Category: mental health systems

Mental Health Systems – Insurers Will Also Be Prohibited From Denying Coverage Due To Pre-Existing Mental Health Conditions

mental health systems With that said, this caution about switching doctors becomes even more important if you’ve been working with a particular psychiatrist for a great while.

I know it’s crucial that you stick around to work through any such if you still feel like finishing therapy or moving on to alternative provider, you have to be brave again and tell therapist so, right after that gets straightened out. Longer you do so, the more opportunities there might be for him or her to make a serious error in listening or understanding. You have to consider the possible truth in it, you don’t really have to follow it. People often start thinking to themselves, when that happens in therapy. You have to be brave and just tell therapist when you did X, I’m quite sure I felt Y. Give therapist the opportunity to respond, and listen carefully to his advice. Sometimes the biggest gains in therapy come out of these. For instance, I’ve improved enough, maybe now is a perfect time to finish up therapy, or a tally different therapist. When mental health coverage should be mandatory as part of the essential benefits package, that will change in 2014.

mental health systems Insurers will also be prohibited from denying coverage due to ‘preexisting’ mental health conditions. Source of half of all payments for public mental health care, still threatened, however, the gaps in mental health services are still significant, and may still grow, with the budget for Medicaid. Maia Szalavitz is a neuroscience journalist for and co author of Born for Love. Why Empathy Is Essential and Endangered. Experts agree that system is not even an appropriate descriptor for the state of services designed to treat mental illness. Behavior management techniques or medications that been known to fail with a child should be used on him by professionals in a brand new setting or agency unfamiliar with the child’s history. Basically the juvenile justice system may mandate one placement type while the parents and education team believe another is more appropriate, a child’s school may recommend residential treatment while her psychiatrist supports ‘in home’ services.

mental health systems While calling in law enforcement or even relinquishing custody of their children to the state to get the huge problem may have lessened that number somewhat. Coverage of mental health services ain’t currently mandated, the lifetime caps on mental health services enforced by many insurers before 2010 was brought to similar levels to that of other diseases by many companies, thanks to the mental health parity law. So, private insurance coverage for mental health services is improving, albeit slowly.

Whenever developing a more coordinated policy for such cases, since look, there’s evidence that high quality ‘courtmandated’ care in the community for people with schizophrenia or others who are at risk of violence was shown to dramatically reduce both rehospitalization and crime.

Some 320000 will no longer receive early intervention and identical services that can minimize the most severe symptoms of that can require more expensive and lengthy in patient care.

Those cuts could get deeper. Funding is also dramatically declining. You should take this seriously. Whenever, that accounts for 50 of public mental health spending, may also be targeted. Oftentimes with advocates estimating that at least 1300 severely emotionally disturbed children will lose access to care entirely, at least 10percent of federal spending on mental health care is slated to be cut if Congress and the President don’t agree on a brand new budget before January. He had few good options, when Paul Raeburn needed immediate despite the fact that Raeburn he felt he only had one choice, a leading health and science writer.

Putting aside the gaps and lack of coordination in mental health services, parents of teens and young adults with more serious mental health problems that require intensive care face the additional challenge of finding alternative options when their children are no longer eligible for involuntary youth treatments. For those young adults who should be a threat to themselves or others, states vary in their policies on what happens when they are no longer considered minors and their parents therefore can not force them to get help. Look, there’s no agency just like the Food and Drug Administration that sets minimum standards for safety and efficacy of talk and behavioral treatments, that makes evaluating different approaches for their ability to improve a specific condition more challenging, unlike for medications. However, the hurdles are even greater for nondrug therapies. While around 20000 are needed, a recent government report showed that 7500 psychiatrists currently serve the needs of children and adolescents, those who can provide and identical conditions that are severe enough to cause significant life impairment similar to being unable to live safely indoors or attend and benefit from school.

How doctors and similar health officials label children’s disorders, and how they prioritize those that occur in concert, can have an indelible impact on whether that child finds the appropriate treatment in the health, education, child welfare, or legal systems, since services for mental health problems are often offered on the basis of the diagnosis.

That distinction ain’t merely clinical. About half of the developmentally disabled also have at least some diagnosable mental illness, Nearly twice as many experience some developmental type disorder, the category that includes autism and intellectual disability, and So there’s considerable overlap between the two categories.

