Download or read book Mental Health Policy Innovation in the American States written by David James Dausey and published by . This book was released on 2003 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Federalism and Health Policy written by Alan Weil and published by The Urban Insitute. This book was released on 2003 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.

Download or read book Health Policy Federalism and the American States written by Robert F. Rich and published by The Urban Insitute. This book was released on 1996 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the ongoing struggle between those favoring centralized and those favoring decentralized government, health care policy is an important issue. This book has three goals: (1) to illustrate how theories of federalism and intergovernmental relations can provide a useful framework for examining how to "divide up the job" in the health care area, (2) to assess the capacity of the states to actually implement health care policy changes, and (3) to weigh the merits of alternative visions of the future role of states and the federal government in health care policy.

Download or read book Mental Health Policy Making in Three American States written by Alan Seth Chartock and published by . This book was released on 1969 with total page 898 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The New Politics of State Health Policy written by Robert B. Hackey and published by . This book was released on 2001 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: State governments in the past decade have had to take on the problem of health care, with mixed results. This collection of 11 essays (of which two are an introduction and conclusion) by academics and policy makers consider the many issues that concern health care in the US and their effects at the state level, including managed care, health insurance expansion, mental health care, public health administration, and bureaucratic reactions to health policy. Hackey teaches health policy and management at Providence College in Rhode Island; Rochefort teaches political science and public administration at Northeastern U. in Boston. c. Book News Inc.

Download or read book Better But Not Well written by Richard G. Frank and published by JHU Press. This book was released on 2006-09-08 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: The past half-century has been marked by major changes in the treatment of mental illness: important advances in understanding mental illnesses, increases in spending on mental health care and support of people with mental illnesses, and the availability of new medications that are easier for the patient to tolerate. Although these changes have made things better for those who have mental illness, they are not quite enough. In Better But Not Well, Richard G. Frank and Sherry A. Glied examine the well-being of people with mental illness in the United States over the past fifty years, addressing issues such as economics, treatment, standards of living, rights, and stigma. Marshaling a range of new empirical evidence, they first argue that people with mental illness—severe and persistent disorders as well as less serious mental health conditions—are faring better today than in the past. Improvements have come about for unheralded and unexpected reasons. Rather than being a result of more effective mental health treatments, progress has come from the growth of private health insurance and of mainstream social programs—such as Medicaid, Supplemental Security Income, housing vouchers, and food stamps—and the development of new treatments that are easier for patients to tolerate and for physicians to manage. The authors remind us that, despite the progress that has been made, this disadvantaged group remains worse off than most others in society. The "mainstreaming" of persons with mental illness has left a policy void, where governmental institutions responsible for meeting the needs of mental health patients lack resources and programmatic authority. To fill this void, Frank and Glied suggest that institutional resources be applied systematically and routinely to examine and address how federal and state programs affect the well-being of people with mental illness.

