Use our essay title generator to get ideas and recommendations instantly
Who lives with you in you household? Quien vive con usted en la casa?
B. Tell me about you family. Cuenteme aceca de su familia
C. What's a typical day like fo you? With you Family? With you fiends? Como pasa Usted el dia? Con su familia? Con sus amigos?
D. Tell me about you fiends Cuenteme sobe sus amigos
E. Who ae the people you can count on the most in time of need?
Quienes son las pesonas con las que puede conta cuando las necesita?
F. Do you belong to goups o oganizations that you feel you get suppot fom? Examples? What kind of suppot?
Petenece an algun gupo u oganizacion que le popociona apoyo?
Pongame algun ejemplo, que tipo de apoyo?
G. How does the family and fiends suppot you and you family?
Como le apoya la familiay/o amigos a usted y su familia?
references for mental health treatment for relative's name)
Que tratamientos para la salud mental prefiere que reciba su familiar?
B. Before taking (relative's name) to the hospital, what did you think about mental health treatment?
Antes de traer a su familiar al hospital, que opinaba usted de los tratamientos de salud mental?
Were you familiar with mental health treatment?
VHA Mental Health Care
Very recently, beginning in 1995 the Veterans Health Administration (VHA) began a series of progressive reforms. The reform has included a substantive list of functional and fundamental changes, including everything from facility improvements to eligibility requirement expansion. The VHA has also adopted a list of changes that includes staffing and response time for mental health screenings for returning soldiers. These changes look good on paper as the VHA has stressed a rapid response time for initial screening that is a VHA policy standard, i.e. 14 days from the initial request for a mental health screening an individual is supposed to be evaluated. Given the nature of the last decade of war and the growing awareness of the mental health challenges that are being faced by countless returning soldiers this would seem a good thing, yet the actual reporting and records system is often delaying these initial…
Halliday, L. Assistant Inspector General Department of Veterans Affairs (April 25, 2012). VA mental health care. FDCH Congressional Testimony.
Katz, I. (2012). Lessons learned from mental health enhancement and suicide prevention activities in the Veterans Health Administration. American Journal Of Public Health, 102S14-6. doi:10.2105/AJPH.2011.300582
Katz, I.R., McCarthy, J.F., Ignacio, R.V., & Kemp, J. (2012). Suicide among veterans in 16 States, 2005 to 2008: Comparisons between utilizers and nonutilizers of Veterans Health Administration (VHA) services based on data from the National Death index, the National Violent Death Reporting System, and VHA.. American Journal Of Public Health, 102S105-10. doi:10.2105/AJPH.2011.300503
Knox, K.L., Kemp, J., McKeon, R., & Katz, I.R. (2012). Implementation and early utilization of a suicide hotline for veterans. American Journal Of Public Health, 102S29-32. doi:10.2105/AJPH.2011.300301
Today, however, the majority of practicing therapist use a method that is solution based. The issue is to find resolution for the immediate problem without trying to ascertain what happened in the patient's childhood and the years leading to the problem that caused it (Behavioral Health Services and Prevention (http://mentalhealth.samhsa.gov/publications/allpubs/SMA00-3437/SMA00-3437ch3.asp).
A solution based therapy can be completed in several sessions and the person also learns coping tools for identifying and changing problems that appear in the future.
This method is done by having patients come to therapy on an outpatient basis, thereby saving overhead costs as well as session costs.
In addition the three entities can work together toward preventative mental health care by identifying and reducing risk factors whenever possible.
isk factors and protective factors are also central to an understanding of prevention in the mental health and substance abuse arenas. The presence of risk factors is associated with…
Managed Care http://www.thenationalcoalition.org/eleven.html
Behavioral Health Services and Prevention http://mentalhealth.samhsa.gov/publications/allpubs/SMA00-3437/SMA00-3437ch3.asp
The summary that prepares the author of this report for this assignment lays forth some basic facts and facets of society in the United States as well as other countries. Mental health is an issue that has persisted and lasted throughout the years. The methods of handling and housing such people has improved greatly over time but many shortfalls and issues remain. As part of this general set of facts, the author has been asked to state why it is important to have community mental health (CMH) resources available for those that want or need them. While some people may think that such agencies are money pits and do not do any good, allowing people that want treatment but cannot afford or get to it to go unhelp is inhumane and utterly cruel.
One of the nagging and problematic part of mental illness and those that suffer…
Kentucky Together. (2016). More Funding for Mental Health Needed to Build Healthier, More Productive Lives -- Kentucky Together. Kentuckytogether.org. Retrieved 30 June 2016, from http://www.kentuckytogether.org/more-funding-for-mental-health-needed-to-build-healthier-more-productive-lives/
Shapiro, A. (2012). Why Some Homeless Choose The Streets Over Shelters. NPR.org. Retrieved 30 June 2016, from http://www.npr.org/2012/12/06/166666265/why-some-homeless-choose-the-streets-over-shelters
Consultancy Case Study: Hispanics
A DIVERSITY ISSUE
General Stages of Consultation
Koff (1988) discusses a problem-solving process in consultation as consisting of four components, rather than stages. These are problem identification, problem analysis, intervention, and evaluation. In the first component, the consultation determines the client's or consultee's problem. She makes sure that it is the client's or consultee's problem and nobody else's. When done, they proceed to the second component. They analyze and try to understand the problem thoroughly in order to avoid misinterpretations.. At this point, the consultee or client may or may not decide to continue with the consultation. If he does, the analysis shifts to her professional knowledge, skill, confidence, objectiveness, and interpersonal reactions with everyone involved and determining how she herself may be the cause of the problem. When this is accomplished, the intervention component sets in, wherein the consultant suggests tailor-made programs or approaches to…
CNPAAEMI (2003). Psychological treatment of ethnic minority populations. Council of National Psychological Association for the Advancement of Ethnic Minority Interests.
Association of Black Psychologists. Retrieved on May 28, 2014 from http://www.apa.org/pi/oema/resources/brochures/treatment-minority.pdf
Guarnaccia, P. et al. (2005). Mental health in the Hispanic immigrant community: an overview. Journal of Immigrant and Refugee Services: The Haworth Social Work
Inclusion of Cultural Factors Into the Mental Health Treatment Mix
Today, the United States and numerous other Western nations have experienced fundamental shifts in their demographic composition, and a growing body of evidence indicates that cultural factors such as different views of mental illness, interpretations of behavior, and family structure have fundamentally changed counseling and psychological treatment. In response, clinicians have sought to integrate evidence-based practices that take into account cross-cultural differences with respect to mental health treatment. Despite these recent trends, though, many people suffering from mental health disorders, irrespective of their backgrounds and ethnicity, remain the target of stigmatization which can adversely affect their willingness to actively participate in mental health treatment due to cultural differences that place a heavy burden on those who concede they need help. To determine the facts about these recent trends in mental health treatment, this paper reviews the relevant literature to provide…
Boshcert, S. (2009, October). Access 'critical' for Hispanic patients. Clinical Psychiatry News, 33(10), 1-4.
Lam, C. S. & Tsang, H. W. (2010, January-March). Chinese lay theory and mental illness stigma: Implications for research and practices. The Journal of Rehabilitation, 76(1), 35-39.
Day treatment programs can provide services at less cost because the patient goes home at night after being treated during the day, which often is used for rehabilitating chronically ill patients (Sharfstein, Stoline, & Koran, 1995, p. 249). The mere fact of having more choice benefits some patients by giving them more say in their care.
Patient-focused care involves a method for containing in-patient costs for hospitals and for improving quality by "restructuring services so that more of them take place on nursing units rather than in specialized units in other hospital locations, and by cross-training staff on the nursing units so that they can do several 'jobs' for the same small group of patients rather then one 'job' for a large number of patients" (Kovner, 1995, p. 186). Kovner notes a number of barriers to this type of care. One reason has been that hospitals have not had to…
Doctors Say Managed Care Strains Patient Relationships (1997, June 9). Westchester County Business Journal 36(23), p. 24.
Kovner, a.R. (1995). Hospitals. In Jonas's Health Care Delivery in the United States, a.R. Kovner (ed.), pp. 162-193. New York: springer Publishing.
Moore, G.T. (1991,
April 24). Let's provide primary care to all uninsured Americans ? now! JAMA, pp. 2108-2109.
Healthcare in the United States: Where We Have Been, Where We Are Going
The current healthcare crisis in America is not one that happened over night. It is one that has been building for more than a quarter century. There was a time in America when healthcare was a stellar institution: research, cures, technological advances, and treatments. The focus of healthcare was maintaining and improving the quality of life. Then, during the early 1980s, managed care became an entity between the physician, the patient, and the healthcare provider of hospital services. It began subtly, but has, today, become one of the most aggressive and successful business ventures of our time; and it has been the unmaking of a once stellar and progressive American institution.
