setup> I/O. Make sure that inputs are appropriately assigned (hitting the “Default” button often sets things up properly.)Make a Track to Record Into. If you don’t have an available track already, create a new one by going to the Track menu, and picking New. |
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