In working in health care I have spent a great deal of time exploring various areas of the field. Two health indicators that I have been drawn to specifically is “Health Service Coverage” and “Mental Health and Substance Abuse”. These two indicator touches on a variety of issues such as why are there so many people falling through the cracks when it comes to obtaining medical coverage, and why is mental and substance abuse issues always placed on the back burner when it comes to getting people the proper help that they deserve. Working within the Public health sector these are issues that need to be advocated for so that people can have access to living a healthier life and can benefit from the quality of life around the globe. Health Service …show more content…
In life, no one ever anticipates being sick or suffering from illness associated with mental health or substance abuse. The purpose is to promote healthy living and encourage preventative care in areas such as prenatal care, immunization, and infectious diseases in adults. Coverage indicators are typically calculated by dividing the number of people receiving a defined intervention by the population eligible for or in need of the intervention (World Health Organization, 2009). Mental health and substance abuse is also an indicator that poses as a very prevalent issue in societies today. Those who suffer from mental and substance abuse usually shares some underlying causes, including changes in brain composition, genetic vulnerabilities, and early exposure to stress or trauma (Mental Health and Substance Use Disorders, n.d.). Substance abuse is often times associated with either drugs or alcohol, which can lead to spiraling social or economic issues such as financial problems, domestic violence, child abuse, and eventually graduating into committing …show more content…
Accessibility is a major area of concern because while other countries embrace universal health care at low cost the U.S. see health care as a cash cow with the cost of health care constantly increasing. The U.S has the most expensive healthcare system in the world, but yet and still the quality of service that people receive is often time less than stellar. Also, another reason why the U.S. has such low rankings is because of equality. In the U.S people who are considered as having low income do not go to the doctor which results in them not partaking in wellness visit, nor receiving proper medications to combat their illness. Whereas in other countries they do visit the doctor regularly despite their economic status (Mirror, Mirror on the Wall,2014). Moving on to mental health and substance abuse The global burden of Neuropsychiatry diseases and related mental health conditions are enormous, underappreciated and under-resourced, particularly in the developing nations (Ngui, 2010). Mental health and the issues that revolve around the disease are still very much taboo than in the U.S. which makes for accurate diagnosis and treating the disease very tough. With the stigma and discrimination surrounding the disease is some countries such as
Fortinash, K. M., & Holoday Worret, P. A. (Eds.). (2012). Substance-related disorders and addictive behaviors. Psychiatric mental health nursing (5th ed., pp. 319-362). St. Louis, MO: Elsevier Mosby.
Mental healthcare has a long and murky past in the United States. In the early 1900s, patients could live in institutions for many years. The treatments and conditions were, at times, inhumane. Legislation in the 1980s and 1990s created programs to protect this vulnerable population from abuse and discrimination. In the last 20 years, mental health advocacy groups and legislators have made gains in bringing attention to the disparity between physical and mental health programs. However, diagnosis and treatment of mental illnesses continues to be less than optimal. Mental health disparities continue to exist in all areas of the world.
The Addition Severity Index is a well-known and widely used tool for use in treating alcoholics and other addicts. It is an approximately 45 to 60 minute long interview comprised of questions about the patient’s life. The interview covers eight subscales focusing on many different parts of a person’s life which helps to provide a comprehensive understanding of their life. The severity is scored on a ten point scale ranging from no problem or treatment indicated to extreme problem, treatment absolutely necessary. The scale helps the interviewer determine the seriousness of a client’s problem and to plan an effective course of treatment. The ASI can also be found in a self-administered paper-and-pencil form and an interactive CD-ROM multimedia version for the computer (Maleka, 2004). This test has been found to be reliable by most but some others do not agree. It is difficult to say whether or not the test is a reliable and valid measure of treatment due to the complexity of the questions. Once a client’s psychosocial needs are identified it is easier to find treatment suitable for that client. There are some problems with the test such as it is not properly designed to cover such a wide population (Maleka, 2004). Other problems include irrelevant questions for alcoholics and other drug users, difficulty remembering relevant information, and lying and exaggerating information for the best interest of the patient (Maleka, 2004). Use of the ASI can be found to be particularly problematic when used with the homeless or double-diagnosis patients. The ASI can be used in a wide range of treatment settings including clinical, research, and administrative. This comprehensive evaluation is a useful tool that helps professionals understand the
State and local public health departments throughout the country have the responsibility for improving health in workplaces, schools, and communities through identifying top health problems within society and developing a plan to improve. Barriers the public health system has encountered over the years include: changes in the overall health system that support cost containment and improved health, and an increase in the number of individuals with insurance coverage for direct preventive services; reduction of qualified public health professional and funding at all levels of government; increasing focus on accountability, with higher expectations for demonstrating a return on investment in terms of cost and health improvement (Trust, 2013). In the near future, health departments ...
