Who lives with you in you household? Quien vive con usted en la casa?
B. Tell me about you family. Cuenteme aceca de su familia

C. What's a typical day like fo you? With you Family? With you fiends? Como pasa Usted el dia? Con su familia? Con sus amigos?

D. Tell me about you fiends Cuenteme sobe sus amigos

E. Who ae the people you can count on the most in time of need?

Quienes son las pesonas con las que puede conta cuando las necesita?

F. Do you belong to goups o oganizations that you feel you get suppot fom? Examples? What kind of suppot?

Petenece an algun gupo u oganizacion que le popociona apoyo?

Pongame algun ejemplo, que tipo de apoyo?

G. How does the family and fiends suppot you and you family?

Como le apoya la familiay/o amigos a usted y su familia?

Language

Idioma (About elative) (aceca del familia)

A. What Languages do you speak fluently? Que…...

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references for mental health treatment for relative's name)

Que tratamientos para la salud mental prefiere que reciba su familiar?

B. Before taking (relative's name) to the hospital, what did you think about mental health treatment?

Antes de traer a su familiar al hospital, que opinaba usted de los tratamientos de salud mental?

Were you familiar with mental health treatment?

VHA Mental Health Care
Very recently, beginning in 1995 the Veterans Health Administration (VHA) began a series of progressive reforms. The reform has included a substantive list of functional and fundamental changes, including everything from facility improvements to eligibility requirement expansion. The VHA has also adopted a list of changes that includes staffing and response time for mental health screenings for returning soldiers. These changes look good on paper as the VHA has stressed a rapid response time for initial screening that is a VHA policy standard, i.e. 14 days from the initial request for a mental health screening an individual is supposed to be evaluated. Given the nature of the last decade of war and the growing awareness of the mental health challenges that are being faced by countless returning soldiers this would seem a good thing, yet the actual reporting and records system is often delaying these initial screenings…...

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References

Halliday, L. Assistant Inspector General Department of Veterans Affairs (April 25, 2012). VA mental health care. FDCH Congressional Testimony.

Katz, I. (2012). Lessons learned from mental health enhancement and suicide prevention activities in the Veterans Health Administration. American Journal Of Public Health, 102S14-6. doi:10.2105/AJPH.2011.300582

Katz, I.R., McCarthy, J.F., Ignacio, R.V., & Kemp, J. (2012). Suicide among veterans in 16 States, 2005 to 2008: Comparisons between utilizers and nonutilizers of Veterans Health Administration (VHA) services based on data from the National Death index, the National Violent Death Reporting System, and VHA.. American Journal Of Public Health, 102S105-10. doi:10.2105/AJPH.2011.300503

Knox, K.L., Kemp, J., McKeon, R., & Katz, I.R. (2012). Implementation and early utilization of a suicide hotline for veterans. American Journal Of Public Health, 102S29-32. doi:10.2105/AJPH.2011.300301

Today, however, the majority of practicing therapist use a method that is solution based. The issue is to find resolution for the immediate problem without trying to ascertain what happened in the patient's childhood and the years leading to the problem that caused it (Behavioral Health Services and Prevention (http://mentalhealth.samhsa.gov/publications/allpubs/SMA00-3437/SMA00-3437ch3.asp).
A solution based therapy can be completed in several sessions and the person also learns coping tools for identifying and changing problems that appear in the future.

This method is done by having patients come to therapy on an outpatient basis, thereby saving overhead costs as well as session costs.

In addition the three entities can work together toward preventative mental health care by identifying and reducing risk factors whenever possible.

isk factors and protective factors are also central to an understanding of prevention in the mental health and substance abuse arenas. The presence of risk factors is associated with an increased potential…...

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References

Managed Care  http://www.thenationalcoalition.org/eleven.html 

Behavioral Health Services and Prevention http://mentalhealth.samhsa.gov/publications/allpubs/SMA00-3437/SMA00-3437ch3.asp

CMH Agency
The summary that prepares the author of this report for this assignment lays forth some basic facts and facets of society in the United States as well as other countries. Mental health is an issue that has persisted and lasted throughout the years. The methods of handling and housing such people has improved greatly over time but many shortfalls and issues remain. As part of this general set of facts, the author has been asked to state why it is important to have community mental health (CMH) resources available for those that want or need them. While some people may think that such agencies are money pits and do not do any good, allowing people that want treatment but cannot afford or get to it to go unhelp is inhumane and utterly cruel.