Mental Health Systems – Agency They’ll Be Able Now

Whatever I know it’s, be clear about what you’re going after. In the real world it’s tied to concrete actions, mental ughness is an abstract quality. How about that person on your team who squeezed the most out of their potential? You have probably seen evidence of this in your personal experiences. Have you known someone who was set on accomplishing a goal, with it.

mental health systems Day I’d like to expand on that pic mostly centering in the challenges that Residential Treatment Facilities which provide treatment to adolescents are facing. For teenagers it seems like noone except cares about them, while children and adult programs are gushing with momentum and expanding. No group homes, no halfway houses, not even hospitals to an extent. At the moment between families and Residential Treatment Facilities there’s nothing. Usually, if a teenager needs to be discharged from a RTF agencies should rather have the kid return to his family than to continue treatment. Certainly, the government letting the market regulate itself. Then again, it’s a consequence of liberalism. It must be something that comes from above, and by this I mean the Government who’s so far let the agencies do whatever they please as long as they keep trouble away from it.

mental health systems You have a system that ain’t working the way That’s a fact, it’s intended to nor is serving the purpose it was created for, when you disregard the components that make the system work.

Something needs to be done but there’s nothing that us, mere mortals, can do.

The big problem with so it is that the market ain’t a lone entity on its own. You see, it needs its components to make it work, similar to people, products or services. Consequently, the system can function in a crippled fashion, if there’s little money. Of course, or the lack of it, As with lots of other things, the trouble is money. I’d say if there’s no money the system has no means to continue its existence. Anyway, what’s been left out is the human being part since they still represent money for the system. As a loss of it, not as capital. You can find more information about this stuff here. Going back to the components, human beings in this case, they been left out of the equation.

mental health systems Getting people out of the Mental Health Care System is p priority to stop the losses. Take this hypotetical situation. Agency. RTF. He’s going back to mom and dad. Yes, that’s right! That’s the reason why in my opinion his parents must have another shot. On p of that, hi Mr. I don’t think it’s safe for him to go to apartments yet. Agency. We’ll send a social worker almost any now and hereupon to ensure everyone’s still alive. RTF. Oh, yeah! Usually, he already tried to stab 3 of his peers last week, he beat up 2 of his caregivers just yesterday and he’s still reporting to be bitten by greenish elephants in his room while he sleeps. Anyways.

On p of this. Agency. Usually, hey! I’ve had no time to do much. RTF. Agency. RTF. Therefore, about that. Now look. I’m planning the discharge of John Doe as you requested. Agency. I haven’ He’s been with us for just 3 months as you mandated. Trust me, you’ve done a pretty good job.

You are right, you are not doing your job.

So it is basically the picture at the moment.

While referrals are at an all time low RTFs are struggling to stay on budget, slashing budgets on supplies and food. Meanwhile, forced to decrease staff to client ratios to keep FTEs down which impacts service delivery. Anyway, what looks like is that a particular segment of the Mental Health Care System is impacted while the others children and adults is likely to be flourishing despite the economic recession. By the way, a possible solution might be downsizing RTFs to decrease demand in sight of the short supply, though I’m not getting into all the problems that this would generate. If we rule out downsizing, what’s left is a bunch of organizations subsisting on life support waiting until better times come, and so that’s just not acceptable.

Mental Health Systems: They Just Don’t Communicate Really As For The Most Part There’s No Culture Supportive Of Team Or Care Collaboration

mental health systems Particularly observing them in social and educational situations, teachers can provide invaluable problems, because educators spend a lot time with students. Being able to recognize the signs and symptoms of the most common mental health disorders can be a sign of much bigger problem, when teachers begin to notice a student’s ongoing outbursts in class. Now look, the NAMI Parents Teachers as Allies program is a ‘in service’ training program for school personnel. NAMI has developed training programs that address child and youth mental health. Department of Veterans Affairs has Article 38, that regulates the sharing of patient information relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia.

While hoping to restrict who sees what, a lot of states have specific HIV/AIDS confidentiality laws, and patients have begun to request control of their data as it moves from provider to provider.

mental health systems Therefore a patient may not look for their podiatrist to see their behavioral health information or a specific lab result on a specific date.

You’re protecting them from getting better care, when you protect psychiatric patients in this way.

Study said psychiatric patients were 40 percent less gonna be readmitted to the hospital within the first month after discharge in institutions that provided full access to those medical records. That said, adam Kaplin, MD, PhD, an assistant professor of psychiatry and behavioral sciences and neurology at the Johns Hopkins University School of Medicine, and leader of the study published online in the International Journal of Medical Informatics, said in a press release that many of us are aware that there are unintended consequences of doing best in order to protect the medical records of psychiatric patients.

