Mission Unfulfilled: Potholes On The Road To Mental Health Parity

1999 ◽  
Vol 18 (5) ◽  
pp. 7-21 ◽  
Author(s):  
David Mechanic ◽  
Donna D. McAlpine
Author(s):  
Niki Wilson

Climate change. Lack of food security. Limited access to basic healthcare. These are just some of the big, complex problems facing humanity. Solutions will require out-of-the-box innovation, which is why many governments, institutions, and entrepreneurs around the globe are beginning to embrace the concept of convergence research. The US-based National Science Foundation describes convergence as “a deeper, more intentional approach to accelerating discovery.” Following interdisciplinarity and multidisciplinarity, it is the next stop on a continuum used to describe approaches whereby scientists and experts learn from each other and collaborate across disciplines. It aims to integrate the natural, computational, social, economic, and health sciences in a humanities context, thereby transcending the traditional boundaries of those fields and creating unique opportunities for problem-solving. The concept of convergence research is taking hold, but how effectively is it being implemented? This chapter explores examples from research networks, research institutes, and the private sector to better understand how convergence research is addressing some of society’s most pressing issues. From disruptions in indigenous food systems to emerging issues in mental health, the author explores the benefits and challenges that arise from a convergence research approach.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Franx

Abstract Background In the Netherlands, 1829 persons (11.6/100.000) ended their life by suicide in 2018. Two out of three suicides concern men, most of them in the age group of 50-55. Suicide amongst youth is rising, especially amongst youngsters between 10-25. Around 40 persons a day, predominantly young and female, are treated in Dutch hospitals after having attempted suicide. Only 40% of those who die by suicide have been in touch with healthcare professionals. These figures made the Dutch government to put in place a national strategy for suicide prevention. Methods This strategy follows the WHO's guidance and covers a range of measures in public health as well as in the health care sector. Its implementation is coordinated by “113 Suicide prevention”, the national centre of expertise on suicide prevention in the Netherlands. Results A broad package of measures is being implemented simultaneously, targeting the entire population as well as specific vulnerable groups, such as youngsters, persons with LGBT related issues and persons with mental health needs. We initiated several collective preventive measures, such as media guidelines for safe reporting, a public awareness campaign against stigma, reduction of access to deadly means or places; selective prevention initiatives, e.g. training over 3400 of gatekeepers to detect and address suicidal thoughts with desperate persons; and indicated suicide prevention strategies including screening, treatment and follow up of patients with suicidal behaviour in general practice or mental health hospitals. In this presentation the different components of the Dutch strategy for suicide prevention will be described more in detail, and experiences and first results of the different components will be addressed. Conclusions The relevance of the Dutch national strategy is related to the broad package of measures implemented simultaneously in many domains of society, but closely monitoring and evaluating the effect stays challenging.


10.18060/94 ◽  
2005 ◽  
Vol 6 (1) ◽  
pp. 193-201 ◽  
Author(s):  
W. Patrick Sullivan

Since the program was initiated in 1963, little has been stable in Community Mental Health. Not only has this important quasi-public utility fought for survival, but the primary models and philosophies that shape the mission and delivery of services have undergone cycles of reform. There is much to be optimistic about in the mental health treatment arena, particularly in services focused on those with most challenging and debilitating conditions. However, all is not well. As states began to deemphasize institutional care and incrementally build a community infrastructure to care for those most in need, savvy administrators relied less on internal fiscal resources, and more on programs such as Medicaid to accomplish their agendas. Faced with budgetary cries in general, and in the Medicaid program specifically, many states are increasingly forced to consider processes to restrict eligibility, place limits on benefit packages, and cut rates to service providers. Indeed the worlds of economics, policy, and practice are on a collision course. This article explores some of the challenges of providing mental health care in the 21st century, and the continuing quest to address fiscal realities while offering high quality services.


2004 ◽  
Vol 10 (6) ◽  
pp. 439-445 ◽  
Author(s):  
Harvey Gordon

The motor vehicle on the road has a history of only just over 100 years. It is a major form of personal and public transport, but is also associated with hazards and risks. Many more people are killed on the roads each year in Britain than are the victims of homicide. General and forensic pyschiatric evaluation of offenders charged with or convicted of motoring offences is, however, infrequent, despite the presence of mental health problems in some of them. I describe psychiatric, criminological and legal factors associated with driving of motor vehicles, as many psychiatric patients have driving licences and have access to a vehicle or, indeed, may decide to drive unlicensed.


2020 ◽  
Vol 42 (5_suppl) ◽  
pp. 112S-117S
Author(s):  
Ferose Azeez Ibrahim ◽  
Erika Pahuja ◽  
Damodharan Dinakaran ◽  
Narayana Manjunatha ◽  
Channaveerachari Naveen Kumar ◽  
...  

Technology is bringing about a revolution in every field and mental health care is no exception. The ongoing COVID-19 pandemic has provided us with both a need and an opportunity to use technology as means to improve access to mental health care. Hence, it is imperative to expand and harness the tremendous potential of telepsychiatry by expanding the scope of its applications and the future possibilities. In this article, we explore the different avenues in digital innovation that is revolutionizing the practice in psychiatry like mental health applications, artificial intelligence, e-portals, and technology leveraging for building capacity. Also, we have also visualized what the future has in store for our practice of psychiatry, considering how rapid technological advances can occur and how these advances will impact us. There will be challenges on the road ahead, especially for a country like India for instance; the digital divide, lack of knowledge to utilize the available technology and the need for a quality control and regulation. However, it is safe to presume that telepsychiatry will evolve and progress beyond these roadblocks and will fulfill its role in transforming health care. Telepsychiatry will improve the health care capacity to interact with patients and family. The blurring of national and international borders will also open international opportunities to psychiatrist in India, heralding a new wave of virtual health tourism.


2015 ◽  
Vol 23 (3) ◽  
pp. S28-S29
Author(s):  
Anjuli R. Amin ◽  
Ariel L. Laudermith ◽  
Olivia Rodgers-Hannan ◽  
Gauri Khatkhate

2021 ◽  
Author(s):  
Matthew Baum ◽  
James Druckman ◽  
Matthew D Simonson ◽  
Jennifer Lin ◽  
Roy H. Perlis

Depression can affect individuals’ attitudes by enhancing cognitive biases and altering perceptions of risk. Some evidence suggests an association between depression and endorsing mass violence. This linkage, however, is undertheorized by social science, tentatively empirically supported, with little attention to conditions impacting the relationship. We investigate whether and how mental health during the COVID-19 pandemic influenced Americans’ attitudes regarding domestic extremist violence surrounding the 2020 election and the January 6th US Capitol riot. We develop a theory regarding the circumstances under which depression will be positively associated with supporting extremist violence. We posit that it depends on internal political efficacy, conspiracy beliefs, and their combination. We test our theory using a two-wave national survey, from November 2020, and January 2021. We find that among efficacious individuals holding conspiracy beliefs, depression is positively associated with support for the Capitol stormers and for violence in response if the respondent believed the election was decided unfairly.


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