Analysis

One of the nagging and problematic part of mental illness and those that suffer from it is…...

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References

Kentucky Together. (2016). More Funding for Mental Health Needed to Build Healthier, More Productive Lives -- Kentucky Together. Kentuckytogether.org. Retrieved 30 June 2016, from  http://www.kentuckytogether.org/more-funding-for-mental-health-needed-to-build-healthier-more-productive-lives/ 

Shapiro, A. (2012). Why Some Homeless Choose The Streets Over Shelters. NPR.org. Retrieved 30 June 2016, from  http://www.npr.org/2012/12/06/166666265/why-some-homeless-choose-the-streets-over-shelters

Consultancy Case Study: Hispanics
A DIVERSITY ISSUE

General Stages of Consultation

Koff (1988) discusses a problem-solving process in consultation as consisting of four components, rather than stages. These are problem identification, problem analysis, intervention, and evaluation. In the first component, the consultation determines the client's or consultee's problem. She makes sure that it is the client's or consultee's problem and nobody else's. When done, they proceed to the second component. They analyze and try to understand the problem thoroughly in order to avoid misinterpretations.. At this point, the consultee or client may or may not decide to continue with the consultation. If he does, the analysis shifts to her professional knowledge, skill, confidence, objectiveness, and interpersonal reactions with everyone involved and determining how she herself may be the cause of the problem. When this is accomplished, the intervention component sets in, wherein the consultant suggests tailor-made programs or approaches to solve, eliminate or…...

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BIBLIOGRAPHY

CNPAAEMI (2003). Psychological treatment of ethnic minority populations. Council of National Psychological Association for the Advancement of Ethnic Minority Interests.

Association of Black Psychologists. Retrieved on May 28, 2014 from  http://www.apa.org/pi/oema/resources/brochures/treatment-minority.pdf 

Guarnaccia, P. et al. (2005). Mental health in the Hispanic immigrant community: an overview. Journal of Immigrant and Refugee Services: The Haworth Social Work

Press, Inc.

POLICY MODELS Policy Models: educing Mental Health Disparities among LEP IndividualsA policy is a course of action or plan used by an agent of change to realize a certain outcome or goal (Porsche, 2023). The policy is the process that the agent uses to realize the policy solution, which is the answer to the identified policy problems. In the US governmental structure, fundamental policymakers include judiciary officials, legislators, and members of the executive (Porsche, 2023). Nurses can engage in the policymaking process through advocacy, which involves collaborating with policymaking agents or policymakers to influence the process of policy-development or gather support for certain policy options (Porsche, 2023). Different models provide different frameworks for achieving this. This text analyses why the narrative policy framework would be the most appropriate for the proposed advocacy, which seeks to address mental health disparities among individuals with Limited English Proficiency (LEP).The Narrative Policy FrameworkThe narrative…...

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References Baumgartner, F. R., Jones, B. D., & Mortensen, P. B. (2018). Theories of the policy process. Westview Press. Crow, D., & Jones, M. (2018). Narratives as tools for influencing policy change. Policy and Politics, 46(2), 217-34. Jones, M. D., McBeth, M. K., & Shanahan, E. A. (2014). The science of stories. Palgrave Macmillan. Porsche, D. J. (2019). Health policy (2nd ed.). Jones & Bartlett Learning. Porsche, D. J. (2023). Health Policy (3rd ed.). Jones & Bartlett Learning.

Preliminary Care Coordination Plan in Support of Mental HealthEffective Strategies for CollaboratingThere are a number of effective strategies that can be used to collaborate with patients and their families to achieve desired health outcomes in support of mental health. One key strategy is to ensure that there is open communication between all parties involved (Arnold & Boggs, 2019). This includes making sure that information is shared openly and honestly, and that everyone has a clear understanding of the goals and objectives. Another key strategy is to create a supportive and inclusive environment (Arnold & Boggs, 2019). This means ensuring that everyone feels comfortable sharing their thoughts and feelings, and that they feel like they are part of the team. Finally, it is also important to be flexible and willing to adapt as needed. This includes being open to change and willing to try new things if it means that it…...

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ReferencesArnold, E. C., & Boggs, K. U. (2019). Interpersonal relationships e-book: professional communication skills for nurses. Elsevier Health Sciences.Eklund, J. H., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., ... & Meranius, M. S. (2019). “Same same or different?” A review of reviews of person-centered and patient-centered care. Patient Education and Counseling, 102(1), 3-11.Hutchison, C., & McConnell, P. C. (2019). The ethics of treating family members. Current Opinion in Anesthesiology, 32(2), 169-173.Martin, P., Tamblyn, R., Benedetti, A., Ahmed, S., & Tannenbaum, C. (2018). Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. Jama, 320(18), 1889-1898.Rocca, E., & Anjum, R. L. (2020). Erice call for change: Utilising patient experiences to enhance the quality and safety of healthcare. Drug Safety, 43(6), 513-515.