Though work still needs to be done, loads of believe these initiatives will resolve behavioral HIE exchange barriers shortly.

The Department of Health and Human Services’ Office of General Counsel would need to make a legal decision on this.

Basically the proposal to accept a more open interpretation of the To Whom requirement under 42 CFR, that would allow information to be exchanged but still provide the patient/consumer/client complete control of their record, is one option. International Journal of Medical Informatics. Kaplin, Adam et al. Oftentimes december 20, It is important to note that this tagging ain’t only required for behavioral health patients. Known That’s a fact, it’s just that 42 CFR is a big challenge, due in part to the previously identified programming problems, and resolving that involves the use case for other similar confidentiality requirements.

mental health systems Separate may not be equal.

When records are not shared, typically providers do not go out of their way to communicate verbally with one another.

They just don’t communicate really, as there’s no culture supportive of team or care collaboration. Known a recent report from Johns Hopkins stated that medical centers that elect to keep psychiatric files private and separate from some of a person’s medical record might be doing their patients a disservice. Make sure you scratch suggestions about it. While other specific parameters, now this tagging of metadata will identify if the data is confidential or not. Thus identify which providers can have access and which can not. In order for a HIE to receive and process information correctly, the data that enters must be tagged in a manner that the HIE can process.

mental health systems It starts at the EHR level, This difficulty goes beyond the HIEs. Even the Beacon Communities, that were selected to receive federal funding to build and strengthen their health information technology infrastructure and focus on changing health outcomes and reducing costs in specific geographic areas across the country, do not all include behavioral health organizations. Whether they have a EHR or not, behavioral health providers, are being encouraged by exchange advocates to acquire a Direct Secure Messaging address to better enable health information exchange. Known this will allow them to share information to coordinate care with their medical partners and improve the quality of care they provide to the patients they serve. Did you know that the use of Direct Secure Messaging is another easy method being considered by HIEs and providers to share behavioral health and physical health information. Look, there’s not yet a product available that will allow all providers to access a coordinated record and allow providers who don’t have EHRs to include their input, it’s not a brand new idea. That’s extremely important for coordinated care. Behavioral health providers involve heaps of wrap around or community support services when they develop treatment plans for patients.

Since every patient is different and has different needs according to one’s strengths and the amount of illness they are dealing with, the industry is moving ward making it the patient’s healthcare system.

Their input into the treatment plan allows all providers the ability to see how a patient is progressing in meeting goals, while quite a few providers and healthcare professionals recognize the need for a Community Referral and Care Coordination Tool that would allow sharing of information among all providers. Sharing behavioral health and physical health information is a growing concern for the US healthcare system. Sharing the history and status of patients’ symptoms and progressor lack of progress between and among physical health and behavioral health providers is essential for assisting the two industry segments’ mutual patients to receive comprehensive quality care.

Undoubtedly it’s being worked ‘on most’ recently by the Office of the National Coordinator for Health IT’s Standards and Interoperability Framework Data Segmentation for Privacy Workgroup, there was no standards established for this metadata yet.

This workgroup developed an implementation guide for vendors to identify how the data should be tagged and later processed.

And so it’s nearly impossible for the HIE to receive the data and make the decisions on what can and can’t be shared on its own, without the data being tagged at the EHR level. One barrier in exchanging behavioral health information through a HIE that was not fully resolved by this effort was the To Whom section requirement of 42 CFR Part As identified previously, 42 CFR Part 2 requires that the patient know and identify who they are allowing to have access to their records.

Being that the way most HIEs are structured and programmed, a HIE ain’t able to restrict providers who come into the HIE after the date a patient signed the consent from being able to view the Part 2 information.

This way the provider who has accessed the patient’s record can request a release from the patient at the point of care or at least proceed to ask the patient more indepth questions about their health to ensure a complete picture of medical circumstances is obtained.

Some feel that if data is restricted by a patient, and I know it’s sent gether with accessible information, the receiving provider must receive a notification that this data is available but is restricted from being shared. Better care and lower costs, identified by former Centers for Medicare and Medicaid Services head Dr, as the nation moves forward in its attempt to meet the triple aims of better health. Providers must be positioned to share information electronically with other providers in their patients’ healthcare system Whether not,, or one is an eligible professional under the meaningful use EHR Incentive Program. Don Berwick as a focal point for CMS initiatives, the focus must center on care coordination. Consequently, So there’s also a requirement that the patient identify who specifically can have access to their information.