Managed care is a "distinctly American" product (Birenbaum, 1997). It was legislation introduced by the Nixon Administration with the intent to regulate healthcare and to maintain…
Bernstein, A.B., Hing, E., Moss, A.J., Allen, K., Siller, A., and Tiggle, R. (2003). Health Care in America: Trends in Utilization. Hyattsville, MD: National Center for Health Statistics.
Birenbaum, A. (2002). Wounded Profession: American Medicine Enters the Age of Managed Care. Westport, CT: Praeger.
Birenbaum, A. (1997). Managed Care: Made in America. Westport, CT: Praeger.
Committee on Health Care Access and Economics Task Force on Mental Health (2009). Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration. The Official Journal of the American Academy of Pediatrics, March, 30, 2009, pp. 1248-1251.
Are healthcare inequalities UK
Defining Health Inequality
The term healthcare disparity or healthcare differences have been defined in a number of ways. Healthcare inequality can be defined as the difference of the health levels of any tow comparable demographic groups within a certain country or a region even when proper healthcare facilities are available. The inclusive incidences include higher rates of mortality as well as morbidity within the people who belong to lower occupational classes and are poorer. These rates are higher as compared to the mortality rates in the people who belong to better occupational classes being richer and more privileged. Second important aspect that has been highlighted in the definitions of healthcare inequality includes increased rates of occurrence of mental healthcare-based issues in people from poor classes.
A number of countries have been highlighted with healthcare inequalities including Canada and UK. Since 1980, the documentation of…
Asthana, S, and Dr. Halliday, J 2006, What works in tackling health inequalities?: pathways, policies and practice through the life course, Studies in poverty, inequality, and social exclusion, The Policy Press.
Barron K. 2009, Health inequalities: written evidence; Volume 422 of HC SeriesPaper (Great Britain. Parliament. (Session 2007-08). House of Commons)) Written evidence, The Stationery Office.
Davies P. 2007, The NHS in the UK 2007/08, 9th edn, The NHS Confederation.
Dowler E. 2007, Challenging health inequalities: from Acheson to choosing health, Health and Society Series, The Policy Press.
Surgeons in Canada report that, for heart patients, the danger of dying on the waiting list now exceeds the danger of dying on the operating table. Emergency rooms there are so overcrowded that patients awaiting treatment frequently line the corridors. Not only is there a long wait for care, but care is frequently denied to patients who prognosis is poor. In ritain kidney dialysis is generally denied patients over the age of 55. At least 1,500 ritons die each year because of lack of dialysis.
Countries with national health care systems also lag far behind the U.S. In the availability of modern medical technology. In Canada, high-technology medicine is virtually unavailable. In addition to being biased against new medical technologies, national health care systems generally discriminate against nontraditional practitioners, such as naturopaths and chiropractors.
It is true that Canada spends only about nine percent of its GDP on health care,…
Financing National Health Insurance." (2003, February 4). Available:
http://www.pnhp.org/nhibill/nhi_financing.html (Accessed 9 Feb. 2005).
Health Care Policy Issues. Sept. 2004. Available:
http://www.newsbatch.com/healthcare.htm (Accessed 9 Feb. 2005).
Healthcare Legislative Bill
The expanded and improved Medicare for all Acts
The Expanded and mproved Medicare for All Act was introduced to the House of Representatives in 2009 and seeks to lobby for the implementation of a common single-payer health care system throughout the United States o0f America. The bill if enacted would require that all medical care costs be paid for automatically by the government instead of private insurances for the same. The move will significantly alter the role of private insurance companies as merely offering supplemental coverage especially when the kind of medical care sought is not all that essential (McCormick, 2009).
With the Expanded and mproved Medicare for All Bill, the country's national system will be paid for through taxes and the monies that will replace the regular insurance premiums. Proponents of the bill argue that by eliminating the need for private insurance companies in the national…
Institute of Medicine of the National Academies of Science, (2010), Insuring America's Health: Principles and Recommendations
The American Journal of Medical Practices, (2011), The Impact of single-payer Medicare
Program, New York
Health Care Law
Read: Compliance needs a shrewd strategic plan
Discuss the reasons why healthcare organizations should include a compliance program into their strategic planning?
In short, the Cerrato story linked above discusses and makes clear, more or less, that it is a non-optional part of doing business in the healthcare business and sphere. He noted that healthcare providers must comply with "a long list of healthcare-related laws and regulations" and that it remains "a major challenge for provider organizations around the country" (Cerrato, 2013). Just a short list of reasons why compliance should be a focal point within the broader strategic planning sphere for healthcare organizations is because doing otherwise can open a company to civil liability, can open up a company to agency sanction, can open up a company to criminal charges (in extreme cases), can lead to a degradation or failure to improve patient…
However, integrated continuum of care networks presents a viable solution to mental health care delivery that properly allocates resources a collaborative and cooperative service delivery system.
Needed, according to Mohatt (1997) is "vertical integration' in the "approaches to managed care" in networking a group of healthcare providers, at various levels of primary care and behavioral health, to form an integrated service network. They seek to develop, via cooperation, a coordinated, consumer focused, seamless continuum of care designed to improve access and availability through efficiencies gained by the elimination of redundant services or systems."
Mohatt reports just such as system being in existence and specifically the Laurel Health System in northeastern Pennsylvania "founded in 1989 with the merger of five not-for-profit organizations..." This network spans the human service gamut inclusive of primary care, nursing homes, senior housing, ambulance service, and hospital." (1997) Mohatt reports another example stating:
recent example of such…
Behar, Lenore B., Macbeth, Gary, and Holland, Joan M. (1993) Distribution and Costs of Mental Health Services Within a System of Care for Children and Adolescents. Administration and Policy in Mental Health and Mental Health Services Research. Vol. 20, No. 4, March 1993. Abstract online available at Springerlink online: http://www.springerlink.com/content/q73873hn78112345/
Hamner, Karl M., Lambert, E. Warren, and Bickman, Leonard (1996) Children's Mental Health in a Continuum of Care: Clinical Outcomes at 18 Months for the Fort Bragg Demonstration. ERIC Digest. 28 Feb 1996. Online available at http://eric.ed.gov/ERICWebPortal/custom/portlets/recordDetails/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=ED460476&ERICExtSearch_SearchType_0=no&accno=ED460476
Yager, J. (1996) Do Full Continuum of Care Services Yield Better Results? Am Psychol 1996 July. Journal Watch. Online available at http://psychiatry.jwatch.org/cgi/content/citation/1996/1001/14
Mohatt, Dennis F. (1997) Access To Mental Health Services In Frontier America
Healthcare for Mentally Impaired Patients
Probing what information is available about the current status of placement or accommodation and level of personal healthcare available to mentally impaired and emotionally disturbed individuals, it is clear that the analysis is as diverse as there are different mental illnesses. While statistics on managed care treatment for people with severe and disabling mental illnesses are sparse, it is evident that the financial responsibility to care for and house these patients is enormous.
According to Dr. David Satcher, the Surgeon General (1999), approximately 20% of the U.S. adult population has a mental illness. He says, "These illnesses include anxiety disorders, mood disorders, anorexia nervosa, and severe cognitive impairment. More serious mental illnesses include ipolar disorder and schizophrenia. Mental illness accounts for 15% of overall burden of disease -- more than malignant cancer and respiratory diseases -- and as far back as 1996 the direct cost…
Boulard, G. (2000, April). Forgotten Patients the Mentally Ill. State Legislatures, 26, 12. Retrieved February 13, 2004, from Questia database, http://www.questia.com .
Callahan, D. (1993, October) Minds and hearts: priorities in mental health services.
The Hastings Center Report.
Fox, M. & Kim, K. (2004, January) Evaluating a Medicaid Home and Community-based Physical Disability Waiver. Family and Community Health. Vol 27: 37.
New findings show that the spouses of veterans also experience mental health disorders, and the prevalence increases with the length of deployment (Mansfield, Kaufman, Marshall, Gaynes, Morrissey & Engel, 2010). When spouses are considered to be clients of health services, the need for improved and more robust resources becomes apparent. Moreover, spouses with mental health disorders present unique issues and questions for treatment. eturning soldiers may find that they have supportive partners who can lead to a mutually beneficial treatment relationship, via couples or family therapy. On the other hand, the mental health problems of the spouse can exacerbate those of the soldier, and vice-versa. Thus, a family systems approach can be extremely helpful when addressing the multifaceted mental health concerns among veterans.
