The Issue Of Mental Health Care Reform

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.

Problem Statement: The World Health Association defines ‘good’ health as: “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” However, in the United States, access to care and funding for mental health care are grossly neglected and underfunded in comparison to other aspects of health care.

throughout Missouri, Strangler used his experience and power to persuade legislature to provide the funds.

“One of my biggest struggles with dealing with my ‘problems’ was being able to pay for help. At some points I thought the process to receive help was more draining than my illness itself” (May). Mental illness has plagued millions of people in the United States alone, and with the stigma it carried, getting the help that is needed is not always possible. With Proposition 63 in California it is speculated that with proper aid from the government and community those with mental health problems will be better suited to face their demons. That by having a budget to help those desperately in need we can better the lives of those who struggle with mental illness.

Senate (S.) 689 is the Mental Health Awareness and Improvement Act of 2013, which resanctions and increases critical behavioral health programs through superior federal education and healthcare programs related to awareness, early identification, and prevention of mental illness (The Library of Congress, 2013). United States Senators Tom Harkin (D-IA) and Lamar Alexander (R-TN) pioneered S. 689 on April 9, 2013 (The Library of Congress, 2013). There are 23 co-sponsors of the Mental Health Awareness and Improvement Act of 2013, including 14

Policy analysis of mental health care under the ACA as well as description of how mental health care/service are organized under the ACA from federal to local levels.

The United States has never had an official federal-centered approach for mental health care facilities, entrusting its responsibility to the states throughout the history. The earliest initiatives in this field took place in the 18th century, when Virginia built its first asylum and Pennsylvania Hospital reserved its basement to house individuals with mental disorders (Sundararaman, 2009). During the 19th century, other services were built, but their overall lack of quality was alarming. Even then, researchers and professionals in the mental health field attempted to implement the principles of the so-called public health, focusing on prevention and early intervention, but the funds were in the hands of the local governments, which prevented significant advances in this direction.

In today’s society there is a greater awareness of mental illnesses. With this greater awareness one might assume that there would be a substantial increase in government involvement or funding in the area of mental illness treatment. Unfortunately this isn’t the case in the U.S. today. There are hundreds of thousands of people with mental illness that go untreated. These potential patients go untreated for many reasons. These reasons are discussed in the Time article “Mental Health Reform: What Would it Really Take.

However, many individuals who may be mentally infirm or were committed to a psychiatric facility could keep on being fit for directing and controlling their own medical care, including the privilege to consent to treatment or to refuse treatment; legal requirements vary with jurisdiction, so physicians should be generally familiar with the applicable mental health legislation in their

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.

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.

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).

United States have definitely failed on the their responsibility to provide adequate spaces for people with mental health issues. No one should have to be denied treatment because the facility or the hospital they choose to go to doesn't have enough bed to serve patients that need care. People with severe mental illness can no be taken as a joke as some can harm themself or the people around them. We must take in account of the story of what happened to Virginia State Senator Deeds and his son. Just because Deeds want to help his son and get him treated Gus tried to kill his father but instead in the end took his own life. That could of been avoid if the hospital they went to earlier took Gus in when he need help.

Health care reform has been a big topic since the Clinton administration when First Lady, Hillary Rodham Clinton, took it under her belt to devise a new system. Health care is the provision taken to preserve mental and physical health using prevention and treatment. Compared to other health care systems in the world, the United States is ranked 37th in terms of care, claims Michael Moore (2007). Ironically, our health care system spends more than any other nation on its patients, averaging nearly $8,000 per person (DiNitto, 2012). With soaring costs, it is no surprise that one in every seven Americans are uninsured (Kaiser, 2011). Even with these sorry figures, statistics show that 85% of Americans are satisfied with their health care