The document discusses the complex issue of using mechanical restraints in psychiatric hospitals. It provides perspectives from experts and researchers. While restraints aim to ensure safety, they can also harm and even kill patients. Good research on their effects is limited due to varying methodologies. The system governing their use is also fragmented between national policy, state laws and regulations, and individual hospital practices. Some jurisdictions have found success reducing restraint use through strategies like leadership commitment, data monitoring, staff training, and patient-centered care plans. An optimal solution requires addressing research gaps, coordinating policies, and prioritizing patient well-being over bureaucratic interests.
The document lists the top 15 causes of death in the United States from 2012-2013. Heart disease was the leading cause, resulting in over 611,000 deaths. The other top causes were malignant neoplasms, chronic lower respiratory diseases, accidents, cerebrovascular diseases, Alzheimer's disease, and diabetes. Notably, the document estimates that medical errors are the third leading cause of death in the US, causing between 210,000-400,000 deaths annually. This high rate of medical errors occurs due to a combination of active human errors by providers as well as latent errors in systems, processes, and organizational culture. Reducing medical errors requires understanding both individual and systemic factors that contribute to errors.
This document provides a holistic perspective on ending veteran homelessness by addressing the various mental health, substance use, medical, legal, vocational, financial, and housing challenges many veterans face. It discusses common issues such as PTSD, TBI, depression, substance abuse disorders, chronic pain, and legal barriers. It also outlines different treatment interventions and programs that target these problems, emphasizing the need for coordinated, multi-faceted services to successfully reintegrate veterans. Resources are provided for additional information on specific treatment approaches and services for veterans.
STRENGTHS & WEAKNESSES OFJAPANS' HEALTH CARE SYSTEMnaeemrsat
Japans' excellent health indicators are not entirely due to its' health delivery system. A major factor is the obsession of the Japanese for healthy life styles and food.
Also another big factor is Japans' excellent and very effective public health system
Japanese healthcare and its comparison with Indian healthcare systemDRx Anchal Sharma
The document provides an overview of the Japanese healthcare system and compares it to the Indian healthcare system. Some key points:
1. Japan has a universal healthcare system financed through taxes, where the government pays 70% of costs and patients pay 30%. This contrasts with India where out-of-pocket expenses account for 70% of costs.
2. Japan spends around 8.9% of its GDP on healthcare, significantly more than India's 4%.
3. The Japanese system aims to provide equal access to healthcare through mandatory health insurance, whereas health insurance is not mandatory in India.
4. Public health standards are higher in Japan relative to challenges in India with access to clean water, nutrition, and
This document lists numerous expert engagements undertaken by Stanley M. White as an expert consultant and witness in litigation matters between 1999-2014. It provides brief details on each engagement, including the law firm, case name, services provided such as reports or testimony, and disposition when known. The engagements covered a wide range of technical issues and resulted in both settlements and court decisions.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
This document discusses developing comprehensive and integrated approaches to suicide prevention. It provides background information on suicide rates and methods in the United States over time. It also discusses common barriers to suicide prevention, circumstances preceding suicide, and the public health rationale for preventing suicide at the population level rather than just focusing on clinical care. The document advocates for using a social-ecological approach to identify at-risk groups and design interventions across multiple settings and populations. It emphasizes the need to build an integrated mosaic of prevention components within local communities and social contexts.
The document lists the top 15 causes of death in the United States from 2012-2013. Heart disease was the leading cause, resulting in over 611,000 deaths. The other top causes were malignant neoplasms, chronic lower respiratory diseases, accidents, cerebrovascular diseases, Alzheimer's disease, and diabetes. Notably, the document estimates that medical errors are the third leading cause of death in the US, causing between 210,000-400,000 deaths annually. This high rate of medical errors occurs due to a combination of active human errors by providers as well as latent errors in systems, processes, and organizational culture. Reducing medical errors requires understanding both individual and systemic factors that contribute to errors.