Day treatment programs can provide services at less cost because the patient goes home at night after being treated during the day, which often is used for rehabilitating chronically ill patients (Sharfstein, Stoline, & Koran, 1995, p. 249). The mere fact of having more choice benefits some patients by giving them more say in their care.
Patient-focused care involves a method for containing in-patient costs for hospitals and for improving quality by "restructuring services so that more of them take place on nursing units rather than in specialized units in other hospital locations, and by cross-training staff on the nursing units so that they can do several 'jobs' for the same small group of patients rather then one 'job' for a large number of patients" (Kovner, 1995, p. 186). Kovner notes a number of barriers to this type of care. One reason has been that hospitals have not had to…...

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References

Doctors Say Managed Care Strains Patient Relationships (1997, June 9). Westchester County Business Journal 36(23), p. 24.

Kovner, a.R. (1995). Hospitals. In Jonas's Health Care Delivery in the United States, a.R. Kovner (ed.), pp. 162-193. New York: springer Publishing.

Moore, G.T. (1991,

April 24). Let's provide primary care to all uninsured Americans ? now! JAMA, pp. 2108-2109.

Healthcare in the United States: Where We Have Been, Where We Are Going
The current healthcare crisis in America is not one that happened over night. It is one that has been building for more than a quarter century. There was a time in America when healthcare was a stellar institution: research, cures, technological advances, and treatments. The focus of healthcare was maintaining and improving the quality of life. Then, during the early 1980s, managed care became an entity between the physician, the patient, and the healthcare provider of hospital services. It began subtly, but has, today, become one of the most aggressive and successful business ventures of our time; and it has been the unmaking of a once stellar and progressive American institution.

Managed care is a "distinctly American" product (Birenbaum, 1997). It was legislation introduced by the Nixon Administration with the intent to regulate healthcare and to maintain control over…...

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Reference List

Bernstein, A.B., Hing, E., Moss, A.J., Allen, K., Siller, A., and Tiggle, R. (2003). Health Care in America: Trends in Utilization. Hyattsville, MD: National Center for Health Statistics.

Birenbaum, A. (2002). Wounded Profession: American Medicine Enters the Age of Managed Care. Westport, CT: Praeger.

Birenbaum, A. (1997). Managed Care: Made in America. Westport, CT: Praeger.

Committee on Health Care Access and Economics Task Force on Mental Health (2009). Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration. The Official Journal of the American Academy of Pediatrics, March, 30, 2009, pp. 1248-1251.

Healthcare Inequalities
Are healthcare inequalities UK

Defining Health Inequality

The term healthcare disparity or healthcare differences have been defined in a number of ways. Healthcare inequality can be defined as the difference of the health levels of any tow comparable demographic groups within a certain country or a region even when proper healthcare facilities are available. The inclusive incidences include higher rates of mortality as well as morbidity within the people who belong to lower occupational classes and are poorer. These rates are higher as compared to the mortality rates in the people who belong to better occupational classes being richer and more privileged. Second important aspect that has been highlighted in the definitions of healthcare inequality includes increased rates of occurrence of mental healthcare-based issues in people from poor classes.

A number of countries have been highlighted with healthcare inequalities including Canada and UK. Since 1980, the documentation of healthcare inequality in UK…...

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References

Asthana, S, and Dr. Halliday, J 2006, What works in tackling health inequalities?: pathways, policies and practice through the life course, Studies in poverty, inequality, and social exclusion, The Policy Press.

Barron K. 2009, Health inequalities: written evidence; Volume 422 of HC SeriesPaper (Great Britain. Parliament. (Session 2007-08). House of Commons)) Written evidence, The Stationery Office.

Davies P. 2007, The NHS in the UK 2007/08, 9th edn, The NHS Confederation.

Dowler E. 2007, Challenging health inequalities: from Acheson to choosing health, Health and Society Series, The Policy Press.