Veteran health services are at a critical juncture. The need for targeted mental health interventions, ranging from screenings and assessments to therapies and treatments, has been proven…
Britt, T.W., Greene-Shortridge, T.M. & Castro, C.A. (2007). The Stigma of Mental Health Problems in the Military. Military Medicine 172(2), February 2007, pp. 157-161(5)
Bliese, P.D., Wright, K.M., Adler, a.B., Thomas, J.L. & Hoge, C.W. (2007). Timing of postcombat mental health assessments. Psychological Services 4(3), Aug 2007, 141-148.
Hoge, C.W., Auchterlonie, J.L. & Milliken, C.S. (2006). Mental Health Problems, Use of Mental Health Services, and Attrition From Military Service After Returning From Deployment to Iraq or Afghanistan. JAMA. 2006;295(9):1023-1032. doi:10.1001/jama.295.9.1023.
Hoge, C.W., Castro, C.A., Messer, S.C., McGurk, D., Cotting, D.I. & Koffman, R.L. (2004). Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care. N Engl J. Med 2004; 351:13-22July 1, 2004 DOI: 10.1056/NEJMoa040603
Mental Health Counseling
Discuss the role in relationship to the prescription and monitoring of pharmacological treatments for mental health issues.
Unique advances have been achieved in the treatment offered to clients suffering from mental illness. Mental health care providers must understand the original causes of mental health disorders in order to provide treatment to clients with these disorders. Therefore, mental healthcare providers are able to treat disorders associated with mental health. This is being done with much success as physical disorders (Madden, 2008).
The profession of mental health provision has categorized strategies of treating mental health problems as either psychotherapeutic or somatic. Somatic methods of treating mental disorders include therapies such as electroconvulsive therapy, which have the potential of stimulating the brain. Psychotherapeutic method includes behavioral therapy strategies, hypnotherapy, and psychotherapy. esearchers have established that most mental health disorders require treatment strategies that involve both psychotherapy and drugs. This is…
Madden, R.G. (2008). Legal issues in social work, counseling, and mental health: Guidelines for clinical practice in psychotherapy. Thousand Oaks, CA: Sage Publications
Palmo, A.J., Weikel, W.J., & Borsos, D.P. (2011). Foundations of mental health counseling.
Springfield, IL: Charles C. Thomas.
World Health Organization (2009). Mental health aspects of women's reproductive health: A
Nonetheless, people who received some level of ACRP intervention had a lower rate of criminal recidivism than people who received no intervention at all.
The study found that the case flow through the ACRP was a little slow. The amount of time between the Initial Opt-In Hearing and the Formal Opt-In Hearing averaged 74 days. While there are no hard and fast rules governing how long this process should take, the study found that that "the ACRP is performing rather well on the front-end of the admissions process (up to the initial opt-in stage) but that more could be done to work on the back end (time between the Initial Opt-In Hearing and the Formal Opt-In Hearing)."
The study found that the incentives and sanctions used by ACRP judges to promote compliance at status hearings, though standardized, were not tailored to correspond to participant progress.
Outcomes from the Last Frontier: An Evaluation of the Anchorage Mental Health Court (Alaska Mental Health Trust Authority, Ferguson-Hornby-Zeller, 2008).
Improving Responses to People with Mental Illnesses: The Essential Elements of a Mental Health Court (Thompson, Osher, Tomasini-Joshi, 2008).
Mental Health Courts: Decriminalizing the Mentally Ill. (Irwin Law, Schneider-Hyman-Bloom, 2007).
Mental Health Courts. (Wiley Encyclopedia of Forensic Science, Schneider, 2009).
Federal Bureau of Prisons
While most people seem to agree that prisoners should have access to basic healthcare while incarcerated, there is tremendous variation about what type of healthcare constitutes basic care. The reality is that many prison inmates receive a better quality of healthcare than non-incarcerated working-class individuals, but many inmates also suffer consequences because of significant medical neglect. For the federal prison system, the Federal Bureau of Prisons (BOP) is the agency given broad oversight over healthcare in prison. In fact, the BOP is in charge of all aspects of inmate care for all inmates in the federal prison system.
The BOP is part of the Department of Justice (DOJ). It was established in 1930 to regulate the federal prison system. The BOP's job is not limited to healthcare. Instead, it has responsibility for the entire federal prison system, which "currently includes 114 prisons, 6 regional offices, 2…
U.S. Department of Justice, Office of the Inspector General Audit Division. (2008). The
Federal Bureau of Prison's Efforts to Manage Inmate Health Care. Retrieved April 29,
2013 from the Justice.gov website: http://www.justice.gov/oig/reports/BOP/a0808/final.pdf
Wallechinsky, D. (2012). Federal Bureau of Prisons. Retrieved May 1, 2013 from Allgov.com website: http://www.allgov.com/departments/department-of-justice/federal-bureau-of-prisons-bop?agencyid=7204
This creates a nerve with the client that their private information is going to be unprotected and confidentiality is going to be broken . There is no safe way to keep all information private. However, all mental health professionals must take all necessary precautions to keep client information private .
As you look around the mall, classroom, church, family history, friend's family, or place of employment, you're sure to know someone with a mental illness, or someone who might of attempted suicide . Assessing and treating these disorders is essential in the mental health field, more trained mental health professionals are needed, more agencies, and more funding . Otherwise if society keeps assuming that the mind and brain are separate and that mental disorders are " different" or " bad" misunderstanding, mistreatment, and stigma will persist in this society . We need to stop seeing individuals with mental health…
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington, DC: Author.
American Association of Suicidology. ( 2006, February), U.S.A. suicide: 2003 official final data. Retrieved March 19, 2010, from http:/ / www.suiciodology.org.
Bonner, L. ( 2001). Rethinking suicide prevention and manipulative behavior in corrections. Jail Suicide Mental Health Update, 10(4), 7-8.
Bonner, L. (2006) . Stressful segregation housing in psychosocial vulnerability in prison suicide. Suicide and Life Threatening Behavior, 36,250-254.
Poverty and Community Mental Health
Based on the supplemental reading for this week found in the resource folder, we can agree that poverty is a solid predictor of multiple challenges found in the field of mental health. In your own words (support your response by citing your sources) express your understanding of poverty and how it influences Community Mental Health at large (your response should meet the criteria found on the discussion board rubric). Please do not respond by using bullet points, utilize complete sentences to respond to this question.
Despite spending close to three trillion dollars a year on healthcare, significantly more than any other country in total or per capita, the United States does exactly maintain a healthy population (comparatively speaking) (Lavizzo-Mourey, 2015). Although there have been many proposed and attempted reforms to the system, and there have been many different ideas about how to make the system…
Best, M. (2006). Ethics in Health Services Management. Quality Management in Healthcare, 311.
Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.
Lavizzo-Mourey, R. (2015). Why We Need to Build a Culture of Health in the United States. Academic Medicine, 846-848.
Savage, C., Lindsell, C., Gillespie, G., Lee, R., & Corbin, A. (2008). Blackwell Publishing Ltd. Improving health status of homeless patients at a nurse-managed clinic in the Midwest USA. Health and Social Care in the Community, 469-475.
National Council for Behavioral Health (n.d.) points out, at least thirty percent of active duty military personnel suffer from a serious mental health disorder that requires treatment, but less than half of these individuals receive treatment. However, there are a variety of state and national mental health services specifically for individuals and families affiliated with the military. The state of Washington maintains a list of mental health resources including family resources for military and veteran families (Washington Mental Health Care esources, n.d.). The state of California's Department of Health Care Services (n.d.) offers a similar set of resources including suicide prevention hotlines for homeless veterans. The California Department of Veterans Affairs (n.d.) draws attention to the range of state and federal resources available, including those that are funded under the Mental Health Services Act (MHSA), Proposition 63. The primary resource for service members and their families is the Department of…
ecovery can be a difficult journey for many. The reality of having to change old habits for new ones can take a lifetime. The recovery approach/model realizes the struggle of change and transformation and makes it so that way emphasis is not placed on the destination, but rather the journey. Although other approaches like the disease/medical model aim to treat one aspect of recovery from addiction, the recovery model encompasses all aspects making it one of the most advantageous models to adopt to fight addiction.
The recovery approach/model to addiction and/or mental disorder places a strong emphasis on a support for an individual's potential for recovery. ecovery means a person undergoing a personal journey instead of determining and setting an outcome. This personal journey involves the development of hope, a sense of self, a secure base, social inclusion, meaning, empowerment, and coping skills that will take that person past the…
Barker, P. & Buchanan-Barker, P. (2012). Tidal Model of Mental Health Nursing. Currentnursing.com. Retrieved 24 July 2016, from http://currentnursing.com/nursing_theory/Tidal_Model.html
Best, D. & Lubman, D. (2012). The recovery paradigm - a model of hope and change for alcohol and drug addiction. Aust Fam Physician., 41(8), 593.
