Park City Mental Health

“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

My community clinical was at the Denver House Mental Health Association located in Tulsa, Oklahoma. This is a day center for targeted for the people with mental illnesses and homeless, which opened in 2012 (mhaok.org). Many of the homeless population in Tulsa, Ok suffer from a mental illness. Due to the lack of resources in our community, those who suffer from a mental illness end up on the streets. The day center provides a safe warm place for the homeless and those with mental illnesses. They provide a stigma free welcoming environment were those feel welcome to come and interact with peers. The organization also has specific workers that help with finding shelter, apartments, and jobs. They also have a community closet for clothing that is open every Tuesday and Thursday. You must be 18 years old, be drug free while on premises, and follow basic rules to come to the Denver House.

The mental health professional I interviewed was Carol McClelland of Freedom House Recovery Center in Chapel Hill, North Carolina. Carol has worked with Freedom House for a year as the directory of outpatient services and is licensed as a LPC, LPCS, LCAS, CCS, and MA. Carol’s job requires her to be responsible for the direct oversight of all clinical operations and clinical integrity for outpatient services at Freedom House. The hours of operation are Monday through Friday from 8am to 5pm, along with a crisis and detox center that is available for contact 24/7. Carol has plenty of experience in the mental health field, such as working as a dual diagnosis/substance abuse outpatient therapist, working with the severely mentally ill, working as a criminal justice outpatient therapist, and also working in a methadone clinic. She chose this career after her experiences in working with mental health, and her extensive education in psychology and counseling. Carol stated that outpatient services was the most interesting out of her job experiences, so when she was offered the job at Freedom House, she accepted.

Before 1955, the mentally ill took shelter in mental facility institutions. After 1955, the United States’ deinstitutionalized these facilities and made policy changes to the mental illness treatment system. However, those policy changes are flawed. Some say rather than abandoning mentally ill patients and depriving them of shelter, the United States government should change the way the mentally ill are treated in their current living situations. Instead of changing the attitudes of those who provide services to the mentally ill, it would be more beneficial to change the services themselves.

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.

In the United States the Mental Health Care field is one of the most underserved areas of healthcare. The mental healthcare field faces many challenges to the proper treatment of patients from both a societal and professional standpoint. From a societal perspective a negative stereotype is associated with patients seeking psychiatric care. Patients seeking care are often labeled as defective or damaged. Add in the complication that most patients with mental illness appear to be normal, accepting that someone is ill without outward symptoms can also be difficult for a society to understand. From a professional perspective the challenges within the mental health care industry include personal prejudice, staffing issues, and problems with coordinating care. The combination of these factors has a direct negative impact on the willingness of individuals suffering from mental illness in seeking the care needed to treat the symptoms of mental illness.

Baltimore County Health Department review process is conducted through the Department Health Mental Hygiene (DHMH). The Institutional Review Board was established in 1977 by the department as a federal requirement demanding that human research studies being conducted with United States Public Health funding must undergo a IRB process. Therefore, purpose of the IRB is to review and approve the research study, and to ensure the safety, dignity and protection for all human subjects participating in the research studies. ("DHMH Policy," 2005)

Local health department that I am going to explore in Ithaca Tompkins is Mental Health Department. The geographically Tompkins is located in rural area compare to New York City but the form the population in 2013: 30515 (100% urban) since 2000. The population of the Ithaca Tompkins 2849. The socioeconomic characteristics of the country’s population are middle class because they household income is about to $39,861 and individual poverty level is under 12.4%. Their health uninsured coverage percent is 8.5%, but the education level is very high (91.3% high school or higher graduate).

The Department of Labour (DOL) is the administering agency for the ADA, RA and other non-discriminatory laws for the benefit of the mentally disabled. The RA authorizes funding for the vocational rehabilitation programs through the State VR Agency. The State VR Agency is created in every State to assist mentally ill individuals achieve their employment goals. This agency can influence the parent agency, DOL, by developing policies for implementing effective job training and placement services. Substance Abuse and Mental Health Services Administration (SAMHSA) promotes prevention and treatment of mental disorders through Center for Mental Health Services (CMHS). CMHS is charged with making policy-level decisions for any modifications made to the existing vocational rehabilitation methods. National Institute of Mental Health (NIMH) is a research organization which promotes mental health through basic and clinical research. It works on the areas of prevention, recovery and cure of mental illnesses. The Centers for Medicare and Medicaid Services (CMS) cover mental health services via Medicaid and Medicare programs. Currently, vocational rehabilitation is not offered through Out Patient or Partial Hospitalization Services. Protection and Advocacy for Beneficiaries of Social Security (PABSS) Program serves SSDI beneficiaries by removing barriers to employment at workplace.

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)

I went to a National Alliance on Mental Illness meeting on Thursday, March 3st 2016. I went to the meeting located at the First Evangelical Free Church on 2904 N Brea Blvd., Fullerton CA 92835. The meeting was a family support group for loved ones that had mental illnesses.

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.

Soldiers in the 23 RCT displayed disciplined initiative on many occasions. Before the battle at Chipyong-ni, the division medical battalion decided that they would no longer send ambulances into forward deployed areas to evacuate wounded Soldiers and that it was the responsibility of the units in those areas to move the casualties to the rear. The regimental surgeon's recommendation to re-designate the regimental collecting stations as regimental clearing stations circumvented the division's policy. Using modern terms, this would be like designating the Casualty Collecting Point as the Ambulance Exchange Point. Division did not argue with COL Freeman's decision and provided the ambulances.

Northwell Health has partnered with GoHealth to instate urgent care centers throughout the tristate area. GoHealth is an existing organization with locations throughout the country, their partnership with Northwell Health has developed new locations to meet the needs of the communities currently served by Northwell Health. Urgent care units are designed to be accessible and convenient; becoming a part of the community. In the past, patients did not have an option but to visit an emergency room, the development of urgent care units offers an alternative. The idea behind urgent care units is to shift the notion that emergency room visits are for all injuries; only severe injuries should be treated in an emergency room. Such units reduce the crowdedness

Eskenazi Health offers various nationally-recognized programs and services. Overall, Eskenazi Health has a mission to advocate, care, teach, and serve community members. The specific agency I have chosen to research is Eskenazi Midtown Community Mental Health. There is an emphasis on vulnerable populations, and financial measures do not disqualify care. Located locally in Indianapolis, Eskenazi Health Midtown Community Mental Health Center provides comprehensive inpatient and outpatient services for all types of emotional and behavioral problems, including severe mental illness and substance abuse. The services are designed to provide the utmost, high-quality care and confidentiality to patients who choose to take part in the services. Outpatient detoxification and counseling is offered to participants. Welcoming people of all ages, the mission of Eskenazi Health Midtown Community Mental Health Center is to directly serve the patient suffering with serious mental illness and chronic addiction, as well as their families.