Social Work in the Public Eye
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| Barbara Smith |
The Herald-Sun, in Durham, N.C., recently published a guest
column by NASW member Barbara Smith titled “Early intervention in youth
mental health.”
“Much too frequently in America, we bear witness to horrific
shootings,” Smith wrote, adding that while it’s important to have stricter gun
laws, the country also needs “a humane and effective mental health system that
gives priority to young persons with emerging severe mental illness.”
Smith, a clinical assistant professor at the School of Social
Work and the Department of Psychiatry at the University of North Carolina at
Chapel Hill, has spent the last 20 years of her career working with
schizophrenic patients. She states in the article that people she sees with
this issue are a part of the human dynamic as a whole.
She says those with an emerging mental health issue are in
distress and open to receiving treatment in a humane way, and early
intervention can create better outcomes where schizophrenia is concerned.
However, in the U.S. it’s almost impossible for young people with emerging
severe mental health issues to get the help they need, Smith says.
“Over the past 30 years, our mental health system has suffered
from fragmentation and underfunding,” Smith writes. “The resources we do have
are sometimes misdirected. We have over-relied on medications hoping for the
quick and simple cure for disorders that are complex.”
Smith says that people with mental illness — particularly
schizophrenia and other psychotic disorders — often are viewed as monsters by
their fellow citizens. This public perception of mental illness can affect what
happens privately, she says, such as denial when a young person develops
psychosis.
“We ignore it or call it something else,” she writes, adding
that being in denial can delay treatment.
Smith offers suggestions on how to improve the U.S. mental
health system:
- Treat emerging psychosis like a true medical emergency
- Make youth mental health a public health priority
- Provide education to young people, their families, their
teachers and their faith communities about early warning signs of mental
illness and how to get help
- Create specialized early intervention teams that can respond
rapidly and humanely to persons with emerging severe mental illness
- Strengthen the mental health workforce by developing
training initiatives that focus on persons with severe mental illness
- Broaden the dominant medical model to include psychological
treatment, social interventions, psychiatric rehabilitation and peer support.
- … Early intervention, easy access to care, the best
treatment from a multidisciplinary team of professionals, shared decision-making and enough support to
lead a meaningful life as a contributing member of the community. If we had
those things in our mental health system, we would all be better off,” Smith
says.
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| Joan Scully |
About one in eight women are binge drinkers, according to an
article in The Independent Florida Alligator. NASW member Joan Scully, a
licensed clinical social worker and a substance abuse coordinator at the
University of Florida Counseling & Wellness Center, says in the article
that the first step to recognizing binge drinking as an illness is to lower the
stigma that comes with addiction. Even though males are more known for binge
drinking, women are catching up, the article says. About 14 million American
women binge drink — which means having six or more drinks in one sitting and
drinking three or more times a month.
For female binge drinkers, the chances of breast cancer, heart
disease, sexually transmitted diseases and unintended pregnancy are higher, the
article says.
“You can’t find that label on a bottle of vodka or a bottle of
wine,” Scully says.
The Centers for Disease Control and Prevention released a
statement cautioning that excessive drinking is a dangerous behavior that is
under-recognized as a women’s health issue. Scully says binge drinking needs
the same level of social awareness that cigarette smoking has.
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| Gayle Taylor |
In a recent article in The Topeka Capital-Journal in Kansas,
NASW member Gayle Taylor discusses her skepticism about the way KanCare
(the Medicaid program for the state of Kansas) handles patients with brain
injuries.
The article says Kansas Gov. Sam Brownback had turned over the
state’s $3.2 billion Medicaid program to United HealthCare, Sunflower State
Health Plan and Amerigroup companies in January to operate a managed-care
system that aims to save the state about $1 billion over five years. The system
also is designed to improve care for 380,000 Kansans, the article says.
Taylor, who owns Therapy Services based in Burlington, Kan.,
says that as the transition took place earlier this year, she went to check on
one of her Medicaid clients with traumatic brain injury to discover he had
spent five days bleeding from an arm wound without having a grasp on where or
how to get help.
“What I’m so afraid of is, without proper care, people are
either going to end up dead, homeless, in jail or in a nursing home,” she says
in the article. “They will lose their independence.”
Kari Bruffett, director of the division of health care finance
at the Kansas Department of Health and Environment, says in the article that
after assessing the situation with Taylor’s patient, she found that he was
receiving all services he was entitled to.
Lt. Gov. Jeff Colyer says the state and federal governments
will have to gradually resolve the inadequacies of Medicaid, because the system
has been plagued with shortcomings for decades, the article says.
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| Charles Ingoglia |
In a recent article in The Connecticut Mirror, NASW member Charles Ingoglia expresses support for President Barack Obama after he
announced an executive order to finalize the regulations of the 2008 mental
health parity law in response to the shootings at Sandy Hook Elementary School
in Newtown, Conn.
The article says that although the president’s announcement
was perhaps not the most headline-grabbing, it meant a lot to people like
Ingoglia, who is the senior vice president for public policy and practice
improvement at the National Council for Community Behavioral Healthcare.
Ingoglia says in the article that the lack of a final
regulation makes it hard to ensure that people get insurance coverage for
mental health and addiction treatment. “We’re very thrilled that the president
included this in his announcement,” Ingoglia says. “In a way, it’s long
overdue.”
According to the American Psychological Association, the 2008
Mental Health Parity and Addiction Equity Act requires health insurance to
cover both mental and physical health equally. APA says that under the law,
insurance companies can no longer arbitrarily limit the number of hospital days
or outpatient treatment sessions, or assign higher co-payments or deductibles
for those in need of psychological services.
From April 2013 NASW News. © 2012 National
Association of Social Workers. All Rights Reserved. NASW News
articles may be copied for personal use, but proper notice of
copyright and credit to the NASW News must appear on all copies
made. This permission does not apply to reproduction for advertising,
promotion, resale, or other commercial purposes.
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