This document provides a holistic perspective on ending veteran homelessness by addressing the various mental health, substance use, medical, legal, vocational, financial, and housing challenges many veterans face. It discusses common issues such as PTSD, TBI, depression, substance abuse disorders, chronic pain, and legal barriers. It also outlines different treatment interventions and programs that target these problems, emphasizing the need for coordinated, multi-faceted services to successfully reintegrate veterans. Resources are provided for additional information on specific treatment approaches and services for veterans.
STRENGTHS & WEAKNESSES OFJAPANS' HEALTH CARE SYSTEMnaeemrsat
Japans' excellent health indicators are not entirely due to its' health delivery system. A major factor is the obsession of the Japanese for healthy life styles and food.
Also another big factor is Japans' excellent and very effective public health system
Japanese healthcare and its comparison with Indian healthcare systemDRx Anchal Sharma
The document provides an overview of the Japanese healthcare system and compares it to the Indian healthcare system. Some key points:
1. Japan has a universal healthcare system financed through taxes, where the government pays 70% of costs and patients pay 30%. This contrasts with India where out-of-pocket expenses account for 70% of costs.
2. Japan spends around 8.9% of its GDP on healthcare, significantly more than India's 4%.
3. The Japanese system aims to provide equal access to healthcare through mandatory health insurance, whereas health insurance is not mandatory in India.
4. Public health standards are higher in Japan relative to challenges in India with access to clean water, nutrition, and
This document lists numerous expert engagements undertaken by Stanley M. White as an expert consultant and witness in litigation matters between 1999-2014. It provides brief details on each engagement, including the law firm, case name, services provided such as reports or testimony, and disposition when known. The engagements covered a wide range of technical issues and resulted in both settlements and court decisions.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
This document discusses developing comprehensive and integrated approaches to suicide prevention. It provides background information on suicide rates and methods in the United States over time. It also discusses common barriers to suicide prevention, circumstances preceding suicide, and the public health rationale for preventing suicide at the population level rather than just focusing on clinical care. The document advocates for using a social-ecological approach to identify at-risk groups and design interventions across multiple settings and populations. It emphasizes the need to build an integrated mosaic of prevention components within local communities and social contexts.
The document discusses the development of a comprehensive suicide deterrent strategy for those with serious mental illness. It provides background on advances in the last decade including increased funding and programs for suicide prevention. It also discusses current understanding and efforts around suicide prevention including training staff in Applied Suicide Intervention Skills Training (ASIST) and a goal of training over 2,000 staff across agencies. Barriers and stigma around discussing suicide are also addressed.
The document discusses implementing a public health approach to address drug abuse, mental illness, homelessness, and incarceration of those with mental illnesses or substance abuse issues. It notes the high economic and social costs of the current fragmented system and lack of treatment. Over 20% of jail and prison populations have a mental illness or were incarcerated due to lack of treatment options. The document calls for a national strategy with coordinated services across housing, employment, treatment, law enforcement, and other areas to improve outcomes and reduce costs to taxpayers.
Forensic nursing involves the application of nursing science to legal proceedings. There are several roles for forensic nurses including working in trauma/ER settings, as sexual assault nurse examiners, as nurse coroners/death investigators, as nurse attorneys/legal consultants, in psychiatric/mental health, and in corrections. These roles require specialized training and allow nurses to apply their clinical skills to investigations, evidence collection, and working with legal systems. The field of forensic nursing continues to evolve with new opportunities and roles emerging over time.
Physician-assisted suicide involves a physician providing a patient with a lethal dose of medication to end their life at their request. It is currently legal in three U.S. states under specific requirements, including being a resident of that state, having a terminal illness with less than six months to live confirmed by two physicians, being mentally competent, and making two oral and one written request. The debate around physician-assisted suicide involves considerations around patient autonomy at end of life versus the ethical concerns of intentionally ending a human life. There are also discussions around the costs of end of life care and ensuring freedom from prolonged suffering for terminally ill patients.
- The document discusses the use of mechanical restraints in psychiatric hospitals and the harm they can cause patients. It describes Elyn Saks' experience being restrained for over 30 hours at Yale Psychiatric Institute.
