Justification to close WSH forensic unit based on potential savings
August 27, 2010
Money is the only justification given in the decision to close the forensic unit at Warren State Hospital.
The state Department of Public Welfare has quoted a savings of approximately $2.3 million per year that will be realized by consolidating the Warren and Torrance state hospital forensic units.
“Due to these tough economic times, the department (of public welfare) has had to make tough decisions on how operations will continue as funding levels fall,” Acting Deputy Secretary for Mental Health and Substance Abuse Services Sherry Snyder wrote in a letter to employees of the Warren forensic unit. “The Office of Mental Health and Substance Abuse Services has determined that by consolidating the clinical services of the Warren RFPC (Regional Forensic Psychiatric Center) and Torrance RFPC the department can continue to provide quality consumer care while reducing the financial burden of operating two forensic centers.”
In a July 29 letter to the Pennsylvania State Corrections Officers Association, Acting Deputy Secretary for Administration Michael Stauffer said the consolidation “will provide the opportunity for financial savings due to efficiencies of scale, decrease in operational costs to maintain the separate unit at Warren RFPC and the consolidation of administrative oversight.”
In the Aug. 2 letter, Snyder said the consolidation is not about the quality of patient care in Warren.
“This closure is in no way a reflection of the quality of consumer care provided at the Warren RFPC,” Snyder wrote. “On the contrary, the hospital’s full accreditation is evidence of the high quality of care and treatment afforded forensic consumers by all of you.”
So, it’s all about $2.3 million per year.
In a response to a Right-to-Know request made by the Pennsylvania State Corrections Officers Association (PSCOA), the Pennsylvania Department of Public Welfare cited some financial data.
“The savings estimates were based on the fiscal year 2008/2009 actual cost report from Warren State Hospital,” according to information provided to PSCOA. “The calculations for the maintenance/physical operations costs from the RFPC (Regional Forensic Psychiatric Center) unit being closed would save $1,074,214.29 and the staff position savings from the consolidation would be $1,205,627.62.”
That’s nothing to sneeze at, but will the state really realize that savings?
State Rep. Kathy Rapp (R-65th) doesn’t think so. Neither does the local union president representing most of the unit’s employees.
Rapp said the changes will result in a shift of costs. Maintenance of the forensic unit building and the grounds at Warren State Hospital will continue despite the unit being empty, she said. The recently enlarged unit at Torrance State Hospital in Westmoreland County will require more staff and more maintenance.
There are more than 40 employees at the Warren forensic unit.
The $1.2 million in savings from staff consolidation represents a little less than $30,000 in salary and benefits for each position.
“They’re saving this money from the staff positions,” Rapp said. “That’s kind of questionable when they’re hiring more people down at Torrance.”
According to Ed Rollinger, president of PSCOA Local SI Warren, “They’ve hired 28 staff at Torrance in the past six months.” Rapp also quoted that number of new hires at Torrance.
If those 28 new hires were made to accommodate the influx of patients from Warren, they should be counted against anticipated staffing savings.
Taking those 28 from 44 in Warren leaves only 16 positions eliminated. To generate $1.2 million in savings, each of those 16 positions would have to average $75,000 in salary and benefits.
The one-month advance notice of furloughs from the state to the union lists a total of 28 positions that will be lost at Warren’s forensic unit. According to Rollinger, as of Thursday he was not aware of any current forensic security employees at Warren being offered positions at Torrance.
Rollinger said his requests for more detailed financial figures relating to the closure have not been answered.
Even if the state will save $2.3 million, Rapp and Rollinger argue that closing forensic units is a losing proposition.
“This situation is taking place while our corrections facilities are extremely overcrowded and the state is incarcerating 10,531 inmates with a mental health diagnosis,” Rapp said in a letter to Attorney General Tom Corbett. “Add to this situation there are currently 52 people on a waiting list for a forensic bed. This waitlist has caused overcrowding in our county jails.”
Rapp said the 2,130 Pennsylvania inmates incarcerated in out-of-state prisons because of overcrowding are costing the state $48,201,900 each year.