Mental Health Care Reform Summary

This paper will give a description of the Disability Insurance Policy with a focus on the mentally disabled, giving rise to the Community Mental Health Act of 1963. It will describe the problems that made it necessary to create the CMHA policy, giving the pros and cons of deinstitutionalization. It will give a historical account of the policy and finally will give an analysis of the policy.

The altruistic, which Moynihan described as “good people trying to do good, however unavailing in the end” flourished during the early stages of the movement. Physicians such as Dr. Paul Hoch, the commissioner of mental hygiene tried to aid people with mental disorder with medications that “appeared to be an effective treatment for many severely psychotic patients”. Not only Dr. Hoch but other “physician were seeking cures fro disorders that were just beginning to be understood’’. With the combination of new ideas of medication being a cure for mental disorder and the congress a joint commission on mental health and illness was created, which job was to created “comprehensive and realistic recommendations” that instead of helping patients, in really helped the population of mental institution grow and that led to deinstitutionalization. Moreover, because of the population within mental hospitals and the congressional commission deinstitutionalization became a nationwide program. Even though the deinstitutionalization movement helped to reduce the population in psychiatric hospitals “in 1955, there were 93,314 adult residents of mental institutions” and by “August 1992, there were 11,363”, it also Led many psychotic patients homeless and without an adequate treatment. As Moynihan said, “the altruistic mode of redefinition is just that” trying to aid

They had gotten to be too extensive, cumbersome and the framework had opened itself up to manhandle. In 1961 the Minister of Health, Enoch Powell was welcome to talk at the AGM of the National Association for Mental Health. In his discourse he reported that it the administration of the day proposed to "the disposal of by a long shot most of the nation's mental clinics." in the meantime, territorial loads up were requested that "guarantee that no more cash than should be expected is spent on redesigning and reconditioning". This declaration had paralyzed the therapeutic callings, as there had been no sign that the legislature was going to travel in this heading; just a modest bunch of trial group care programs existed around the nation. It would

There are many governmental agencies within the healthcare system. One of most interesting and heart-wrenching agencies is a local governmental agency called Terrell State Mental Hospital. This agency is well known in the state of Texas for its carefree healthcare. They have a longstanding relationship with the families of its patients and are a major contributor to the city of Terrell’s financial windfall. They produce over ten million a year for the city of Terrell, which allows this city to take care of its mental inpatients and make sure they have the best treatment possible.

The department is using privatization to address longstanding foster care issues, such as the concern for children’s safety in their foster placements (Texas State Legislature 2011). However, Texas’ foster care privatization is not maximizing its effectiveness—in terms of addressing the issues that the bill sought to resolve—due to a lack of investment in contract monitoring and not factoring in contract monitoring costs. Furthermore, DFPS is currently transitioning from its previous single-source, contracting system to a new multi-source system, Foster Care Redesign (Sunset Advisory Commission 2014, 46). Since there is no set timeline for when the transition is supposed to be complete, the challenge is two-fold: ensuring that children in the process of transitioning from one system to another are not overlooked during the transition and ensuring that contract monitoring of both of these systems occurs simultaneously (Sunset Advisory Commission 2014,

The passing of The Child and Family Service Improvement and Innovation Act, H.R. 2883, was essentially put into place to counteract some of the dangers of the foster care system. It Put in place more required regulations of case workers, but perhaps also played the unfortunate role in the increased burnout of those within the field of child and family services. Regardless of this potential repercussion, the bill holds true intentions to make the system not only function better, but improve the care and quality of child and family services. Put into federal law September 24, 2011, it has been working towards progress and improvements within the system (H.R. 2883 (112th): Child and Family Services Improvement and Innovation Act, 2011).

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.

