Professional Documents
Culture Documents
Chapter 10
Mental Health Services
CHAPTER OBJECTIVES
Gain knowledge about the origins, basic
components and organization of the U.S. mental
health services industry and its financing
Understand the nature of mental illness, its
prevalence and evolution of treatment
modalities
Gain appreciation for barriers to mental illness
care
Review effects of the ACA on mental health
services access and reimbursement
Current Background
Mental health terminology changes:
Mental health care now often
behavioral health care with psychiatric
care, a medical subspecialty, one aspect
of integrated services
Patient replaced by consumer or
person/people with a psychiatric or
substance abuse disorder or mental
health issue
Problem-based diagnosis model
replaced with strength-based model in4
1960s
Mental health care reforms supported by
President Kennedy
Additional, new pharmaceutical treatments
Federal Mental Retardation Facilities,
Community Mental Health Centers
Construction Acts
Medicare, Medicaid, SSI, Social Security
Disability & housing subsidies accessible
for mentally ill
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Treatment Services
Who does and does not get
treatment?
45.6 M people over 18 years met
criteria for one psychiatric disorder
in the past 12 months19.6% of
adult population; only 38.2% able
to access treatment.
Access to treatment worst among
underserved groups: minorities,
low income, uninsured, rural
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The Organization of
Psychiatric and Behavioral
Health Services
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