Hall, W., Carter, A., & Forlini, C. (2015). The brain disease model of addiction: is it supported by the evidence and has it delivered on its promises?. The Lancet Psychiatry, 2(1), 105-110. http://dx.doi.org/10.1016/s2215-0366 (14)00126-6
Hammer, R., Dingel, M., Ostergren, J., Partridge, B., McCormick, J., & Koenig, B. (2013). Addiction: Current Criticism of the Brain Disease Paradigm. AJOB Neuroscience, 4(3), 27-32. http://dx.doi.org/10.1080/21507740.2013.796328
Healthcare Administration Mission Viejo Executive Summary
Over the last several years, the healthcare delivery environment has been continually evolving. This is because consumers are demanding efficient ways for receiving a variety of services. That is focused on reducing costs and enhancing quality. The result is that the entire system is continually changing to keep up with them. In the case of Golden Age Hospital (GAH), they are reaching a crossroads with rising number of seniors locally and nationally. This is in response to the rising demographic and many local facilities feeling overwhelmed. The new location can be utilized as an integrated business model that will achieve these larger objectives. In the long-term, this will make them more competitive and able to respond to changes in the way industry is operating. Those who are able to do this will see their employee turnover rates decrease and they can enhance the care…
Community Profile. (2014). City of Aliso Viejo. Retrieved from: http://www.cityofalisoviejo.com/wp-content/uploads/ApdxC_Community_Profile.pdf
Mission Viejo, California. (2015). U.S. Census. Retrieved from: http://quickfacts.census.gov/qfd/states/06/0648256.html
Rising Demand for Long-Term Care. (2014). CBO. Retrieved from: http://www.cbo.gov/publication/44363
Cuellara, A. (2006). Strategic integration of hospitals and physicians. Journal of Health Economics, 25 (1), 1-28.
Mental Health and Stigma
Stigma influences the lives of people living with serious mental illnesses in many ways, including via the experience of self-stigma, whereby a person gives intense focus to what others might think about one’s own mental illness, internalizing their conception of the illness (Link, Wells, Phelan & Yang, 2015). Stigma can also come from society, from the workplace, from one’s own family or set of peers, and even from strangers. When an illness is stigmatized in the media, a person who suffers from that illness may feel taboo, ostracized from society, isolated from the “normal” group of people who have normal lives and can function without problem (Corrigan, Druss & Perlick, 2014).
Stigma influences the lives of people living with serious mental illnesses in other ways too. They become afraid to seek medical help because of the fear of being labeled as a person with a…
Mental health services for adults and children in Florida are commonly provided by community health facilities and agencies. The use of community health agencies and facilities is providing these services are fueled by the need for an intensive care level to address the increase and impact of mental disorders. Florida State has embraced a framework of directive principles of care as the foundation for providing mental health services to adults and children. However, this framework has been insufficient to effectively deal with mental disorders for children in Jacksonville, Florida. Based on recent statistics, over 20% of children and young people experience the signs and symptoms of these illnesses during the course of a year (Goldhagen, 2006). A comprehensive, integrated community mental health service program is a suitable community-based approach this problem in Jacksonville, Florida.
Description of the Population
Mental disorders have developed to become a major health problem…
Buchanan, D. (2007). Integrating Behavioral Health into Primary Care. Retrieved from University of Nebraska -- Medical Center website: http://webmedia.unmc.edu/Community/CityMatch/EMCH/062807/DCBHS%202007.ppt
Cohen et. al. (2011). Three Models of Community Mental Health Services in Low-income
Countries. International Journal of Mental Health Systems, 5(3), 1-10. Retrieved from http://www.ijmhs.com/content/pdf/1752-4458-5-3.pdf
Flannery, F., Adams, D. & O'Connor, N. (2011, February). A Community Mental Health Service
All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories.
Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. for example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.
Urban Institute estimates based on data from CMS (Form 64) (as of 12/21/11).
From this entire chart, the entire increase in expenditure of…
Clark, Cheryl et al. "State Medicaid Eligibility and Care Delayed Because of Cost." New England Journal of Medicine, 368 (2013): 1263-1265. Print.
Ellwood, Marilyn Rymer et al. An Exploratory Analysis of the Medicaid Expenditures of Substance Exposed Children Under 2 Years of Age in California. U.S. Department of Health and Human Services, 1993. Print.
Goodnough, Abby. "October 25th." The New York Times. 25th October. 2012. Web. 29th March 2013. [ http://www.nytimes.com/2012/10/26/us/spending-on-medicaid-has-slowed-survey-finds.html?_r=0 ].
Grannemann, Thomas W. And Mark V Pauly. Controlling Medicaid Costs: Federalism, Competition, and Choice. Washington DC: American Enterprise Institute, 1983. Print.
Health Care oles in Communication
Communication is a fundamental piece of health care education and has been shown to improve health outcomes, patient compliance, and patient satisfaction. Quality health care emphasizes knowledge and utilization of communication skills. Health care professionals often express anxiety and lack of confidence and are deficient in a creating a situations that are conducive to open and candid communication with patients (Kameg et. al., 2009).
Effective communication involves gathering information, establishing a relationship or connection with a patient, and supporting the person through words and other non-verbal forms of interactions. Effective communication involves not only the interactions between the staff and the patient but also the interactions between staff and the interactions between the staff in front of the patient. Many times the high demand for services in a health care facility cause the staff to overlook the importance of good communication skills and enables situations…
Beer, J.E. (2003). Nonverbal Communication: Communicating across cultures. Cultures at work. Retrieved May 29, 2011 from http://www.culture-at-work.com/nonverbal.html
Coiera, E. (2006, May). Communication systems in healthcarre. Clinical Biochemist Reviews. nursing.Vol. 27, Issue 2, 89-98. Retrieved May 28, 2011 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579411/
Gamble, T.K. & Gamble, M. (2006). Communication works. Burr Ridge, IL: McGraw-Hill.
Health Communication. (2010). Health communication. Healthy people 2010: Objectives for improving reproductive health. Office of Disease Prevention and Health Promotion. Retrieved May 29, 2011 from http://www.hhs.gov/opa/pubs/hp2010/hp2010rh_sec2_healthcomm.pdf
Hispanic Community and Healthcare
This paper is an examination of how the Hispanic community experiences healthcare. The data from a number of articles related to the subject form the basis for the conclusions reached in the analysis.
One study looked at whether Hispanic-specific training should be included for healthcare worker training. It was found that there is a serious lack of training that is currently implemented regardless the community examined. Healthcare workers were unaware of social conventions that were normal among their Hispanic clients which limited the effectiveness of the healthcare treatment given. Because women were unable to discuss personal problems with male healthcare workers and males had similar issues with females, it was difficult for the various agencies to be truly effective. The recommendation, of course, was to include a training curriculum that included cultural training.
Another issue that Hispanic individuals faced is that they were underrepresented in…
Health Policies Medicare
hen everyone in our country finally starts to reach the age of 65 years of age or older, then every person will become eligible for Medicare. It is clear that there are some elderly that are having minimum health concerns while others recurrently are dealing with medical issues for which they will have to seek out treatment by the doctor. However, research is starting to display that there are at least five top conditions that are enhancing on medical and drug spending. It is obvious that Heart disease circumstances are the number one medical issue that the those that are considered elderly are facing and that is becoming very costly to them. Most are unaware that the second one is the disease cancer and it could be internal or external for various elderly patients. Other issues such as joint ailments a lot of the times can cost…
Wenzlow, Audra T., et al. "Effects of a Discharge Planning Program on Medicaid Coverage of State Prisoners with Serious Mental Illness." Psychiatric Services 62.1 (2011): 73-8.
Sommers, Benjamin D. "Loss of Health Insurance among Non-Elderly Adults in Medicaid." Journal of General Internal Medicine 24.1 (2009): 1-7.
Verdier, James, and Allison Barrett. "How Medicaid Agencies Administer Mental Health Services: Results from a 50-State Survey." Psychiatric Services 59.10 (2008): 1203-6.
Harman, Jeffrey S., Allyson G. Hall, and Jianyi Zhang. "Changes in Health Care use and Costs After a Break in Medicaid Coverage among Persons with Depression." Psychiatric Services 58.1 (2007): 49-54.
Healthcare Quality Management
PDCA Modeling in Healthcare
Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.
X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs…
Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement: http://www.cwru.edu/med/epidbio/mphp439/CQI.htm
i Six Sigma. (N.d.). Focus - PDCA. Retrieved from I Six Sigma: http://www.isixsigma.com/dictionary/focus-pdca/
Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341.
