Thursday, December 3, 2009

A BIT MORE FOCUS ON BISD AND IMAGINE BROWNSVILLE’S FIRST PROJECT

Guys, for the second time I am posting the TEA opinion dismissing Gonzales’ Appeal.

The Report

http://docstoc.com/docs/18152524/Gonzales

There is an interesting backdrop to this story which has not been discussed. The Justice Department is already looking at the State's neglect of special needs children who have been put in state institutions. School districts all over the state are under funded for special services. With rare exception the universities lack the needed staff to train future teachers in special services.

Think about this - when you read the report it is obvious by the statement "it's been made" that it would have been futile for Gonzales to make further argument before the Board. Texas recognizes that you do not need to further pursue the appeal if it would be futile. Robert Scott knew this.

He dismissed the appeal to protect his own butt. He knew the evidence supported the discharge of Gonzales - you can read the evidence in the above link - (includes Guerra Report) but he could not make that finding without implicating the fault of his own organization. Gonzales would have still lost to be sure, but that loss would have implicated Robert Scott’s own failures to see to the needs of special needs children statewide. In the end Robert Scott ignored well established law concerning the futility doctrine to protect his own butt. Robert Scott threw special needs children under the bus to protect himself and the State of Texas.

IMAGINE BROWNSVILLE, BISD, UTB, AND VALLEY BAPTIST

The medical school in San Antonio graduates pediatric psychiatrists. It is time BISD, UTB and Valley Baptist work to recruit a new graduate to provide services to the children of Brownsville.

Given the history of corruption in Brownsville it should be no surprise some people are skeptical about the intentions of Imagine Brownsville. Here is a project which reflects a hot issue in Brownsville. If they can show the effectiveness of their organization by tackling this one simple project, their image battle will have been won.

In my dealings with BISD it is clear they have no one with meaningful medical training advising them on the issue of mental illness and children. Brownsville does not have a pediatric psychiatrist. Maybe a year ago I read where Valley Baptist wants to create a pediatric psychiatric ward. I do not know what happened to the idea.

A major part of the problem facing BISD is UTB provides no meaningful training to its future teachers on this issue. When I read textbooks used by the graduate instructors which define due process in a manner never heard of in the US and which shocks the conscience, it is no wonder our teachers are ill equipt to deal with these issues.

Imagine Brownsville needs to invite these three institutions to the table to fashion a solution to Brownsville’s lack of a pediatric psychiatrist. There is no reason why UTB could not guarantee such a recruit two courses in pediatric psychiatry which would be taught to future teachers and nurses. Either UTB or Valley Baptist should be able to provide the new doctor with free office space until he or she can get their practice off the ground.. This should not take long. BISD should be able to guarantee a minimum consulting fee.

Based on what I know about the need for a pediatric psychiatrist, I would imagine that within 6 months the doctor would feel overwhelmed and be telling his/her friends about the opportunity Brownsville presents for new doctors in the field of pediatric psychiatry. With a second or possible third doctor Valley Baptist will have in place the medical staff it needs to create a pediatric hospital along the lines of the Southwest Mental Health Center in SA. http://www.smhc.org/

This can all happen. It will just take some organization like Imagine Brownsville to bring the entities together. A success on this issue will paint Imagine Brownsville as a needed resource for Brownsville.

6 comments:

Anonymous said...

In my experience, psychiatrists are not drawn to an area because there is an over abundace of opportunity. In fact, based on the number that have come to the area and left after a short time, I'd say it would scare them away. Why come to an area where you will never have any free time, will make less money and won't enjoy the cultural benefits that might be available somewhere else? It's gonna take moola and lots of it.
Mescalero

BobbyWC said...

I think you are generally right - I will tell you I am starved for a nightlife, and I do not mean drinking.

I miss spending hours at a piano bar. dallas has several movie theaters which only showed foreign films.

I miss eating out at quality restaurants. I do love Big Daddy's and Stickmans (best hambugers anywhere) for their type food, but Brownsville has no Chinese, Thai, Central American - and on and on.

I am always impressed with the new restaurants I eat at in SA. They have some really awesome food.

BUT, you know what I came to Brownsville for a variety of reasons. Soon I hope to explain how I make money, but I will not be able to continue with my work once that happens.

But once I got hear I saw a stong demand for advocacy for poor people in the area of education. This actually has cost me a small fortune because the families have no money. The other day I bought an 11 year old girl her first dress and dress shoes. She said all of her teachers were so happy to finally see her in a nice dress.

Some people, and I think many pediatric psychiastrists just see the need to serve the community.

Medicaid pays for the visits. Once a child is diagnosed medicaid pays. The doctors need fewer staff members to process all of the insurance. While medicaid pays less than some insurances, they also require the doctor have fewer staff members to process the claims.

Until we have a plan in place, and someone attempts to recruit a new doctor from the medical school, we will not know.

The other side is, the idea of being allowed to teach excites some doctors. It will also be a ground breaking endeavor. This is also attractive to people. They could be the ones to shape the program.

It is all in the marketing of the program and the personality of the doctor. What I know for sure is, we have nothing now - the worse which will happen is we have nothing tomorrow. the best is, we will have something.

Bobby WC

BobbyWC said...

It has occurred to me that there also may be some loan foregiveness available to such a doctor.

Bobby WC

Anonymous said...

Bobby,
I think that the language barrier might influence some doctors not to move to the valley. This just adds an extra burden for already overworked doctors.

THANK YOU.

BobbyWC said...

This is a very important point - but in SA they are graduating a lot of spanish speaking pediatric psychiatrists - in fact one of the lead professors is from Columbia - it is weird but a lot of South American students are studying at the medical school in SA. I have met them in all fields.

Which raises another point - could agreeing to serve an underserved area be a basis for a permanent residency visa for a Columbian student now pediatric psychiatrist.

These are good points - but again until we try how will we know -

but on these points we should not allow the negatives to allow for the recruiting of a second rate doctor - we must caution against this.

I am loving this discussion because if Imagine Brownsville can get this next step going this is how the discussions should go - hashing out the issues so we can get to a good solution.

Bobby WC

Anonymous said...

I think the idea of forgiving student loans,allowing doctors from other countries(USA graduates)to get visas is a great idea with stipulation that they stay X number of years here is a great idea.