Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-09-03

Total Pages: 171

ISBN-13: 0309439124

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Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.


Recovering the US Mental Healthcare System

Recovering the US Mental Healthcare System

Author: Meaghan Stacy

Publisher: Cambridge University Press

Published: 2022-02-24

Total Pages: 267

ISBN-13: 1108844588

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This is a vital resource for anyone looking to better support people with psychosis and serious mental illnesses.


No Place Like Home

No Place Like Home

Author: C.J. Janovy

Publisher: University Press of Kansas

Published: 2018-01-15

Total Pages: 310

ISBN-13: 0700628347

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Far from the coastal centers of culture and politics, Kansas stands at the very center of American stereotypes about red states. In the American imagination, it is a place LGBT people leave. No Place Like Home is about why they stay. The book tells the epic story of how a few disorganized and politically naïve Kansans, realizing they were unfairly under attack, rolled up their sleeves, went looking for fights, and ended up making friends in one of the country’s most hostile states. The LGBT civil rights movement’s history in California and in big cities such as New York and Washington, DC, has been well documented. But what is it like for LGBT activists in a place like Kansas, where they face much stiffer headwinds? How do they win hearts and minds in the shadow of the Westboro Baptist Church (“Christian” motto: “God Hates Fags”)? Traveling the state in search of answers—from city to suburb to farm—journalist C. J. Janovy encounters LGBT activists who have fought, in ways big and small, for the acceptance and respect of their neighbors, their communities, and their government. Her book tells the story of these twenty-first-century citizen activists—the issues that unite them, the actions they take, and the personal and larger consequences of their efforts, however successful they might be. With its close-up view of the lives and work behind LGBT activism in Kansas, No Place Like Home fills a prairie-sized gap in the narrative of civil rights in America. The book also looks forward, as an inspiring guide for progressives concerned about the future of any vilified minority in an increasingly polarized nation.


Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings

Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2021-01-30

Total Pages: 123

ISBN-13: 0309682681

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Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.


Managing Managed Care

Managing Managed Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1997-04-21

Total Pages: 394

ISBN-13: 0309175054

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Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.


Improving the Quality of Health Care for Mental and Substance-Use Conditions

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-03-29

Total Pages: 528

ISBN-13: 0309133661

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Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.


Blueprint for Change

Blueprint for Change

Author: United States. National Advisory Mental Health Council. Workgroup on Child and Adolescent Mental Health Intervention Development and Deployment

Publisher:

Published: 2001

Total Pages: 184

ISBN-13:

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30 Years of Social Change

30 Years of Social Change

Author: Stephen Jones

Publisher: Jessica Kingsley Publishers

Published: 2017-10-19

Total Pages: 218

ISBN-13: 1784507989

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What social change has been achieved over the past 30 years? What have been the main barriers to progress? What great achievements can we identify and celebrate today? Marking Jessica Kingsley Publishers' 30th year of publishing books on social and behavioural issues, this book gathers together over 30 leading thinkers from diverse disciplines - from autism specialists and social workers through to trans rights activists and complementary therapists. Contributors provide a thoughtful account of how their field of expertise has changed over the past 30 years, and how they see it evolving in the future. Offering a unique insight into many professions, 30 Years of Social Change highlights much of the positive social change achieved in the past 30 years across these fields and the challenges we face in the future.


Public Mental Health

Public Mental Health

Author: William W. Eaton

Publisher: Oxford University Press

Published: 2019-04-03

Total Pages: 905

ISBN-13: 019091663X

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"[A] masterful volume that will do much to advance understanding of mental health as an essential public health challenge." -Journal of Sociology & Social Welfare THE GROUNDBREAKING TEXTBOOK IN POPULATION-LEVEL MENTAL HEALTH, NOW FULLY REVISED AND UPDATED Public Mental Health equips a new generation of public health students, researchers and practitioners with the most innovative social. biological, and behavioral science approaches to mental health challenges at the population level. Incorporating insights from multiple health and science disciplines, this new edition introduces novel concepts and methodologies for understanding the occurrence of mental disorders in populations worldwide. Reflecting the disciplinary diversity and expertise of an internationally-recognized roster of contributors, its nineteen chapters include coverage of such essential topics as: · estimates of global prevalence based on new data from the Global Burden of Disease Study · the complex way in which genes, other biological factors, and life stresses increase risk · mental health disparities among population subgroups · population-level mental health consequences of violence and natural disasters · the logic and practice of prevention of mental and behavioral disorders With a perspective that will resonate from the lab to the legislature floor, Public Mental Health offers a much-need core text for students, researchers, and practitioners.