She served in multiple leadership positions including Health Department Bureau Chief administrating the statewide children’s behavioral health system. She also served as Medicaid Operations and Compliance Officer, overseeing contract compliance and policy development. Kim participated as a writer in the development of the State’s first integrated, physical and behavioral health, Medicaid contract. She was involved in the scoring and selection processes for the State’s Acute and Children’s Rehabilitation Services contractors. She managed the implementation of selected Acute and Children’s Rehabilitation Services contractors assessing for readiness to ensure continuity of care for the State’s Medicaid members. Additionally, Kim served as Compliance and Privacy Officer for a Health Plan serving 500,000 enrolled members. In this role she was responsible for leading internal processes for promoting and ensuring compliance with laws, regulations, company policies, and contracts. Kim operated as the liaison with legal counsel, representing the Plan in hearings. She chaired the Plan’s Compliance Committee overseeing Risk Management and internal ethics and complaint reporting programs. She was responsible for formulating and implementing policies and procedures, including training and

This paper is one of five assignments for the course PAD 530. As a consultant, research on the selected agency the Department of Health and Human Services (DHHS) shall reveal in a report specific recommendations for improvements. An overview of the selected agency will be given to provide information on the agency’s objectives and goals. Information will be provided on the background of the agency and a descriptive analysis on several functions that highlight the public it serves. An analysis of current events involving the DHHS that might have implications to personnel management is observed in this report. At the end of this report a rationale for the selection of said agency shall be provided.

When reviewing the Department of Child Health Services (DCHS), it has effectively been able to provide health care services to low-income families with children while being able to make referrals to private health care service providers. The department also distributes state funds and resources to private and non-profit health care facilities which provide services to children in need. Along with the services, the DCHS is able to administer home visits by health care professionals and operate twelve mobile health care clinics that service the fifty six counties in the state of Welty.

Intervention: MHP and MHS discuss recent update from the adoption worker Ms. Davis. MHP, Samantha and MHS discuss ways to express feelings to maintain relationships. MHP and Samantha practice changing negative thinking about relationships. MHP and Samantha process behaviors that cause her biological family not to be able to care for her. MHP, Samantha and MHS discuss the different with supervision with current placement than with past placements.

The budget proposal for the Department of Health and Human Services was presented by Director Richard Whitley and Acting Administrator from the Division of Health Care Financing and Policy, Marta Jensen. In the first part of the presentation, Whitley presented a basic outline of the functions of the Department of Health and Human Services (DHHS). In terms of the Upper Payment Limit Program (UPL), Chair Sprinkle wanted Whitley to confirm that DHHS was moving its contract services from non profits for financial reasons. Whitley confirmed this and elaborated more by bringing an example of the situation with the newborn screening program. Originally, Nevada paid the state of Oregon to operate that program, however over time that was transferred back to the state of Nevada. As a result,

I truly can't understand why so many people feel it necessary to complain and point fingers both directions, but always claiming the DCS workers are all bad and doing wrong. Have you ever considered the ramifications of the negative attacks that are indefatigable to this agency? If you think that they should take more children from their homes, perhaps you should consider who will care for all of those children when there are no foster homes available and there are no group homes and there are NO DCS workers left willing to take the blame and beating when they are working for mere peanuts at one of the most stressful jobs imaginable that will never receive recognition regardless of how many lives they save or work tirelessly to help.

Possibly make an organization that takes a survey and assigns agents/caregivers to the families to help. This service should not be tied into CPS though. If a parent is struggling to take care of a child, yet shows they are determined to help their child grow and prosper, CPS should have NO involvement with these parents. Of course, people are going to sadistically abuse this system. So, agents should keep their eye out on any suspicious activity done by the parents, such as their emotional state. Along with agents, if a person is seen unstable or under a lot of emotional abuse, they should be able to see a therapist that the state would financially cover, if the person would like to attend. Regular medical check-ups, food bags, dental work, and therapy should be covered by the state with help from these programs. A way to obtain money for this program would be to gain public funding and support, advocating the voice of children, and assistance of the poor, as well as gaining votes to involve the program within the American budget. This plan would make people reconsider abortions since they could actually take care of their child, as well as help thousands who are struggling to survive everyday. This plan is not made nor even brought up by either

The practice of social work is dependent upon the effectiveness of services provided to clients. This is specifically true when it comes to the child welfare system. The utilization of research evidence guides child welfare practice by developing policies. The development of policy increases resources for families and provides an avenue to document service outcomes. Documenting service outcomes provides researchers with the evidence to make necessary corrections or changes to services provided in child welfare. The evolutionary change of Evidence-based practice (EBP) has allowed for clinical practice in the child welfare system that examines a family or child’s needs and values. This examination helps develop intervention aimed at reducing