Iowa
Board gives mental health services in East Central Iowa $5.47M boost
HIAWATHA — Mental health and disability services throughout a nine-county area in East Central Iowa will get an additional approximately $5.47 million boost after a regional board Thursday approved spending down much of its end-of-budget year surplus.
With the end of fiscal 2023 on June 30 quickly approaching, the East Central Mental Health Region governing board directed regional staff to spend the money it had in excess of the state-mandated fund balance to better support locally provided mental health services.
The Iowa Department of Health and Human Services allocates property tax dollars to regions. If regions carry too much of a surplus at the end of a budget year, the agency withholds further dollars in the next fiscal year. Local service providers within the region would then lose out on funding that could otherwise address unmet local needs.
State lawmakers require the regions to hold fund balances of no more than 20 percent. That requirement will fall to 5 percent next fiscal year.
After reaching out to providers based on priorities the board identified in May, Regional Chief Executive Officer Mae Hingtgen at the board’s meeting Thursday at the Kirkwood Regional Center came with a proposal for how to spend much of the balance. The region covers services in Benton, Bremer, Buchanan, Delaware, Dubuque, Iowa, Johnson, Jones and Linn counties.
The board voted 6-5 to approve the nearly $5.47 million in spending agreements. That included an additional $300,000 for Shelter House’s permanent supportive housing project in Iowa City, beyond what was initially proposed by Hingtgen. Linn County Supervisor Ben Rogers and Johnson County Supervisor Rod Sullivan were among the yes votes.
Among the services that received funds were:
- $700,000 for Iowa City-based CommUnity’s crisis stabilization residential services capital project
- $41,000 for Cedar Rapids-based Tanager Place’s crisis stabilization residential services startup
- $500,000 for Foundation 2 Crisis Services’ new building in Cedar Rapids
- $124,506 for the Linn County Mental Health Access Center’s unreimbursed crisis expenses
- $504,670 for the Johnson County GuideLink Center’s unreimbursed crisis expenses
- $39,578 to Cedar Rapids-based Willis Dady Homeless Services for unreimbursed brain health services and $250,000 for permanent supportive housing
- $155,393 to the Cedar Rapids-based Catherine McAuley Center for unreimbursed brain health services
- $75,000 to Four Oaks for staff overtime expenses
Schools and sheriff’s offices also were on the list for a variety of mental health services, though not all within the region responded to inquires about their unmet needs. Schools will receive another $307,277 and sheriff’s offices will receive another $187,635 for mental health services.
That puts the region’s fund balance around 19 percent for the end of the budget year, Hingtgen said, though the actual dollar amount still needs to be calculated. That means the state wouldn’t withhold money as it has in past years that have ended with a surplus.
With the fund balance dropping next fiscal year, Hingtgen said she was somewhat worried about having enough money leftover for fiscal 2024.
As some of the factors fueling budget uncertainty, she mentioned providers were not billing the region in a timely fashion, they faced worker shortages and were sometimes unresponsive to requests for proposals when the region issues them for certain services.
Jenn Day, the board’s adult and family peer representative, said as the liaison effectively between providers and the board, she’s aware there are things providers are not sharing about their needs for fear of “retribution.”
“There is a subcurrent of intimidation between providers openly speaking their needs in a respectful manner and the region and the board responding,” Day said. “I’ve heard it put as, ‘Don’t bring up dad’s drinking and then ask for money.’”
The board is looking to improve long-term financial planning, though, and took steps to form a subcommittee focused on monitoring finances at least quarterly.
Board members supported Sullivan’s suggestion to include provider voices from the board’s advisory council to be better in tune with their needs as financial planning is done throughout the year, instead of trying to close this gap and spend surplus dollars in the final month of a budget year.
Supervisors this year have pushed to boost funding for the Linn and Johnson County mental health access centers, anticipating the region would end up holding a multimillion-dollar surplus at the end of fiscal 2023. The board passed a fiscal 2024 budget in March that devoted $2.9 million to the facilities — up from the initially proposed $2.5 million.
County officials have said regional funding and low Medicaid reimbursement rates don’t cover the cost of providing services such as access center operations. They supported better funding services such as the access centers, law enforcement, education and homeless shelters with available surplus dollars.
“I would just challenge us to keep the eye on adequately funding our highest priorities to meet their needs and maybe not be as skeptical of the way they portray their need,” Dubuque County Supervisor Ann McDonough said.
Comments: (319) 398-8494; marissa.payne@thegazette.com
The Iowa Hawkeyes are coming off of a 35-7 thumping at the hands of the Ohio State Buckeyes, and while a loss to Ohio State was expected, it was how Iowa lost that has Hawkeyes fans livid.
Iowa’s offense was absolutely lifeless, Cade McNamara looked lost and head coach Kirk Ferentz did not seem to have any answers.
Not only that, but Ferentz doubled down on McNamara remaining the starter after the game, saying that the quarterback actually showed improvement.