So that’s the barrier that makes compliance most difficult. They do not have the programming language embedded to allow a patient to select the purpose of sharing information as being only for treatment or payment or operations, or any combination of these, since most health information exchanges across the country been established and programmed to follow HIPAA. It goes beyond just sharing the record. Then again, a recent report from Johns Hopkins, titled Separate may not be equal. Providers tend to communicate more with ourselves and at least move wards a team approach to patient care, when records are shared. Surely it’s extremely difficult to have providers act and communicate as a team, when records are not shared. I’m sure you heard about this. Accordingly a preliminary investigation of clinical correlates of electronic psychiatric record assessibility in medical centers, indicates that organizations that separate and do not make behavioral health documentation available to other providers have a higher incidence of patient readmissions to the hospital when compared to cases where behavioral health and physical health records are shared in the inpatient setting.

Care coordination across all providers involved in a patient’s care should’ve been the norm, a goal of all healthcare providers, and an expectation of all healthcare consumers. Increased communication between behavioral health and physical health providers will reduce the stigma associated with behavioral health illnesses. Since So it’s difficult to develop and manage, hIEs that are in operation for some amount of time did not program their systems to accommodate these requirements. In a preHIE environment this will mean that the patient should specifically identify by name, title, or organization the provider that is allowed to view his/her information on the consent form. Ok, and now one of the most important parts. In a survey of psychiatry departments at 18 of the p American hospitals as ranked by News World Report’s Best Hospitals in 2007, a Johns Hopkins team learned that fewer than half of the hospitals had all inpatient psychiatric records in their electronic health record systems, and that fewer than 25 percent gave nonpsychiatrists full access to those records. So it’s a Substance Abuse and Mental Health Services Administration and Health Resource Services Administration cooperative agreement with the National Council for Behavioral Healthcare.

Loads of us know that there are two bills, one in the Senate was formed. Actually a component of this cooperative agreement was to bring gether the state HIEs or the ‘state designated’ entity for information exchange in five states to work on implementing the policies, procedures, standards, and protocols to actually share behavioral health and physical health data in a HIE environment. Behavioral health providers are a valuable asset for ACOs. Most ACOs do not include behavioral health providers. I’m sure you heard about this. Loads of healthcare providers view a hospitalization or unnecessary emergency room visit as failed outpatient treatment and evidence of uncoordinated care. Nonetheless, given the high percentage of patients with chronic diseases that have a ‘co morbid’ behavioral health disorder and higher costs, not coordinating care with behavioral health providers will prevent ACOs from fully realizing quality outcomes and reduced costs. Accountable care organizations and similar shared savings models are on the basis of the premise that these organizations will provide coordinated care and thus better quality care and reduced costs.

Of course, patients will end up in emergency rooms and in inpatient beds unnecessarily, that will dig deeply into any savings that must be better able to share behavioral health and physical health information, So if this wording was approved. All five of the participant HIEs do have the capability to work with this language, as they all require the provider to attest to having a treating relationship with a patient when they access their HIEs. Whenever working with loads of states in sharing behavorial and similar sensitive information using the federally developed Direct Secure Messaging Protocols, as well as sharing across state lines, oNC has supported an effort under its State Health Policy Consortium Project. Mostly there’re other efforts moving forward to plenty of behavioral health providers recognize this as a shortfall of the program. Legal counsel from all five states were also involved. The artifacts of this effort was the development of a national consent template that meets 42 CFR Part 2 requirements and is computable in a HIE environment. That said, any of the states engaged providers in their area in independent behavioral health workgroups, as well as consumers in independent focus groups, with intention to inform the effort. With that said, cIHS provided one year awards to Illinois, Kentucky, Maine, Oklahoma, and Rhode Island for the project.

Since consumers know who is involved in their care and could opt out of the HIE at any time if there was a provider they have been seeing and they did not need that provider to have access to their information, the consumer will also be in full control of their record.

What was important to consumers was that only providers involved in my care should have access to their information.

Consumer focus groups aimed to uncover what patients really need when it comes to this requirement. Conducted by the five state HIEs, consumers consistently identified that they’ve been fine with not knowing which providers joined the HIE after the date they signed their consent.

Mental Health Systems – Mental Health Is An Enclosed System That Means It’s A World Within A World

mental health systems Anyone who has tried to promote a totally new product will know how difficult it’s to obtain media coverage. It’s an interesting fact that the mental health system is an unique culture.

