Will you treat me?

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  • 1. Will you Treat ME?Funding Mental Health Care TreatmentNow and Under the Affordable Health Care ActJayme Xaris / Jayme NelsonAssociate Professor of NursingLuther COllege
  • 2. Sketch of a shackled inmate at Londons Bethlem Royal Hospital, known asBedlam. Photograph: Time & Life Pictures/Getty
  • 3. Health Expenditure as a Share of GDPin 2010Organization for Economic Cooperation and Development (OECD)
  • 4. Health Spending Per Capita byCategory of Care
  • 5. Source: WHO
  • 6. Mental Health Expenditures by Type ofService in 200505101520253035ExpenditureExpenditure
  • 7. Mental Health Care Justice?
  • 8. Senator Paul Wellstone Addressing aDC Crowd About Mental Health Parity
  • 9. How will the Affordable Care ActImpact Mental Health Care Coverage?• Access, Access, Access….• Extension of coverage of dependents to age26• Abolishment of pre-existing conditions• Creation of health insurance exchanges– Language that you will be able to understand– Exchange must cover mental health services andsubstance disorder services
  • 10. Center on Budget and Policy Priorities http://www.cbpp.org/cms/index.cfm?fa=view&id=3819Medicaid Expansion – April 21, 2013
  • 11. ACA and Mental Health Parity Act• This combination provides powerful mentalhealth coverage to millions of Americans– Mental health care and substance abuse part of10 essential services– Mental Health Parity Act requires that services beon par with all other services
  • 12. Affordable Care Act• Additional innovative options for those withmental health conditions– Community First Choice Option– Health Homes
  • 13. Why should we care about mentalhealth parity?• Growing research indicates a physiologiccomponent to mental health illness• Mental health related fatalities exceed thoseof HIV/AIDS• Increased costs would most likely be offset byincreased worker productivity and decreasedutilization of other costs (general medicalservice utilization)
  • 14. Artist:Igor Morski
  • 15. References• Krisberg, K. (2012). Health Law Raising U.S.Mental Health Parity to the Next Level. TheNation’s Health. Sept. 2012.• Mauldin, J. (2011). All Smoke and No Fire?Analyzing the Potential Effects of the MentalHealth Parity and Addiction Equity Act of 2008.Law and Psychology Review 35; 193-207.• Mechanic, D. (2011). Behavioral Health andHealth Care Reform. Journal of HealthPolitics, Policy & Law 36 (3): 527-531.
  • 16. References• Siegwarth, A. & Koyanagi, C. (2011). The NewHealth Care Reform Act and Medicaid: NewOpportunities for Psychiatric Rehabilitation.Psychiatric Rehabilitation Journal 34 (4); 277-284.• Smith, D., Lee, D. & Davidson, L. (2010).Health Care Equality and Parity for Treatmentof Addictive Disease. Journal of PsychoactiveDrugs 42 (2); 121-126.
  • 17. Helpful Websites• http://www.healthcare.gov/law/• http://www.healthcare.gov/using-insurance/low-cost-care/medicaid/• http://www.cbpp.org/cms/index.cfm?fa=view&id=3819• http://www.oecd.org/
  • 18. Thank you!• Questions? Please don’t hesitate to contactme –• Jayme Xaris in Second Life• Jayme Nelson in Real Life– nelsjaym@luther.edu