That’s why Ferentz’s reputation may actually be on the line when the Hawkeyes face the Washington Huskies this Saturday.
Iowa is just 3-2 on the season, as it also lost to the Iowa State Cyclones back in Week 2. A loss to Washington would drop the Hawkeyes to .500, and it would add more fuel to the “fire Ferentz” discussion that has been smoldering.
The Huskies are a new addition to the Big Ten and just beat the Michigan Wolverines, and while Michigan has not been as good as expected, Washington is no joke.
However, make no mistake: Iowa needs to beat these guys.
Here is the thing: barring a catastrophic remainder of the 2024 campaign at Iowa City, the Hawkeyes aren’t canning Ferentz. The man is under contract through 2029 on a hefty salary. It isn’t happening.
But Ferentz’s reputation is a different story.
The 69-year-old has been at the helm for Iowa since 1999 and is highly respected by the fans, but patience is running thin.
Last year, the Hawkeyes played three ranked opponents and lost by a total score of 92-0. They also just got destroyed by Ohio State. The Iowa fan base is tired with being second-best, and at this point, that is all Ferentz has offered them.
Sure, Iowa does not have the cachet or prestige of schools like Ohio State, Michigan or Alabama. It typically won’t land the very best recruits as a result. But the Hawkeyes’ inability to even put together respectable offenses over the years does reflect poorly on Ferentz, who is the longest-tenured coach in the country.
And Iowa fans are sick of it.
The Hawkeyes absolutely need to beat the Huskies this Saturday. Iowa should be better than Washington, and at some point, the Hawkeyes are going to have to display that they can consistently beat good teams.
Is all of the Ferentz criticism deserved? No, but that doesn’t necessarily mean that all of it is completely unfounded.
Ferentz can provide some nice pushback to all of the naysayers with a Week 7 win over Washington. Or, he can give fans more reason to complain with a loss.
The Gazette offers audio versions of articles using Instaread. Some words may be mispronounced.
Here’s who all 71 Iowa high school football teams ranked in this week’s Gazette poll face in Week 7 games Friday night.
Class 3A gets the spotlight this week as its top two teams face top-seven opponents. No. 1 Algona visits No. 7 Humboldt, while second-ranked Williamsburg hosts a Solon team eager to bounce back from last week’s loss to Benton Community that dropped it from the top spot.
There is intrigue in the 8-Player top five as well, where three of the top five teams face fellow unbeaten foes. That includes No. 1 Remsen St. Mary’s taking on No. 10 Woodbine and No. 2 Algona Garrigan hosting Ruthven GTRA.
Class 5A
No. 1 West Des Moines Valley (5-1) vs. Waterloo West (5-1)
No. 2 West Des Moines Dowling (5-1) at Urbandale (3-3)
No. 3 Bettendorf (6-0) at Davenport Central (2-4)
No. 4 Pleasant Valley (5-1) vs. Muscatine (2-4)
No. 5 Ankeny Centennial (4-2) vs. Des Moines Roosevelt (1-5)
No. 6 Linn-Mar (5-1) vs. Davenport West (0-6)
No. 7 Johnston (4-2) vs. Council Bluffs Lincoln (4-2)
No. 8 Iowa City Liberty (5-1) vs. Ankeny (3-3)
No. 9 Waukee (4-2) at Southeast Polk (3-3)
No. 10 Sioux City East (4-2) vs. Des Moines Lincoln (1-5)
Class 4A
No. 1 Lewis Central (6-0) at Winterset (4-2)
No. 2 Pella (6-0) at Des Moines Hoover (0-6), Thursday
No. 3 North Polk (6-0) at No. 10 Indianola (4-2)
No. 4 Gilbert (6-0) vs. Bondurant-Farrar (1-5)
No. 5 Decorah (6-0) at Marion (2-4)
No. 6 Adel ADM (5-1) at Ballard (3-3)
No. 7 Cedar Rapids Xavier (4-2) at Oskaloosa (1-5)
No. 8 North Scott (4-2) at Clear Creek Amana (4-2)
No. 9 Newton (4-2) vs. Carlisle (0-6)
No. 10 Indianola (4-2) vs. No. 3 North Polk (6-0)
No. 10 Western Dubuque (4-2) at Waterloo East (2-4)
Class 3A
No. 1 Algona (6-0) at No. 7 Humboldt (5-1)
No. 2 Williamsburg (5-1) vs. No. 5 Solon (5-1)
No. 3 Dubuque Wahlert (6-0) at West Delaware (4-2)
No. 4 Sergeant Bluff-Luton (6-0) vs. Carroll (4-2)