Download or read book Global Mental Health Policy Diffusion Institutionalization and Innovation written by Gordon Chit-Nga Shen and published by . This book was released on 2013 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mental health is an integral part of health and well-being. Mental health enables people to realize their potential, cope with the stressors of everyday life, and make contributions to society. Mental, neurological and substance use (MNS) disorders constitute 13% of the global burden of disease. And yet, across all countries, public investment in preventing and treating this cluster of disorders is disproportionately low relative to this disease burden. Health systems have not adequately or sufficiently responded to the burden of MNS disorders: the gap between the need and supply of treatment ranges from 76% to 85% in low- and middle-income countries, and from 35% to 50% in high-income countries. Mounting evidence underlines the inequitable distribution, poor quality, and inefficient use of scarce resources to address mental health needs. Globally, annual spending on mental health is less than US $2 per person in high-income countries and less than US $0.25 per person in low-income countries, with 67% of these financial resources allocated to stand-alone mental hospitals. Flagrant abuse of human rights and discrimination against people with mental disorders and psychosocial disabilities have been found in such psychiatric institutions. The redirecting of mental health budgets toward community-based services, including the integration of mental health into general health care settings, is needed. To address this state of affairs, this dissertation takes a fresh look at the actions taken to formulate a comprehensive, coordinated response from health and social sectors. It is founded at the nexus of new institutional, world culture, and diffusion of innovation theories. This dissertation employs a mixed methods approach, combining statistical and survey analyses. A mental health policy is an official statement of a government that defines its vision, values, principles, and objectives to improve the mental health of a population. It also outlines the areas of actions, strategies, timeframes, budgets, targets and indicators used to realize the vision and achieve the objectives of the policy. In the first study, I examine the coercive and emulative isomorphic effects on the diffusion of mental health policy across geopolitical borders. Using discrete-time data for 193 countries covering the period from 1950 to 2011, I conduct an event history analysis to examine the influence of WHO accession, foreign aid, and peer influence on mental health policy adoption. The results confirm that the act of adopting mental health policy is partly owed to membership in the World Health Organization, as well as influence of neighbors in the same World Bank and World Health Organization regions. National mental health policy adoption is trumpeted as a milestone for mental health reform. Is mental health policy limited to a rhetorical plane or taken up for pragmatic reasons? The effectiveness of this "upstream" factor could be realized based on examining "downstream" models of deinstitutionalized programming. While mental health policy adoption is treated as an outcome of interest in the first study, it is treated as a predictor in the second study. More specifically, I test the phase of policy adoption as a determinant of psychiatric bed rate changes using panel data for the same 193 countries between 2001 and 2011. The analysis finds that late-adopters of mental health policy are more likely to reduce psychiatric beds in mental hospitals and other biomedical settings than innovators, whereas they are less likely than non-adopters to reduce psychiatric beds in general hospitals. Deinstitutionalization is a much more complex and sophisticated process than reducing dehospitalization, or the reduction of psychiatric beds. It is also about improving the quality of care provided by inpatient facilities while increasing access to care through the development of mental health services in other medical and community settings. However, progress towards mental health reform is often stalled because it is an essentially contested issue in professional and advocacy circles and a highly politicized one among governments. For these reasons, the third study gathers contemporary perspectives on deinstitutionalization from 78 mental health experts. The survey administered assesses their knowledge, attitude, and practices of expanding community-based mental health services and/or downsizing institution-based care. The respondents also attested to the enabling, reinforcing, and constraining factors prevalent in the 42 countries they collectively represent. The qualitative evidence is complementary to the quantitative evidence in that it portrays the contemporary mental health system as being controlled by a nucleus of inpatient care. It further suggests that innovations are made in linking specialty services with primary and social services to support people with mental, neurological, and substance use disorders and their families as they (re)integrate into their communities. Mental health care has branched out in new directions at the turn of the 21st century. Time and again when governments are in the throes of strengthening their mental health systems, a closer look into the setup of infrastructure, essential medicines, human resources, and civil society involvement becomes necessary. This dissertation demonstrates that deinstitutionalization is a result of mental health policies imposed from the top down by the government. The experience with deinstitutionalizing mental health care also involves grassroots mobilization of social change by citizens, clients, families, and other advocates. In parallel with service reorganization, advances have been made in training lay personnel to offer services to people with MNS disorders. Research and development have made treatment more cost-effective and accessible. Cutting across temporal and geographic borders, tradition and modernity, this dissertation probes into the permeability of mental health policy and unpacks the complexity of deinstitutionalization.

Download or read book The Palgrave Handbook of American Mental Health Policy written by Howard H. Goldman and published by Springer. This book was released on 2019-05-07 with total page 687 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook is the definitive resource for understanding current mental health policy controversies, options, and implementation strategies. It offers a thorough review of major issues in mental health policy to inform the policy-making process, presenting the pros and cons of controversial, significant issues through close analyses of data. Some of the topics covered are the effectiveness of various biomedical and psychosocial interventions, the role of mental illness in violence, and the effectiveness of coercive strategies. The handbook presents cases for conditions in which specialized mental health services are needed and those in which it might be better to deliver mental health treatment in mainstream health and social services settings. It also examines the balance between federal, state, and local authority, and the financing models for delivery of efficient and effective mental health services. It is aimed for an audience of policy-makers, researchers, and informed citizens that can contribute to future policy deliberations.