- The author found a lack of consistent, up-to-date research on mechanical restraints, making it difficult to form evidence-based arguments. Some hospitals have successfully eliminated restraints by revising policies based on models like the Six Core Strategies.
- However, widespread change has been limited as most hospital policies still depend on state funding or private investors rather than evidence-based, patient-centered approaches.
Keller (Bellevue/NYU) - Health and Human Rightsguestc7da32
The document discusses the important roles that physicians can play in promoting health and human rights through advocacy, documentation, education, and policy work. It outlines how physicians have ethical obligations to promote patient and community health, respect human rights, and address social factors that impact health. The document provides examples of how physicians have advocated on issues like access to care, torture treatment, detention conditions, and land mines to fulfill these roles and obligations.
Utah Leaders Dinner - Zero Suicide in Health Care 2013-11David Covington
This document summarizes a presentation on implementing a "Zero Suicide" approach in health care systems. It discusses how individual clinicians have historically tried to prevent suicide but health systems have done little. It promotes training all staff in suicide prevention and safety planning, ensuring continuity of care for suicidal patients, and making suicide prevention an integral part of any health care system rather than an afterthought. The presentation provides data on suicide rates, risk factors, and examples of health systems like the US Air Force that have successfully reduced suicides through comprehensive prevention programs. It encourages all audiences to help implement a national suicide prevention strategy.
This document discusses the issue of mentally ill patients being incarcerated in prisons rather than receiving treatment. It notes that around 16% of incarcerated individuals have a mental illness or history of hospitalization. Due to lack of psychiatric hospital beds, jails and prisons have become de facto psychiatric facilities. However, prisons do not provide adequate mental healthcare. Mentally ill inmates suffer harm from living in the same conditions as other prisoners. When released, inmates often do not receive continued treatment or support. Past proposals aimed to treat inmates while incarcerated, but more psychiatric facilities are ultimately needed to properly help the mentally ill.
This document discusses the rationale for developing trauma-informed service systems. It begins by defining psychological trauma and reviewing research showing high rates of trauma in vulnerable populations. Trauma affects brain development and can cause lasting negative impacts. The document advocates for a universal precautions approach and trauma-informed care across organizations, rather than just trauma-specific treatment. It outlines 12 criteria for building trauma-informed mental health systems, such as having trauma-focused policies, training staff, and involving trauma survivors. The goal is to minimize re-traumatization and promote healing.
Suicide Prevention Training Policies for HealthCare Profess.docxfredr6
Suicide Prevention Training: Policies for Health
Care Professionals Across the United States
as of October 2017
Janessa M. Graves, PhD, MPH, Jessica L. Mackelprang, PhD, Sara E. Van Natta, RN, and Carrie Holliday, PhD, MN, ARNP
Objectives. To identify and compare state policies for suicide prevention training
among health care professionals across the United States and benchmark state plan
updates against national recommendations set by the surgeon general and the National
Action Alliance for Suicide Prevention in 2012.
Methods. We searched state legislation databases to identify policies, which we de-
scribed and characterized by date of adoption, target audience, and duration and fre-
quency of the training. We used descriptive statistics to summarize state-by-state
variation in suicide education policies.
Results. In the United States, as of October 9, 2017, 10 (20%) states had passed
legislation mandating health care professionals complete suicide prevention training,
and 7 (14%) had policies encouraging training. The content and scope of policies varied
substantially. Most states (n = 43) had a state suicide prevention plan that had been
revised since 2012, but 7 lacked an updated plan.
Conclusions. Considerable variation in suicide prevention training for health care pro-
fessionals exists across the United States. There is a need for consistent polices in suicide
prevention training across the nation to better equip health care providers to address
the needs of patients who may be at risk for suicide. (Am J Public Health. 2018;108:760–
768. doi:10.2105/AJPH.2018.304373)
See also Caine and Cross, p. 717.
