It is in the nursing homes job description, that the nursing staff employed should be certified, and be able to perform a number of tasks in order to better understand the patient. This includes an assessment of the patient's mental status and thought process, an understanding of the patient's health concerns, ailments and other physical issues, with an open discussion between the nurse and the patient of anything troubling the patient with regard to their health or treatment plans and/or other mental worries that the patient faces.
If the patient insists on declining medicine, they need to be explained their necessity and adjusted, if the medication is causing some sort discomfort to the patient. The nursing staff should not only himself/herself care for the patient when it comes to their medication and rehabilitation, but also educate the patient themselves. The nursing staff constantly should supervise the elderly, however, if there…...

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Works Cited

Biedenharn, P., & Normoyle, J. (1991). Elderly Community Residents' Reactions to the Nursing Home: An Analysis of Nursing Home-Related Beliefs. The Gerontologist, 31(1): 107-115.

Bouve College of Health Sciences. (2013). Chronic Diseases Associated with Older Age. Retrieved from Northwestern University- Bouve College of Health Sciences:  http://www.northeastern.edu/geriatricsbiger/biology_of_aging/chronic_diseases1/chronic_diseases/ 

Braithwaite, J. (2001). The challenge of regulating care for older people in Australia. BMJ, 323(7310): 443 -- 446.

Bresnahan, J.F. (1999). Ethical Issues in Geriatric Medical Care. Retrieved June 09, 1999, from Galter Health Sciences Library:  http://www.galter.northwestern.edu/geriatrics/chapters/ethical_issues.cfm

Mental Health Service Reimbursement
How have changes in reimbursement and medications been a major driver in these policy and treatment changes?

As a Chief Nursing Officer, one must be at once informed of the practical, day-to-day challenges of nursing in the field and of the administrative realities shaping the occupation. ith respect to the latter, it is important to understand the implications of insurance, Medicare and coverage terms and conditions. These frequently complex terms will have a direct impact on the experience of providing treatment. This is well demonstrated in a discussion on coverage vagaries relating to mental health treatment reimbursement. Especially with so many changes now taking place in the healthcare field, there is practical value in understanding the emergent conditions of mental health coverage.

The most immediate and impactful change in mental health coverage relates to the historical limitations placed on the scope of treatment reimbursement. Insurance companies first and, consequently,…...

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Works Cited:

Centers for Medicare & Medicaid Services (CMS). (2013). Medicare and Your Mental Health Benefits. Medicare.gov.

Geriatric Mental Health Foundation (GMHF). (2012). Paying for Mental Health Services Under Medicare. GMHFonline.org.

Williams, S.J. & Torrens, P.R. (2007). Introduction to Health Services. Cengage Learning.

Mental Health Policies and Legislation
It is not humane nor is it dignified to allow any living person to live in a florid psychosis; this would be a cruel and odd punishment. In the Australian medical practice, the health laws and regulations dictate that, doing the legal thing in the course of duty is not sufficient, but rather the professional must do what is morally right. In definition, recovery is the process of changing through which an individual improves in their health status and wellness, to live a self-directed life, striving to reach their maximum potential (Turton, Wright & Killaspy, 2010). The essay covers the introduction of the recovery model of care in Australia and the successive impacts it has on the treatment process of the patients: in addition to the impact on the nursing practice. The evolution of the recovery model, however, now presents a chance for the challenged persons…...

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References

Archambeault, J. (2009). Reflective reader: Social work and mental health reflective reader. Exeter [England: Learning Matters.

Forrester, K., & Griffiths, D. (2010). Essentials of law for health professionals. Chatswood, N.S.W: Elsevier Australia.

Davies, T., & Craig, T.K.J. (2009). ABC of mental health. Chichester, UK: Wiley-Blackwell/BMJ Books.

Elder, R., Evans, K., & Nizette, D. (2009). Psychiatric and mental health nursing. Sydney: Mosby Elsevier.

