Please reply to the discussion post. There are two discussion post below. Please respond to each post with a minimum of ONE PARAGRAH FOR EACH POST

Please respond to the two-peer discussion post. Respond to each post with a minimum of one paragraph each.

Ruby Navarro 

Week 1 Discussion 1

COLLAPSE

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Discuss how social and economic factors affect public health programs (local, State, or Federal)?

Some factors that affect health program are cost, focused on minority populations, biology, behavior, the physical and social environment, and the accessibility to health services in the communities. Social and cultural factors are included when determining the type of programs are being developed. In the United states, mediated risks include tobacco use, diet, alcohol use, injury risk. Less is focused on infectious diseases. (Turnock, 2016) In my community’s programs are offered at Communities Centers, Population specific programs and Social Services.

 Many programs are grant funded, so the program must bid for funding every fiscal year. Tracking and documenting contacts and services that were offered and participation is important. An important component of this these programs are the Outreach teams. These people go out into the communities building relationships to engage participants. Through Outreach the program can develop methods of ways to get community members to accept services. And they can identify the needs such languages and locations. Some programs such diabetes educations will offer test kits and supplies for blood sugar testing and cooking classes.

In more recent years California has developed CalMHSA, California Mental Health Services Authority. In 2004 Proposition 63 was passed, “The MHSA was passed by California voters in 2004 and is funded by a one percent income tax on personal income in excess of $1 million per year. It is designed to expand and transform California's behavioral health system to better serve individuals with, and at risk of, serious mental health issues, and their families. MHSA addresses a broad continuum of prevention, early intervention, and service needs and the necessary infrastructure, technology, and training elements that effectively support the public behavioral health system.” (DHCS Menttal Health Services Act, 2020) MHSA  is an example of how it trickles down from state level to community level. At this level Program Policy are created, Fiscal Oversight, County programs are being monitored. Here is a link you can review  https://d.docs.live.net/9ce2393054b2540d/Desktop/The%20Ecology%20of%20Public%20Health%20COH300/2020.11.220%20week%201%20discussion%201%20Discuss%20how%20social%20and%20economic%20factors%20affect%20public%20health%20programs.docx

MHSA prop 63 is specific to California’s, experiencing mental illness, or at risk of mental illness. Through Prop 63 programs are created and must comply with local plan. “The MHSA addresses a broad continuum of prevention, early intervention, and service needs as well as providing funding for infrastructure, technology, and training for the community mental health system.” (MHSA Program Policy, n.d.) On a monthly basis money deposited to Counties who provide such programs.

 

References

DHCS Menttal Health Services Act. (2020). Retrieved from dhcs.ca.gov: https://www.dhcs.ca.gov/services/mh/Pages/MH_Prop63.aspx

MHSA Program Policy. (n.d.). Retrieved from dhcs.ca.gov: https://www.dhcs.ca.gov/services/MH/Pages/MHSA-Program-Policy.aspx

Turnock, B. J. (2016). Essentials of Public Health. Burlington: Jones & Bartlett Learning.

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Katelynn Sanchez 

Week 1 DB

COLLAPSE

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Discuss how social and economic factors affect public health programs (local, State, or Federal)? As you explain these factors include examples of community health services at local, state, and national levels. Write about the program, sponsorship, mission, financing, personnel, and regulations.

According to Engel (2008), social factors are characteristics or circumstances that influence and affect the way a person live and behave. Some examples of social factors include family history, ethnicity, religion, economic status, political affiliation, race, and education, just to name a few. Economic factors on the other hand are the set of fundamental information that affects an investment value or a business. Some examples of economic factors would include interest rates, tax rates, cost of wages, law, policies, and unemployment. Social and economic factors affect public health programs in diverse ways. For example, without good education, a person will not get a good job or will be unemployed, and that in turn will limit the kind of healthcare that they will have access to. These individuals will depend on Medicaid, which is a federal and state program that helps with medical costs for some people with limited income and resources, for their medical care.

According to Medicaid.gov (2019), it also offers benefits not normally covered by Medicare, which includes personal care services and nursing home care. According to the Centers for Medicare & Medicaid Services (CMS.gov, 2016), their mission is to foster healthcare transformation by finding new ways to pay for and deliver care that can lower and improve care. The Medicaid program is jointly funded by the federal government and States. The federal government pays states for a specific percentage of program expenditures, called the Federal Medical Assistance Percentage (FMAP). States must ensure they fund their share of Medicaid expenditure for the care and services available under their state plan (Medicaid.gov, 2019). The Centers for Medicare & Medicaid Services have openings for the general public and currents and former federal employees, including veterans. The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing laws passed by Congress related to Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program. To implement these programs, CMS issues various forms of guidance to explain how laws will be implemented and what states and others need to do to comply. In addition to regulations, CMS issues sub-regulatory guidance to address policy issues as well as operational updates and technical clarifications of existing guidance (Medicaid.gov, 2019).

 

Describe how the services offered by the program assist with health challenges throughout the lifespan, including consideration of gender, socioeconomic status and race.

Medicaid offers programs that assist with health challenges throughout the lifespan. According to the Center on Budget & Policy Priorities (2018), Medicaid provides health coverage to 37 million children, along with the nearly 9 million kids covered under the Children’s Health Insurance Program (CHIP). Medicaid covers a full range of medical services for children, including essential screening services that catch health problems early and in-school services that help children excel in school. Medicaid also works, kids covered by Medicaid not only gain access to needed care but also experience long-term health and economic gains as adults, such as better health status, higher educational attainment, and greater earnings. Medicaid, the nation’s health coverage program for low-income people, also provides millions of low-income women across the nation with health and long-term care coverage. Women comprise the majority of the adult Medicaid population—before the passage of the Affordable Care Act (ACA) and today. For women, the program offers coverage of a wide range of primary, preventive, specialty, and long-term care services which are important to them across their lifespans (Kff.org, 2019).

 

References

Center on Budget & Policy Priorities. (2018). Medicaid Works for Children. Retrieved April 10, 2019, from https://www.cbpp.org/research/health/medicaid-works-for-children

Centers for Medicare & Medicaid Services (2016). Our Mission. Retrieved April 10, 2019, from https://innovation.cms.gov/About/Our-Mission/

Engel, R. (2008). Social and Cultural Factors. TRACE report D, 3, 2.

Kff.org (2019). Medicaid's Role for Women. Retrieved April 10, 2019, from https://www.kff.org/womens-health-policy/fact-sheet/medicaids-role-for-women/

Medicaid.gov (2019). Medicaid Home. (2019, March 29). Retrieved April 10, 2019, from https://www.medicaid.gov/

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