The number of suicides annually in theUnited States exceeds that of traffic
crashes or homicide, rendering it the 10th
leading cause of death.1 In 2013, 42 826 in-
dividuals died by suicide in theUnited States.1
The mortality rate for suicide has increased
24% since 1999 and is currently 13 per
100 000 people,which equates to 115 suicides
every day.2 Because of its high incidence and
potential for prevention, determining how to
most effectively prevent suicide is a public
health imperative.3
Health care professionals regularly en-
counter patients at risk for suicide. In an
Australian study, 75% of individuals who died
by suicide had seen a health care professional
within 3 months preceding their death.4 This
suggests health care professionals may play
a critical role in identifying at-risk patients and
in preventing suicide. However, health care
professionals are often not equipped with the
training necessary to effectively identify and
manage patients at risk for suicide.3,5,6 Even
among mental health providers, training in
suicide assessment and intervention is not
ubiquitous, despite calls for increased training
since the late 1980s.7–9 Patients at risk for
suicide may, therefore, be inadequately
identified and not receive appropriate
treatment.
In 2001, the US surgeon general released
National Strategy for .
The document discusses the challenges facing medical research funding in the United States, including stagnant and declining budgets at agencies like NIH and CDC due to sequestration and flat funding. It notes that young scientists are being discouraged from entering fields that rely on government grants. The speaker calls on scientists and medical professionals to become advocates for their work by better communicating with Congress, the media, and the public about the importance of research and its impact on health and the economy. The talk emphasizes the need for the research community to change its culture and embrace ongoing advocacy and public outreach.
The document discusses 5 macro-trends that will impact the future of the US healthcare system: 1) Economy, 2) Demographics, 3) Personal lifestyle and behavior, 4) Technology, and 5) Government policies. It analyzes factors within each trend, such as the aging population, rise of chronic diseases, development of new technologies, and laws/regulations. The document recommends developing policies, plans, and job opportunities to address issues related to these macro-trends and ensure access to quality healthcare. It emphasizes managing personal lifestyles and the need for healthcare professionals to navigate changes in the system.
The document discusses efforts to address cardiovascular disease and health disparities in Tennessee at both the state and national level. At the state level, Tennessee has created the Division of Minority Health and Disparity Elimination and passed legislation like HR 11 to recognize National Wear Red Day. The state also implements programs like Count on ME to promote heart health for minorities. Nationally, the Affordable Care Act covers some preventive cardiovascular services with no cost-sharing. The document also provides recommendations from organizations like the Institute of Medicine to eliminate health disparities through actions like increasing provider awareness of disparities and implementing patient education programs. It references data on cardiovascular disease from reports like the National Healthcare Disparities Report showing disparities exist and some
The document discusses definitions of health, healthcare, and the healthcare system. It defines health as a state of complete well-being, not just the absence of disease. The healthcare system involves providers like hospitals and physicians, as well as prevention efforts to maintain health. Public health aims to protect, promote, and restore community health through policies, education, and ensuring access to services. Historically, causes of death have shifted from infectious diseases to chronic conditions as life expectancy has increased.
The document discusses human rights and mental health. It summarizes a report on a fire at a mental health facility in India that killed 27 people. This incident highlighted issues with the treatment of the mentally ill and lack of basic human rights. The document then discusses the evolution of declarations and laws related to human rights and mental health internationally and in India. It analyzes the state of mental healthcare in India, including lack of facilities, professionals, and funding. The National Human Rights Commission was tasked with investigating conditions and made recommendations to better protect the rights of the mentally ill and improve care. While challenges remain, efforts are underway in India to reform laws and increase resources to provide proper treatment and rehabilitation for those suffering
The document discusses the fragmentation and costs of the mental health system in the US. It notes that mental illnesses lead to unnecessary disability, unemployment, homelessness, school failure and incarceration. The annual economic cost of mental illness in the US is estimated to be $79 billion. About 20% of jail populations have a serious mental illness. There is a lack of coordinated services across systems like law enforcement, treatment, housing, etc. This leads to poor outcomes for those with mental illnesses.
1. Five macro-trends that affect the US healthcare system are identified: economy, demographics, personal lifestyle and behavior, technology, and government policies.
2. These macro-trends impact factors like poverty rates, health issues, and job opportunities in the healthcare industry.
