Case Study: Southwest Virginia Mental Health Institutions

My community clinical was at the Denver House Mental Health Association located in Tulsa, Oklahoma. This is a day center for targeted for the people with mental illnesses and homeless, which opened in 2012 (mhaok.org). Many of the homeless population in Tulsa, Ok suffer from a mental illness. Due to the lack of resources in our community, those who suffer from a mental illness end up on the streets. The day center provides a safe warm place for the homeless and those with mental illnesses. They provide a stigma free welcoming environment were those feel welcome to come and interact with peers. The organization also has specific workers that help with finding shelter, apartments, and jobs. They also have a community closet for clothing that is open every Tuesday and Thursday. You must be 18 years old, be drug free while on premises, and follow basic rules to come to the Denver House.

According to the World Health Organization, mental illness will affect approximately 25% of people at some point in their life (“WHO Qualityrights”, n.d.). Despite that, the current mental health care system in the United States is inadequate. Many aspects of the system need improving, especially the barriers to service. In fact, approximately 20% of individuals are left without necessary treatment for their mental health disorder (“Mental Health”, 2016). Mentally ill individuals have difficulty accessing necessary mental health care services for various reasons; insurance, socioeconomic status, and mental health stigma can all function as barriers to treatment. Insurance discrimination can make it difficult for individuals to find treatment (Han, Call, Pintor, Alarcon-Espinoza, & Simon, 2015). Gaps in insurance coverage can also be a barrier, as they disrupt the long-term treatment process (Gulley, Rasch, & Chan 2011). Socioeconomic status has been found to negatively affect appointment scheduling (Kugelmass, 2016). Finally, stigma in our society can also stop people from seeking out treatment that they need (Bathje & Pryor, 2011). The mental health system in the United States is not capable of caring for the mentally ill, as insurance, socioeconomic status, and perceived stigma all act as barriers that prevent people from receiving the treatment they need.

In the United States the Mental Health Care field is one of the most underserved areas of healthcare. The mental healthcare field faces many challenges to the proper treatment of patients from both a societal and professional standpoint. From a societal perspective a negative stereotype is associated with patients seeking psychiatric care. Patients seeking care are often labeled as defective or damaged. Add in the complication that most patients with mental illness appear to be normal, accepting that someone is ill without outward symptoms can also be difficult for a society to understand. From a professional perspective the challenges within the mental health care industry include personal prejudice, staffing issues, and problems with coordinating care. The combination of these factors has a direct negative impact on the willingness of individuals suffering from mental illness in seeking the care needed to treat the symptoms of mental illness.

Residential Services: On Sunday, July 19th 2015, it was reported to SC that Jamar and his roommate attempted to run from the facility. In doing so, Jamar broke a window and caused physical injury to his knee while trying to jump a fence. Ms. Knox contacted SC via email stating the facility was interested in having Jamar removed from the facility and Jamar would be charged with Malicious Damage to Property under $2,000.

The crest mental health residential organization are located at Elgin field road property near Lucan, Ontario. There are lot of families live at this place and this place also focus on health stabilization, life skill improvement and community rehabilitation. The 8- unit apartment building available at this place for individuals. The two-location present at this place like supports attention on increased independence which provide day or night support for individual with serious mental illness, including mental health and developmental disability.

The healing hands health rights campaign is an initiative by ANTaR which was launched in February 2004. The campaign itself is an effective way of promoting health as a fundamental human right issue, raising awareness of political will and promoting the need for a change in policy so that resources are allocated on the basis of indigenous health. The development of the campaign and the various tactics employed have enabled the issues of indigenous health rights to come to light as a serious matter amongst the general public, political parties, organisations, media etc. The campaign and the information kits readily available are a practical way of promoting the

I have worked for the West Virginia Division of Rehabilitation Services (WVDRS) for over three years as a Rehabilitation Service Associate. During that time I have been given the opportunity to work with the clients that we serve on a regular basis. However, the practicum experience provided me with an opportunity to gain a deeper understanding of the rehabilitation process and what it means to work as a team with individuals to achieve goals. The practicum experience also gave me insight on the processes involved in providing individuals information and assistance in finding solutions to help overcome or work through challenges encountered on a daily basis.

The Olmstead case began in 1995 with two women, Lois Curtis and Elaine Wilson who had developmental disabilities and a history of institutional treatment for psychiatric disorders. They were voluntarily admitted at different times, to a secure unit of Georgia Regional Hospital to stabilize and administer to their immediate needs, then continued treatment on an out-patient basis which was the normal course of action for this hospital. Through clinical assessments, the treating physicians determined that each woman was able to receive appropriate supports and services in a less restrictive, community based setting. The hospital administrators moved Lois and Elaine to a state-run institution, and refused them placement in a community setting, apparently due to a lack of state funding to make this transition possible. (https://www.law.cornell.edu/supct/html/98-536.ZS.html)

The Massachusetts’ mental health system is a broad system consisting of public and private institutions, health insurance, laws and public policies. The Department of Mental Health (DMH) is a core part of the Massachusetts’ mental health system. This state run organization was put in place to ensure mental health services to the mentally ill and to fund research aimed at finding the causes of mental health. ( dept mental health info)Due to the deinstitutionalization process beginning in 1955, when many state run hospitals were closed because of the development in antipsychotic medication (p53), the DMH increased its support in community services, such as community mental health centers.( dmh)

As a refresher, I am interning at Mercy Behavioral Health Service Coordination Unit (MBH-SCU). Overall, I am enjoying the roles and activities in MBH-SUC and I believe that the experience is a very valuable learning practice. This reaction paper discusses a concept as it relates to my field practicum/field experience: Diversity and inclusion in healthcare organizations.

Tristan is a sixteen year old male that has been admitted to Newport News Behavioral Health Center for the following reasons: mood instability, impulsivity, substance abuse, and poor impulse control.

Ultimately we want to increase the overall mental health in Muskingum County. Again, we believe that mental health is a key component to our overall health. Increasing Muskingum County’s mental health we believe would increase Muskingum County as a whole. When people are healthy and happy, who knows how far they could go in life or what our community as a whole could accomplish.

South Florida Behavioral Health Clinic, Inc. is a comprehensive and federally qualified health clinic serving residents of all ages, races and ethnicities, with or without insurance, within Miami-Dade, Broward, and Palm Beach counties for more than 15 years. SFBHC encompasses 6 health clinics across South Florida, and employ approximately 25 providers with over 135 staff members. The SFBHC main purpose is to provide residents in South Florida with effective treatments and services for mental and/or substance use disorders. Recent changes in the United States health system has helped remove barriers for citizens to access behavioral health services. As a result of the Affordable Care Act, a range of health plans are being required to cover essential benefits including mental health and substance abuse treatments.8 The Affordable Care Act extends the impact of the Mental Health Parity and Addiction Equity Act (MHPAEA) so that many health plans must offer coverage for mental health or substance use disorders with at least an equal level of benefits as the plans offer for the treatment of physical health problems.8 Services at SFBHC include: individual/group counseling, supportive services, evidence-based treatment and

The National Alliance of Mental Illness (NAMI, 2015) estimates 1 in 5- 48.8- million adults in the United States are diagnosed with a mental illness each year. Amongst adolescents and children, it is estimated 1 in 5 youth ages 13-18-(21.4%) have, or will have a serious mental illness every year (NAMI, 2015). For children ages 8-15 the prevalence of experiencing a serious mental illness at one point in their life is 13% (NAMI, 2015). Although, children and adolescents are most commonly diagnosed with mood, conduct and anxiety disorders, there are those who occasionally experience psychotic disorders such as early onset schizophrenia.

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).