It involves the mental, physical, emotional, and medical domains of the individual’s life, but due to the fact that many of these services are publicly funded, gaps exist. Cox (2007) reported that “community resources were generally perceived as inadequate. None of our participants had ready access to social workers in the office, so arranging home health care, adult day care, and other community services added to the difficulty of primary care” (p. 82). Not only are the services and programs inadequate, recent economic dilemmas and ‘recession’ has reduced public spending to meager allowances. Another sore problem is Medicare and general health care programs for the less wealthy. This was the sentiment echoed by one physician interviewed: “If you told me I had to run this place on the basis of what I get from Medicare, I would have to tell you I couldn’t do it, which is kind of sad, because they claim that they’re bankrupt and everything. Where in the hell are they spending their money? They sure ain’t giving it to
The United States government spent 2.3 billion dollars in 2010 on federally funded healthcare initiatives and programs according to a report from the U.S Department of Health and Human Services (2008). Despite this astronomical amount of money, health care disparities continue to plague disadvantaged populations in the United States. A health care disparity is defined as differences in incidence, mortality, prevalence, disease burden, and adverse health conditions that occur in specific population groups in the United States (National Institutes of Health, 2010).
The Werry Centre. (2013). Co-existing Problems (CEP) & Youth: A Resource for enhancing Practice & Service Delivery. The Werry Centre for Child and Adolesence. Auckland: The University of Auckland.
...nts of Health and the Prevention of Health Inequities. Retrieved 2014, from Australian Medical Association: https://ama.com.au/position-statement/social-determinants-health-and-prevention-health-inequities-2007
Those that are homeless or living in poverty have high rates of mental disorders, but have limited access to get assistance due to they are the ones that are being discriminated against because of their social status (Saxena, et al., 2007). In some countries, it is a person’s sex that determines if they meet the criteria for assistance, more woman than men normally meet the criteria for common mental disorders and assistance (Saxena, et al., 2007). The last example are those that live in rural areas due to they are not in close proximity to a major city to be able to receive the care they need (Saxena et al., 2007). Where I live these are all barriers for those with mental illness to get assistance and I do not feel like there is much being done to improve the situation. Next I will discuss the last worldwide barrier, which is inefficiencies when using the
According to healthypeople.gov, a person’s ability to access health services has a profound effect on every aspect of his or her health, almost 1 in 4 Americans do not have a primary care provider or a health center where they can receive regular medical services. Approximately 1 in 5 A...
Drug and alcohol abuse has become a worldwide epidemic within today’s society. The battle against drugs and alcohol is not going to diminish. Therefore, we as a society need to work together to address these problems while incorporating successful treatment plans and services for these individuals. The addiction to these substances does not only effect oneself, but can also have profound consequences for the children and families.
Center, N. D. (2004, April). Drug Abuse and Mental Illness. Retrieved Febrauary 9, 2011, from Justice.gov: http://www.justice.gov/ndic/pubs7/7343/7343p.pdf
Alcohol and drug abuse is one of biggest problems in United States today. It is not only a personal problem that dramatically affects individuals' lives, but is a major social problem that affects society as whole. "Drug and alcohol abuse", these phrases we hear daily on the radio, television or in discussions of social problem. But what do they mean or what do we think and understand by it? Most of us don't really view drug or alcohol use as a problem, if that includes your grandmother taking two aspirins when she has a headache or your friends having few beers or drinks on Saturday night. What we really mean is that some drugs or alcohol are being used by some people or in some situations constitute problem with which our society must deal. It becomes a real problem when using or I should say abusing drugs cause accidents, antisocial behavior, broken relationships, family instability, crime and violence, poverty, unsafe streets and highways, worker absenteeism and nonproductivity, and the most tragic one death. The situation in which the drug or alcohol uses accurse often makes all the difference. The clearest example is the drinking of alcohol, when individual begins to drink during the job, at school, or in the morning, we have evidence that indicates a potential drinking problem. If a person takes narcotic drug because he just wrecked his knee while his physician prescribed playing football and the drug, most of us would be not concerned. If, on the other hand, he took the same drug on his own just because he likes the way it makes him feel, then we should begin to worry about him developing dependence. Even use of illegal drugs are sometimes acceptable, but it also depends on situation, for example in some countries smoking marijuana is legal just like drinking alcohol in United States. Some subcultures even in United States that accept the use of illegal drugs may distinguish between acceptable and unacceptable situation, some college age groups might accept marijuana smoking at a party on weekends, but not just before going to a calculus class. Most of people would accept a fact that a bartender or a waiter who is working at a night club is having a beer or a drink on his break or that a landscape worker is having a cold beer with his lunch on a hot summer day. I'm not saying that it is "OK" but we wouldn't complain a...
Today, the numbers of people with mental health issues are considerably high. The problem increases the national and global social and economic burdens as governments try to find means of empowering the people with the issue and solve the problem. Today, one in five adults in the United States has a mental health problem (“Mental Health Facts,” 2016). “Mental Health Facts” (2016) also states that the adults that received mental health services are about 60%. Only 50% of the youth with mental health issues received mental health services in the previous year. Further, mental health issues are also related to drug use and addiction. Of all the mental illnesses and disorders, depression affects the most people and has the biggest burden globally. Due to the increasing burden and the gap in service utilization, the mental health policy seeks to address several factors. Some of the key issues to address include early diagnosis of mental disorders, provision of appropriate and adequate intervention a particular problem, education and counseling for the family members, and research to help reduce the numbers and reverse the trend. Another key area of focus is the use of mass media to create awareness about mental health issues and help clear the
As of the moment, mental disorders constitute four of the 10 leading causes of disability in the world, and mental and behavioral disorders account for 12% of the global burden of disease, yet the mental health budgets of the majority of countries constitute less than 1% of their total health expenditures. (WHO, 2001)