The Mental Health Maze and the Call for Transformation

Iglehart, John K.

doi:10.1056/nejmhpr032740

Cited by 23 publications

(20 citation statements)

References 18 publications

(17 reference statements)

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“…Concepts of ''Recovery'' have recently gained momentum in their trajectory toward becoming the predominant means for organizing and delivering behavioral health services (Iglehart, 2004;Jacobson & Curtis, 2000;New Freedom Commission on Mental Health, 2003;Office of the Surgeon General, 1999). While the value of these ideas has only recently been broadly recognized within our systems of care, many aspects of currently recognized recovery principles have been with us for sometime.…”

Section: Introductionmentioning

confidence: 99%

Transforming Systems of Care: The American Association of Community Psychiatrists Guidelines for Recovery Oriented Services

Sowers

2005

Community Ment Health J

122

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Thinking about recovery has grown significantly over the last 70 years, and particularly in the past fifteen. Promotion of recovery has recently been recognized as an organizing principle for the transformation of behavioral health services. Recovery is a personal process of growth and change which typically embraces hope, autonomy and affiliation as elements of establishing satisfying and productive lives in spite of disabling conditions or experiences. Recovery oriented services replace paternalistic, illness oriented perspectives with collaborative, autonomy enhancing approaches and represent a major cultural shift in service delivery. Recovery oriented services replace the myth of chronicity and dependence with a message of individualism, empowerment and choice in the context of collaborative relationships with service providers. The American Association of Community Psychiatrists has developed Guidelines for Recovery Oriented Services to facilitate the transformation of services to this new paradigm. The guidelines are divided into three domains: administration, treatment, and supports, each consisting of several elements for which recovery enhancing characteristics are defined. Several example indicators are also provided for each element. This paper presents these guidelines and discusses their application.

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Section: Introductionmentioning

confidence: 99%

Transforming Systems of Care: The American Association of Community Psychiatrists Guidelines for Recovery Oriented Services

Sowers

2005

Community Ment Health J

122

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“…Efforts to expand the influence of the New Freedom Commission's recommendations have been aided by making the documents available to the public. In addition, several professional conferences and journal articles have focused on the impact of the NFC for policy, research and practice (Iglehart, 2004;Shelton, 2003). Continued discussion about implications of the initiative among key stakeholders will further elucidate support as well as uncover resistance to implementation of school-based mental health services.…”

Section: Extend the Influence Of The New Freedom Commissionmentioning

confidence: 98%

The President’s New Freedom Commission: Capitalizing on Opportunities to Advance School-Based Mental Health Services

Mills

Stephan

Moore

et al. 2006

Clin Child Fam Psychol Rev

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The report from President George W. Bush's New Freedom Commission on Mental Health (NFC), Achieving the Promise: Transforming Mental Health Care in America(2003), proposes goals and recommendations for improving mental health services. This report has significant implications for the delivery of mental health services through the schools. A focused discussion of the potential opportunities and challenges of implementing NFC recommendations related to school-based mental health is presented. Strategies for addressing five key areas at the intersection of school mental health and the Commission's recommendations include: stigma reduction, suicide prevention, expansion and improvement of school mental health, and screening and treatment of co-occurring mental health and substance abuse disorders.

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“…There has long been concern about the dampening effect of health insurance and managed care on access to health care services generally and to mental health services in particular (Jensen, Rost, Burton, & Bulycheva, 1998;Iglehart, 2004). As a result of a backlash against the constraints of managed care in the last 10 years (Brown & Eagan, 2004), over 40 states, including Minnesota (Minnesota Statutes, 2003), enacted some form of external review of health plan decisions (Pollitz, Crowley, Lucia, & Bangit, 2002).…”

mentioning

confidence: 98%

External Review of Health Plan Denials of Mental Health Services: Lessons from Minnesota

Foote

Virnig

Bockstedt

et al. 2006

Adm Policy Ment Health

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There has been concern that health plans unfairly deny claims for mental health services. This study examines a unique Minnesota program that resulted from a legal settlement. An independent panel reviews all mental health service denials in the state's three largest health plans. Our study analyzed every case file (N = 4717) the panel reviewed from January 2002 to August 2005. This unique dataset provides insight into health plan behavior. The findings show that the panel reversed only 2.9% of denied claims, suggesting inappropriate denials were rare. However, the panel decisions have made important improvements in contract language and patient communications.

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The Mental Health Maze and the Call for Transformation

Cited by 23 publications

References 18 publications

Transforming Systems of Care: The American Association of Community Psychiatrists Guidelines for Recovery Oriented Services

Transforming Systems of Care: The American Association of Community Psychiatrists Guidelines for Recovery Oriented Services

The President’s New Freedom Commission: Capitalizing on Opportunities to Advance School-Based Mental Health Services

External Review of Health Plan Denials of Mental Health Services: Lessons from Minnesota

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