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Mental Health Reform

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Jasmine Brower

on 21 February 2016

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Transcript of Mental Health Reform

Mental Health Reform
Health Care Reform Today
Prescription Medication
Mental Health History
Mental Health Stigma
Mental Health Insurance
Case Management
History
In 1752, The Quakers in Philadelphia were the first to organize care for the mentally ill

Pennsylvania hospital provided rooms in the basement complete with shackles to house a small number of mentally ill patients

Within a year or two the press for admissions required additional space and a ward was opened inside the hospital

In 1856 a new Pennsylvania hospital for the insane was opened and remained open under different names until 1998

Benjamin Rush was considered the father of psychiatry

By 1844, 25 public and private hospitals had been established in the United States.

Dorothea Dix (1802-1887) a school teacher was an advocate for the mentally ill.

Her efforts are credited with the establishment of 32 hospitals.




Bellevue Emergency Room
HR 2646 which is called "The Helping Families in Mental Health Crisis Act of 2015"


The Mental Health Reform Act of 2015


Both bills will improve our nations mental health system by realigning federal policy and funding to support treatment for mental health


Access to medication is critical for people with serious mental illness. In the last decade medications have been developed with better outcomes and fewer side effects.

Decreased funding on mental health medication results in more money on services like crisis care and hospital services

Follow-up of prescribed medications with patients and also their caretakers
Current Problems
Solutions
Trial 1st generation medications that may replace a multitude of several medications decreasing polypharmacy.

Pharmaceutical companies providing samples to providers, funding research studies to patients to evaluate results and offering generics

Offering more case management services.
Current Problems
Assertive approach to case management.

Lack of housing, transportation, security and out-patient services.

Lack of funding to provide case management services to mental health patients.
Solutions
Providing multiple levels of case management services as well as multiple levels of hospital care.

Establish additional shelters, provide public transportation through Medicare.

Explore grants through the Department of Health and Human Services, NAMI and Sam
History (cont.)
Current Problems
Mental Health insurance is very expensive compared to other medical insurance.

There are limited providers and services.

Funding for mental health is declining.


Solutions
Current Problems
Isolates the patient from society.

Can exclude patients from access to housing, employment, insurance and appropriate medical care.

Stigma causes needless suffering, causing a person to deny symptoms, delay treatment and refrain from daily activities.
Solutions
Provide professional development and educational opportunities

Become a mental health/illness advocate

Explore collaborations with NAMI, ICN,NSF, and DBSA for funding opportunities.
Stigma Video
Ensure that insurance companies are held accountable.

Expand the number of providers to increase access.

Provide early investigation strategies.

Implement "no wrong door" so that people can access services from anywhere.

Continue to explore and implement best practices that increase outcomes.
Conclusion
There are multiple issues in the mental health system that require reform:
Case management
Prescriptions
Health Insurance
Stigma

We plan to receive funding from grants through the Department of Human Services, NAMI, Sam, NSF etc.
References
Hinshaw, S. P., Cicchetti, D., & Toth, S. L. (2006). Mark of Shame : Stigma of Mental Illness and an Agenda for Change. Cary, NC, USA: Oxford University Press. Retrieved from http://www.ebrary.com

Mitchell, P. (2008). Mental health care roles of non-medical primary health and social care services. Health and Social Care in the Community, 17, 71-82. http://dx.doi.org/10.1111/j.1365-2524.2008.00800

"Mental health: strengthening our response". World Health Organization. August 2014. Retrieved 4 May 2014.

"The World Mental Health Survey Initiative". Harvard Medical School. Retrieved 23 January 2016.

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