When Governor Ed Rendell decided it was a good idea to shutter most of our state hospitals in 2010, he unwittingly unleashed a Mongol horde of seriously ill people into the Lehigh Valley and rest of the state. State funding was set aside to house some, but not enough, of them. As a result, homeless encampments have exploded for some. Others have found homes in our jails. Still more have ended up at Gracedale. In the meantime, Northampton County has just 13 beds at Wernersville State Hospital for the sickest of the sick. So what is county government doing to deal with those who suffer from mental illness? Cathy Kromer, Deputy Administrator of NorCo Mental Health Division, told County Council last month that her department is doing what it can, even though it may seem like little more than a finger in the dike to stop a flood of seriously mentally ill people from cascading into our community.
Kromer started by noting a distinction between those with general mental health concerns (we're all a little nuts) and those with serious mental illnesses like schizophrenia, schizoaffective disorder, bipolar disorder and borderline personality disorder. She indicated that approximately one in five people have a diagnosable mental illness, but funding limitations requires Northampton County Mental Health to focus on those with serious mental illness and those requiring intensive support.
She explained that most health services are funded through Medical Assistance (Medicaid). County mental health funding primarily supports the uninsured, underinsured, intensive services, residential treatment programs, psychosocial rehabilitation programs, drop-in centers and advocacy organizations such as the National Alliance on Mental Illness. (NAMI)
She highlighted the importance of Community Hospital Integration Project (CHIP) funding, clarifying that this is not the children's health insurance program. Rather, CHIP funding was established when Pennsylvania began closing state hospital beds. The state's commitment was that funding saved from institutional care would be redirected to counties to support individuals transitioning into community-based treatment settings.
Despite operating with an annual budget of approximately $13 million, Northampton County Mental Health serves thousands of residents annually and receives a constant flow of referrals.
In Fiscal Year 23-4, her department did an intake 0f 1,341 individuals, 80% of whom have serious mental illness. In Fiscal Year 24-25, the intake was 1,078 people. From July through December of 2025, her department did an intake for 985 people.
Council member Lori Vargo Heffner asked Kromer to provide a list of funding gaps that resulted from last year's state budget impasse and to provide an idea of what cuts are expected this year.
I'll say this, based on both my own experience
as well as studies. I know a number of seriously mentally ill people. This includes a lady who decides to start shouting a cursing around 11 pm every night. While she might be a tad annoying, she's harmless. Mental illness only accounts for 3-5% of violent crime. Those who suffer from mental illness are far more likely to be victims of violent crime.
Having said that, it was a mistake to close most state hospitals.