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Re-Visioning Residential Treatment Facilities in a Managed Care World
It wasn’t long ago that the only options available for intensive treatment of children and youth with severe emotional and behavioral problems were inpatient hospitals or residential care. Before the creation and expansion of community-based mental health services, some children spent many months...
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Uniquely LGBTQ
This article is the second in a quarterly series giving voice to the perspectives of individuals with lived experiences as they share their opinions on a particular topic. The authors of this column facilitated a focus group of their peers to inform this writing. The authors are served by Services...
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Promoting Cultural Competence to Address Health Disparities and Improve Health Outcomes
Health disparities are preventable differences in health outcomes that are experienced by disadvantaged populations. They are a leading factor in the incidence, prevalence, mortality, and burden of health conditions across specific populations in the US. These factors can influence the available...
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From Neighboring Institutions to Collaborators: A Joint Effort to Improve Integrated Care
The integration of primary and behavioral health has become a major focus of healthcare restructuring across the country in the past several decades. New partnerships, emerging from a historically siloed system, share the triple aim of improving health status, containing costs and enhancing service...
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Helping Moms and Kids
Health care delivery is generally complicated, but it doesn’t always have to be. Change can occur through a simple step. Take the case of maternal depression. It is undisputed that depression is a highly treatable medical condition, especially if identified and treated early. It is also...
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Addressing the Social Determinants of Health: Steps to Achieving Service Integration
Mental health is a vital part of every person's overall health and well-being. Every adult, child, youth and family should receive essential services and support regardless of how they enter the healthcare system. According to the Social Equity Report (Yale Global Health Leadership, 2015), there is...
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Congressional Mental Health Policy Reform: Hope or Hype?
Since the tragic killings in Newtown, CT in 2013, most politicians have mistakenly maintained that mass murder is largely a consequence of a “broken” mental health system. In Washington, and elsewhere, elected officials have been promising to “fix” the system, and to their credit they have...
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A New Face on Familiar Trends
Last year I attended a conference at which Dr. Michael Hogan, the former Commissioner of the New York State Office of Mental Health, delivered a keynote address on emerging issues and trends within health care reform. He distilled a seemingly inchoate mass of movements, mandates and initiatives...
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The Promise and Peril of Value Based Behavioral Health Care
By aligning payment with value, we can achieve the triple aim of better outcomes and better experience of the healthcare system at a lower cost IF we define value in terms of wellness, recovery and improved quality of life. In this case as with almost everything in our healthcare system today, the...
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Addressing Workforce Challenges in Serving Individuals with Co-Occurring MI/IDD
Individuals with mental illness (MI) co-occurring with intellectual/developmental disability (IDD) have complex needs and present clinical challenges to the professionals, programs, and systems. These individuals are among the most challenging, expensive, and intractable to work with. Although the...