Surgeons in Canada report that, for heart patients, the danger of dying on the waiting list now exceeds the danger of dying on the operating table. Emergency rooms there are so overcrowded that patients awaiting treatment frequently line the corridors. Not only is there a long wait for care, but care is frequently denied to patients who prognosis is poor. In ritain kidney dialysis is generally denied patients over the age of 55. At least 1,500 ritons die each year because of lack of dialysis.
Countries with national health care systems also lag far behind the U.S. In the availability of modern medical technology. In Canada, high-technology medicine is virtually unavailable. In addition to being biased against new medical technologies, national health care systems generally discriminate against nontraditional practitioners, such as naturopaths and chiropractors.

It is true that Canada spends only about nine percent of its GDP on health care, while…...

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Bibliography

Financing National Health Insurance." (2003, February 4). Available:

  (Accessed 9 Feb. 2005).http://www.pnhp.org/nhibill/nhi_financing.html 

Health Care Policy Issues. Sept. 2004. Available:

  (Accessed 9 Feb. 2005).http://www.newsbatch.com/healthcare.htm 

Healthcare Legislative Bill
The expanded and improved Medicare for all Acts

The Expanded and mproved Medicare for All Act was introduced to the House of Representatives in 2009 and seeks to lobby for the implementation of a common single-payer health care system throughout the United States o0f America. The bill if enacted would require that all medical care costs be paid for automatically by the government instead of private insurances for the same. The move will significantly alter the role of private insurance companies as merely offering supplemental coverage especially when the kind of medical care sought is not all that essential (McCormick, 2009).

With the Expanded and mproved Medicare for All Bill, the country's national system will be paid for through taxes and the monies that will replace the regular insurance premiums. Proponents of the bill argue that by eliminating the need for private insurance companies in the national medical care system,…...

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Institute of Medicine of the National Academies of Science, (2010), Insuring America's Health: Principles and Recommendations

The American Journal of Medical Practices, (2011), The Impact of single-payer Medicare

Program, New York

However, integrated continuum of care networks presents a viable solution to mental health care delivery that properly allocates resources a collaborative and cooperative service delivery system.
Needed, according to Mohatt (1997) is "vertical integration' in the "approaches to managed care" in networking a group of healthcare providers, at various levels of primary care and behavioral health, to form an integrated service network. They seek to develop, via cooperation, a coordinated, consumer focused, seamless continuum of care designed to improve access and availability through efficiencies gained by the elimination of redundant services or systems."

Mohatt reports just such as system being in existence and specifically the Laurel Health System in northeastern Pennsylvania "founded in 1989 with the merger of five not-for-profit organizations..." This network spans the human service gamut inclusive of primary care, nursing homes, senior housing, ambulance service, and hospital." (1997) Mohatt reports another example stating:

recent example of such a horizontal…...

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Bibliography

Behar, Lenore B., Macbeth, Gary, and Holland, Joan M. (1993) Distribution and Costs of Mental Health Services Within a System of Care for Children and Adolescents. Administration and Policy in Mental Health and Mental Health Services Research. Vol. 20, No. 4, March 1993. Abstract online available at Springerlink online: http://www.springerlink.com/content/q73873hn78112345/

Hamner, Karl M., Lambert, E. Warren, and Bickman, Leonard (1996) Children's Mental Health in a Continuum of Care: Clinical Outcomes at 18 Months for the Fort Bragg Demonstration. ERIC Digest. 28 Feb 1996. Online available at  http://eric.ed.gov/ERICWebPortal/custom/portlets/recordDetails/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=ED460476&ERICExtSearch_SearchType_0=no&accno=ED460476 

Yager, J. (1996) Do Full Continuum of Care Services Yield Better Results? Am Psychol 1996 July. Journal Watch. Online available at http://psychiatry.jwatch.org/cgi/content/citation/1996/1001/14

Mohatt, Dennis F. (1997) Access To Mental Health Services In Frontier America

Healthcare for Mentally Impaired Patients
Probing what information is available about the current status of placement or accommodation and level of personal healthcare available to mentally impaired and emotionally disturbed individuals, it is clear that the analysis is as diverse as there are different mental illnesses. While statistics on managed care treatment for people with severe and disabling mental illnesses are sparse, it is evident that the financial responsibility to care for and house these patients is enormous.

According to Dr. David Satcher, the Surgeon General (1999), approximately 20% of the U.S. adult population has a mental illness. He says, "These illnesses include anxiety disorders, mood disorders, anorexia nervosa, and severe cognitive impairment. More serious mental illnesses include ipolar disorder and schizophrenia. Mental illness accounts for 15% of overall burden of disease -- more than malignant cancer and respiratory diseases -- and as far back as 1996 the direct cost of mental…...