3. Recommendations are made to control issues in the US healthcare system by promoting safety, managing hazards, and facilitating environmental plans.
Jerry elsie-weyrauch national-strategy-article-2002Franklin Cook
The National Strategy for Suicide Prevention was launched in 2001 as a collaborative effort between multiple government agencies and non-profit organizations to reduce suicide rates. It established 11 goals focused on improving awareness, reducing stigma, increasing access to treatment, and supporting those affected by suicide. SAMHSA plays a key role in connecting this strategy to states and communities through grants, resources, and programs supporting goals like a national suicide prevention technical center and a national crisis hotline network. The long-term effort aims to create lasting change through improved surveillance, guidelines, and evaluation of strategies to prevent suicide.
in report you have the population segment aged 65 and.pdfstudy help
The document discusses the challenges of allocating limited healthcare resources to an aging population. It presents three individuals - Donna Mueller, Steve McDonald, and Chris Snider - who require hip surgery and rehabilitation. It asks the reader to consider which individual would most likely receive treatment under the Complete Lives System allocation principle and which they would recommend based on their own moral views and healthcare laws. The reader is also asked to discuss the potential role and implications of allocation principles in the US healthcare system and recommend one principle for allocating resources to a growing elderly population.
The document discusses the development of a comprehensive suicide deterrent strategy for those with serious mental illness. It provides background on advances in the last decade including increased funding and programs for suicide prevention. It also discusses current understanding and efforts around suicide prevention including training staff in Applied Suicide Intervention Skills Training (ASIST) and a goal of training over 2,000 staff across agencies. Barriers and stigma around discussing suicide are also addressed.
The document discusses implementing a public health approach to address drug abuse, mental illness, homelessness, and incarceration of those with mental illnesses or substance abuse issues. It notes the high economic and social costs of the current fragmented system and lack of treatment. Over 20% of jail and prison populations have a mental illness or were incarcerated due to lack of treatment options. The document calls for a national strategy with coordinated services across housing, employment, treatment, law enforcement, and other areas to improve outcomes and reduce costs to taxpayers.
Forensic nursing involves the application of nursing science to legal proceedings. There are several roles for forensic nurses including working in trauma/ER settings, as sexual assault nurse examiners, as nurse coroners/death investigators, as nurse attorneys/legal consultants, in psychiatric/mental health, and in corrections. These roles require specialized training and allow nurses to apply their clinical skills to investigations, evidence collection, and working with legal systems. The field of forensic nursing continues to evolve with new opportunities and roles emerging over time.
Physician-assisted suicide involves a physician providing a patient with a lethal dose of medication to end their life at their request. It is currently legal in three U.S. states under specific requirements, including being a resident of that state, having a terminal illness with less than six months to live confirmed by two physicians, being mentally competent, and making two oral and one written request. The debate around physician-assisted suicide involves considerations around patient autonomy at end of life versus the ethical concerns of intentionally ending a human life. There are also discussions around the costs of end of life care and ensuring freedom from prolonged suffering for terminally ill patients.
- The document discusses the use of mechanical restraints in psychiatric hospitals and the harm they can cause patients. It describes Elyn Saks' experience being restrained for over 30 hours at Yale Psychiatric Institute.
- The author found a lack of consistent, up-to-date research on mechanical restraints, making it difficult to form evidence-based arguments. Some hospitals have successfully eliminated restraints by revising policies based on models like the Six Core Strategies.
- However, widespread change has been limited as most hospital policies still depend on state funding or private investors rather than evidence-based, patient-centered approaches.
Keller (Bellevue/NYU) - Health and Human Rightsguestc7da32
The document discusses the important roles that physicians can play in promoting health and human rights through advocacy, documentation, education, and policy work. It outlines how physicians have ethical obligations to promote patient and community health, respect human rights, and address social factors that impact health. The document provides examples of how physicians have advocated on issues like access to care, torture treatment, detention conditions, and land mines to fulfill these roles and obligations.