It’s a reciprocal environment.

That means And so it’s a world within a world. You return to your doctor and report these symptoms. With all that said… Mental health is an enclosed system. Every player in the system allows the other person the opportunity to act out can be a sign of your supposed illness. Both parties in the relationship are mutually validated in their roles. He also inserts his authoritative comments to support his opinion. Psychiatrist gives you a diagnosis that has no basis.

mental health systems Your psychiatrist agrees with your observations and writes them down in your medical record.

Soon enough you find that each activity you engage yourself in is about your disorder and the medication your doctor prescribed to suppress it.

That’s your character. It is the term that defines your very existence. You belong to the mental health system. Nonetheless, it’s sadder still for the person who needlessly struggles against an undefinable defect in is playing the patient role for so long. That’s right! I acknowledge the fact that the unsettling scenario I am painting we’ve got not true for any psychiatric patient. Certainly, it’s a sad commentary indeed.

mental health systems

At some point, the psychiatric patient discovers the advantages of being labeled mentally ill.

I will add for comfort that social security disability benefits are reported to run dry in A consumer is often entitled to free housing, health care, food assistance, and far more.

What I’m saying that there’re incentives built into the system for many people to accept their diagnosis and play out their role. There’re mental health workers, like case managers who assist the consumer in obtaining a free living allowance from the Federal government in the type of Social Security Disability Income or Supplemental Security Income in whatever minimal amount it can be. Then, I’m sure look, there’re people who require a companion animal for their emotional health. I’m not doing best in order to be disrespectful to those who are struggling.

So do not get me wrong.

The reason is simply since your therapist deemed it necessary that you have an emotional support animal.

Technically speaking, you could even take it on a commercial airliner. Mentally ill person may even have the right under certain disability laws to bring a pitbull into a nopet residential community. That’s interesting. What a bargain! I’m being sarcastic to make my point that people, who are improperly labeled with a DSM V diagnosis, run the risk of becoming dependent on the mental health system for their needs. Nevertheless, it makes being a psychiatric patient seem a lot more attractive. Fact, let the government take care of you. Certainly, run out and tell all of your friends about it. Oftentimes many of us are aware that there are case managers and outreach workers that will go to court with you, and advocate on your behalf before the judge when you run afoul of the law. Ok, and now one of the most important parts. They will seek for a psychiatrist label to them disabled?

With that said, this kind of social welfare encourages people to give up their ambition and motivation.

i, for one, believe in the greatness people can achieve for themselves and the world by applying themselves.

It instills the idea that living a marginal existence is sufficient. Most of us know that there are heaps of reasons for this. Right after you get into the mental health system your chances of getting out are slim. Basically, I wouldn’t put your faith in the safety of the antidepressants either. Primarily as long as the psychiatrist or psychologist has you convinced that you have a serious medical problem, that you can’t handle yourself. Yes, that’s right! I have seen lots of people become addicted to sedatives. I think the pharmaceutical giants are quick to point that out for a reason of the numerous class action lawsuits filed against them.

That’s great, So if Ativan calms your nerves and helps you function.

We all know that’s ridiculous.

Therefore this.a lot of people manage their depression and anxiety remarkably well without the use of psychiatric medications. Normally, these drugs are unsafe. For example, that would’ve been wouldn’t say NAMI is immoral or unethical. Look, there’s no denying that this kind of corporate misconduct adversely affects the mental health system and exacerbates the suffering of its consumers. So it’s the pharmaceutical giant that manufactures psychiatric drugs like Prozac, Zyprexa, and Cymbalta. Eventually, some blame can be placed on the pharmaceutical companies for this unnatural drug dependence. That’s being that there is no adequate process in place for dispensing these potentially dangerous drugs.

Sometimes the decision to cross the line depends on one’s real life needs.

I’m pretty sure I surfed NAMI’s website and noticed In Our Own Voice, a public education program, is funded by a grant from Eli Lily, as I was writing this article.

I found that NAMI had been receiving their fair share of criticism for their questionable association with pharmaceutical companies, as I surfaced the Internet. I gather that Eli Lily’s generosity is a publicity campaign to make them look like among the good guys in the mental field, and thence, boost sales. Now pay attention please. Other times it just has to do with making a buck. Did you know that the screening process for prescribing these medications is a big part of the serious poser. I’m quite sure I know lots of individuals require the assistance of the pharmaceutical companies and the psychiatric community. I’m almost sure I would have to seriously consider taking it, So if Ely Lily offered me thousands of dollars.

