Essay On Behavioral Health Redesign

The behaviour modified for this self-directed behaviour change project is smoking. Smoking was selected as the behaviour I wish to change because it is known that tobacco use is the leading cause of premature, preventable death and disease (Edwards, Bondy, Callaghan, & Mann, 2014). Smoking is a behaviour that has been recently initiated; I started smoking occasionally in August 2013 (one cigarette a few times a week) and intended to buy only the one pack. However over a period of several months, my smoking has increased. The rationale for this choosing this target behaviour is that it is still a relatively

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.

Throughout the early 1980’s and 1990’s the Federal Medicaid program was challenged by rapidly rising Medicaid program costs and an increasing number of uninsured population. One of the primary reasons for the overall increase in healthcare costs is the

Medicaid provides medical assistance to citizens in the United States who fall within the eligibility requirements. Medicaid has been enacted since 1965 and has faced many changes. One change most recently was the Patient Protection and Affordable Care Act, and the attempt to require states to expand Medicaid coverage to include more citizens. However, Medicaid is a states’ right and therefore Congress decided to leave expansion up to each individual state. As some states decide to move forward with expansion and some do not, this paper will discuss the pros and cons to each option and the financial impact that Medicaid expansion has on healthcare entities.

The Affordable Care Act (ACA) has made a significant impact on the U.S health care landscape. One facet of health care that has greatly benefitted from the ACA is mental health. A research article published by Saloner and Le Cook, (2014) on the effects of the ACA on young adults with possible mental health and substance abuse disorders reflect how much this population gained from this program. The researchers wanted to find out if the ACA coverage expansion of dependents to the age of 26 would improve accessibility to mental health and substance abuse care. They performed the research by reviewing data files from the 2008–12 rounds of the National Survey of Drug Use and Health (Saloner and Le Cook, 2014). The researchers analyzed mental health

Paired with the Mental Health Parity and Addiction Equity Act, it has helped open up rehabilitation coverage to over 32 million Americans across the country.

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).

able to be treated or is never diagnosed at all. This is because treatment is very expensive and hard to access, and without proactive care of the mentally ill there can be various unfortunate outcomes, sadly including, death. So, why is access to mental health care so limited and what is the government of Ohio doing to solve it and what else should be done?

It’s very exciting for Ohio to be one of the first states (along with California and Texas) to be selected to implement the initiative, said Oney, adding it is well-needed. “The court systems have been absorbing mental health cases, and people are ending up in jail and not getting the help they need,” she said.

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.

In 1965, there was a histrionic change in the method that mental health care was delivered in the United States. The focus went from State Mental Hospitals to outpatient settings for the treatment of mental health issues. With the passing of Medicaid, States were encouraged to move patients out of the hospital setting (Pan, 2013). This process failed miserably due to under funding and understaffing for the amout of patients that were released from the State Mental Hospitals. This resulted in patients, as well as their families, who were in dire need of mental health services. This population turned to either incarceration (jails and/or prisons) or emergency departments as a primary source of care for their loved ones.

The Legislature and governor finalized agreements based on the following: the Healthy Kids Dental program, mental health and substance abuse service improvements for veterans, better coordinated care for those with chronic mental health conditions, mental health innovation grants for high risk children and youths, infant mortality reduction proposals, and Health and Wellness advantages (Hudson, 2013). In comparison, the fiscal year 2015 proposed budget investments included health and human services within the realms of Medicaid expansion, pediatric commitment, and mental health support. Within the Department of Community Health budget, Medicaid makes up 90% of the entire budget (Snyder, 2014). This funding support for the expansion of Medicaid coverage allows for health advances within the Michigan population below the federal poverty

Prior to the passage of the Medicaid and Medicare bill of 1965, the government had little interest in physician billing or referring patterns. After the bill became into effect, however, several laws were implemented to restrict fraud and abuse of Medicaid and Medicare. 1 In turn, interest rose

Many correctional professionals believe that the Patient Protection and Affordable Care Act have provided a major change to the way justice involved populations’ access health care in the community. Being able to secure health insurance especially Medicaid allowing more access to health care including behavioral health programs that will improve outcomes and positively impacts by reducing rates for returning to jail or prison. This should be an integral part of reentry programs. Having health insurance will augment the chance of successful reentry.

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).