Treatment FAQ

how could lack of treatment resources effect a communit

by Dr. Mabelle Stehr PhD Published 2 years ago Updated 2 years ago

How to manage a lack of resources?

We suggest a two-step process to help your resource management. 1. Identify the Situation and its Impact Some of the possible causes for the lack of resources. Once you’ve determined why, then the next part is to figure out what the impact on the project is. Without that knowledge it’s impossible to resolve the issue. 2.

Why are some people reluctant to seek treatment?

They may be reluctant to seek treatment because they hold certain beliefs about it, or they may not have insurance to cover the costs. Or they may live in an area where treatment isn’t available.

Why is it so hard to get to treatment in rural areas?

From the perspective of urban counselors, the expense of getting to treatment in rural areas given rising fuel prices is particularly problematic: “Transportation is a big issue in a rural area, especially right now, with the gas prices continuing to rise.

Why don’t people seek treatment for mental health and substance abuse?

The National Comorbidity Survey-Replication, a nationally representative survey of more than 9,000 people, asked why people with mental health and substance abuse disorders did not seek treatment. About 15% of the respondents cited financial barriers such as lack of insurance and concerns about cost.

How does lack of health care impact a community?

The uninsured live sicker and die younger than those with insurance. They forego preventive care and seek health care at more advanced stages of disease. Society then bears these costs through lower productivity, increased rates of communicable diseases, and higher insurance premiums.

Why do some communities lack access to healthcare?

Lack of access to healthcare happens for three main reasons. First, some people cannot access healthcare because of its cost and their income. Second, some people cannot access it because they are uninsured. Finally, some people cannot access it because they do not have quality care in their geographic area.

How does mental health affect a community?

Unaddressed mental health problems can have a negative influence on homelessness, poverty, employment, safety, and the local economy. They may impact the productivity of local businesses and health care costs, impede the ability of children and youth to succeed in school, and lead to family and community disruption.

Why is mental health important in communities?

Mental health heavily influences our quality of life. So it makes sense that mental health, just like physical health, needs to be taken care of and maintained. And one way that it can be maintained is through finding a sense of community.

What problems are associated with access or lack of access to health care?

Lack of health insurance coverage may negatively affect health. Uninsured adults are less likely to receive preventive services for chronic conditions such as diabetes, cancer, and cardiovascular disease.

How does poverty affect the community?

Effects on Community Additionally, inadequate or unsanitary living conditions can contribute to the spread of disease, which adds to health care costs, prevents individuals from working and threatens the well-being of community members.

Why are mental health resources important?

Mental health services also reduce the risk of chronic diseases related to stress, anxiety and substance abuse. Most importantly, mental health services save lives, while improving the outlook for people who may feel hopeless and lost.

What are some local and community resources for mental health?

Active Minds. Contact: [email protected]. ... American Academy of Child & Adolescent Psychiatry. Contact: 202-966-7300. ... Child Mind Institute. ... The Jed Foundation. ... National Child Traumatic Stress Network (NCTSN) ... National Federation of Families for Children's Mental Health. ... The Trevor Project. ... Youth M.O.V.E. National.More items...•

How does mental health education help improve communities and society?

Through this education, students are able to identify where they can promote their own mental health and seek possible treatment options in their communities if they need it. These interventions at the individual and community can ultimately improve positive mental health outcomes.

What are the advantages of community based mental health treatment?

Community-based treatment enables people with mental disorders to maintain family relationships, friendships and jobs while receiving treatment, which facilitates early treatment and rehabilitation.

What does mental health mean to a community?

Mental Health is a state of well-being in which an individual realizes his or her own. abilities, can cope with the normal stresses of life, can work productively, and is. able to make a contribution to his or her community. In this positive sense, mental.

What is the impact of mental illness on individuals families and communities?

Mental illness often has a 'ripple effect' on families, creating tension, uncertainty, stress and sometimes significant changes in how people live their lives. Different family members are likely to be affected in different ways. It's normal to feel a whole range of emotions, such as guilt, fear, anger and sadness.

On My Block: The Impact of Community Resources on Health Outcomes and Medical Spending

A mid the COVID-19 pandemic, it has become more apparent than ever that community resources — such as access to food, safe and affordable housing, and green space — are critically important to people’s ability to stay healthy.

