Mental Health Care Services For Rural Communities Essay

As Americans it becomes natural to undermine those with a mental illness. As a fact, many adults and children deal with mental illness each and everyday. There are many stories that have been told to Americans about depression, anxiety, along with bipolar disorders, with the outcome usually being a negative consequence. For the 1 in every 5 citizens that deal with a mental illness each year. Americans have neglected the fact that many adults and children deal with mental issue(s), the citizens that refrain from getting help; their well being can suffer detrimental effects, there is not a lot of awareness either taught in school, or in public perspectives, American’s stigma has perfected their

Native Americans have been neglected, abused, and tormented since the 1700’s when their land was abruptly invaded by Europeans. Europeans declared this “unknown” territory to be their property from then forward and did anything and everything to make sure this would happen. This included forced assimilation, where Natives were stripped of their cultural traditions and forced to assimilate to an english speaking, westernized culture (McLeigh, 2010). This included taking children from their families and sending them to boarding school to learn a new language, new cultural traditions, and new religious practices. Starting in 1860 and lasting until 1970, children were taken from their families at a young age and often lost touch with their family

The community-based mental health programs are not only inadequate in relation to numbers, but also underfunded (Unite for Sight.org, 2013). According to Martin (1995), we live in a society that is increasingly becoming conscious of an excessive tax burden. Tax burden, on the other hand, provides for the realization of just how deinstitutionalization is directly related to politics and public policy. The pubic in America who account for the electorate, have a significant say in how policy is affected. To this extent the assumption in relation to deinstitutionalization is that due to increased public outcry in regards to taxation, the both federal and state governments have over the years been forced to cut down spending on some items in the recurring budget in order to free up additional funds. According to Treatment Advocacy Center (2011), the federal government in 1965 surgically excluded the payment of Medicaid for patients institutionalized in state psychiatric and other mental disorders institutions. The goals of this action, according to Treatment Advocacy Center (2011) was to foster deinstitutionalization, and the wading of care costs to sates, viewing them as largely responsible for mental care.

The first obstacle that must be overcome when Appalachians want to get help for mental health issues is the lack of access to mental health professionals. While there are mental health treatment options available, they are mainly located in the more urban areas of the region (Susan Emily Keefe, Appalachia’s Children). All too often, people are unaware of the services available to them for the treatment of mental health disorders. Even if they do possess knowledge of what is available, it may not be feasible to get to these services. Many of the residents may not have insurance or the financial capabilities necessary to pay for treatment. Because the

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.

The research is limited in that there is enough on just the narrative of substance abuse and enough research on mental illnesses, but research is limited when it comes to dual diagnoses. There are inconsistencies within the research, where researchers fail to address advocacy at the state and federal levels; therefore not addressing the snowball effect of the poor

Mental health providers utilize many forms of research from the interventions that they use to provide care to their clients all the way to the assessment’s that they use to gauge the level of satisfaction of their clients with their services and how effective their services are in regards to their overall mental health wellness.

Working in the mental health field has exposed me to different clients with psychosocial behaviors, and I have viewed how individuals are often impacted in our cultural, societal and environmental system. I have also observed the impact it has in clients when there are policy changes in an agency. The focus of this analysis is to further provide an examination of agency policies, operations conflict, steps that can be taken in administrative level and steps in the micro level to resolve conflicts that may arise. The focus of this analysis will also concentrate on a community mental health agency named Enki Health & Research System, Inc., (ENKI) that helps children with different behavioral difficulties.

Describe the services and/or supports that are in place for students with psychiatric disabilities. (Helpful Hint: Check and see if they have a web site!).

Policies have an important role in regulating and shaping the values in a society. The issues related to mental health are not only considered as personal but also affecting the relationships with significant others. The stigma and discrimination faced by people with mental health can be traced to the lack of legislation and protection of rights (Rodriguez del Barrio et al., 2014). The policy makers in mental health have a challenging task to protect the rights of individuals as well as the public (Swigger & Heinmiller, 2014). Therefore, it is essential to analyse the current mental health policies. In Canada, provinces adopt their own Mental Health Acts (MHA) to implement mental health services. As of January 15, 2016, there are 13 mental health acts in Canada (Gray, Hastings, Love, & O’Reilly, 2016). The key elements, despite the differences in laws, are “(1) involuntary admission criteria, (2) the right to refuse treatment, and (3) who has the authority to authorize treatment” (Browne, 2010). The current act in Ontario is Mental Health Act, 1990.

When it comes to this program I did not find any information that stated it was developed based on empirical evidence. “Very little empirical data exist to help administrators select a particular staffing model for providing mental health services to inmates” (Hills, Siegfried, and Ickowitz, 2004, p. 37). This could have definitely hurt the program at Montford Psychiatric Hospital, but the staff seemed extremely professional, organized, skilled, and knowledgeable of what they were doing when assessing inmates mental health issues. Additionally, this program is also not based on theory because when a theory is created to change complicated issues, such as mental illness program or other health care programs it can be a daunting task. It is particularly troublesome when there is a lack of empirical evidence to support concepts that can lead towards success.

Just last year 1 in 5 Americans suffered from mental illness. Everyday Americans and people in other countries are suffering because of mental illness and they should be treated to matter the cost. Mental health has just as much effect on the body as does physical health. Which that comes to my essential question. Should health care companies cover mental health treatment? One side says yes because that would help millions of people with getting treatment because the cost is too extensive for them. But on one side of the claim some people say that the cost is too severe to cover everyone’s mental health treatment through insurance. Nevertheless, It is extremely essential that no matter the cost that people are being treated for their mental illnesses. Many people are suffering from unfair treatment from insurance companies with mental health issues to prove that I will talk about that people really do suffer, that mental health patients really do want help and lastly that it is legally deemed to be treated the same insurance wise.

Senator Creigh Deeds story is just one of many that end in tragedy because of a mental health system that has failed. While the major proportion of people living with mental illness are not violent, they can become a victim of violence. According to the latest statistics from the American Psychological Association one in five adults has a diagnosable mental disorder, one in twenty-four has a serious mental disorder (SMI), and people with mental illness are no more likely to be violent that people without mental illness (Association, American Psychiatric, 2016). Untreated mental health care is characteristic of the violent crimes that we see happening today. Some of the reasons behind these untreated individuals are the unmet needs of people not having a financial means to pay for services, lack of insurance, knowledge about how to access care, embarrassment about having the need for services, and those that needed care but experienced delays in accessing care (Jones et al., 2014).

Access to mental health care is not as good as than other forms of medical services. Some Americans have reduced access to mental health care amenities because they are living in a countryside setting. Others cannot get to treatment for the reason of shortage of transportation or vast work and household tasks. In some areas, when a

The trend in psychiatric care is shifting from that of inpatient hospitalization to a focus of outpatient care within the community. Community mental health services include all those activities in the community connected with mental health other than the institutional or hospitalized setting. The community approach focuses on the total population of defined geographical area rather than individual patient. Emphasis is mainly on preventive services which include provision of a continuous, comprehensive system of services designed to meet all mental health related needs in the community. Mental health care is provided. through education, consultation, brief psychotherapy, crisis