Utah Leaders Dinner - Zero Suicide in Health Care 2013-11David Covington
This document summarizes a presentation on implementing a "Zero Suicide" approach in health care systems. It discusses how individual clinicians have historically tried to prevent suicide but health systems have done little. It promotes training all staff in suicide prevention and safety planning, ensuring continuity of care for suicidal patients, and making suicide prevention an integral part of any health care system rather than an afterthought. The presentation provides data on suicide rates, risk factors, and examples of health systems like the US Air Force that have successfully reduced suicides through comprehensive prevention programs. It encourages all audiences to help implement a national suicide prevention strategy.
This document discusses the issue of mentally ill patients being incarcerated in prisons rather than receiving treatment. It notes that around 16% of incarcerated individuals have a mental illness or history of hospitalization. Due to lack of psychiatric hospital beds, jails and prisons have become de facto psychiatric facilities. However, prisons do not provide adequate mental healthcare. Mentally ill inmates suffer harm from living in the same conditions as other prisoners. When released, inmates often do not receive continued treatment or support. Past proposals aimed to treat inmates while incarcerated, but more psychiatric facilities are ultimately needed to properly help the mentally ill.
This document discusses the rationale for developing trauma-informed service systems. It begins by defining psychological trauma and reviewing research showing high rates of trauma in vulnerable populations. Trauma affects brain development and can cause lasting negative impacts. The document advocates for a universal precautions approach and trauma-informed care across organizations, rather than just trauma-specific treatment. It outlines 12 criteria for building trauma-informed mental health systems, such as having trauma-focused policies, training staff, and involving trauma survivors. The goal is to minimize re-traumatization and promote healing.
Suicide Prevention Training Policies for HealthCare Profess.docxfredr6
Suicide Prevention Training: Policies for Health
Care Professionals Across the United States
as of October 2017
Janessa M. Graves, PhD, MPH, Jessica L. Mackelprang, PhD, Sara E. Van Natta, RN, and Carrie Holliday, PhD, MN, ARNP
Objectives. To identify and compare state policies for suicide prevention training
among health care professionals across the United States and benchmark state plan
updates against national recommendations set by the surgeon general and the National
Action Alliance for Suicide Prevention in 2012.
Methods. We searched state legislation databases to identify policies, which we de-
scribed and characterized by date of adoption, target audience, and duration and fre-
quency of the training. We used descriptive statistics to summarize state-by-state
variation in suicide education policies.
Results. In the United States, as of October 9, 2017, 10 (20%) states had passed
legislation mandating health care professionals complete suicide prevention training,
and 7 (14%) had policies encouraging training. The content and scope of policies varied
substantially. Most states (n = 43) had a state suicide prevention plan that had been
revised since 2012, but 7 lacked an updated plan.
Conclusions. Considerable variation in suicide prevention training for health care pro-
fessionals exists across the United States. There is a need for consistent polices in suicide
prevention training across the nation to better equip health care providers to address
the needs of patients who may be at risk for suicide. (Am J Public Health. 2018;108:760–
768. doi:10.2105/AJPH.2018.304373)
See also Caine and Cross, p. 717.
The number of suicides annually in theUnited States exceeds that of traffic
crashes or homicide, rendering it the 10th
leading cause of death.1 In 2013, 42 826 in-
dividuals died by suicide in theUnited States.1
The mortality rate for suicide has increased
24% since 1999 and is currently 13 per
100 000 people,which equates to 115 suicides
every day.2 Because of its high incidence and
potential for prevention, determining how to
most effectively prevent suicide is a public
health imperative.3
Health care professionals regularly en-
counter patients at risk for suicide. In an
Australian study, 75% of individuals who died
by suicide had seen a health care professional
within 3 months preceding their death.4 This
suggests health care professionals may play
a critical role in identifying at-risk patients and
in preventing suicide. However, health care
professionals are often not equipped with the
training necessary to effectively identify and
manage patients at risk for suicide.3,5,6 Even
among mental health providers, training in
suicide assessment and intervention is not
ubiquitous, despite calls for increased training
since the late 1980s.7–9 Patients at risk for
suicide may, therefore, be inadequately
identified and not receive appropriate
treatment.
