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Emerging issues in the mental health care arena that the policymakers address and those that are in need of policy advocacy are:
- The struggle to find caregivers with the proper contracts for mental healthcare is a new problem in the field of mental health care (NAMI, 2017).
- The National Alliance on Mental Illness (NAMI) estimates that 50 percent of the 60 million adults and children in the United States who have a mental health diagnosis do not receive any treatment.
- Patients frequently have to seek treatment outside of their network, which increases their out-of-pocket expenses (NAMI, 2017).
What is mental health?
Our emotional, psychological, and social well-being are all parts of our mental health. It influences our thoughts, emotions, and behaviors.
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According to Popple & Leighninger (2019), "advocates urge a number of improvements, changes, and protections, including effective grievance and appeal procedures; coverage of a full array of treatments and interventions, including community-based services such as housing programs and vocational training; greater use of outcome measures; parity or equality of insurance benefits for those with physical and for those with mental illness; and adequate attention to the needs of those with severe and chronic mental illness".
- These make up many of the emerging issues in the mental health care arena that need to be addressed to best provide assistance and treatment to those with mental illness.
- A specific issue that needs policy advocacy discussed by Mental Health America is the fact that mental health conditions should be treated long before a crisis occurs and they gave the example that people do not wait years to treat things like cancer or diabetes, so why should mental health be any different?
- Early identification could help alleviate the vast amount of crises people with mental health conditions face.
- Another policy that needs to be addressed for advocacy for change is the Affordable Care Act (ACA). According to Daniels & Ritter (2018), there is a coverage gap associated with the ACA regulations.
- In 2012, the Supreme Court made the expansion of Medicaid to widen services that was optional to each state.
- With this, a lower reimbursement rate from Medicaid discourage community behavioural health services often leaving the only option of seeking care in the emergency rooms.
- Because of this "patients endure long stays in the emergency departments waiting on state sponsored beds leading to uncompensated care and increased tax payer burden" (Daniels & Ritter, 2018).
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