In the future, this will improve quality and it will reduce the total number of uninsured. This is when productivity and the standard of living will improve by proactively addressing these issues while they are small.
Alternatives

To deal with any potential challenges left behind from the Affordable Care Act requires looking at alternatives which can be augmented with the law. The various options that are available include:

Enacting provisions that apply to immigrants: The figures that were examined earlier in the table titled Immigration Status and the Percentage without any Health Insurance Coverage. They are showing that naturalized citizens and non-citizens do not have any kind of health care coverage. Inside the group of non-citizens are illegal immigrants. According to the Pew Foundation, they determined that the total number of illegal immigrants among this group is accounting for 28% of the population. (Lee, 2012)

Moreover, the Department of Homeland Security determined that…...

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References

Annual Report and Accounts. (2012). CQC. Retrieved from:  http://www.cqc.org.uk/sites/default/files/media/documents/cqc_annualreport_2012_tagged.pdf 

How the Health Care Law Benefits You. (2012). Health Care.gov. Retrieved from:  http://www.healthcare.gov/law/resources/benefits.html 

Periodic Review. (2012). NHS. Retrieved from: http://www.leeds.nhs.uk/About-us/Our-Performance/Periodic-Review.htm

Baker, B. (2012). Estimates of the Size and Characteristics. DHS. Retrieved from: http://www.dhs.gov/sites/default/files/publications/immigration-statistics/ois_ni_pe_2011.pdf

Mental Health Policy
A healthy body keeps a healthy mind is a universal proverb applicable to people of all times. Mental illness not only harms the person himself but also the ones who are closely associated with him. The number of mentally ill people is increasing across the globe and there is serious need to devise an effective policy to control this situation.

An abusive, compelling and dominating behavior in a dating relationship among the teenage youngsters is termed as dating violence. Students susceptible to dating violence suffer greatly in terms of their academic performance, social and extra-curricular activities. They may show poor results and isolate themselves from colleagues and friends. They may show lack of interest in extra-curricular activities. All these activities are results of poor mental health. Such students have a profound effect on their psyche due to being exposed to some kind of in-home violence in their childhood. They…...

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Works Cited

Chan et al. "Prevalence of Dating Partner Violence and Suicidal Ideation among Male and Female University Students Worldwide." Journal of Midwifery Women's Health 53 (2008): 529-537. Web. 05 Feb. 2013.

"Dating Violence Common by 7th Grade: Survey." U.S. News. March 29, 2012. Web. 24 Feb. 2013.

Maryland School Mental Health Alliance. Teen Dating Violence. School Mental Health.org. n.d. Web. 5 Feb.2013.

"Mental Health and Mental Disorders." Healthy people.gov. n.d. Web. 05 Feb. 2013.

Mental Health
Policy Issues in Mental Health and Impact

Mental healthcare is an area of care that has been neglected by policy makers and by the medical community at some point in its history. Examining how the mentally ill have been treated throughout history demonstrates that opinions have changed and people treatment has followed how the general public viewed mental health. At times reformers would make conditions better, but these always seemed to be followed by periods when the mentally ill were treated like criminals. This roller coaster ride of options and opinions seems to be changing currently, and the idea that mental health is as much of a disease as other forms of chronic illness is beginning to take hold with the general public.

Some of the credit for this can be laid at the feet of a greater awareness of how PTSD affects soldiers and other victims of extreme trauma, but,…...

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References

NAMI. (2012). About NAMI. Retrieved from http://www.nami.org/template.cfm?section=About_NAMI

NIMH. (2008). Strategic plan. Retrieved from   planning-reports/nimh-strategic-plan-2008.pdfhttp://www.nimh.nih.gov/about/strategic -

Popper, R. (2011). Covering more uninsured Americans who have pre-existing conditions. Retrieved from   enrollment.htmlhttp://www.healthcare.gov/blog/2011/02/pcip -

SAMHSA. (2011). Leading change: A plan for SAMHSAs roles and actions 2011-2014 executive summary and introduction. Retrieved from  http://store.samhsa.gov/shin/content//SMA11-4629/01-FullDocument.pdf

Mental health disorder is a continuum ranging from a severe disorder to minor distress of behavior or mind. The prime target of the health initiative is to enhance the social functioning and health of mentally ill persons (Halpern & Kaste, 2013). Oral health problem contributes to quality of life, general health, and self-esteem. Although it might have a minimal priority in the context of depression, the impact of mental health and treatment of oral health need to be addressed.
Dental Consequences of Depression

Studies indicate that high comorbidity and chronic dental pain are the most commonly recognized dental implications. Literature on chronic pain and depression extends to describe the reciprocal relation between depression and dental pain. Decreased motivation and energy, coupled with negative self-opinions associated with depression might cause a detrimental effect on oral hygiene habits and adherence to treatment interventions (Kandel, 2012). Depressed patients frequently have minimal interest in basic self-care…...

