UNIT 9 - Health Care And Mental Health Flashcards
Provides health insurance coverage to people who are eligible for Social Security and some others in certain categories of need.
Medicare
Provides health insurance coverage to people in poverty.
Medicaid
What is the Affordable Care Act?
The Affordable Care Act is first significant reform of health care in 40yrs.
-It exapaned Medicare,
-required all persons to be insured,
-allows children to stay on their parents insurance until there are 26
-banned exclusions for pre-existing conditions
What is Managed Care and what does it do?
Managed care are structures put in place to screen of unnecessary costs and care. They require patients to use services and doctors within their approved network.
What is a HMO ( Health Maintenance Organisation)?
This organization requires patients to choose a primary physician that provides complete care. To visit a specialist the client must get a referral from the primary physician. This structure reducing costs by limiting tests.
What is a PPO (Preferred Provider Organisation)
PPOs encourage patients to use health care providers apart of approved network of doctors and hospitals. Fees from doctors and hospitals not apart of the network are not covered or covered at a lower rate. PPO’s offer more choice than HMO’s.
What are limitations regarding the US Healthcare System?
- Americans spend more money per captia than any other developed country on Health Care.
- Many Americans lack healthcare insurance or are underinsured.
- This lack of insurance means many Americans have to choose between Medical care and necessities
- The Current Health Care System ignores preventation.
- The cost of Heathcare is rapidly rising in the US due to excessive testing, new technologies, an aging population and prescription drugs.
What is the role of Social Workers in Healthcare?
- Help clients and their families navigate the complex health care systems.
- Advocate for universal availability and accessibility and increased effectiveness in delivery of heath care services.
- provide case management, prevention, and education services, and generate the resources needed to implement new/innovative programmes of health service delivery
What is ;
- Acute care:
- Ambulatory Care:
- Long-term Care:
- Acute care refers to settings like hospitals and other inpatient environments that involve short stays.
- Ambulatory Care: the outpatient services such as education, counselling and community outreach.
- Long-term Care: care in a residential setting for those who do not need intensive medical care but are unable to care for themselves.
What is Development Disability?
A development disability refers to a mental/physical impairment, that effects everyday activities it is manifested before the age of 22 and continues indefinitely. E.g Epilepsy, Cerebral Palsy, Autism and Down syndrome.
Name at at 3 Social Work in Healthcare Values
Social Workers must;
- promote the Dignity and worth of each person
- promote self-determination
- always maintain confidentiality
- ensure the client is always informed
(Especially have full understanding of treatment)
- healthcare is universal right
- everyone should have all access to all health care services
- care is a mutual informed partnership
The term…. is used when a person has a physical or mental impairment that substantially limits one or more major life activities.
The term disability
What is Mental Health?
Mental Health is the successful performance of mental function resulting in productivity, fulfilling relationships with others and the ability to cope with adversity and adapt to change.
What is Mental illnesses?
Mental Illness refers to all the diagnosable mental disorders - characterized by alterations in thinking, changes in mood, and behaviours associated with distress/impaired functioning.
What is the Social Workers role in Mental Health?
- the provision of mental health services,
- promote emotional wellbeing
- advocating for parity between mental illness services and physical illness service.
- helping to develop affordable and accessible treatment methods and interventions to alleviate mental disorders.
What meant by the mind-body split.
While some medical doctors and insurers do acknowledge it. Medical science has established that the mind activates activity in the brain (the physical organ). Mental illness can be caused by physical changes in the brain.
Why is the biopsychological perspective important in Mental Health Care?
The Biopsychological Perspective is essential to treating and diagnosing mental illness. As, the perspective examines the interaction between social environments (school, work, home), medical history, past experiences (relationships, trauma), psychological variables and genetic factors.
Major Movements in Mental Health
What is the Recovery Movement?
this movement is strengths based, the client has the control over their treatment, they work with social workers to determine their own goals which differs from the medical model. It challenges the belief that Mental Health is debilitating and prolonged. Instead, people are able to recover and go about their lives.
Major Movements in Mental Health
Describe the Current US System?
The current US Healthcare system is fragmented. It is a group of loosely coordinated public and private services.
What is Criminalization?
- The delivery system is further fragmented by its criminalization of mental illness. Where individuals with mental health conditions are treated as criminals rather than receiving appropriate medical care. This often occurs when people with untreated or inadequately treated mental illnesses interact with the criminal justice system due to behaviors linked to their conditions.
What is Deinstitutionalization?
Refers to the process of transitioning individuals with mental illnesses, developmental disabilities, or other conditions from long-term institutional care (e.g., psychiatric hospitals or asylums) to community-based settings. It was prompted by the need to reduce costs of psychiatric care by attention to the rights of people who were involuntarily hospitalized, by advances in psychiatric drugs
What is Aftercare?
Inpatient clients have not always connected with case management services after discharge. As there is poor coordination between inpatient mental hospital settings and community mental health clinics.
What is Empirically Based Treatments for Mental Illness?
- Family Psychoeducation
- Cognitive Behavioral Therapies
- Assertive Community Treatment
- Psychiatric Rehabilitation
