Key Policy Challenges And Opportunities To Improve Care For People With Mental Health And Substance Use Disorders

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Key Policy Challenges And Opportunities To Improve Care For People With Mental Health And Substance Use Disorders

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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2020-08-14

Key Policy Challenges And Opportunities To Improve Care For People With Mental Health And Substance Use Disorders written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-08-14 with Medical categories.

Behavioral health and substance use disorders affect approximately 20 percent of the U.S. population. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. Together, these disorders account for a substantial burden of disability, have been associated with an increased risk of morbidity and mortality from other chronic illnesses, and can be risk factors for incarceration, homelessness, and death by suicide. In addition, they can compromise a person's ability to seek out and afford health care and adhere to treatment recommendations. To explore data, policies, practices, and systems that affect the diagnosis and provision of care for mental health and substance use disorders, the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine created the Forum on Mental Health and Substance Use Disorders. The forum activities are expected to advance the discussion and generate potential ideas on ways to address many of the most persistent problems in delivering mental health and substance use services. The inaugural workshop, held October 15-16, 2019, in Washington, DC, explored the key policy challenges that impede efforts to improve care for those individuals with mental health and substance use disorders. This publication summarizes the presentations and discussion of the workshop.

Ending Discrimination Against People With Mental And Substance Use Disorders

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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2016-09-03

Ending Discrimination Against People With Mental And Substance Use Disorders written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-09-03 with Social Science categories.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Psychosocial Interventions For Mental And Substance Use Disorders

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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2015-09-18

Psychosocial Interventions For Mental And Substance Use Disorders written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-09-18 with Medical categories.

Mental health and substance use disorders affect approximately 20 percent of Americans and are associated with significant morbidity and mortality. Although a wide range of evidence-based psychosocial interventions are currently in use, most consumers of mental health care find it difficult to know whether they are receiving high-quality care. Although the current evidence base for the effects of psychosocial interventions is sizable, subsequent steps in the process of bringing a psychosocial intervention into routine clinical care are less well defined. Psychosocial Interventions for Mental and Substance Use Disorders details the reasons for the gap between what is known to be effective and current practice and offers recommendations for how best to address this gap by applying a framework that can be used to establish standards for psychosocial interventions. The framework described in Psychosocial Interventions for Mental and Substance Use Disorders can be used to chart a path toward the ultimate goal of improving the outcomes. The framework highlights the need to (1) support research to strengthen the evidence base on the efficacy and effectiveness of psychosocial interventions; (2) based on this evidence, identify the key elements that drive an intervention's effect; (3) conduct systematic reviews to inform clinical guidelines that incorporate these key elements; (4) using the findings of these systematic reviews, develop quality measures - measures of the structure, process, and outcomes of interventions; and (5) establish methods for successfully implementing and sustaining these interventions in regular practice including the training of providers of these interventions. The recommendations offered in this report are intended to assist policy makers, health care organizations, and payers that are organizing and overseeing the provision of care for mental health and substance use disorders while navigating a new health care landscape. The recommendations also target providers, professional societies, funding agencies, consumers, and researchers, all of whom have a stake in ensuring that evidence-based, high-quality care is provided to individuals receiving mental health and substance use services.

Improving The Quality Of Health Care For Mental And Substance Use Conditions

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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2006-03-29

Improving The Quality Of Health Care For Mental And Substance Use Conditions written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-03-29 with Medical categories.

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Ideological And Political Bias In Psychology

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Author : Craig L. Frisby
language : en
Publisher: Springer Nature
Release Date : 2023-09-13

Ideological And Political Bias In Psychology written by Craig L. Frisby and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-09-13 with Psychology categories.

This book examines the traditional assumptions made by academics and professionals alike that have embedded sociopolitical biases that impede practice. and undermine efforts to achieve an objective scientific status. If allowed to go unchallenged, the credibility of psychology as a discipline is compromised. This contributed volume thoroughly and comprehensively examines this concern in a conceptually and empirically rigorous manner and offers constructive solutions for minimizing undue political influences within the field of psychology. Societies in the 21st century desperately need reliable psychological science, but we don’t have it. This important volume explains one of the main reasons why we are making little progress on any issue that gets contaminated by the left-right culture war: because the field of psychology is an enthusiastic member of one of the two teams, so it rejects findings and researchers who question its ideological commitments. The authors of this engaging volume also show us the way out. They diagnose the social dynamics of bias and point to reforms that would give us the psychology that we need to address 21st century problems. Jonathan Haidt, Thomas Cooley Professor of Ethical Leadership, NYU—Stern School of Business and author of The Righteous Mind The boundaries of free speech, censorship, moral cultures, social justice, and ideological biases are among the many incendiary topics discussed in this book. If you are looking for a deep-dive into real-world contemporary controversies, Ideological and Political Bias in Psychology fits the bill. The chapters are thoughtful and thought-provoking. Most readers will find something to agree with and something to rage at in almost every chapter. It just may change how you think about some of these topics. Diane F. Halpern, Professor of Psychology Emerita, Claremont McKenna College and Past President, American Psychological Association Unless the political left is always correct about everything (in which case, we wouldn’t need to do research; we could just ask a leftist), the growing political monoculture of social science is a major barrier to our search for the truth. This volume shows how ideological bias should be treated as a source of research error, up there with classic methodological flaws like non-random assignment and non-blind measurement. Steven Pinker, Johnstone Professor of Psychology, Harvard University, and the author of Rationality An important read for academics curious about how their politics fashions beliefs that too often are uncritically taken for granted, and for non-academics wondering why we can't shake off the politics that so influences scientific work. Vernon Smith, Nobel Laureate in Economic Sciences and George L. Argyros Chair in Finance and Economics, Chapman University Advances and deepens empirically rigorous scholarship into biased political influences affecting academic and professional psychology. Offers constructive solutions for minimizing undue political influences within psychology and moving the field forward. Serves as a resource for psychological academicians, researchers, practitioners, and consultants seeking to restore the principles of accurate science and effective practice to their respective areas of research.