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Bibliography

Boulard, G. (2000, April). Forgotten Patients the Mentally Ill. State Legislatures, 26, 12. Retrieved February 13, 2004, from Questia database,  http://www.questia.com .

Callahan, D. (1993, October) Minds and hearts: priorities in mental health services.

The Hastings Center Report.

Fox, M. & Kim, K. (2004, January) Evaluating a Medicaid Home and Community-based Physical Disability Waiver. Family and Community Health. Vol 27: 37.

New findings show that the spouses of veterans also experience mental health disorders, and the prevalence increases with the length of deployment (Mansfield, Kaufman, Marshall, Gaynes, Morrissey & Engel, 2010). When spouses are considered to be clients of health services, the need for improved and more robust resources becomes apparent. Moreover, spouses with mental health disorders present unique issues and questions for treatment. eturning soldiers may find that they have supportive partners who can lead to a mutually beneficial treatment relationship, via couples or family therapy. On the other hand, the mental health problems of the spouse can exacerbate those of the soldier, and vice-versa. Thus, a family systems approach can be extremely helpful when addressing the multifaceted mental health concerns among veterans.
Veteran health services are at a critical juncture. The need for targeted mental health interventions, ranging from screenings and assessments to therapies and treatments, has been proven…...

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References

Britt, T.W., Greene-Shortridge, T.M. & Castro, C.A. (2007). The Stigma of Mental Health Problems in the Military. Military Medicine 172(2), February 2007, pp. 157-161(5)

Bliese, P.D., Wright, K.M., Adler, a.B., Thomas, J.L. & Hoge, C.W. (2007). Timing of postcombat mental health assessments. Psychological Services 4(3), Aug 2007, 141-148.

Hoge, C.W., Auchterlonie, J.L. & Milliken, C.S. (2006). Mental Health Problems, Use of Mental Health Services, and Attrition From Military Service After Returning From Deployment to Iraq or Afghanistan. JAMA. 2006;295(9):1023-1032. doi:10.1001/jama.295.9.1023.

Hoge, C.W., Castro, C.A., Messer, S.C., McGurk, D., Cotting, D.I. & Koffman, R.L. (2004). Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care. N Engl J. Med 2004; 351:13-22July 1, 2004 DOI: 10.1056/NEJMoa040603

It is difficult to address the issue of lack of mental health funding for first responders without first acknowledging the general lack of appropriate thoughts about mental health.  While physical illness is treated as a legitimate illness and self-care to help avoid that illness is supported, mental illness is oftentimes still treated like a character defect.  People who seek assistance for mental health not only have to face a lack of funding, but often have to worry about whether the stigma that attaches to seeking such help will work against them in their future professional lives. For....

1. The impact of deinstitutionalization on mental health care access and quality
2. Examining the role of community-based treatment in reducing stigma around mental illness
3. The challenges of transitioning patients from institutional care to community-based services
4. The financial implications of deinstitutionalization on mental health care systems
5. Exploring the ethical considerations of deinstitutionalization and patient autonomy
6. The effectiveness of deinstitutionalization in promoting recovery and rehabilitation for individuals with mental illness
7. The potential risks and benefits of deinstitutionalization for vulnerable populations, such as the homeless or those with severe mental illness
8. The role of family support and....

1. The impact of homelessness on society and possible solutions: explore programs such as housing first initiatives and supportive services provided by government and non-profit organizations to address the issue of homelessness, and provide recommendations for improving access to affordable housing and support services.

2. The stigma surrounding mental health and the need for increased access to mental health services: discuss the various government and private mental health programs available, such as counseling services and hotlines, and offer recommendations for reducing the stigma associated with mental illness and improving access to mental health care.

3. The effects of poverty on children's education....

I. Introduction
A. Explanation of mindfulness therapy
B. Definition of anxiety
C. Thesis statement: Mindfulness therapy is an effective tool for reducing anxiety symptoms

II. The prevalence of anxiety disorders
A. Statistics on anxiety disorders
B. Impact of anxiety on mental health and well-being

III. Benefits of mindfulness therapy
A. Focus on the present moment
B. Cultivation of self-awareness
C. Reduction of stress and anxiety symptoms
D. Improved emotional regulation

IV. Evidence supporting the use of mindfulness therapy for anxiety
A. Research studies supporting its effectiveness
B. Testimonials from individuals who have benefited from mindfulness therapy
C. Comparison with traditional therapy....