HSC 4201 Chapter Notes - Chapter 11: Patient Protection And Affordable Care Act, Psychiatric Rehabilitation, Substance Abuse
Document Summary
Deinstitutionalization began in the 1950s: the state hospital system served s the de facto social insurance program for mental illness in the us. The federal go(cid:448)er(cid:374)(cid:373)e(cid:374)t"s role i(cid:374) (cid:373)e(cid:374)tal health fu(cid:374)di(cid:374)g a(cid:374)d poli(cid:272)(cid:455) became substantial: for example: The federal medicaid program now pays more than half of publicly- funded mental health care, and its policies and regulations impact what services are covered. Medicaid may pay for traditional services like inpatient hospitalization but not newer approaches such as psychiatric rehabilitation. In combination with aggressive management of costs by provider organizations, parity see(cid:373)s to ha(cid:448)e redu(cid:272)ed patie(cid:374)ts" out of po(cid:272)ket e(cid:454)pe(cid:374)ses (cid:449)ithout i(cid:374)(cid:272)reasi(cid:374)g the (cid:374)u(cid:373)(cid:271)er of individuals in treatment or total spending. The risks of aggressive cost containment include: a reduction in access to care, quality of care, both. Overall access to mental health services appears to have declined in recent year, partly as a result of limited health insurance coverage and a growing number of uninsured.
