National Institute Of Mental Health Services

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 Canadian Mental Health Association estimates that 1 in 5 Canadians will develop a mental illness at some time in their lives.” Mental illness is defined as a mental pattern that causes an impaired ability to function normally in ordinary life. Mental illnesses can affect persons of any age, race, religion, or income and are not the result of personal weakness, lack of character or poor upbringing. A number of factors can contribute to whether an individual will develop a mental illness, with these factors being present individually or in multiples. A number of factors have been identified that contribute towards initiating mental illness, but no individual factor has been definitively identified as ‘the’ factor that causes a mental illness. Symptoms of mental illness can range from mild to severe and are classified into two main categories as being either organic disorders or functional disorders. Organic disorders cause a decrease in the mental function of the brain due to a medical disease; while functional disorders cause a derangement of the mind. The type and severity of the disorder determines if it will be short-term and treatable or if it will be permanent or degenerative and untreatable. There are a variety of community and medical services available to assist those who are affected by mental illness. These services are available on an in-patient or out-patient basis depending on the level of severity, with the general trend towards

The disparity in treatment has been attempted to be remedied over the eras. Bills and Acts put into place in the 20th and 21st centuries have seeked to improve care and reduce stigma around those with mental illness. This began in 1942, when Harry Truman signed the National Mental Health Act, which requested the formation of a National Institute of Mental Health. Shortly after this, in 1949, the National Institute of Mental Health was established (“National Institute of Mental Health”). During the company’s 60 year lifespan they have focused on research about mental illness, educating the public, and improving the lives of the mentally ill by working to pass laws. One law that seeks to reduce the stigma of mental illness is the Mental Healths Service Act of California. "California 's Historic Effort To Reduce The Stigma Of Mental Illness: The Mental Health Services Act" from the American Journal Of Public Health illustrates how the Act will make improvements. Families and individuals who have experienced stigma had a big role in the process, specifically with developing a 10 year plan, the California Strategic Plan on Reducing Mental Health Stigma and Discrimination. One component of the Act discussed is the work plan developed by California Mental Health Services Authority, which has three components: stigma and discrimination reduction, student mental health, and suicide prevention. Organizations such as the NIMH have made efforts resulting in the evolution of mental

According to NAMI, The National Alliance of Mental Illness 1 in 5 adults experience a mental health condition yearly. 1 in 20 people live with a serious mental illness like, schizophrenia or bipolar disorder. Not only does the person who is directly experiencing a mental illness suffer, but the family, and friends are also highly affected. NAMI states that 50% of mental health conditions begin by age 14 and 75% of mental illnesses develop by age 24. Each year, 1 in 5 children from the ages 13-18 experiences a mental illness reported by NAMI. That’s a large amount of our young generation. Three out of four people with a mental illness report that they have experienced stigma, a mark of disgrace that sets a person apart according to the

Child and Adolescent Mental Health Service (CAMHS) is the organisational unit that works for safeguarding of children and young people. This institution is striving on providing all kinds of medical and social services in order to help children and young people. As per the CAMHS, the mental health issues includes minor emotional imbalance like feeling sad to extreme situation like hurting yourself. However, there are a list of mental health issues that are faced by children and young people in our society these days such as feeling sad or disliking their current place or surroundings, hurting own self or intention to do so, feeling scared and anxious, having eating disorder, facing problems in talking and sleeping, hallucinating and having

The Mental Health Services Act is designed to accumulate and distribute funds to county mental health programs (upon program plan approval). There are five different areas that the act helps with funding in mental health. The first is Community Services & Support (CSS) which helps fund the pairing of mental health care with primary health care settings. CSS also provides mental health support services to people that aren’t able to receive the services elsewhere (Dchs.ca.gov 2015). CSS has some main objectives including reduction of homelessness, justice and child welfare system

An interesting finding by Huskamp and Iglehart (2016) is that between the Mental Health Parity Act (MHPA) and the Affordable Care Act (ACA), there should be a rise in people with mental illness seeking services, however, services are underutilized more than ever (Huskamp & Iglehart, 2016). According to Bendant (2014), in 2013 a total of 47 million people uninsured and 25% of those suffer mental illness (Bendant, 2014). These numbers are staggering for a service that is more inclusive now more than ever. The Center for Medicare & Medicaid Services (CMS) site indicates that the MHPA is regulated differently depending on the state (CMS, n. d.). The Department of Labor (DOL) has identified a few problems with the MHPA and addressed these issues to Congress via a 2017 report (DOL, n.