Society itself contributes to this dysfunctional culture.

Thus the psychiatric patient is stripped of Actually a psychiatric patient is a human being without respect or dignity, as I see it. General attitude of the public is As long as they are not bothering us you can do what you please with them. With that said, this gives the mental health providers even more authority to do as they please. You can call my words dramatic if you like. I should be the first to admit that the informed psychiatric patient is the one who is primarily responsible for noone can twist your arm behind your back, and say, Go see a therapist about your anxiety. At least that’s true in most cases. Now let me tell you something. We have to accept our role in the system. Of course allow to clarify the role of the patient in the mental health system. For example, it may seem as I am playing the blame game and the taking on the victim role. Known you will say, It seemed like a decent idea at the time, when you reflect on why you did it.

It’s an interesting fact that the worst thing a mentally ill person could ever do, is telling someone about s/he has personally experienced it, how could a person know.

Did you know that the ways in which you express yourself as a normal human being might be measured against your supposed disorder. They will gossip amongst themselves, Oh he’s a psych patient, when people think you can’t hear them. Automatic flash goes off in the person’s brain, Oh God. That’s part of his illness. On top of this, here we go. Now this attitude is especially noticeable in the face of a mental health professional, your family members, and closest friends. It comes from a lack of understanding.

His illness is acting up.

It’s an universal reaction.

Now this attitude is quite common. Furthermore, the other person looks at you differently, whenever you do. Furthermore, the people in your lifespan will conclude, His meds aren’t working, I’d say in case you are frustrated about something. Now look. This is why he looks agitated. While everything you do may be blamed on your illness, from the moment you reveal your secret. That is interesting right? We are still in the dark ages. You should take it into account. By the way, the mental health provider will proceed to have you committed to a psychiatric hospital against your will, if you should attempt to verbalize your rights as a human being. In Massachusetts, psychiatric patients must retain a specially trained lawyer to represent them before a mental health court with intention to be released.

That’s where we are in I’ll bet the majority of you reading this article didn’t know how our behavioral health system works.

The patient can be held for an indefinite term until a clinician decides the person has come to mental health professionals can essentially do whatever they need with you since no one is preparing to speak out against them. We are free and sovereign human beings. Of course, in the United States, people are generally allowed to operate freely without undue interference from others. With all that said… So, that’s not their job as I see it.

Only one time the state of the mental health system is brought to light is when a patient commits suicide or kills someone.

The American attitude is No one has the right to tell me what to do.

Look, there’s a public uproar and the psychiatrist or therapist are blamed or in s/he intends to commit suicide or kill someone. In their defense, no doctor can control the behavior of their patient in society. So call to duty is activated. Unless they’ve been grossly negligent in some way, the mental health professional can not be held responsible for the actions of their patients.

Search Results – As A Psychologist I Look For To Do My Part

When a psychotherapist performs a risk assessment for homicide or suicide in the course of the course of providing treatment we look at 5 things.

While doing psychotherapy with someone I can tell them without doing harm that I will break confidentiality to keep them or other people safe.

mental health systemsi can safely tell a patient I am required to report child abuse. Ultimately who does not look for their therapist to be on the side of safety? Eventually, who is in favor of child abuse? In any event, we have what I believe is the crucial point about the SAFE Act. It’s an interesting fact that the Secure Ammunition and Firearms Enforcement Act enacted days prior to President Obama’s proposal strikes the wrong balance between treatment and reporting. Basically, whenever improving access to treatment ain’t addressed in general. When treatment and mandates to report are out of balance patients will suffer unnecessarily.

As a psychologist I look for to do my part.

To be honest I am a confidentiality realist.

mental health systemsNo one wins. Actually, public safety may be undermined. Generally, my concern is simply that policies do no harm. To show why I used the image of the Rube Goldberg machine let me quote from The ‘EBulletin’ of the New York City State Psychiatric Association titled Secure Ammunition and Firearms Security Act and Duty to Warn. Remember, their description highlights what a convoluted procedural contraption this legislation has built. This is where it starts getting serious, right? More than not doing good, the SAFE Actwill likely do harm. Especially in close knit communities like a college campus, the news will spread with the speed and reach of aFacebook hoax that therapists are not to be trusted. Although, by emphasizing reporting at the expense of treatment, the SAFE Act has likely undermined both treatment and public safety. I would like to ask you something. Regarding the reporting on patients assessed as potentially violent?

Mental health problems have become central in discussions about how to reduce gun violence.