Who pays A lot of services in the community were paid for by Medicaid Medicare

Who pays a lot of services in the community were paid

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Who pays: A lot of services in the community were paid for by Medicaid Medicare - old ppl Supplemental security income For people who were insufficient at a certain level, were supplemented Public assistance What makes a group home unique? What is a club house service?
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Terms for Review for Exam #3 Deinstitutionalization: the process of closing state hospitals and transferring inpatients to community-based mental health services, began in the 1950s. Also stopped allowing new patients from entering into institutions under parens patriae the state has the obligation to serve the best interests of individuals, which means it must protect those with mental illness from potential harm. Deinstitutionalization was very controversial: people did not want mental patients living in in their communities (there was a lot of crime and homelessness) Had positive impact on worried well (those with less severe forms of mental illness such as anxiety) 4 contributors to Deinstitutionalization: 1. Drug technology advancement medications used for seizures were also affecting mood allowed healthcare workers to care for/ control patients outside of hospitals Thorazine and Lithium were 2 major advancements They did not cure in the big hospitals, these 2 drugs were for control and immediate success when patient was acting out Easy to administer Gave new hope and optimism that these 2 drugs could allow people to live in communities 2. Legal changes Robert Kennedy checked up on institutions around the country and saw the living conditions and began to pass the CMHC act Community Mental Health Centers (CMHC) Act of 1963: directed each state to develop a statewide plan designating catchment areas that would serve 75,000 to 200,000 people, with a community mental health center serving each catchment area it taught tolerance, respect, and helpfulness towards patient funded by federal government but state taxpayers paid for it social model The CMHC had 3 main functions: To provide focused, individual competency-building programs To coordinate agencies that serve the mentally ill (i.e., transportation, housing, income maintenance, vocational rehabilitation, crisis intervention, and emergency hospitalization)
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to promote social support networks for those with mental illnesses at all levels CMHC’s did not directly reduce the size of hospital populations nor served the needs of those with severe mental illness; instead they served new patient populations; those with less acute disorders and segments of the middle class Civil rights movement: legal model for who you could commit into institutions changed mental illness was no longer enough to lock someone up Decided that people have the right to live in the least restrictive environments (had the right to live in the same environment as everyone else) People had the right to trial by jury (not just state should decide who goes into hospitals)
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  • Spring '07
  • Carelli
  • Sociology, Psychiatry, Psychiatric hospital, Community Mental Health Centers

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