Q: What was the impetus for your research into how where people live impacts medical spending?

A: Through my experiences at Hopkins with special need and complex need populations, I noticed that there wasn’t a lot of information on how community-level factors relate to medical spending, even though we know that availability of food, housing, transportation, etc. influences peoples’ ability to prevent and manage disease.

Q: What were the main research questions you were interested in exploring?

A: My first research question focused on methods for aggregating a large amount of existing community-level data. Using measures covering various community domains, I created a high-level community resource index that could be broken down into sub-indices (representing domains like crime, education, or housing).

Q: What were the key results of your study?

I think my research points out something obvious: ensuring people’s basic needs are met by the communities in which they live may have benefits for everyone involved.

Q: What are the takeaways from your research for how to best support complex populations?

The U.S. has always struggled with a lack of investments in public health and social services as compared to other developed countries, and we continue to see how this leads to poor health outcomes and equity issues across populations.

Q: If other health researchers or systems were interested in doing something similar, what are the key datasets they would need? Is it possible to conduct this research without access to claims and utilization data?

A: Communities have a lot more data than we think they do. However, a lot of it is not aggregated or formatted in a way that is off-the-shelf ready, so it requires effort to bring together.

Q: How, if at all, did this work change your perception of where health care systems and plans should be investing time and resources to support complex populations?

A: One of the arguments we hear from payers regarding investments in community resources needed to protect and improve health is “we’re just a health plan.

Why are resources not available?

Resources are not consistently available for a number of reasons. Those reasons include a person’s location and their income. Unfortunately, elements that a person cannot control, such as gender, sexual orientation and race and ethnicity, hinder a person’s access to resources due to society's negative perceptions. FUNDING.

How many people with mental illness are not able to receive treatment?

One out of five adults with a mental illness reported that they were not able to receive the treatment they needed. The lack of resources within mental health treatment play a significant role within the overall mental health and well being of American citizens.

Why is it so hard to find mental health services?

There are a number of reasons for this injustice, but the main factors include high costs and insufficient insurance coverage, limited options and long waits, lack of awareness and social stigma.

What are the barriers to mental health?

Some of those barriers include gender, sexual orientation, race and ethnicity, geography and income. Resources are not consistently available for a number of reasons. Those reasons include a person’s location and their income.

Why do people not travel to rural areas?

Due to the large amount land that is physically in between houses, towns and hospitals, people might not have the ability to travel to these places. Additionally, many people living in rural areas are farm workers and do not always have the insurance coverage that pays for treatment.

Who said "In rural areas people might have to drive an hour to the closest therapist"?

Licensed Professional Counselor Melissa Ferrigno said, “In rural areas people might have to drive an hour to the closest therapist. You also might not have a therapist who is trained in what you need, they might just be the closest one around.”

What is mental health parity?

Mental health parity describes the equal treatment of mental health conditions and substance use disorders in insurance plans. Currently in America, each state has the power to create these parity laws, so not all are created equal.

Which type of community is more likely to contain each of the 3 types of resources?

Urban or suburban communities were significantly more likely to contain each of the 3 types of resources (outpatient facility, physician practice, or non-physician practice) compared with rural areas. For instance, mental health practices run by specialist physicians were present in 17.6% of the urban or suburban communities and just 1.6% of the rural ones.

What is the most likely community to have access to specialty mental health services?

A new study has found that high-income communities are more likely to have access to specialty mental health treatment resources, including office-based practices, than low-income areas. A new study has found that high-income communities are more likely to have access to specialty mental health treatment resources, including office-based practices, ...

Why are outpatient mental health facilities important?

Researchers indicated that outpatient mental health treatment facilities, which were more commonly found in low-income communities, can provide an avenue to reduce disparities in access to care.

Is community a more relevant level of analysis?

Communities are a more relevant level of analysis as low-income patients may have difficulties securing transportation to access more distant resources located in the same county. Using data from the online Behavioral Health Treatment Services Locator provided by the federal Substance Abuse and Mental Health Services Administration, ...

Do mental health facilities accept Medicaid?

