final proj 2 milestone 2_ihp501.docx

On a more personal level i lost my father in 2013 to

This preview shows page 6 - 9 out of 12 pages.

On a more personal level, I lost my father in 2013 to an overdose. He suffered his entire life from major depressive disorder and turned to drugs as a solution. Although the U.S. did have a mental health policy in place at this time, I still feel that if there were more mental health and substance abuse resources readily available for those in need then things may have happened differently. At the time of his passing, my father’s mental health was very impaired. He could not handle the normal stresses of every day life, could not hold a job, and had lost all visitation rights by the time I was twelve. Because policy has been enacted in order to combat similar situations, I would like to learn as much as I can about H.R. 2646. H.R. 2646: Evaluation
Image of page 6

Subscribe to view the full document.

POLICY INTRODUCTION AND EVALUATION 7 Strengths and Weaknesses of H.R. 2646 As a policy that was introduced to address mental illness and gun violence, H.R. 2646 does a poor job of addressing the topic. No part of the bill addresses gun violence due to mental illness, and mental healthcare is not, and will never be, a solution to gun violence. According to Rebecca Elsing, manager of an inpatient acute stabilization unit (ASU) for mental illness and substance abuse in Providence, RI, “if the goal is to prevent gun violence, then the policy is not working as intended. Also, there are a lot of individuals with a mental illness that are not violent” (R. Elsing, personal communication, August 21, 2018). A 2016 academic study regarding mental illness and gun violence concluded, “evidence is clear that the large majority of people with mental disorders do not engage in violence against others, and that most violent behavior is due to factors other than mental illness” (Swanson, McGinty, Fazel, & Mays, 2015, p. 375). In 2016 the American Psychology Association published Gun Violence and Mental Illness , which states that mass shootings by people with serious mental illnesses represent just one percent of all gun homicides each year (Qui & Bank, 2018). Thus, as a means to address mental illness and gun violence the policy is not effective. While health and mental health care are integrated via this policy by allowing for same day Medicaid billing, the use of Medicaid financing for adult psychiatric hospitalizations and residential facilities with more than 16 beds is not prohibited. The restriction was put into place to compel states to invest more into community-based systems instead of unnecessarily “warehousing” people in need, meaning they are left waiting for days in the ER to be transferred to an inpatient program (Harris, 2015). In retrospect this restriction may make sense, but it has actually resulted in not enough inpatient beds being available for those in need. According to Elsing the unit census has increased in recent years, but she believes it is due to an increased
Image of page 7
POLICY INTRODUCTION AND EVALUATION 8 need of such services and limited treatment options, rather than H.R. 2646. Elsing is also an ER psych and substance abuse intake coordinator, and reports that some clients are often warehoused.
Image of page 8

Subscribe to view the full document.

Image of page 9

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern