Cost Of Not Caring

People with mental illness have always been discriminated against; to have an exclusion such as this go through Congress without being repealed is reprehensible. The IMD Exclusion provides the states with financial incentives to provide substandard care, or no care at all. It encourages states to shift costs by placing mentally ill patients anywhere but psychiatric hospitals (Davoli, 2003).

The lack of treatment for mental illnesses — due partly from the stigma with which it is associated with — comes with a number of public issues: economically,

Mental Health coverage prior to the Affordable Care Act was far to none. With about nearly one-third of currently covered individuals having no coverage for substance abuse disorder services and approximately 20% having no coverage for mental health services. Services such as outpatient therapy visits, impatient crisis intervention and stabilization were among many that were not offered. Since the Affordable Health Care Act has been passed more individuals are able to afford health insurance that were once uninsured. It has helped many individuals in being able to obtain medical services that were once inaccessible.

One of the biggest contributors for poor healthcare is the stigma against mental health. This stigma allows healthcare providers to view those with a mental illness as having low relevance, thus creating disinclination towards providing adequate resources and/or care. This negative stance, based on misinformation and prejudice creates those that have a mental illness to lose their self confidence. Because of this loss, people with mental illness decide not to contribute to their health or livelihood. In the past fifty years, many advances have been made in mental healthcare. However, with the attached stigma, many people choose to not seek out treatment.

Misinformation and misperception about mental illness can lead to the stigmatization of ourselves, our parents, our children, our spouses and others that we care about. The consequences of stigma range from social isolation to poverty to barriers to quality treatment and care. Stigma perpetrated on a grand scale can result in a system that reinforces the idea that people diagnosed with mental illnesses are unimportant and therefore are unworthy of access to quality and affordable care. Some media outlets (films and television) serve to perpetuate negative stereotypes and reinforce stigma. Although relatively few people with mental illness act out in

Individuals with a mental health illness tend to experience discrimination due to misinformation, assumptions and stereotyping. Many people in our society are not educated on the subject of mental illnesses and often have misconceptions about the conditions and what affects these pre conceived ideas can have on the individual suffering from the

In the book, Crazy, by Pete Earley, provides a detailed overview of the mental health system in the United States, as it presents a first hand narrative of Earley’s family journey through the system. The author’s major premise and arguments, in the book, is to highlight the history of mental health, navigation through the judicial system with mental illness, the bureaucracy and policies of hospitals, society views on human rights and client safety, and the impact on the individual, family, and community. The content suggests that human service workers and public health workers should extend their professional lens to advocate for change in the mental health system in the United States.

Within the past two decades there’s been a revival in efforts to reduce stigmatization attached to mental illnesses. It was concluded that if mental illnesses were perceived better as ‘real’ diseases by the public that stigma would go down greatly. Reports proposed the idea that better scientific understanding of mental illnesses by the general public could greatly reduce stigma. Stigma is intensely rooted in social and cultural norms it’s patterns devalue and dehumanize groups of individuals within society (in this case mentally ill people). Stigma constructs barriers for individuals, barriers that limit a person’s abilities to have equal opportunities for employment, safe housing, health care and social relationships.Efforts to reduce stigma in recent years have

The issue regarding the lack of healthcare in America is prominent but is a more significant issue than what is commonly known. For instance, it is not publicly recognized that those who are mentally ill are covered by the same healthcare as those with conventional ailments. Because of this, money becomes an issue; health insurers cannot cover every case, or cannot fully cover any case. The Affordable Care Act (ACA) and Patient Protection Act, both part of “Obamacare,” were passed in order to fix this very issue; these acts are ultimately attempts to reach parity. However, the chance to have healthcare that fulfills parity, equality of coverage, has passed, the ACA is too late and it is time to come up with new solutions. To settle for

The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) is an act that requires parity or equality between mental health treatment and medical/surgical treatment covered by private and public insurers with over 50 employees. That means that if an insurance covers mental health issues they can’t impose more stringent limits and financial requirements than medical/surgical coverage. The act was signed into law in 2008 by President George W. Bush. Before the act was signed into law, mental health care was not as affordable or accessible for individuals. (United States Department of Labor, 2016)

The article highlights the history of managed care and it’s impact on the delivery of mental health services in the United States. Counselors struggle with balancing the demands of MCOs and the welfare of their clients. The authors highlight that the influence of MCOs create ethical and legal challenges counselors in different areas. Further, the article addressed the issues around DSM codes and MCO regulations of insurance reimbursement. (Braun & Cox, 2005). It is unfortunate that some disorders are not reimbursable by insurance, which leaves the counselor to “chose between an accurate diagnosis that does not provide third party insurance reimbursement or inaccurately diagnosing their client for

In today’s society there is a greater awareness of mental illnesses. With this greater awareness one might assume that there would be a substantial increase in government involvement or funding in the area of mental illness treatment. Unfortunately this isn’t the case in the U.S. today. There are hundreds of thousands of people with mental illness that go untreated. These potential patients go untreated for many reasons. These reasons are discussed in the Time article “Mental Health Reform: What Would it Really Take.

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) was enacted on October 3, 2008 as sections 511 and 512 of the Tax Extenders and Alternative Minimum Tax Relief Act of 2008. MHPAEA amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act (PHS Act), and the Internal Revenue Code of 1986 (Federal Register, 2013). The MHPAEA is an extension of the Mental Health Parity Act of 1996, which prohibited annual or aggregate lifetime financial limits on mental health coverage by addressing other restrictions, such as limits on outpatient visits or inpatient days (DOL, 2010). MHPAEA expands parity requirements to treatment limitations, financial requirements, and in- and out-of-network covered benefits (Smaldone, 2010). It also expands the opportunity of mental health parity requirements at the federal level and includes substance use disorders within its scope. Prior to 1996, health insurance coverage for mental illness had historically been less generous than that of other physical illness (Sarata, 2011). Mental health parity is a response to this disparity in insurance coverage, and generally refers to the concept that health insurance coverage for mental health services should be offered equally with covered medical and surgical benefits (Smaldone, 2010).

Previous standards, regulations, and benefits in the workplace covering mental illness should be clearly stated and made aware to all employees in a company. Each employee has rights and every employer has a duty to accommodate, especially when it comes to stopping harassment, violence and discrimination. As stated in section 2.3.1 - The creation and impacts of mental illnesses in the workplace, there are two types of harassment: human rights harassment and personal harassment (CUPE, 2014). All harassment is illegal under a number of laws and policies such as the collective agreement, employer policies, human rights laws, occupational health and safety laws, employment standards laws, labor relations laws, workers’ compensation laws, tort

Human Resource Development Professionals are faced with a kaleidoscope of issues relating to the ability of employees to perform their work and how to adjust the workplace environment to meet the needs of disabled individuals in compliance with numerous laws set forth both at the state and federal levels. These laws and the rights to reason accommodations as they pertain to the stigma of employees with mental illness are the bases of this paper. First we will address what issues are most commonly seen by counselors in the workplace. Next, we will preview the five signs of emotional distress. Finally, a brief list of acceptable reasonable accommodations for those individuals who have been deemed