No. 5 Mount Vernon (5-1) vs. Fort Madison (0-6)
No. 5 Solon (5-1) at No. 2 Williamsburg (5-1)
No. 7 Humboldt (5-1) vs. No. 1 Algona (6-0)
No. 8 Sioux City Heelan (4-2) at Boyden-Hull/Rock Valley (1-5)
No. 9 Independence (4-2) at Maquoketa (1-5)
No. 10 Nevada (5-1) at Harlan (3-3)
Class 2A
No. 1 West Lyon (6-0) at Sheldon (2-4)
No. 2 Monroe PCM (6-0) at West Marshall (5-1)
No. 3 Spirit Lake (5-1) at Garner GHV (1-5)
No. 4 Van Meter (5-1) vs. Centerville (4-2)
No. 5 Carroll Kuemper (5-1) vs. Saydel (1-5)
No. 6 North Fayette Valley (5-1) vs. Oelwein (0-6) — canceled, Oelwein to forfeit
No. 7 Northeast (6-0) at Tipton (2-4)
No. 8 Central Lyon/George-Little Rock (4-2) vs. No. 10 Western Christian (4-2)
No. 9 Roland-Story (4-2) vs. Des Moines Christian (4-2)
No. 10 Western Christian (4-2) at No. 8 Central Lyon/George-Little Rock (4-2)
Class 1A
No. 1 Grundy Center (6-0) at Alburnett (4-2)
No. 2 Wilton (6-0) at West Branch (2-4)
No. 3 Dike-New Hartford (5-1) vs. Aplington-Parkersburg (2-4)
No. 4 Emmetsburg (6-0) vs. Eagle Grove (0-6)
No. 5 Iowa City Regina (6-0) at Dyersville Beckman (4-2)
No. 6 Ida Grove OABCIG (5-1) vs. No. 10 Hinton (5-1)
No. 7 South Hardin (5-1) at Hudson (5-1)
No. 8 Treynor (5-1) vs. Shenandoah (3-3)
No. 9 Sigourney-Keota (5-1) at Colfax-Mingo (1-5)
No. 10 Hinton (5-1) at No. 6 Ida Grove OABCIG (5-1)
Class A
No. 1 West Hancock (6-0) at Lake Mills (4-2)
No. 2 Guthrie Center ACGC (6-0) vs. Mount Ayr (5-1)
No. 3 Saint Ansgar (5-1) at West Fork (1-5)
No. 4 Lisbon (6-0) vs. Danville (4-2)
No. 5 Earlham (5-1) at Oakland Riverside (4-2)
No. 6 Tri-Center (5-1) vs. No. 8 Woodbury Central (5-1)
No. 7 Le Mars Gehlen (5-1) at South O’Brien (0-6)
No. 8 Woodbury Central (5-1) at No. 6 Tri-Center (5-1)
No. 9 North Linn (6-0) vs. Maquoketa Valley (5-1)
No. 10 Madrid (4-2) at North Mahaska (3-3)
8-Player
No. 1 Remsen St. Mary’s (6-0) vs. No. 10 Woodbine (6-0)
No. 2 Algona Garrigan (6-0) vs. Ruthven GTRA (6-0)
No. 3 Don Bosco (6-0) vs. Turkey Valley (3-3)
No. 4 Audubon (6-0) vs. Collins-Maxwell (4-2)
No. 5 Lenox (6-0) vs. Southeast Warren (6-0)
No. 6 Iowa Valley (6-0) vs. HLV (1-6)
No. 7 Gladbrook-Reinbeck (5-1) at Clarksville (5-2)
No. 8 Anita CAM (5-1) at Fremont-Mills (5-1)
No. 9 Bedford (5-1) vs. Lamoni (4-2)
No. 10 Woodbine (6-0) at No. 1 Remsen St. Mary’s (6-0)
Comments: nathan.ford@thegazette.com
Iowa State women’s basketball star Emily Ryan released a video Thursday in which she discusses her battle with an eating disorder.
Ryan, a senior from Claflin, Kansas, has been one of the Big 12 Conference’s best point guards for the past few seasons. She was a first-team all-conference pick in 2022, and a second-team selection in 2023.
“By sharing my story, I hope to build awareness and provide hope to everyone else fighting an invisible battle,” Ryan said in the video.
Ryan said her sense of self-worth was dependent on Iowa State’s success and her individual performance. That led to increased time spent in the weight room in an effort to get stronger and faster. When Ryan didn’t see the results that she desired, she began to focus on her diet.
Ryan said the Iowa State medical staff expressed their concern about Ryan’s eating habits and what it was doing to her body. Ryan said she was in “complete denial” about having an eating disorder, but her health continued to worsen.
Ryan missed the first nine games of the 2023-24 season due to the eating disorder. When she returned, she said, “off the court I was really struggling. By the end of the season, I was physically and mentally hanging on by a thread.”
During the offseason, Ryan spent 88 days at a treatment center in Denver.
“It took a long time but I finally came to the understanding that being sick wasn’t my fault, and eating disorders are real, complex illnesses,” she said.
How to get help
For resources on disordered eating, call the National Eating Disorders Helpline at 800-931-2237 or text NEDA to 741741.
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