Peer Support Services Reaching People With Schizophrenia

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Author : Megan Evans
language : en
Publisher: Springer Nature
Release Date : 2023-04-11

Peer Support Services Reaching People With Schizophrenia written by Megan Evans and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-04-11 with Psychology categories.

Many mental health providers are seeking guidance in designing and improving peer support programs for people with mental illnesses. However, the evidence base in this area is limited by lack of consensus on the core components of peer support. This research provides a comprehensive, nuanced view of peer support reaching people with schizophrenia. Results of a realist review of 355 sources and interviews with experts in the field are presented. Realist review is an approach to evidence synthesis that asks, ‘What works, for whom, and in what circumstances?’ Results include a typology of key functions of peer support (e.g., being there, linkage to clinical care and community resources, systems advocacy, ongoing support), documented benefits (e.g., decreased acute care utilization, increased recovery), and implementation recommendations (e.g., critical mass of peer workers, supportive infrastructure, an organizational recovery orientation). The book is intended for program planners, managers, and researchers.

The Social Determinants Of Mental Health

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Author : Edited by Michael T. Compton M.D. M.P.H.
language : en
Publisher: American Psychiatric Pub
Release Date : 2015-04-01

The Social Determinants Of Mental Health written by Edited by Michael T. Compton M.D. M.P.H. and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-01 with Medical categories.

The Social Determinants of Mental Health provides a foundation of knowledge on the social and environmental underpinnings of mental health and mental illnesses for clinical and policy decision making, with a goal to improve the mental health of individuals across diverse communities and the mental health of the nation as a whole. The basic premise of this concise book is that society plays a prominent role in creating and shaping mental illnesses and thus is in a position to improve mental health and reduce risk for mental illnesses. Where an individual, family, community, or society is located on the continuum from health and wellness to illness and infirmity is multidetermined. Although genetic influences and biological factors are key drivers of health and wellness, the contexts of the individual, family, community, and society are also crucial. The Social Determinants of Mental Health provides psychiatrists, psychologists, residents, medical students, policymakers, and allied mental health professionals with practical information in an accessible format for incorporating social and environmental determinants of mental health into practice and policy decision making, empowering them to act to build a culture of positive mental health and wellness. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants’ knowledge of the social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.

Crime And Justice Volume 45

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Author : Michael Tonry
language : en
Publisher: University of Chicago Press
Release Date : 2017-02-22

Crime And Justice Volume 45 written by Michael Tonry and has been published by University of Chicago Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-02-22 with Social Science categories.

Sentencing Policies and Practices in Western Countries: Comparative and Cross-national Perspectives is the forty-fifth addition to the Crime and Justice series. Contributors include Thomas Weigend on criminal sentencing in Germany since 2000; Julian V. Roberts and Andrew Ashworth on the evolution of sentencing policy and practice in England and Wales from 2003 to 2015; Jacqueline Hodgson and Laurène Soubise on understanding the sentencing process in France; Anthony N. Doob and Cheryl Marie Webster on Canadian sentencing policy in the twenty-first century; Arie Freiberg on Australian sentencing policies and practices; Krzysztof Krajewski on sentencing in Poland; Alessandro Corda on Italian policies; Michael Tonry on American sentencing; and Tapio Lappi-Seppälä on penal policy and sentencing in the Nordic countries.

Community Mental Health

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Author : Samuel J. Rosenberg
language : en
Publisher: Taylor & Francis
Release Date : 2017-07-06

Community Mental Health written by Samuel J. Rosenberg and has been published by Taylor & Francis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-06 with Psychology categories.

The newest edition of Community Mental Health continues to be at the leading edge of the field, providing the most up-to-date research and treatment models that encompass practice in community settings. Experts from a wide range of fields explore the major trends, best practices, and policy issues shaping community mental health services today. New sections address the role of spirituality, veterans and the military, family treatment, and emerging new movements. An expanded view of recovery ensures that a thorough conversation about intersectionality and identity runs throughout the book.

Crime And Justice Volume 46

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Author : Michael Tonry
language : en
Publisher: University of Chicago Press
Release Date : 2017-02-22

Crime And Justice Volume 46 written by Michael Tonry and has been published by University of Chicago Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-02-22 with Social Science categories.

Justice Futures: Reinventing American Criminal Justice is the forty-sixth volume in the Crime and Justice series. Contributors include Francis Cullen and Daniel Mears on community corrections; Peter Reuter and Jonathan Caulkins on drug abuse policy; Harold Pollack on drug treatment; David Hemenway on guns and violence; Edward Mulvey on mental health and crime; Edward Rhine, Joan Petersilia, and Kevin Reitz on parole policies; Daniel Nagin and Cynthia Lum on policing; Craig Haney on prisons and incarceration; Ronald Wright on prosecution; and Michael Tonry on sentencing policies.