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Assignment Case Study

By vivian424 Feb 21, 2009 1095 Words
{text:bookmark-start} Assignment: Case Study {text:bookmark-end} Mental illness is any of various conditions characterized by impairment of an individual’s normal cognitive, emotional, or behavioral functioning, and caused by social, psychological, biochemical, genetic or other factors, such as infection or head trauma. Also call emotional illness, and mental disease. (www.thefreedictioary.com). No mental illness can not be define as a physical illness such as diabetes, because mental illness is that it can not be diagnosed like physical ailments, most diagnoses are determined by what the patient tells the doctor. Physical conditions can cause mental illness. When these are treated, mental illness (such as depression) may subside it can be controlled, but not cured. An individual my need to take medication, engage in counseling or both. Views of mental illness have changed over time, and the present AMA views mental illness as clearly defined illness, with symptom logy and basis in medical fact (Lomas, 1963, 374; 5). In regards to mental illness, advances in technology have proven that there are clear and verifiable chemical and physical changes that occur in mental conditions. Treatment options vary, just as with physical disease, there are numerous symptoms and treatment options, the same holds true with mental illness. The concept of deinstitutionalization, beginning in the cash strapped 1960’s but coming to the fore front in the 1980’s, focused on releasing mentally ill patients into the community, into half-way houses or other partial care facilities, or even back into their family situation. The pendulum swings widely in this issue---but emptying the hospitals, and expecting the mentally ill to monitor them has provento be a disaster in some places. There were no adequate out patient facilities to help keep track, and most of them were left on their own, and fell prey to abuse, neglect, and crime. I have and uncle since he was six he has been in a mental institution was release some weekends to my grandmother’s care and it did not work out due to the fact that she did not have proper training and education on how to take care of a mental patient. So sometimes it is not wise to let mental patientsout without properly talking with families or where they are being released to. However, deinstitutionalization often stratifies patient’s base on economic and social conditions. Many of the mentally ill who are mid high functioning, but without funds or family support, simply dissolve into the homeless population and because they have no structured care, often get worse instead of better. Critics then believe that the process of deinstitutionalization is more an economic decision that a health based option, moving the fiscal burden from the State systems to the local cities and counties. Deinstitutionalization was largely irrelevant to many of the young patients who were highly visible after 1970. They had little or no experience with prolonged institutionalization, and, hence had not internalized the behavioral norms of a hospital community. The mobility of such individuals, the absence of family support system and programmatic shortcomings complicated their access to such basic necessities an adequate housing and social support networks. The dearth of many basic necessities of life further exacerbated their severe mental disorder. Ironically, at the very time that unified, coordinated, and integrated medical and social services were needed to deal with a new patient population, the policy of deinstitutionalization had created a decentralized system that often lacked any clear focus and diffused responsibility and authority (Grob, 1994b, 1997). Thanks to the media become more visible within both societal and governmental structures. The Federal Department of Health and Human Services provide numerous grants and funding, Medicaid covers numerous mental health issues and there Statewide programs that track, manage, and fund mental health care. Yes there are a few health care professions who do provide mental health care with other care systems. As for our clinic we have a couple of patients that need mental help and the doctors will help them with medications and referring them to a psychiatrist. They see both the doctor and psychiatrist and report back and forth, we have one patient that will not see a psychiatrist so the doctor will treat her in our office and make sure she is taking her medication properly. In Chicago now with private insurance they do have coverage for mental care, back in the 70’s and 80’s insurance’s did not want to cover for those who had mental care, but thanks to the growing numbers of institution now insurances will cover with minimal for the patient to pay. However, in terms of managed care, unlike many physical aliments, mental health can not necessarily be boxed into a time and easy treatment plan. Individuals vary, and unlike prescribing an antibiotic treatment for an infection, requires numerous trial and mediation prior to finding the right treatment, which in term take far longer and be far more costly, and other standard physical treatments (NMHIC). It is still important to remember that mental illness is not as easy to quantify economically as physical illness. The three governmental sources that help fund mental heath care are governmental funding through private medical plans provides two sources, health insurance companies and health maintenance organizations. However, agencies led by the World Health Organization (WHO) of the United States have developed mental health polices that assist those who are burden with the high cost, as well as informing the government about mental illness and their prevention, treatment and civil rights (Mental, 2008). Medicare, Medicaid and the Veterans Administration covered most of mental health illness. Managed care, has been an efficient tool utilized for those with mental illnesses.. It encourages a philosophy that encourages preventive medicine, as well as extensive coverage for those with current conditions. The biggest challenge that has affected health insurance directly has been the rising cost of benefits. The way that I would ensure that the mental ill placed into appropriate care facilities, suitable clinical staff is to be informed and send to the patient to be analyze, evaluation and corresponding treatment as soon as possible. Follow-up care is very necessary to ensure that the treatments are working and the patient is taking the medication correctly. References American Psychiatric Association, http://www.psych.org/ BBC, (2005), The Science of Mental Illness, cited in science .education.nih.gov Lamb, H.R. et.al (8/2001), Some Perspective on Deinstitutionalization, “Psychiatric Services, 53:1039 – 1045 Martin, J. (4/1995) ,” Deinstitutionalization : What will it really cost:” National Mental Health information Cent (NMHIC), cited in: http;//mentalheatlth.samhsa.gov/

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