Mental Health Flashcards
Are behavioral health and mental health the same thing?
No, behavioral health encompasses mental health
How heavy is the economic burden of mental health?
- $300 billion spent on mental health
- indirect costs are high
- 4/10 leading causes of disability in developed countries are mental health conditions
What did the Lunacy Act of 1845 do?
Led to official referring of mentally ill as patients
What led to a focus on mental health in the 1930s?
PTSD from WW2
How were the mentally ill dealt with in the 1800s?
Mental asylums
What were some of the main factors in deinstitutionalization?
- first antipsychotic drug, Thorazine
- one flew over the cuckoo’s nest
- JFK’s Community Mental Health Centers Act
- home and community based waivers growing in popularity
What is transinstitutionalization?
Moving from one institution (hospitals) to another (jail or homelessness)
What is inpatient care?
24 hours services delivered in a licensed hospital setting
Did hospitals provide more of less of the proportion of beds in the US over time?
Less
What is outpatient care?
Services provided in an ambulatory care setting, hospital outpatient department, community health center, a practicioners office, at home, or in school
What are common treatments for mental health?
- psychotherapy
- forms of case management (ex. Employment services)
- integrative medicine
- psychedelics, electro therapy, TMS
Is addiction rational in economics terms?
Kinda? some economists argued that substance use disorder compares marginal benefits and marginal costs
What’s a way public and commercial insurers can restrict access to mental health care?
Low reimbursement rates for therapists and psychiatrists
Are there enough providers in mental health care?
No, psychiatrists often dont take insurance
What are deaths of despair?
Deaths by suicide, OD, and alcohol misuse
What makes deaths of despair unique in the US?
We are the only rich country where death rates diverge by education
What are the 3 main innovations in behavioral health?
- behavioral health integration (BHI)
- psychedelics
- prescription digital therapeutics
What is behavioral health integration?
Integrating psychiatric and behavioral services into non-psychiatric settings, aka primary care
It has been shown to be effective!
What are prescription digital therapeutics?
Software-based treatment based on mobile devices that can target the behavioral dimensions of disease and morbidity
Authorized by the FDA
How are psychedelics usually used for mental health treatment?
Used in conjunction with psychotherapy