In 2001, the US surgeon general released
National Strategy for .
The document discusses the challenges facing medical research funding in the United States, including stagnant and declining budgets at agencies like NIH and CDC due to sequestration and flat funding. It notes that young scientists are being discouraged from entering fields that rely on government grants. The speaker calls on scientists and medical professionals to become advocates for their work by better communicating with Congress, the media, and the public about the importance of research and its impact on health and the economy. The talk emphasizes the need for the research community to change its culture and embrace ongoing advocacy and public outreach.
The document discusses 5 macro-trends that will impact the future of the US healthcare system: 1) Economy, 2) Demographics, 3) Personal lifestyle and behavior, 4) Technology, and 5) Government policies. It analyzes factors within each trend, such as the aging population, rise of chronic diseases, development of new technologies, and laws/regulations. The document recommends developing policies, plans, and job opportunities to address issues related to these macro-trends and ensure access to quality healthcare. It emphasizes managing personal lifestyles and the need for healthcare professionals to navigate changes in the system.
The document discusses efforts to address cardiovascular disease and health disparities in Tennessee at both the state and national level. At the state level, Tennessee has created the Division of Minority Health and Disparity Elimination and passed legislation like HR 11 to recognize National Wear Red Day. The state also implements programs like Count on ME to promote heart health for minorities. Nationally, the Affordable Care Act covers some preventive cardiovascular services with no cost-sharing. The document also provides recommendations from organizations like the Institute of Medicine to eliminate health disparities through actions like increasing provider awareness of disparities and implementing patient education programs. It references data on cardiovascular disease from reports like the National Healthcare Disparities Report showing disparities exist and some
The document discusses definitions of health, healthcare, and the healthcare system. It defines health as a state of complete well-being, not just the absence of disease. The healthcare system involves providers like hospitals and physicians, as well as prevention efforts to maintain health. Public health aims to protect, promote, and restore community health through policies, education, and ensuring access to services. Historically, causes of death have shifted from infectious diseases to chronic conditions as life expectancy has increased.
The document discusses human rights and mental health. It summarizes a report on a fire at a mental health facility in India that killed 27 people. This incident highlighted issues with the treatment of the mentally ill and lack of basic human rights. The document then discusses the evolution of declarations and laws related to human rights and mental health internationally and in India. It analyzes the state of mental healthcare in India, including lack of facilities, professionals, and funding. The National Human Rights Commission was tasked with investigating conditions and made recommendations to better protect the rights of the mentally ill and improve care. While challenges remain, efforts are underway in India to reform laws and increase resources to provide proper treatment and rehabilitation for those suffering
The document discusses the fragmentation and costs of the mental health system in the US. It notes that mental illnesses lead to unnecessary disability, unemployment, homelessness, school failure and incarceration. The annual economic cost of mental illness in the US is estimated to be $79 billion. About 20% of jail populations have a serious mental illness. There is a lack of coordinated services across systems like law enforcement, treatment, housing, etc. This leads to poor outcomes for those with mental illnesses.
1. Five macro-trends that affect the US healthcare system are identified: economy, demographics, personal lifestyle and behavior, technology, and government policies.
2. These macro-trends impact factors like poverty rates, health issues, and job opportunities in the healthcare industry.
3. Recommendations are made to control issues in the US healthcare system by promoting safety, managing hazards, and facilitating environmental plans.
Jerry elsie-weyrauch national-strategy-article-2002Franklin Cook
The National Strategy for Suicide Prevention was launched in 2001 as a collaborative effort between multiple government agencies and non-profit organizations to reduce suicide rates. It established 11 goals focused on improving awareness, reducing stigma, increasing access to treatment, and supporting those affected by suicide. SAMHSA plays a key role in connecting this strategy to states and communities through grants, resources, and programs supporting goals like a national suicide prevention technical center and a national crisis hotline network. The long-term effort aims to create lasting change through improved surveillance, guidelines, and evaluation of strategies to prevent suicide.
in report you have the population segment aged 65 and.pdfstudy help
The document discusses the challenges of allocating limited healthcare resources to an aging population. It presents three individuals - Donna Mueller, Steve McDonald, and Chris Snider - who require hip surgery and rehabilitation. It asks the reader to consider which individual would most likely receive treatment under the Complete Lives System allocation principle and which they would recommend based on their own moral views and healthcare laws. The reader is also asked to discuss the potential role and implications of allocation principles in the US healthcare system and recommend one principle for allocating resources to a growing elderly population.