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References

Ashton, Q. (2013). Depression: New Insights for the Healthcare Professional: 2013 Edition. New York: Scholarly Editions

Dumitrescu, A.L. (2010). Etiology and pathogenesis of periodontal disease. Heidelberg: Springer.

Halpern, L.R., & Kaste, L.M. (2013). Evidence-Based Women's Oral Health, An Issue of Dental Clinics. London: Elsevier Health Sciences

Kandel, J. (2012). Issues in Dentistry, Oral Health, Odontology, and Craniofacial Research: 2011 Edition. West Sussex: Scholarly Editions

Mental Health Care System
The mental healthcare system in the United States is historically fractured. A "silo"-based foundation precludes correlation between varied and integral systems that, collectively, offer a range of services to treat the whole patient. The President's ew Freedom Commission on Mental Health roused the debate of the mental health community and rallied them around one goal: providing thorough, coherent, and appropriate treatment to Americans with mental health and substance abuse problems. Particularly needy for this form of collected care is one demographic in particular: teens dealing with drug abuse and alcohol problems. The substance-abusing teen is caught between many cracks: between child and adult, the mental health system and juvenile justice. The ever-developing mental healthcare system in the United States is restructuring to address this failure, approaching the teen from both SAMHSA and affiliated programs as well as through the Justice Department, using individual, family, and developmentally-appropriate forms…...

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Nissen, p. 15.

AtHealth.com offers a variety of sources that provide for information about adolescent development. It provides the full text of many corresponding articles about development as it relates to treatment as well as access to other mental health community websites and information that provide treatment assistance and professional tools:  http://www.athealth.com/Practitioner/Newsletter/FPN_7_8.html 

Nissen, p. 16.

It promised to be a very important resource to the primary care setting, but at present, the performance has not been considerable and there have been lack of funds and local consensus, which thwart its implementation (Pidd).
Shared Care etween GP Practices and Community Health Teams

This initiative aimed at developing cooperative partnership between these teams as well as establishing systems for proactive, structured care at the practice level (Pidd 2004). Implementation has similarly been problematic. When effected, it would insure the engagement and involvement of the key staff in GP practice and local community mental health teams; a participative, facilitated process for the shared care conceptual framework; joint working groups to develop shared care agreements; and a shared understanding of priorities for improvement. Meanwhile, pilot studies conducted on personal medical services identified five factors, which could enhance successful quality improvement. These were effective collaboration with community and secondary care, effective…...

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Bibliography

1. Bao, Y. (2004). The Effects of State Mental Health Parity Legislation on Perceived Quality of Insurance Coverage, Perceived Access to Care, and Use of Mental Health Specialty Care. Health Services Research: American College of Healthcare Executives

2. Glieb, S. (1998). Too Little Time? The Recognition and Treatment of Mental Health: Problems in Primary Care. Health Services Research: American College of Healthcare Executives

3. Lee, S.D. (2006). Assessing the Service Linkages of Substance Abuse Agencies with Mental Health and Primary Care Organizations. American Journal of Drug and Alcohol Abuse: Taylor and Francis, Ltd.

4. Menaged, S.C. (2003). Obstacles to Accessing Mental Health Care. USA Today: Society for the Advancement of Education

The ultimate solution is comprehensive mental health coverage, a solution which must be achieved on a political level. Full Circle Health is already striving to do so, as part of its political advocacy work. However, until then, one possible solution would be to employ individuals specifically to work helping patients negotiate the complex health care bureaucracy and to work with insurance agencies, government organizations, and private charities to ensure funding. Ideally, these individuals would be paid staff members, employed to work as advocates for funding and to work with insurance companies, to help with paperwork and to submit appeals, when necessary, if funding was threatened. If there is no budget for additional paid staff, volunteers could be employed, however the issue of confidentiality regarding mental health care records must be strictly observed. Paid and volunteer positions would be trained in the health care insurance industry's language, and provide needed and…...