Putting these findings into context, the authors explained that “mental health treatment facilities—which are more likely to serve vulnerable populations—are the backbone of the outpatient specialty mental health care infrastructure that exists in local low-income and rural areas.” They noted that more than 9 out of every 10 of these facilities accept Medicaid, while office-based psychiatrists are less likely than other specialists to accept Medicaid or private insurance, which incentivizes them to establish practices in wealthier areas.

Why don't people go to treatment?

Many people do not enter treatment because they don’t think they can afford it.

How can treatment be more accessible?

Whatever the case may be, there are changes occurring on several fronts that can make treatment more accessible for more people. Changes in insurance coverage may open the door for increasing numbers of people to get the treatment they need. Innovations, such as teleheath, allow people in secluded areas to connect with providers without having to travel long distances. Additionally, alternative options to treatment—such as 12-step groups and other self-help programs—are free and widely available.

What is inpatient rehab?

Inpatient rehab usually takes place in special units of hospitals or medical clinics. These programs offer detox and rehab treatment services, case management, and other group activities. Inpatient treatment is a good option for people with concurrent mental health issues, serious medical conditions, or those who require medical detoxification since these more complex situations often require more intensive levels of care. 2

What are the different types of addiction treatment?

The most common treatment options available for substance abuse are inpatient/residential, outpatient, group therapy, and private or individual therapy . These forms of treatment can differ quite a bit in terms of cost, time commitment, services, and scheduling.

What are the barriers to addiction?

Barriers to finding addiction treatment may vary by personal situation, but the most common barriers include: 1 Financial/Cost 2 Geographic Location 3 Stigma 4 Co-Occurring Disorder Treatment Availability

Where does individual therapy take place?

Individual therapy can also take place in an inpatient or outpatient program or independently in a therapist’s office.

Why is increased funding important?

Increased funding can help programs expand their capacities to treat this population. In 2004, SAMHSA awarded grants to states to increase their infrastructure so that they could make the treatment of co-occurring disorders more accessible, effective, comprehensive, and integrated. 29

What are the issues with the homeless?

While the issues involving America's mental health care system are intricate and multi-faceted, the primary concerns for the homeless population include a lack of outreach services, field workers dedicated to working specifically with the homeless, and funds to support these associated programs. There is also disconnect between the free insurance programs available to the poor and homeless and their actual utilization. While many mentally-ill, homeless individuals would qualify for Medicare and/or Medicaid, they are often unaware these options exist, how/where to apply for these programs, and how to employ them. Severely mentally ill individuals that end up on the streets are in no condition to care for themselves let alone should they be held solely responsible for navigating the maze that has become prerequisite to receiving insurance. Those that do have Medicare/Medicaid often lack transportation to the these services. Additionally, Medicare/Medicaid doesn't give the homeless access to the closest mental health care facility. Often individuals are restricted to receiving treatment from specific locations that are listed under the insurance providers, many of which are far and few between; Due to the high demand for these services, many of the facilities can't see patients right away, and they are placed on lengthy waiting lists.

Why did deinstitutionalization fail?

The main reason these community services have failed is because they never came into existence, due to inadequate funding.

Do mentally ill people have to be on the streets?

Severely mentally ill individuals that end up on the streets are in no condition to care for themselves let alone should they be held solely responsible for navigating the maze that has become prerequisite to receiving insurance. Those that do have Medicare/Medicaid often lack transportation to the these services.

What percentage of mental health patients delayed treatment in 2006?

Similarly, in 2006, 9 percent experienced delays getting treatment due to lack of mental health coverage. By 2014 that number increased to 10 percent.

Why do people with SPD have an increased risk of forgoing healthcare and prescription medications?

They wrote that they discovered that “compared with adults without SPD, adults with SPD had an increased risk of forgoing healthcare and prescription medications because of cost and were more likely to be uninsured.”

How is healthcare utilization measured?

Healthcare utilization was measured through a series of metrics including inability to buy prescription drugs because of money issues, delay in healthcare because of a lack of money, or having to change where they sought treatment due to insurance issues.

What is the ACA in mental health?

That’s despite new legislation, in particular the Affordable Care Act (ACA), approved in 2010. Researchers examined serious psychological distress (SPD) ...

What survey did the researchers use to determine the health status of a person?

The researchers used data from the National Health Interview Survey, an assessment conducted by the U.S. Census Bureau.