2. “I crawled under the desk and started to moan
and rock. The faceless creatures hovering
near, invisible to everyone but me, were about
to tear me to pieces. ‘They’re killing me.
They’re killing me! I’ve got to try. Die. Lie.
Cry.’”
Professor Elyn Saks
The Center Cannot Hold
3.
4. 1989 - 1999
142 deaths reported in the United
States
Hartford Courant
1998
5. “Every week in the United States, it’s been estimated
that one to three people die in restraints. They
strangle, they aspirate their vomit, the suffocate, they
have a heart attack. It’s unclear whether using
mechanical restraints is actually saving lives or costing
lives.”
Professor Elyn Saks
2010 TedX Talk
7. - vital signs
- comfort
- body alignment
- circulation
- behavioral status
15 minute safety checks for :
Massachusetts’ Department of
Mental Health (DMH)
Restraint Policy
9. 1971 → Wyatt v. Stickney
1982 → Youngberg v. Romeo
US Supreme Court
Cases dealing with
mechanical restraints
10. “The right to be free from undue bodily
restraint is the core of the liberty interest
protected by the Due Process Clause
from arbitrary governmental action.”
Youngberg v. Romeo
457 U.S. 307, 316 (1982)
11. “The Department of Mental Health
(DMH) is committed to eliminating the
use of restraint.”
Massachusetts Department of
Mental Health (DMH)
Restraint Policy
14. “Only limited conclusions [could] be
drawn from [the studies]” due to the
“widely differing methods of presenting
[the] information”
The City University of London
2009
28. “Restraints shall be employed only
when necessary to protect the
patient/resident from injuring himself or
others.”
Commonwealth of Pennsylvania
Use of Restraints in Treating
Patients/Residents (1997)
29. 74% decrease
in total number of restraints/seclusion
96% decrease
in total hours spent in restraints/seclusion
1997 - 2002 Pennsylvania
Mental Health Care
30. 67% decrease
in total number of restraints and seclusions
1999 - 2001 Creedmoor
Psychiatric Center
36. “Increase self-determination by helping
individuals develop written plans that
identify personal stress triggers and
strategies to manage agitation and anger.”
National Association of Consumer/Survivor
Mental Health Administrators (NACSMHA)
Advance Crisis Management
Program (ACM)
38. State Hospitals
Massachusetts
Department of Mental Health
(DMH)
4 state psychiatric hospitals
Texas
Department of State Health
Services (DSHS)
12 state psychiatric hospitals
39. State Hospitals
Massachusetts
Department of Mental Health
(DMH)
4 state psychiatric hospitals
Texas
Department of State Health
Services (DSHS)
12 state psychiatric hospitals
Private Hospitals
Mclean Hospital
Harvard University
41. “Supports the national need for the
seclusion and restraint of patients.”
American Psychiatric Association
1985
42. “National intent to see that restraint and
seclusion are used appropriately, as
infrequently as possible, and only when less
restrictive methods are considered and are not
feasible.”
American Psychiatric Association
2003
56. Massachusetts
State Hospitals
Worcester Recovery Center
and Hospital
Massachusetts
Private Hospitals
Mclean Hospital
Harvard University
Tewksbury Hospital
Hathorne Unit
● Lemuel Shattuck
Hospital
Taunton State Hospital
73. 164
1
MA is the First
Colony to
Legalize Slavery
177
3
1820
Slaves
unsuccessfully
petition MA
Government
186
5
Slavery is abolished
in all territory above
Missouri
13th Amendment
abolishes slavery
throughout the nation
Abolishing Slavery in the United States