Healthcare Reform Models
Health Care Reform Models
Shim and colleagues (2012) argue for taking advantage of provisions within the Patient Protection and Affordable Care Act (ACA) of 2010 that emphasizes preventive and integrated care. They propose that the primary care setting is ideal for screening patients for signs of mental illness and associated risk factors. A mental health wellness program could also include coaches and other experts that interface with patients on an individual basis, including at the patient's home.
Long-Term Behavioral Health Care
Bao and colleagues (2012) examined four patient populations defined by disease severity and ability to pay, and then assessed how these four groups will fare under the behavioral health provisions in the ACA. Patients with private insurance and suffering from mild to moderate mental illness will probably receive the best care at a Patient-Centered Medical Home (PCMH). The authors suggest that the presence of…
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…
Potter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
Nurses, who have first hand knowledge and understanding of how to live healthy and how to take proper care of themselves, are far better equipped to teach others about these concepts. Certain populations can benefit greatly from prevention, especially those who are prone to specific types of diseases or conditions.
One of the most common behaviors that leads to many chronic and often very damaging health conditions is smoking. Smoking can cause a multitude of diseases and conditions from emphysema to heart disease to lung cancer (Chapman, 2007). The list goes on and on. But smoking is 100% preventable and nurses need to understand not only how to treat these smoking-related diseases but how to more importantly discourage and prevent people from smoking in the first place. Many nurses agree that this behavior leads to many of the worst case scenarios for people with pre-existing chronic conditions. It is therefore…
Chapman, Simon. (2007). Public Health Advocacy and Tobacco Control: Making Smoking
History. Blackwell Publishing, New York, NY. Pp. 55-56.
Chung, Daniel C. (2008). "Stool DNA Testing and Colon Cancer Prevention: Another Step
Forward." Annals of Internal Medicine, Vol. 149, No. 7. pp. 509-510.
Health Care & Faith Diversity
It is quite obvious how different religions hold different philosophical views on various aspects and even when it comes to healing. Each religion highly upholds their spiritual values hence the need for health practitioners to be cautious while handling varied clientele whether they hold the same religious sentiments or not. In this research we will major on the views held by the Sikh, Buddhist and Judaist religions in comparison to the Christian belief on healing.
The Sikh hold the belief that when one is sick it is the will of God and that He is merciful to heal; however one has to consider medical treatment in order to get well. During illness: Sikh patients engage in prayers to seek God for help, seek to obtain peace by remembering Gods name, recite sacred hymns (Gurbani) which are words from the holy scriptures (Guru Granth…
Dharma Haven, (2005).Tools for Healing Relaxing and Awakening. Retrieved March 30,
2012 from http://www.dharma-haven.org/tibetan/healing.htm
Manitoba, (2006). Core Competencies for Spiritual health care Practitioners. Retrieved March 30, 2012 from http://ahpcc.org.uk/pdf/compaudittool.pdf
Marinell & James (2009). Jewish Views of Illness and Healing. Retrieved March 30, 2012
The research thus concludes the essence of having quality and effective legislation addressing the aspects of overall oral health of the people.
Additionally, the Canadian Dental Association also relates several issues of the overall body health to the oral health of the individual. In view of the article on the relation "oral health -- good life," the article gives information on the essence of good oral health, indicating some of the illnesses of ill oral health (Chattopadhyay, 2011). In this article, the relation between the ill oral health and the overall health of the body is that the mouth is the ingress to the body. Therefore, an individual with ill oral health is at the highest risk of having infection that affects the whole body system severely. According to this article, it emphasizes the need for dentists-patient relation as the dentists is the only person with the skill, expertise and…
Chattopadhyay, a. (2011). Oral health epidemiology: Principles and practice. Sudbury, Mass:
Jones and Bartlett Publishers.
Ramseier, C.A., & Suvan, J.E. (2010). Health behavior change in the dental practice. Ames,
But due to the ineffective allocation of resources, while money was spent on his care when his blood sugar was 'out of control,' and when he began to develop blindness and other symptoms of uncontrolled diabetes, he did not receive the consistent but relatively low-care necessary to reduce the causes of his inability to manage his condition. Conclusion Healthcare operates within the market system, and is subject to opportunity costs like any other good or service. However, overall the healthcare system does not operate upon the principles of efficiency, often due to the bureaucracy of the healthcare system and its methods of reimbursement and prioritizing acute over primary care.
Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. etrieved February 2, 2011 at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbV
Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. etrieved February…
Gawande, Atul. (2009, June 1). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. Retrieved February 2, 2011 at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1CpZ4jbVR
Gawande, Atul. (2011, January 24). The hot spotters. The New Yorker. Retrieved February 2,
2011 at http://www.newyorker.com/magazine/bios/atul_gawande/search?contributorName=atul%20gawande
Gibson, Jennifer, Douglas K. Martin, & Peter a Singer (2004). Setting priorities in health
Health care, and that too, a quality health care is one of the most basic needs of any human being. In current times, where the fast paced lives are getting faster each day, work stresses are increasing, streets are being storm with junk foods and fast foods, and pollution and congestion is increasing, human lives are getting more and more prone to physical and mental diseases. As a result, the importance of health care systems and health care facilities increases. While, surgeons and doctors are generally seen as the captain of the ship as far as health sector is concerned, very important personnel of the health sector are the nurses. Once quite ignored, the importance of the nursing profession was highlighted by Florence Nightingale, one of the nursing pioneers. Florence Nightingale broke the conventional perceptions associated with the profession of nursing and took it to a new level, explored various…
Lee, H. & Winters, C. (2006). Rural nursing: concepts, theories and practice. New York:
Joel, A. & Kelly, L. (2002). The nursing experience: trends, challenges and transitions. New York: Mc Graw Hill.
Lumby, J. & Picone, D. (2000). Clinical Challenges: focus on nursing. St. Leonards, N.S.W: Allen and Unwin.
Healthcare Psychology Stress Illness orkplace Matrix Use table describe relationship stress health workplace identify ways reduce stress workplace. If additional sources, include citations consistent APA guidelines.
Associate Level Material
Stress and Illness in the orkplace Matrix
Use the following table to describe the relationship between stress and health in the workplace and to identify ways to reduce stress in the workplace. If you use additional sources, include citations consistent with APA guidelines.
Include reference page.
hat is the relationship between stress and health in the workplace?
There is a strong relationship between stress and health in the workplace, as there is a significant number of individuals from around the world who believe that their jobs have a negative effect on their health. A study involving civil service employees in London generated conclusive results showing that many individuals experience low control in the workplace and that this lead to serious health…
Cardwell, M. And Flanagan, C. (2005). Psychology AS. Nelson Thornes.
Nguyen, S. Creating an Ethical Organizational Culture. Retrieved August 6, 2013, from http://workplacepsychology.net/2011/02/14/creating-an-ethical-organizational-culture/
The infant mortality rate is of 8.97 deaths per 1,000 live births. This rate places Kuwait on the 160th position on the chart of the CIA. The adult prevalence rate of HIV / AIDS is of 0.1 per cent.
In terms of economy, Kuwait is a relatively open, small and wealthy economy. It relies extensively on oil exports -- petroleum exports for instance account for 95 per cent of the total export revenues as well as for 95 per cent of the federal income. The Kuwaiti representatives have recently set the goal of increasing the oil production per day. Currently, Kuwait is facing the pressures of the internationalized economic crisis -- which however, due to recent economic surpluses in Kuwait, affects the economy to a lower extent.
Simultaneously with the increase in oil production, the Kuwaiti authorities are also focusing on diversifying the economic activities in the sense of supporting…
Agency, Kuwait News. "Blair's "Kuwait Vision." 15 March 2010. Zawya.com. .
Al-Ansari, H. And S. AL-Enezi. "Health Sciences Libraries in Kuwait." Bulletin of the Medical Library Association 89.3 (2001): 287-93.
Al-Awadhi, Olusi, Al-Saeid, Moussa, et.al. "Incidence of Musculoskeletal Pain in Adult Kuwaitis." Annals of Saudi Medicine 25.6 (2005): 459=62.
Al-Baho, A. "Resident's Guide to the Curriculum for Training in Family Medicine." December 2008. Kuwait Institute for Medical Specialization. .
While there are some differences according to jurisdiction, in general, if the defense is allowed by the judge to go to the jury.
The term illness of the mind is solely a legal notion. In the case of Bratty v. Attorney-General (Northern Ireland) (1963), Lord Denning declared that the foremost mental illnesses, which the doctors identify as psychoses, like schizophrenia, are plainly illnesses of the mind. Whether or not drug-associated psychosis will be considered to qualify as an illness of the mind will essentially depends on the division amid a fault of cause resulting from an underlying condition and a fault of cause caused by something external.