Is there enough mental health care?

Two studies conclude more people than in the past have multiple mental disorders, and there aren’t enough services to help those with mental health problems. When it comes to mental illness in the United States, the healthcare system may come up short for those who need it most.

How to reduce the risk of not having enough resources to finish a project?

The best way to reduce the risk of not having enough resources to finish the project is by making sure your resource management plan is as thorough as possible. To start, you want to thoroughly list the resources you’ll need, estimate how many of each you’ll need and schedule them to meet your deadline.

How to solve a lack of resources?

1. Identify the Situation and its Impact. Some of the possible causes for the lack of resources. Once you’ve determined why, then the next part is to figure out what the impact on the project is. Without that knowledge it’s impossible to resolve the issue. 2.

Why use resource management tool?

You can use our resource management tool to monitor and manage your team’s workload as well. This way if one of your team is overtasked and others are not working, you can quickly adjust the workload. This not only is fair and prevents burnout, but it is a more efficient and effective way to manage your resources.

How to avoid resource shortage?

In order to avoid a resource shortage, it’s essential that you monitor your project resources throughout the project. There are several ways to do this in your project management or resource tracking software. You can: Monitor resource productivity on your project dashboards.

What are the challenges of PM?

PM Challenges: Lack of Project Resources 1 New Technology: You might be working on a software program that is more advanced than your able to support, or your team hasn’t yet developed the skill set to use properly. 2 Higher Priority Projects: There might be another project that ends up combining with yours and some of your resources are pulled from your work to another. 3 Unforeseen Events: You can prepare for risks and plan for uncertainty, but people get sick, take unplanned time off, and non-human resources can suddenly have supply issues. 4 Poor Planning: Sometimes it’s as simple as a lack of planning, which is why planning thoroughly before executing a project is so important.

What to do when resources aren't covering what you planned for?

The first thing to do when you notice your resources aren’t covering what you planned for in your project is to identify the context. Resources can be anything from materials to personnel, and the situation that brought you to stretch your resources to the breaking point can have many causes.

What are the assumptions and constraints related to a resource?

Finally, you need to identify the assumptions and constraints related to your resources. An assumption if what you believe to be true, and constraints are the schedule, cost and cost of the project. A strong resource management plan won’t change the amount of your resources, but it will extend their use to fulfill the requirements of the project.

What are the barriers to health care access?

Inadequate health insurance coverage is one of the largest barriers to health care access, 3 and the unequal distribution of coverage contributes to disparities in health. 2, 3 Out-of-pocket medical care costs may lead individuals to delay or forgo needed care (such as doctor visits, dental care, and medications), 4 and medical debt is common among both insured and uninsured individuals. 4, 5 Vulnerable populations are particularly at risk for insufficient health insurance coverage; people with lower incomes are often uninsured, 6, 7, 8, 9 and minorities account for over half of the uninsured population. 10

Why is expanding access to health care important?

Expanding access to health services is an important step toward reducing health disparities. Affordable health insurance is part of the solution, but factors like economic, social, cultural, and geographic barriers to health care must also be considered, 3, 22 as well as new strategies to increase the efficiency of health care delivery.

What is a minority in a summary?

ii The term minority, when used in a summary, refers to racial/ethnic minority, unless otherwise specified.

How many domains are there in the 2020 Social Determinants of Health topic area?

The Healthy People 2020 Social Determinants of Health topic area is organized into 5 place-based domains:

What is access to health care?

Access to Health Services is a key issue in the Health and Health Care domain. The National Academies of Sciences, Engineering, and Medicine (formerly known as the Institute of Medicine) define access to health care as the “timely use of personal health services to achieve the best possible health outcomes.” 1 Many people face barriers ...

Does insurance remove barriers to care?

However, health insurance alone cannot remove every barrier to care. 3 Inconvenient or unreliable transportation can interfere with consistent access to health care, potentially contributing to negative health outcomes. 17 Studies have shown that lack of transportation can lead to patients, especially those from vulnerable populations, delaying or skipping medication, rescheduling or missing appointments, and postponing care. 17 Transportation barriers and residential segregation are also associated with late-stage presentation of certain medical conditions (e.g., breast cancer). 18, 19, 20

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