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Mental Health Reform
Transcript of Mental Health Reform
Health Care Reform Today
Mental Health History
Mental Health Stigma
Mental Health Insurance
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
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.
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.
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
Mental Health insurance is very expensive compared to other medical insurance.
There are limited providers and services.
Funding for mental health is declining.
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.
Provide professional development and educational opportunities
Become a mental health/illness advocate
Explore collaborations with NAMI, ICN,NSF, and DBSA for funding opportunities.
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.
There are multiple issues in the mental health system that require reform:
We plan to receive funding from grants through the Department of Human Services, NAMI, Sam, NSF etc.
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.