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Works Cited

Cox, John, Ian a Campbell, & Victoria Lewin-Fetter. "Medicine of the person: the lost art of medicine." The Lancet. 371.9615. (2008): 812. 10 May 2008, ProQuest Medical Library database. (Document ID: 1447922391).

Full Circle Health. Official Website. 11 May 2008. http://www.fullcirclehealth.org/index.html

Heckman, Bernadette Davantes, Kenneth a Holroyd, Francis J. O'Donnell, Gretchen

Tietjen, Christine Utley, Mark Stillman, & Gary Ellis. "Race Differences in Adherence to Headache Treatment Appointments in Persons with Headache Disorders. Journal of the National Medical Association." 100.2 (2008): 247-55. 10 May 2008. ProQuest Medical Library database. (Document ID: 1425855661).

Mental Health Legislation
Critical Appraisal of ecent Mental Health Legislation and its Effect Upon Service Users and Carers

In recent years, we have seen a renewed government interest in public health. The everyday coming amendments and suggestions show that achievement of a healthy individual in society is not just related to medical treatment. It also shows that social, environmental and economic surroundings play an important part to determine levels of illness and disease (DoH, 1999). Before mid-twentieth century, majority of the moderate mental disorders were not taken seriously to treat and only people get assistance from their general physician and from family, friends, and clergy

." The care of people with serious mental illness was a state responsibility, provided in custodial mental hospitals for people who could not safely be cared for by themselves or their families...the segregation of such people in isolated custodial institutions probably contributed to the stigma associated with disorders…...

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References

British Columbia Ministry of Health and Ministry Responsible for Seniiors. (2001b). BC's mental health reform best practices for inpatient/outpatient services. Victoria. British Columbia.

Coker, R,(2004) 'Population movements and acute and chronic infectious diseases', paper written for the Nuffield Trust, November

Department of Health, (1998) Our Healthier Nation: a contract for health

Department of Health, (1999) Saving Lives: Our Healthier Nation

Mental Health
Providing patients with mental health problems with the proper care can be a difficult task. There are also many ethical issues that often arise in caring for patients who are mentally ill. The case of Rocky Bennett is a prime example of the ethical dilemmas that can arise when arriving for this particular population. These dilemmas can also be compounded when racial discrimination is involved. The purpose of this discussion is to examine issues related to the delivery of mental healthcare using the Rocky Bennett case as an example.

Delivery of community and health services

Mental illness is still a taboo subject in many communities throughout the world. As such the delivery of delivering community and mental health services can be difficult. Ethical issues abound in the field of mental health because of the sensitivities involved when treating patients who are mentally ill. The major issues are often associated with maintaining…...

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Works Cited

Anglin, D.M. Alberti, P.M., Link, B.G. Phelan Jo C. (2008) Racial Differences in Beliefs About the Effectiveness and Necessity of Mental Health Treatment. Am J. Community Psychol 42:17 -- 24

Commission for Racial Equality. Appointing NHS consultants and senior registrars: report of a formal investigation. London: CRE, 1996.

Esmail A,. (1993) Racial discrimination against doctors from ethnic minorities. British Medical Journal. 306: 691-2

Esmail Aneez (2004)The prejudices of good people: Leadership is needed to combat continued institutional racism. British Medical Journal. 328(7454): 1448 -- 1449

Parents of children with psychological problems are often highly stressed, emotionally and economically, and many have observed that dealing with state bureaucracy can feel like a 'full job' in and of itself. The Case Management Service addresses this problem.
Of course, getting appropriate screening in the first place is essential: children with mental difficulties or learning disabilities, if not properly assessed by a professional, may simply be labeled 'bad' children. This is why all Californian children can be screened at relatively young ages for mental health complaints through the Preschool 0-5 Program. This program facilitates mental health screening, evaluations, treatment and consultation in childcare facilities, pediatrician's offices, and in other environments where children are likely to receive care or treatment (Children's Services, 2010, iverdale).

iverdale's mental health services are supported with a combination of state and county funding. However, according to the Department of Mental Health Services Website (2010) due to…...