Download or read book Healing written by Thomas Insel, MD and published by Penguin. This book was released on 2022-02-22 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: A bold, expert, and actionable map for the re-invention of America’s broken mental health care system. “Healing is truly one of the best books ever written about mental illness, and I think I’ve read them all." —Pete Earley, author of Crazy As director of the National Institute of Mental Health, Dr. Thomas Insel was giving a presentation when the father of a boy with schizophrenia yelled from the back of the room, “Our house is on fire and you’re telling me about the chemistry of the paint! What are you doing to put out the fire?” Dr. Insel knew in his heart that the answer was not nearly enough. The gargantuan American mental health industry was not healing millions who were desperately in need. He left his position atop the mental health research world to investigate all that was broken—and what a better path to mental health might look like. In the United States, we have treatments that work, but our system fails at every stage to deliver care well. Even before COVID, mental illness was claiming a life every eleven minutes by suicide. Quality of care varies widely, and much of the field lacks accountability. We focus on drug therapies for symptom reduction rather than on plans for long-term recovery. Care is often unaffordable and unavailable, particularly for those who need it most and are homeless or incarcerated. Where was the justice for the millions of Americans suffering from mental illness? Who was helping their families? But Dr. Insel also found that we do have approaches that work, both in the U.S. and globally. Mental illnesses are medical problems, but he discovers that the cures for the crisis are not just medical, but social. This path to healing, built upon what he calls the three Ps (people, place, and purpose), is more straightforward than we might imagine. Dr. Insel offers a comprehensive plan for our failing system and for families trying to discern the way forward. The fruit of a lifetime of expertise and a global quest for answers, Healing is a hopeful, actionable account and achievable vision for us all in this time of mental health crisis.

Download or read book The Social Determinants of Mental Health written by Michael T. Compton and published by American Psychiatric Pub. This book was released on 2015-04-01 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.

Download or read book In Recovery written by Nora Jacobson and published by . This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For hundreds of years, people diagnosed with mental illness were thought to be hopeless cases, destined to suffer inevitable deterioration. Beginning in the early 1990s, however, providers and policymakers in mental health systems came to promote recovery as their goal. But what does recovery truly mean? For example, to consumers of mental health services, it implies empowerment and greater resources dedicated to healing; to HMOs, it can suggest a means of cost savings when benefits cease upon recovery. This book considers "recovery" from multiple angles. Traditionally, Nora Jacobson notes, recovery was defined as symptom abatement or a return to a normal state of health, but as activists, mental health professionals, and policymakers sought to develop "recovery-oriented" systems, other meanings emerged. Jacobson's analysis describes the complexes of ideas that have defined recovery in various contexts over time. The first meaning, "recovery-as-evidence," involves the theories, statistics, therapies, legislation, and myriad other factors that constituted the first one hundred years of mental health services provision in the United States. "Recovery-as-experience" brought the voices of patients into the conversation, while "recovery-as-ideology" drew on both recovery-as-evidence and recovery-as-experience to rally support for specific approaches and service-delivery models. This in turn became the basis for "recovery-as-policy," which developed as assorted representative bodies, such as commissions and task forces, planned reforms of the mental health system. Finally, "recovery-as-politics" emerged as reformers confronted harsh economic realities and entrenched ideas about evidence, experience, and ideology. Throughout, Jacobson draws on her research in Wisconsin, a state with a long history of innovation in mental health services. Her study there included several years of fieldwork and interviews with the government-appointed groups charged with making recovery policy. Thus, In Recovery also provides an inside account of the process of policy development and implementation.

Download or read book Improving the Quality of Health Care for Mental and Substance Use Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 2006-03-29 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Download or read book Innovations in Psychiatry written by Panagiota Korenis and published by Nova Science Publishers. This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book will present the most up to date and concise information related to psychiatric innovations and is especially written for those looking for a quick and easy reference guide. Conveniently formatted to present the most current and up to date concepts and ensure that you are prepared for your psychiatry shelf, PRITE(tm), psychiatry boards and recertification exams. It will quickly become your go to reference material for psychiatric technological innovations.

Download or read book A Common Struggle written by Patrick Joseph Kennedy and published by . This book was released on 2015 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patrick J. Kennedy, the former congressman and youngest child of Senator Ted Kennedy, opens up about his personal and political battle with mental illness and addiction for the first time. This candid memoir focuses on the years from his 'coming out' about suffering from bipolar disorder and addiction to the present day, and examines his journey toward recovery while reflecting on America's treatment of mental health.

Download or read book An Historical Analysis of Mental Health Policy in the United States written by Amy S. Thel and published by . This book was released on 2006 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Mental Health Services in Rural America written by Catherine Hawes and published by . This book was released on 2007 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: