Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

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( Agenda Comparison Grid and Fact Sheet )

Agenda Comparison Grid

First Name Last Name

Walden University

Policy and Advocacy for Improving Population Health

NURS 6050

Date

1

Agenda Comparison Grid

Do NOT include an abstract. Indent paragraphs ½ inch. Be sure to include the purpose statement in the introduction. The purpose statement must be clear, such as, The purpose of this paper is to present teen tobacco use as a population health problem and discuss why the legal age to purchase tobacco products should be 21 years old. The paper will also present a grid with a tobacco bill. The reader should know what to expect in the paper from reading the purpose statement.

The purpose of this paper ………

This should be an introduction to the problem. Facts are needed.

The title above the first paragraph must be exactly the same as the one on the title page. It should be bolded. APA does not use Introduction as a heading. Personal pronouns, like we, you, he, she, are not used in APA. An occasional I statement is accepted. Do not add extra spaces between sections. See APA p. 64 for level one headings. Contractions are not used in APA. The entire paper should be double-spaced, and written in Times New Roman, 12 font. That includes the references. To create double spacing, highlight and push CTRL 2.

You will use the current president Donald Trump this is just an example.

Agenda Comparison Grid and Fact Sheet

Healthcare Issue

Access to Mental Health Services

Description

Over 56% of adults with a mental illness receive no treatment. Barriers to Mental Health Services include, but are not limited to; being uninsured, insurance restrictions, reporting of unmet needs, and lack of Mental Health Workforce.

Administration (President Name)

Barack Obama

George W. Bush

Bill Clinton

Describe the administrative agenda focus related to this issue

- extending mental health and substance use disorder benefits and parity protections to over 60 million Americans

- with the ACA, insurers could no longer deny coverage or charge patients more due to pre-existing health conditions, including mental illness

- requiring health plans to cover recommended preventive services like depression screening and behavioral assessments at no out-of-pocket cost

- providing funding to train teachers to identify and respond to mental illness and to train thousands of additional mental health professionals to serve students.

- increasing the number of Department of Veterans Affairs (VA) mental health providers, enhanced VA partnerships with community providers, and improved Government coordination on research efforts

ALL CITATION HAVE TO BE IN THE GRID THAT IS NOT SHOWN HERE.

NO QUOTES PLEASE

- to eliminate inequality for Americans with disabilities

- to maximize the utility of existing resources

- improve coordination of treatments and services, and promote successful community integration for adults with a serious mental illness and children with serious emotional disturbances

- Expanded training, screening, and staff resources to help service members and veterans suffering from mental health disorders.

- Established a Center of Excellence for Psychological Health and Traumatic Brain Injury and expanded VA's polytrauma system of care to 21 network sites and clinic support teams to provide state-of-the-art treatment to injured veterans at facilities closer to their homes

ALL CITATION HAVE TO BE IN THE GRID THAT IS NOT SHOWN HERE.

- eradicate stigma and discrimination associated with mental illness

- extending Mental Health Care to millions of children through the Children's Health Insurance Program (CHIP)

- developing a National Suicide Prevention Strategy

- ensuring Medicaid Coverage of Mental Health Services

- improving Prevention and Treatment for people with Mental Illnesses

ALL CITATION HAVE TO BE IN THE GRID THAT IS NOT SHOWN HERE.

Allocation of financial and other resources to this issue

Under the Obama’s 2016 budget, the Substance Abuse and Mental Health Services Administration (SAMHSA) saw a $44.6 million increase – boosting overall funding to $3.6 billion. This amount included:

- $482.5 million for the Mental Health Services Block Grant, with 5% set-aside to support early intervention in psychosis

- $117 million for the Children’s Mental Health Program

- $10 million in new funding for Crisis Systems

- $26 million for Primary Care-Behavioral Health Integration grants

-$15 million for Mental Health First Aid under the Now is the Time initiative

-$4 million in new funding for Veterans Mental Health First Aid

-$2 million increase for suicide prevention activities

-$10 million in new funding for peer professional workforce development

-$16 million cut for Criminal Justice Activities such as drug courts and ex-offender re-entry grants at the Center for Substance Abuse Treatment (CSAT)

-$20 million for Primary Care-Addiction Services Integration.

ALL CITATION HAVE TO BE IN THE GRID THAT IS NOT SHOWN HERE.

NO QUOTES PLEASE

- FY 2009 funding for the Department of Veterans Affairs (VA) totaled more than $97 billion for healthcare needs to include mental health

- $6 billion to modernize and expand VA medical facilities

- more than $1 billion to support traumatic brain injury and post-traumatic stress disorder treatment and research.

- increased the Mental Health Services Block Grants by $70 million

- $24 billion to provide health care coverage to uninsured children

Notes on Administration’s approach to the issue

-Executive Order 13625 -Improving Access to Mental Health Services for Veterans, Service Members, and Military Families, August 31, 2012

(This primarily addressed Depts of Veteran Affairs and Defense)

-Training grant incentives to expand mental and behavioral health care services for vulnerable and underserved populations

ALL CITATION HAVE TO BE IN THE GRID THAT IS NOT SHOWN HERE.

NO QUOTES PLEASE

-In 2002, President George W. Bush appoints the New Freedom Commission on Mental Health, a committee of mental health experts who issued a report with 19 recommendations for improving services for children, youth and adults living with mental illness.

- President directed its members to study the problems and gaps in the mental health system and make concrete recommendations for immediate improvements that the Federal government, State governments, local agencies, as well as public and private healthcare providers, can implement

-In 2004, President George W. Bush signs the Mentally Ill Offender Treatment and Crime Reduction Act (MIOTCRA), which provides resources to communities for alternatives to incarceration for youth and adults with mental illness and co-occurring substance use disorders.

-In 2008, President George W. Bush signs the Paul Wellstone and Pete Domenici Mental Health Parity and Addictions Equity Act of 2008, a comprehensive federal law establishing that coverage in health insurance for mental health and substance abuse treatment must be equivalent to that for other medical conditions.

-1996 President Bill Clinton signs the first limited mental health parity law: the Mental Health Parity Act (MHPA) to begin addressing disparities in the coverage of mental illness.

-1999 President Bill Clinton hosts the first White House Conference on Mental Health, signaling to the nation that reducing the stigma around mental illness is important.

General Notes/Comments

-With Obamacare over 20 million Americans gained health coverage

-Obamacare did not achieve uniform affordability

-Healthcare remains very expensive

- 45 Million Americans went without Health Insurance

-Enactment of Health Savings Accounts

- failed to achieve universal health care

- Children's Health Insurance Program; subsidizes health insurance for children in families that earn too much to qualify for Medicaid

Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected

General Notes/Comments

Administration (President Name)

President Donald Trump

President Barack Obama

President George W. Bush

Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

Substance Abuse and Mental Health Services Administration (SAMSHA) within the U.S. Department of Health and Human services. Founded in 1992, this agency is committed to improving access, education, research, and resources for mental health care treatment in the United States.

National Institute of Mental Health within the National Institute of Health. The mission of this federal agency is to sponsor research into mental health treatment to improve prevention, treatment, and outcomes of those with mental health disorders. While this agency was created in 1949, increased funding began in 2013, during the Obama administration.

The Center for Disease Control, which is committed to improving the health and wellness of the nation. This agency is dedicated to focusing on treating mental health conditions in the same way that other health conditions are managed. The Center for Disease Control believes that mental health is an important factor in an individual’s health and wellness.

How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?

Access to, and funding of, mental health care has been a part of the Trump administration’s health care reform agenda. Advocates for mental health care reform can ensure that the Trump administration continues to work on mental health care reform by focusing shared statistics on the mental health care needs facing American children and veterans. The focus should be of how to allocate resources for mental health care through changes to the Affordable Care Act.

The Affordable Care Act opened the dialogue on access to health care for all Americans. Because mental health care is a part of health care generally, supporting coverage of mental health care services through avenues created by the Affordable Care Act would be a way to get this topic on the Obama administration’s agenda. Additionally, the focus should be on expanding mental health benefits for all, with added focus on the mental health of veterans and their families.

President Bush signed the Mental Health Parity and Addiction Equality Act of 2008. This Act calls for an equal allocation of health care benefits, whether for medical, surgical, or mental health related. The Bush Administration was focused on addressing the mental health care needs of the nation from a variety of venues. In order to have the administration continue to keep mental health care funding on its agenda, a targeted evaluation of current program funding successes and needs should be completed on an annual basis.

Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Elinore F. McCance-Katz, M.D., Ph.D., the current Assistant Secretary for Mental Health and Substance Use. Dr. McCance-Katz’s experience as a clinician, educator, and researcher in mental health allow her to advise on the many facets of the growing mental health care concern. Through her experience at the state level, serving as the Chief Medical Officer for Eleanor Slater Hospital System in Rhode Island, Dr. McCance-Katz has the unique perspective of the challenges of those with medical and mental health issues, requiring extensive inpatient care.

Chirlane McCray, First Lady of New York City. Ms. McCray has demonstrated her commitment to utilizing community resources to redefine mental health care access and resources for those living in New York City. Ms. McCray developed ThriveNYC, a mental health plan for New York City and heads the Cities Thrive Coalition. The Thrive Coalition is comprised of over 200 leaders from 50 states who share the common goal of improving the financial support and integration of mental and behavioral health treatment.

Former Congressman Patrick Kennedy, founder of the Kennedy Forum. Through the former congressman’s vision, the Forum facilitates the collective partnership between government agencies, business, and mental health advocates in champion of the Mental Health Parity and Addiction Equality Act of 2008. This Act calls for equal coverage of medical surgical and mental health benefits.

This is what a fact sheet looks like

Fact Sheet for Access to Mental Health Services

Add CITATIONS to your fact sheet

Asking That You:

· Increase funding for programs to promote awareness and education

· Increase Mental Health Services Block Grants

· Provide coverage for uninsured Adults and Children

Prevalence of Mental Illness:

· Approximately 1 in 5 adults in the U.S.—43.8 million, or 18.5%—experiences mental illness in a given year.

· Approximately 1 in 25 adults in the U.S.—9.8 million, or 4.0%—experiences a serious mental illness in a given year that substantially interferes with or limits one or more major life activities.

· Approximately 1 in 5 youth aged 13–18 (21.4%) experiences a severe mental disorder at some point during their life. For children aged 8–15, the estimate is 13%.

Why People do not get help:

· Cost and other practical barriers

· Could not afford cost – 37.2%

· Did not have time – 21.7%

· Health insurance does not pay enough for mental health services – 11.9%

· Health insurance does not cover any mental health services – 8.8%

· No transportation or inconvenient – 3.8%

· Lack of insight, awareness and information

· Thought could handle the problem without treatment – 31.0%

· Did not know where to go for services – 26.0%

· Did not feel need for treatment at the time – 11.9%

· Distressing thoughts and feelings (stigma, fear, distrust, hopelessness)

· Might cause neighbors or community to have negative opinion – 12.6%

· Concerned about being committed or having to take medicine – 11.9%

· Might have negative effect on job – 11.7%

· Concerned about confidentiality – 11.0%

· Treatment would not help – 10.0%

· Did not want others to find out – 9.1%

· Add CITATIONS to your fact sheet

·

·

Consequences of Lack of Treatment:

· Serious mental illness costs America $193.2 billion in lost earnings per year.

· Mood disorders, including major depression, dysthymic disorder and bipolar disorder, are the third most common cause of hospitalization in the U.S. for both youth and adults aged 18–44.

· Individuals living with serious mental illness face an increased risk of having chronic medical conditions.

· Adults in the U.S. living with serious mental illness die on average 25 years earlier than others, largely due to treatable medical conditions.

· Over one-third (37%) of students with a mental health condition age 14­–21 and older who are served by special education drop out—the highest dropout rate of any disability group.

· Suicide is the 10th leading cause of death in the U.S., and the 2nd leading cause of death for people aged 10–34.

· More than 90% of people who die by suicide show symptoms of a mental health condition.

· Each day an estimated 18-22 veterans die by suicide.

Summary:

Despite the enactment of the Affordable Care Act and the Mental Health Parity and Addiction Equity law (MHPAE);

· 12.2% (over 5.3 million) of adults with a mental illness remain uninsured.

· Children lacking mental health coverage ranges from 3.2% in Massachusetts to 21.9% in Mississippi.

· Average cost for public services for mentally ill individuals is $22,372 per person per year.

Ensuring that all Americans are able to access and receive psychiatric-mental health treatment would not only be altruistic, it would be more cost effective as well.

CONTACT:

Your information here because you developed this.

Conclusion

Be sure to add a short conclusion. This is an APA paper.

References

Any Mental Illness (AMI) Among Adults. (n.d.). Retrieved from http://www.nimh.nih.gov/health/statistics/prevalence/any-mental-illness-ami-among-adults.shtml

The date is needed for electronic references

Bender, Eve. (May 16, 2016). Actress and Mental Health Advocate Patty Duke Dies at 69. Retrieved from https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2016.5b17

Gordon, Josh. (February 27, 2019). Around the World and Back Again: Global Mental Health Efforts. Retrieved from https://www.nimh.nih.gov/index.shtml

Hart, Jessica W. (February 15, 2016). How Presidents Have Shaped Mental Health Care. Retrieved from https://www.nami.org/Blogs/NAMI-Blog/February-2016/How-Presidents-Have-Shaped-Mental-Health-Care

Hogan, Michael, F., PhD. The President’s New Freedom Commission: Recommendations to Transform Mental Health Care in America. Retrieved from http://ps.psychiatryonline.org Psychiatric Services. November 2003. Vol. 54 No. 11

National Alliance on Mental Illness. (December 2016). Public Policy Platform of The National Alliance on Mental Illness. Twelfth Edition. Retrieved from https://www.nami.org/About-NAMI/Policy-Platform

President Obama’s 2016 Budget: What Does It Mean For Mental Health? (n.d.). Retrieved from https://namigreaterhouston.org/president-obamas-2016-budget-what-does-it-mean-for-mental-health/

President’s New Freedom Mental Health Commission. (n.d.). Retrieved from https://govinfo.library.unt.edu/mentalhealthcommission/reports/FinalReport/FullReport-1.htm

Rowan, Kathleen et al. (October 2013). Access and Cost Barriers of Mental Health Care by Insurance Status 1999 to 2010. National Institute of Health Public Access. Author Manuscript. Health Aff (Millwood). 2013 Oct; 32(10): 1723–1730. doi: 10.1377/hlthaff.2013.0133

Susman, David, Ph.D. (2018). The Top Reasons Why People Don’t Receive Needed Mental Health Services. Retrieved from http://davidsusman.com/2018/04/12/the-top-reasons-why-people-dont-receive-needed-mental-health-services/

The Balance. (Feb. 2019). President Bill Clinton’s Economic Policy’s. Retrieved from https://www.thebalance.com/president-bill-clinton-s-economic-policies-3305559

Use of Mental Health Services and Treatment Among Children. (n.d.). Retrieved from http://www.nimh.nih.gov/health/statistics/prevalence/use-of-mental-health-services-and-treatment-among-children.shtml

White House Archives. (August 2012). Administration of Barack Obama. Executive Order 13625; Improving Access to Mental Health Services for Veterans, Service Members, and Military Families. Retrieved from https://obamawhitehouse.archives.gov/the-press-office/2012/08/31/executive-order-improving-access-mental-health-services-veterans-service

White House Archives. (n.d.a). Bill Clinton and Al Gore; Improving Mental Health. Retrieved from https://clintonwhitehouse4.archives.gov/textonly/WH/Accomplishments/MHAccomp.html

White House Archives. (n.d.b). The Bush Record. Retrieved from https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/veterans.html

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