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References

Children's Services. (2010). Mental Health Service: Riverdale.

Retrieved July 28, 2010 at http://mentalhealth.co.riverside.ca.us/opencms/english/services/childrens/

Department of Mental Health Services Website (2010). Retrieved July 28, 2010 at http://mentalhealth.co.riverside.ca.us/opencms/english/services/

Detention Mental Health Services of Riverdale, CA. (2010). Mental Health Service: Riverdale.

By not complying with the medical treatment, they are making a statement about their own identity and how it is in their hands, not in their parents or the doctors'. Thus, compliance becomes associated with giving in. Moreover, many teens are worried about the medication itself. For example, "A teen may be wary of the side effects from the prescribed medication, and taking the prescribed medication may validate the teen's condition," (MassGeneral Hospital for Children 2009). By taking the medication, they are validating their disorder, which they may want to ignore. Thus, noncompliance serves as a method of denial -- denying the existence of the very disorder itself.
There are several ways that compliance can be increased. All parties involved should hold some responsibility for increasing compliance with treatment. Therefore, doctors especially should take time to adjust treatment to the teen's life in order to provide the greatest level of…...

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References

Graham, Jennifer. (2009). Recognizing and treating teen mental health issues. Teens and Depression. Retrieved December 26, 2009 from  http://chronicillness.suite101.com/article.cfm/teens_and_depression 

MassGeneral Hospital for Children. (2009). Compliance. Adolescent Health. Retrieved December 26, 2009 from  http://www.massgeneral.org/children/adolescenthealth/articles/aa_compliance.aspx 

U.S. Department of Health & Human Services. (2009). Common mental health problems. Teens and Mental Health. Retrieved December 26, 2009 from http://www.4parents.gov/sexrisky/mentalhealth/mentalhealthproblems/index.html

The attitude of parents which came across as more authoritative, uncompromising, uncooperative and unaffectionate does result in higher levels of depression in the subject. Even though parental authority was required for disciplining the adolescents, it was the accentuated sort of antagonistic authority that resulted in higher levels of depression as well as increased the possibility of clashes and irritation. The fact of the matter is that in most occasions when the adolescent did not respond simultaneously to the overt and hesitant disapprovals and authority of the parents, it decreased with the passage of time.

Apart from these confined parenting approaches there were some peripheral, indirect and distant parenting approaches that brought about depressive inclinations in the adolescent as well. One of these indirect factors was the personal happiness and contentment of the parents within their own relationship or familial or financial situation. While positive growth of this child was also dependent…...

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References

Aneshensel, C.S., and Huba, G.J. (1983). Depression, alcohol use, and smoking over one year: A four wave longitudinal causal model. Journal of Abnormal Psychology. 92: 134-150.

Attie, I., and Brooks-Gunn, J. (1989). Development of eating problems in adolescent girls: A longitudinal study of Developmental. Psychology. 7.5: 70-79.

Braucht, G.N., Brakarsch, D., Follingstad, D., and Berry, K.L. (1973). Deviant drugs use in adolescence: A review of psychological correlates. Psychology Bulletin. 79: 92-106.

Chorpita, B.F., Daleiden, E.L., Moffitt, C., Yim, L., & Umemoto, L.A. (2000). Assessment of tripartite factors of emotion in children and adolescents I: Structural validity and normative data of an affect and arousal scale. Journal of Psychopathology and Behavioral Assessment, 22, 141-160.

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Many people have suggested reasons that obesity remains prevalent in Salford, UK.  The low level of adult physical activity is believed to be the primary cause, but it is important to recognize that childhood obesity is also a factor in Salford.  In addition, one must compare other health measures in Salford to the rest of the UK to get a full picture.  In general, Salford is simply less healthy than the English average, with higher rates of adult smoking, smoking-related deaths, alcohol-related hospital stays, mental health conditions, dementia, and learning disabilities.  This seems to be directly linked to issues....