There is justifiable societal concern about the links between violence and illicit substance use. Such concern finds a focal point at the debate around the boundaries for the insanity defense where drug-associated psychoses are involved. This article outlined three potential approaches that…
Informed consent signifies one of the protections in studies on mental illness. Consent is a procedure that permits for the free choice by a knowledgeable and competent person to or not to partake in investigative procedures. Capacity for consent is not a stationary experience. It can transform with the circumstance of the person. The theory of informed consent was established on two distinctive legal philosophies. Every patient has the right to figure out what will or will not be completed on them and in regards to a fiduciary character of the patient physician affiliation it has to be articulated with the main purpose of endorsing individual self-rule while endorsing balanced decision formulation.
This article was very easy to read and attempted to break the subject matter down into everyday language in order to maintain clarity. It gave a very good overview of psychiatric drug testing on children and how…
Malhotra, Savita and B.N., Subodh. (2009). Informed consent & ethical issues in paediatric psychopharmacology. Indian Journal of Medical Research, 129(1), p.19-32.
4. What is the advantage of a "patch"?
Evidently, the drug rivastigmine causes gastrointestinal side effects, but the patch allows only a small amount to be steadily absorbed into the bloodstream and thus creates fewer negative reactions to the drug. The Novartis website makes the case for a patch over a pill by saying "On average, an older American takes 5 prescription medicines. These medicines may need to be taken at different times and managing them all may seem overwhelming" (Novartis, para. 1). In this case, a patch eliminates having to remember several doses each day of one of the medications.
5. What is "moderate" dementia? What is dementia?
Dementia affects brain function. There is no known cure for dementia. It refers to several illnesses (Alzheimer's disease, Lewy or DLB) involving behavior, memory, communication and learning problems. There are other conditions in the brain which damage nerves or blood…
Activa. (2008). Symptoms of Parkinson's Disease. Activa Deep Brain Stimulation. Retrieved January 20, 2008 from website: http://www.activadbs.com/symptoms.asp .
Medications and treatment. (2008). Parkinson's Disease Foundation Retrieved January 20, 2008 from website: http://www.pdf.org/AboutPD/med_treatment.cfm .
NHS. (2005). Holding Statement. National Institute for Clinical Excellence. Retrieved January 20, 2008 from website: http://www.nice.org.uk/nicemedia/pdf/Alzheimer_holdingstatement.pdf .
NHS. (2007). Final appraisal determination: Donepezil, rivastigmine, galantamine (review) and memantine for the treatment of Alzheimer's disease. Centre Director Report for Guidance Executive. National Institute for Clinical Excellence. Retrieved January 20, 2008 from Website: http://www.nice.org.uk/nicemedia/pdf/GE050705AlzFADSignoffReport.pdf .
Healthcare Infrastructure Memorandum
United States Surgeon General
Pediatric Doctors of America
Policy Change Memo
This memo is an attempt to gather your support in our efforts to change the existing policy regarding the funding of preventative screening programs for heart disease in adolescents. Your office currently concurs and supports the pay structure where preventative screening programs for heart disease are fully funded by the patient or personal insurance as well as your being totally against the programs being funded by Medicare or Medicaid. This would be fine if every child in America had personal insurance. However, as you are well aware, there are just too many Americans without basic health insurance. The American public has been seeing an escalated number of cases of adolescent Heart Disease and we therefore request you reconsider your position.
There is currently enough evidence to predict adults who may potentially get hypercholesterolemia and other heart…
Health Care -- Introduction of Evaluation Plan:
Los Angeles Department of Mental Health Services
he Los Angeles Department of Mental Health Services (LADMH) is the largest mental health department in the United States. reating more than 250,000 patients of all ages every year, LADMH stresses the importance of community for adequately addressing mental health issues. Furthermore, in order to serve its stated mission of enriching lives through partnership with the community, the Department has developed six long-term goals supported by multiple short-term goals.
he Mission of the Organization Responsible for Implementing the Program
he stated mission of the Los Angeles Department of Mental Health Services (LADMH) is "Enriching lives through partnership designed to strengthen the community's capacity to support recovery and resiliency" (Los Angeles County Department of Mental Health, n.d.)
he Program's Short and/or Long-erm Goals
LADMH is a comprehensive program that stresses the importance of community for effectively addressing…
The stated mission of the Los Angeles Department of Mental Health Services (LADMH) is "Enriching lives through partnership designed to strengthen the community's capacity to support recovery and resiliency" (Los Angeles County Department of Mental Health, n.d.)
The Program's Short and/or Long-Term Goals
LADMH is a comprehensive program that stresses the importance of community for effectively addressing mental health issues (Edmund G. "Pat" Brown Institute of Public Affairs, 2010). The organization has six long-term goals supported by multiple short-term goals. The first long-term goal, to "Enhance the quality and capacity, within available resources, of mental health services and supports in partnership with clients, family members, and communities to achieve hope, wellness, recovery and resiliency," is supported by the short-term goals of: developing a system providing a balanced and "transformed continuum" of services to as many County clients as possible, according to the program's resources; providing integrated mental/physical health and substance abuse treatment to improve service quality and the clients' well-being; assisting clients' establishment of their own goals and the best process for achieving those goals; inclusion and support of clients' families as a vital aspect of the clients' recovery (Los Angeles County Department of Mental Health, n.d.). The second long-term goal to "Eliminate disparities in mental health services, especially those due to race, ethnicity and culture" is supported by the short-term goals of: developing programs for early intervention for underserved populations; working with underserved communities to provide services in ways that reduce and overcome traditional barriers to treatment such as socioeconomics, culture, race, language, religion, age, disability and sexual orientation; develop programs that reach out to and educate the population in order to reduce the stigma of mental health treatment, promote tolerance of and increase compassion for persons suffering from mental illness, and reduce the incidence/severity of mental illness (Los Angeles County Department of Mental Health, n.d.). The third long-term goal to "Enhance the community's social and emotional well-being through collaborative Partnerships" is supported by the short-term goals of: creating effective partnerships/models for integrating mental/physical health and substance abuse treatment; establishing, supporting and enhancing the organization's partnerships with community organizations in natural environments to enhance the community's well-being; increasing collaboration with organizations, individuals and families that serve children and youth in order to address the mental health of children and youth; strengthening partnerships among mental health organizations, courts, probation and law enforcement to best address the mental health needs of the community's children and youth; partnering with educational institutions ranging from pre-school through higher education to enhance the provision of mental health services; and partnering with religious organizations to use spirituality in supporting mental health recovery goals (Los Angeles County Department of Mental Health, n.d.; (Edmund G. "Pat" Brown Institute of Public Affairs, 2010). The fourth long-term goal to "Create and enhance a culturally diverse, client- and family-driven, mental health workforce capable of meeting the needs of our diverse communities" is supported by the short-term goals of:
However, more empirical studies have been published in recent years which have both reported outcomes but also have acknowledged the complexity of the interaction of the number of variables involved in predicting outcome effects on children whose parents are substance abusers (Dworkin & Hirsch, 2004). This literature is particularly important because of the large number of children affected by substance abuse of various kinds and the social policy directed toward substance abuse offenders including parents.
Although the empirical research base is growing on the relationship of parental disability to child outcome effects (Emerick & Zirpoli, 2000) there continues to be a need for research that methodologically addresses specific critical parental disability factors.
Implementing Culturally Sensitive Crisis
In conclusion, when faced with an individual who is recognizably from a culture different from the crisis worker, some modification in approach will be considered. However, there is sufficient cultural diversity present in our…
Colangelo, N. (2007). Counseling gifted students: Issues and practices. In N. Colangelo and G.A. Davis (Eds.), Handbook of Gifted Education (2nd ed.), (pp. 353-381). Boston: Allyn and Bacon.
Colangelo, N., & Assouline, a. (1993). Families of gifted children. A research agenda. Quest, 4, 1-4.
Dworkin, M., & Hirsch, G. (2004). Responding to managed care: A roadmap for the therapist. Psychotherapy in Private Practice, 13, 1-21.
Emerick, L., & Zirpoli, T. (2000). Different concerns, different needs? Perceptions of gifted children and parents of children with disabilities. Paper presented at the conference of the American Association of Gifted and Talented, Little Rock, AR.
He is made at himself for not coming to terms with himself earlier in life and he is mad at himself for spending so much time "giving his love" to people - men -- who didn't deserve it. He says that if he could go back, he would go to school, he would embrace who he is, he would be honest with family about his sexuality, and he would have found a spiritual life sooner. Bruce is quite spiritual now. He is no longer Baptist, but rather he has taken up belief in the tenets of Buddhism, which he claims has brought him much peace inside as well as has made him more tolerant of others -- including whites.
One interesting fact about Bruce is that he says that he has never had a very strong identity to gay men either -- whether they are white or black. He seems…
Gay Men of African Descent (GMAD). (2010). Gay men of African Descent. Accessed on October 28, 2010: http://www.gmad.org/index.html
Sue, D.W., & Sue, D. (1999). Counseling the culturally different: Theory and practice
(3rd ed.). New York: John Wiley & Sons, Inc.
com). A certain amount of errors is to be expected, but there should not be so many that it demonstrates a certain level of skewedness about the model in its entirety. Thus, if the NHI model is the one which is selected, then it needs to be tested against a range of different scenarios. The following demonstrate some truly relevant what-ifs: what if the doctors only move half the projected volume; what if medicare slashes rates; what if competitors open a comparable program (dgapartners.com).
There are a range of factors which can change or adjust once a healthcare facility opens their doors for business. And as much as this facility is attempting to engage in a solid humanitarian effort, at the end of the day, it's still a business and people need to get paid. Thus, before engaging in further developmental activities, one needs to determine in what ways the…
Brakatu Ofori-Adjei, a. (2007). Microfinance: An Alternative Means of Healthcare Financing for the Poor. Ghana Medical Journal, 193-194.
Burnstein, L., Harris, R., & Love, L. (2012, August 30). Top Four Legal Issues to Consider When Opening an Urgent Care Center. Retrieved from Mondaq.com: http://www.mondaq.com/unitedstates/x/194082/Healthcare/Estate+planning+is+important+step
Burnstein, M., Harris, R.L., & Love, L. (2012, August 20). Top Four Legal Issues to Consider When Opening an Urgent Care Center. Retrieved from Mondaq.com:
Standards of Care/Mental Health/Cultural Competence
EMEGING STANDADS OF CAE/MENTAL HEALTH/CULTUAL
Sometime in 1999, the Surgeon General released Mental Health: A eport of the Surgeon General. Inside this report, it acknowledged that not every Americans, particularly minorities, are getting the equal mental health treatment, a discovery that provoked the Surgeon General to give out a supplemental report on differences in mental health care for individuals of color (Donini-Lenhoff, 2006). The addition, which was available in 2001, sends out one obvious message: culture does actually count. Cultural competency is considered to be one the vital ingredients in closing the differences hole in health care. It is looked as the way patients and doctors are able to come together and then talk about health issues without cultural differences stopping the conversation, nonetheless improving it. Fairly simply, health care services that are deferential of and receptive to the health beliefs, practices and cultural and…
Choi, H.M. (2006). ETHNIC DIFFERENCES IN ADOLESCENTS' MENTAL DISTRESS, SOCIAL STRESS, AND RESOURCES. Adolescence, 41(126), 263-83.
Donini-Lenhoff, F. (2006). HEALTH: Cultural competence in the health professions; insuring a juniform standard of care. The Hispanic Outlook in Higher Education, 65(45), 45.
Furler, J. & . (2012). Mental health: Cultural competence. Australian Family Physician, 39(5), 206-8.
Sawrikar, P. & . (2013). The relationship between mental health, cultural identity and cultural values in non-english speaking background (NESB) australian adolescents. Behaviour Change, 21(3), 97-113.
Controlling Violent Health Care Patients and Employees
This is a paper discussion on the identification and control of violence amongst health care patients and employees. It has 11 sources.
An Introduction to Violence
Violence has become a common feature of our society found in every area of the nation from quiet neighborhoods in the suburbs to the urbanized cities of the U.S. To make the matter worse, the media including radio, TV, private cable networks, have become a part of the culture that promotes the concepts of violence, if there is no violence exhibited in either every day programs then these programs, including those of children are presumed to be a failure. Hence, it would not be wrong to assume that our entire culture has been virtually gripped in a sphere of violence to which there is no end.
This culture of violence continues despite the fact that the sociologists…
Erickson L. Williams-Evans SA. Attitudes of emergency nurses regarding patient assaults. J Emerg Nurs. 2000; 26(3):210-215.
Felton JS. Violence prevention at the health care site. Occup Med. 1997; 12(4):701-715.
Hegal MT, Ferguson RJ. Differential reinforcement of other behavior (DRO) to reduce aggressive behavior following traumatic brain injury. Behav Modif. 2000; 24(1):94-101.
Levin PF, Hewitt JB, Misner ST. Insights of nurses about assault in hospital-based emergency departments. Image J. Nurs Sch. 1998; 30(3):249-254.
They offer the same flexibility and costs saving available to people at larger organizations. According an article published by Physicians Care,
"hen we set up a self-funded plan for a smaller employer, we help them select the appropriate level of stop-loss or excess-loss insurance, which provides reimbursement for large catastrophic claims. Stop-loss insurance allows smaller employers to consider this very economical approach to providing employee health benefits because it protects them from large claims ("Is Self-Funding or Fully Insured Right for Your Company?")."
Although self-funding can offer many organizations with the chance to reduce costs there are instances when this option is simply not appropriate. The inappropriateness of the option has a great deal to do with the demographics of the employees. If a company has a significant number of older workers or workers with chronic illnesses, such a plan would not be advantageous. The main reason for the lack…
Advantages of Self-Funding. Retrieved September 30, 2009 from; http://www.physicianscare.com/content/public/default.aspx?id=327
Gammon, R.B. (2009) Self-funded health care could lower costs. The Business Journal of Milwaukee - by Retrieved September 30, 2009 from; http://milwaukee.bizjournals.com/milwaukee/stories/2006/02/27/focus4.html
Self-funded health insurance: It's about risk, vulnerability, cost savings
Schreck, Tom the Business Review (Albany) - by for the Business Review Retrieved September 30, 2009 from; http://albany.bizjournals.com/albany/stories/2005/12/05/focus4.html
Secondly, there is a need for a Code of Ethics to interpret mental health in these settings. Third, therapists require training that consists of knowledge about the cognitive, social, emotional and psychological development of deaf people. Fourth, interpreters also need specialized training for therapeutic contexts. Finally, both therapists and interpreters need to work collaboratively with the deaf community's professional organizations to offer informative and psychoeducational workshops for deaf members and to provide them with further insights on the role that the therapist plays, the purpose of and techniques that are used in therapy and the function of the interpreters and families in the therapeutic process.
Given this found need for better training, education and understanding by healthcare professionals and interpreters, it comes as no surprise, then, that deaf individuals may be reluctant to get mental health care support when they need it or have greater fear, mistrust and frustration than…
DeVinney, J, & Murphy, S. (2002) Mental Health Experiences and Deafness: Personal and Legal Perspectives. Psychiatric rehabilitative journal, 25(3), 304-309.
Cornes, a. & Napier, J. (2005) Challenges of mental health interpreting when working with deaf people. Australasian Psychiatry. 13(4).
Dickert, J. (1988) Examination of Bias in Mental Health Evaluation of Deaf Patients.
Social Work, May-June.
Making available recovery program treatment besides collaborating with partnership to leverage resources and knowledge is a role that I perform in efforts of helping clients access care. I am also involved in continual community-based quality improvement programs that are designed to support care access and quality.
B. Veteran Centered Care
With respect to centered care, I normally assist with provision of alternatives to inpatient care for mental health linked problems. Additionally, I make CVT available for weekend and evening hours. As a MHICM practitioner, I perform various administrative and clinical functions for clients and my team. Clinical tasks entail stress and crisis management, group therapy, advocacy and treatment planning. I also ensure that patient preferences with respect to appointments and mental health care providers are maintained.
C. Performance Measures
I offer administrative and clinical supervision for my team besides facilitating cohesiveness communication, education programs and systems concerning community-based services. Given…
Committee on the Robert Wood Johnson Foundation initiative on the future of nursing.(2011). The future of nursing: Leading change, advancing health. New York: National Academies Press
Daniels, R., & Nicoll, L.(2011). Contemporary medical-surgical nursing, Volume 1. New York: Cengage Learning.
Sullivan-Marx, E.(2010). Nurse practitioners: The evolution and future of advanced practice. New York: Springer Publishing Company.
Thonicroft, G. (2011). Oxford textbook of community mental health. London: Oxford University Press.
healthcare system is regarded as one of the most expensive across the globe though it underperforms as compared to other developed and/or advanced countries. The states of America's healthcare system relative to its costs have attracted considerable attention from policymakers, health experts, and business leaders. These various stakeholders continue to look for viable means of improving and reforming the system in order to enhance its efficiency and improve performance. One of the major ways towards this process is comparing the U.S. healthcare system with those of other countries in terms of costs and efficiency. This article compares the American healthcare system with that of Canada and Germany with regards to costs, services provided, and outcomes like infant mortality and insurance coverage.
United States, Canada, and Germany Health Care Systems
As previously mentioned, the American healthcare system is the most expensive throughout the world though it significantly underperforms across…
Baribault, M. & Cloyd, C. (1999, July 26). Health Care Systems: Three International Comparisons. Retrieved from Stanford University website: https://web.stanford.edu/class/e297c/poverty_prejudice/soc_sec/health.htm
Davis et. al. (2014, June 16). Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally. Retrieved April 29, 2015, from http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror
Ridic, G., Gleason, S. & Ridic, O. (2012). Comparisons of Health Care Systems in the United States, Germany and Canada. Materia Sociomedica, 24(2), 112-120.
Thomson et. al. (2013, November). International Profiles of Health Care Systems, 2013.
Trauma-informed care is an approach in mental health care and nursing practice that recognises the existence of trauma in the life of patients receiving mental health care, irrespective of whether or not the trauma is known to exist (Isobel & Edwards 2017). Clinicians who employ this approach acknowledge the complexity of trauma, and integrate the principles of safety, trustworthiness, choice, collaboration, and empowerment in care delivery (Qadara, 2013). Using this approach can result in better patient outcomes as well as more effective and fulfilling clinical practice. This essay discusses how trauma-informed care informs the provision of mental health care in Australia at a policy level and for consumers. Also, the essay highlights how this approach will influence the author’s mental health nursing practice.
Before progressive further, it is important to have a comprehensive understanding of what trauma-informed care entails. Trauma-informed care involves recognising the existence of traumatic experiences in mental…
US Mental Health Assistance
Mental health problems or mental illnesses are among the major public health issues in the United States given their prevalence. Mental health illnesses affected nearly all populations in the United States including children and adults. However, the prevalence of mental illnesses among adults is high in comparison to other populations. Mental health problems among adults in the U.S. incorporate many different conditions whose degree of severity varies from mild to moderate to severe (National Institute of Mental Health, 2019). One of the major contributing factors to the prevalence of mental illnesses among adults in America is the rapid growth of the aging population. Adults suffering from mental illness don't always understand they are sick and are difficult to help. Our system puts them out on the street or locks them up. There is need for policy changes to address the prevalence of mental health illnesses among…
17). Likewise, left untreated, mental health problems such as anxiety disorders can result in increased healthcare utilization over the lifespan, but access to effective and proven mental health treatments remains a problem across the country (Gauthier, 2004) .
The research showed that a wide range of efficacious treatments exist for mental health disorders that can help people regain control over their lives and avoid the long-term adverse consequences of untreated mental disorders. Unfortunately, the research also showed that just a tithe of those with mental health disorders receive treatment for them because a broad array of obstacles remain in place that inhibits or prevents access to timely and effective interventions. These obstacles were shown to include the fact that mental health care is costly, services are often fragmented, and insurance is frequently nonexistent or inadequate for the mental health services that are needed. In addition, other obstacles were shown…
Allen-Kelly, K. & Charikar, K. (2010, Autumn). Social workers and occupational therapists shut out of Medicare. Impact, 17-19.
Brindis, C.D., Morreale, M.C. & English, a. (2003). The unique health care needs of adolescents. The Future of Children, 13(1), 116-117
Conyne, R.K. (2004). Preventive counseling: Helping people to become empowered in systems and settings. New York: Brunner-Routledge.
Gauthier, J. (2004). The costs of anxiety disorders and their treatment: a commentary. Canadian Psychology, 45(3), 219-221.
AIZONA'S COECTIONAL HEALTHCAE SYSTEM
Arizona's Correctional Healthcare System
The Arizona Department of Corrections (ADC) is the agency ultimately responsible for providing healthcare to the state's prison population. Even though the Healthcare Services division within the ADC manages the medical clinics in Arizona's prisons, there are a number of sections and divisions that have important roles to play in ensuring inmates receive the care they are legally entitled to recieve. This essay describes the structural organization that ultimately provides healthcare to inmates and how it operates to ensure statutory compliance.
Arizona's Correctional Healthcare System
Arizona Department of Corrections Organizational Structure
The Arizona Department of Corrections (ADC) is ultimately responsible for providing healthcare for the prison inmate population in the state of Arizona (ADC, 2011). This state agency is responsible for maintaining and administering all ADC institutions and programs, including community supervision for adult inmates released to their communities. The…
America Civil Liberties Union. (2009). Know your rights: Medical, dental, and mental health care. ACLU.org. Retrieved 15 Dec. 2011 from http://www.aclu.org/prisoners-rights/know-your-rights-medical-dental-and-mental-health-care
Arizona Department of Corrections. (2011). AZCorrections.gov. Retrieved 15 Dec. 2011 from http://www.azcorrections.gov/
Arizona Department of Corrections. (2011). Medical Services. AZCorrections.gov. Retrieved 15 Dec. 2011 from
Health Care System
Health care providers must be properly integrated at every system level and must be allowed to lead the processes of designing, implementing and operating ideal health systems. esearch works identify a number of challenges with regard to healthcare personnel integration. Apparent loss of control, status, returns or practice style modifications may lead to healthcare providers becoming discontented. This discontentment can give way to bitterness and, ultimately, practitioners may end up resisting change (Suter et al., 2009).
Capitalizing on current networks, an intense emphasis on patients and informal inter-provider bonds are anticipated to ease healthcare practitioners' functioning within ideal healthcare systems. Economic integration of healthcare providers, utilization of compensation structures for recruiting and retaining the best candidates, measures for improving workplace climate quality and financial incentives are identified as crucial to system success.
Facilities and Supplies
Amodel healthcare system would include a standard formulated list of…
Nelson, A. (2002). Unequal treatment: confronting racial and ethnic disparities in health care. Journal of the National Medical Association, 94(8), 666.
Suter, E., Oelke, N. D., Adair, C. E., &Armitage, G. D. (2009).Ten Key Principles for Successful Health Systems Integration. Healthcare Quarterly (Toronto, Ont.), 13(Spec No), 16 -- 23.
Forensic Mental Health Legislation and Policies
The current position on forensic mental health issues when it comes to legislation and policies is a strong one, but there are some difficulties that do not translate well into the probation and parole policies that are currently offered. In other words, there are issues that are not being addressed, and that are allowing individuals with mental health problems who on are probation and parole to slip through the cracks and struggle with their issues on their own (Wang, et al., 2005). Not only are they not getting the help they need in order to live productive lives, they are also more likely to reoffend, violate their probation or parole, become homeless, drink to excess, do drugs, and get involved in other unsavory behavior (Patel & Prince, 2002). The high proportion of indigenous offenders is one of the biggest issues that indicates mental health…
Australian Government (2012). Mental health services in Australia. Retrieved from https://mhsa.aihw.gov.au/home/
Demyttenaere, K., Bruffaerts, R., Posada-Villa, J., Gasquet, I., Kovess, V., Lepine, JP., Angermeyer, MC., Bernert, S., et al. (2004). WHO World Mental Health Survey Consortium. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Survey. Journal of the American Medical Association, 291(21): 2581 -- 2590.
Keyes, C. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behaviour, 43(2): 207 -- 222.
Munce, S.E., Stansfeld, S.A., Blackmore, E.R., & Stewart, D.E. (2007). The role of depression and chronic pain conditions in absenteeism: Results from a national epidemiologic survey. Journal of Occupational and Environmental Medicine, 49(11): 1206 -- 1211.
Mental Health, and Welfare
Society, mental health and welfare:
A problem related to counseling (under-insurance) and a social problem (the lack of adequate healthcare coverage)
The course text Social action: A mandate for counselors discusses the ethical implications of such issues as race and social injustice in the counseling profession. However, perhaps even more important than these factors is the issue of class, specifically the affordability of counseling on an individual basis. Wealthier individuals with better insurance or who can afford to pay 'pout of pocket' often have the luxury of 'talk' therapy that poorer people, or people without adequate health insurance, lack. This creates a 'haves' versus 'have not' situation in terms of the availability and the quality of counseling. Poorer individuals with minimal insurance coverage for mental health care are often offered fewer counseling sessions, or have their psychological complaints treated as medical disorders, rather than fully addressed…
Considering some practical matters. (2011). AMHA (American Mental Health Alliance).
Retrieved June 8, 2011 at http://www.americanmentalhealth.com/index.tpl?page=10737827503031878
Harris, G. (2011, March 6). Talk doesn't pay. The New York Times. Retrieved June 8, 2011 at http://www.nytimes.com/2011/03/06/health/policy/06doctors.html?_r=1&scp=1&sq=psychiatrist%20talk%20therapy&st=cse