The Olmstead Act requires public agencies to provide services “in the most integrated setting appropriate to the needs of qualified individuals with disabilities.” Further, the act mandates that states place qualified individuals with mental illnesses in community settings, rather than in institutions. Being placed under IOC is contingent upon whether or not such placement is appropriate, affected persons do not oppose such placement, and the state can reasonably accommodate the placement, taking into account resources available to the state and needs of others with disabilities, (The Center for an Accessible Society, 1999). In conclusion, the Olmstead Act provided for the legal groundwork to both provide and enforce IOC.

In the course of proper identification, evaluation, and treatment, children and adolescents suffering with mental illness can conduct positive, normal lives. Nevertheless, the devastating majority of children with mental illnesses are unsuccessfully identified and the lack of treatment or support services have led to a subordinate worth of life and violence. The Mental Health Awareness and Improvement Act of 2013 (S. 689) is an inclusive bill proposed to address the extensive issue of mental health. By strongly considering the United States’ struggle against mental illness and school violence, as well as utilizing theoretical constructs to examine the Senate’s bill, a social worker can develop a more holistic perspective that can productively integrate practical insights reached from a variety of different points of view.

Resources for Human Development (RHD) is a national human services nonprofit founded in 1970. The company currently oversees and supports more than 160 programs in 14 states. The programs fall under the following categories: Intellectual Disabilities, Behavioral Health, Addiction Recovery, Homelessness, Women & Children, Family Health & Counseling, Youth Development, Returning Citizens, Economic Development, Employment & Training, Veterans, Nonprofit Incubator, and Outsider Art. Within the Behavioral Health program, there are two Assertive Community Treatment (ACT) teams. The ACT Program provides community-based services to individuals with severe and persistent mental illness. The mental illness may also be accompanied by a substance abuse disorder and/or a developmental disability. The program is an outpatient agency and each ACT team has about 100 clients.

The NYC Health Department of health and mental hygiene, serves at New York City and covers all the five boroughs which are Manhattan, Staten Island, Brooklyn, Queens, Bronx. It is located at an urban center. This department functions about 8 million diverse populations with different cultural, ethnic and economic background. The major industries in NYC are Financial services, Health Care, Technical Services, Retail Trade and Food service, Manufacturing. The characteristics of this urban center is that it’s an international city with mixed groups of cross culture. This city has people from different backgrounds and is known as an immigrant land with broad-based. Also, New York City is known as the wealthiest city with growing job opportunities in all different fields. (New York City Population)

Some of these initiatives include the Americans with Disabilities Act, Surgeon General’s report on Mental Health, President’s New Freedom Commission on Mental Health, and the Center for Medicare and Medicaid Services’ (CMS) letter of

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.

Notes: Mr. Howard came into PATH requesting assistance for the PATH/OUTREACH-SOAR SSI program Mr. Howard is a Non Path Client 51-year-old African America male. He appears to be unstable and having depressive thought he has his chronic health condition. He wears a deciliter life vest. Mr. Howard initials appointment he brought in all the needed documents for assistance. Case management assistant client with Team Mental appointment Mr. Howard case is ongoing with PATH case management for his SOAR SSI case.

There are great health care benefit programs for employees in most organizations. However, the age limitations are causing serious concerns when it comes to mental care for dependent adults over the age of 26. This needs to change, as mentally ill patients over the age of 26 are left without healthcare insurance; which is never a good thing. Mentally challenged individuals deserve to be protected and covered as dependents under their caregiver’s insurance plans as long as they live. The term dependent should not be restricted to an age, but rather be a term that defines the individual who is unable to provide for themselves due to some mental disorder. Therefore, if organizations change their policies and include the mentally ill as a dependent regardless of age, then, it is likely for economies to see declining crime rates, less cost to taxpayers for essential services, and better overall rehab facilities.