Behavioral Health Case Summary

Behavioral healthcare has morphed its face over the last century from one that was focused on inpatient psychiatric hospitals to community-based behavioral health centers. From the beginning, “notions that people with mental illness are sometimes unpredictable and perhaps dangerous to know”, has caused a large stigma associated with behavioral health (Lawrie, 2015). With these changing facets also come challenges. There are challenges of consumer expectations and the treatment of behavioral health disorders from primary care providers. Insurance access also raises another challenge, that has slowly changed, as well as the retention of staffing. The financial stability of a facility is also an important factor for healthcare and for the behavioral healthcare system.

Columbus Regional Health (n.d.) serves 10 counties in Southeast Indiana. The demographics include a predominantly Caucasian population of approximately 300,000 people (Economic Opportunities through Education by 2015, n.d.). In southeastern Indiana, about 140,000 individuals have employment (Economic Opportunities through Education by 2015, n.d.). Of those individuals, 15% of them, who are over the age of 24, have a bachelor’s degree (Economic Opportunities through Education by 2015, n.d.). Approximately 30% of the high-school students drop out in this mainly rural area with a flat population growth (Economic Opportunities through Education by 2015, n.d.). CRH’s MH unit provides psychiatric services to adults 18 years and older. Most patients have either psychosis or thoughts of hurting themselves or others.

Regardless of age, life can challenge an individual with complex issues such as mental illness and substance abuse. The Cone Health Behavioral Health Hospital, one of the many

Mental health services and resources in League City, Texas seem to be available for those individuals who are in need of help and qualify for any assistance offered by the facilities. For example, “Devereux Advanced Behavioral Health is one of the largest and most advanced behavioral healthcare organizations in the country. We have a unique model that connects the latest scientific and medical advancements to practical, effective interventions in the treatment of behavioral health. We were founded in 1912 by one of the first pioneers in the field, Helena Devereux. Today, we are a national nonprofit partner for individuals, families, schools and communities, serving many of the most vulnerable members of our society in areas of autism,

The Behavioral Health Services outpatient clinic is located in a diverse community in Williamsburg Brooklyn, and although the organization’s mission reflects service delivery to multicultural populations in the borough, the agency service towards the Latino population continues to show high in numbers for clients’ satisfaction with services, more than other populations. The community demographics are made up of people who identify as minorities from different ethnic cultures who can receive services. Although some people may refuse services, Susanna and I believe that the agency is not active in reaching out to diverse populations within the community, who could benefit from the services. The agency services do not appear to be culturally

Rosemont Center is located in Columbus, Ohio. It provides for the physical, emotional, mental and spiritual well being of troubled youth and their families. Rosemont is committed to helping children in need; it is dedicated to healing and renewing youths with a history of trouble and abuse. Rosemont provides the unconditional acceptance, treatment, counseling, education and hope that the youths urgently need to be more productive members of the community. Rosemont had two locations, Rosemont-Bay Saint Louis and Rosemont-Jackson (Swayne, Duncan & Ginter, 2008).

Gracepoint helps thousands cope with mental illness and substance abuse. Recently I learned about fostering resilience and positive development through the ecological understanding of individuals and their environments. A community that cares promotes healthy behaviors, early childhood attachments, strong social bonds, psychoeducation, thus developing opportunities for those who are in need. It is important to focus on early interventions that are rooted in building these connections, but programs, intervention, and prevention cannot solely offer this support. Gracepoint not only offers crisis intervention; they offer that connection patients need to their community, so that they can begin the process of recovery. Facilities such as Gracepoint depend on a community who is attentive and they are desperate need of continuous founding and support. Furthermore, as future behavioral healthcare providers we must encourage adults to engage in discussion, mobilize young people, activate sectors, invigorate programs, and influence civic decisions to raise awareness of the existence of these centers and mental health programs. This interplay between individuals through which psychological, social and physical resources are secured promotes the healthy community we all wish to live

Yuma County has been designated as a medically underserved area not only in primary care and dental services, but also behavioral health services, as a shortage of providers in these areas has been identified (AZDHS, 2014). As a somewhat geographically isolated area, access

A behavioral health professional (BHP) is responsible to use systemic therapeutic framework to conceptualize and manage family dynamics in a primary care setting. The BHP must review the contextual dynamic between the patient and family members. To address this, the BHP must utilize core traditional and behavioral health competencies to develop targeted systemic assessment and interventions for the family members and the patient. Target systemic assessment and interventions, relational management and systemic leadership can help the BHP acquire and understand family dynamic patterns and appropriate interventions for the care plan (McDaniel, Campbell, Hepworth and Lorenz, 2005; Robison and McDaniel, Doherty and Hepworth, 2014).

An ideal Behavioral Health Practice electronic health record (EHR) system helps psychiatrists, counselors and psychologists manage their scheduling, chart notes and billing processes efficiently within a safe, secure environment that protects patient privacy and improves internal productivity. There are myriad ways that installing a practice specific system benefits providers and patients. Here are three signs your mental health organization needs a Behavioral Health EHR.

The role as a counselor is to find value in helping through clients. This profession requires a lot of patience and understanding. Changes in the most recent CORE standards are designed to move the discipline and practice of rehabilitation counseling in the direction that is responsive to an intersection of identities and positionalities in a diverse society. ( Harley, Alston & Whittaker, 2008). Patients should be treated similarly when deciding where treatment is to occur either in the consultation room, bedside, or if needed at home and must be seen in similar contexts. The place of consultation should be clinic and the time should also be during the consultation hours. If the psychiatrist charges fees, he should keep charges that are reasonable for that area. (Aravind, Krishnaram, & Thasneem,

I believe an excellent alternative to the current approach to behavioral health issues would be the incorporation of Telemedicine encounters into the reimbursement schedule for Medicaid patients. If Medicaid and other payers in the industry would take a more proactive approach to the treatment of diseases and illnesses such as substance abuse or PTSD, then there would be more exposure and treatment available to people who suffer from these conditions and it would increase the overall population health in areas where Telemedicine services are provided and encounters with psychiatrists can be conducted via videoconferencing between the patients in their home and providers at their usual location that wouldn’t otherwise have been conducted at all.

The scope of this paper covers the veteran’s behavioral health crisis from three points. Firstly, providing a description of post-traumatic stress disorder as a worst case frame of the behavioral health issues faced by service men and women. Next, it approaches the consequences of these problems suffered by the afflicted and their families. Lastly, a brief critique of the primary care resources available assessing their good and bad points. Concluding with a synopsis of the covered material, culminating with a call for greater communication, outreach and community support.

It provides valuable research and independent analysis on rural health care to federal and state policy makers. This report provides loads of information on demographics and the health care system in Wyoming which helps to understand its dynamics and the challenges it faces. From the population trends it is clear that the youth and working population is shrinking. With the total population on the rise, the elderly will make up most of the total population by 2020, and it will be more ethnically and racially diverse. This will put more stress on already over-burdened health care system. To make things worse, there is a significant shortage of health care personnel and staff in a state with over half a million population. The challenges with recruitment and retention of healthcare workforce make it extremely difficult to provide health care to rural population. Most of Wyoming’s area has been designated as primary care vulnerable because of its low population density which means there is an inadequate supply of primary health care in these areas. The authors also talk about heavy reliance of Emergency Medical Services (EMS) on volunteers, with most of the certified ambulance personnel (77%) composed of non-paid volunteers or part-time

As seen above, although there is an overall imbalance between the supply and demand of mental health care throughout the country, rural areas are most affected. Various factors influence health care workers’ decision to avoid the rural localities, one of which is the unfavorable living conditions in these areas. Many of the rural areas do not offer the luxury or prestige that most of the health workers desire in the modern age. For example, the housing facilities may not match those that they can find in a modern city. The rural areas are also likely to like the modern transport infrastructure that is enticing to many graduates. Moreover, staying in such localities may mean limited access to technology, something that the modern age physicians may not agree to. They, therefore, opt for the urban centers where there is better housing, better transport means, and easier access to diverse technologies. This intensifies the already high shortage of mental health care workers.