The Park Board doesn't run hospitals. The school district doesn't build roads. And the city of Minneapolis doesn't provide social or mental health services. By state law, Hennepin County provides those services to city residents, at an estimated annual cost of $250 million.
So when candidates for public office, such as City Council Member Phillipe Cunningham, claim that the city of Minneapolis spends very little on social and mental health compared with policing, they are not being honest. They have created a false issue to get your vote.
A few days ago we read "Mental health responders program delayed to Nov." (Sept. 17) about Cunningham's so far unsuccessful efforts to launch a city mental health program in line with his call for a public-health-based public safety approach.
It is no surprise that his efforts have been frustrated. The city of Minneapolis faces crippling limitations as it tries to replicate — or compete with? — mental health services provided by Hennepin County. It takes infrastructure, time and money to triage calls, bill insurance, comply with HIPAA and collaborate with other mental health providers, including hospitals in the metro area. Why duplicate an existing system?
Cunningham has persisted in this misguided effort even though, for the last two years, virtually the entire mental health advocacy community has tried in vain to convince him that the city shouldn't try to duplicate Hennepin County services. A good example of how city and county can collaborate is the COPE (Community Outreach for Psychiatric Emergencies) program, in which Hennepin County social workers accompanied Minneapolis police officers on calls requiring mental health expertise. The partnership has been suspended.
Advocates advise instead working with the county, which has what the city does not: the legal mandate, funding, infrastructure and expertise to do this critical work, in which the price of failure can be human lives.
The moral of this story is: Don't be fooled by electioneering based on trumped-up issues.
This letter was submitted by MplsTogether and Minneapolis residents Michael Belzer, MD, former Hennepin County Medical Center chief medical officer (1990-2016) and retired University of Minnesota Medical School associate dean; Thomas Davis, MD, retired Allina Health internist, St. Mary's Health Clinics volunteer physician; Monica Eischen, retired Centers for Disease Control and Prevention team lead and public health educator; Anthony Moulton, PhD, retired Centers for Disease Control and Prevention senior policy adviser.