Barak Richman, Daniel Grossman, and Frank Sloan
- Published in print:
- 2010
- Published Online:
- May 2010
- ISBN:
- 9780195390131
- eISBN:
- 9780199775934
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195390131.003.012
- Subject:
- Law, Medical Law
This chapter discusses consumption disparities in outpatient mental health services among a diverse insured working population. It first observes that despite paying equal insurance premiums and ...
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This chapter discusses consumption disparities in outpatient mental health services among a diverse insured working population. It first observes that despite paying equal insurance premiums and enjoying equal insurance coverage, lower-income and non-white workers consume fewer insurance benefits than their white and higher-income coworkers. It finds no evidence, however, that this disparity leads to adverse health outcomes. It additionally finds that non-whites and low-income individuals are more likely than their white and high-income counterparts to obtain mental health care from general practitioners rather than mental healthcare providers, and nearly twice as likely not to follow up with a mental health provider after hospitalization with a mental health diagnosis. These findings suggest that low-income and non-white individuals might be paying for health services that primarily benefit their white and more affluent coworkers. Many of these regressive consequences can be attributed to mental health insurance carve-outs, which are a product of the fragmented delivery of health care.Less
This chapter discusses consumption disparities in outpatient mental health services among a diverse insured working population. It first observes that despite paying equal insurance premiums and enjoying equal insurance coverage, lower-income and non-white workers consume fewer insurance benefits than their white and higher-income coworkers. It finds no evidence, however, that this disparity leads to adverse health outcomes. It additionally finds that non-whites and low-income individuals are more likely than their white and high-income counterparts to obtain mental health care from general practitioners rather than mental healthcare providers, and nearly twice as likely not to follow up with a mental health provider after hospitalization with a mental health diagnosis. These findings suggest that low-income and non-white individuals might be paying for health services that primarily benefit their white and more affluent coworkers. Many of these regressive consequences can be attributed to mental health insurance carve-outs, which are a product of the fragmented delivery of health care.
Vicky Long
- Published in print:
- 2014
- Published Online:
- May 2015
- ISBN:
- 9780719085819
- eISBN:
- 9781781706404
- Item type:
- chapter
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719085819.003.0001
- Subject:
- History, History of Science, Technology, and Medicine
The introduction outlines the approach adopted within the book, and the main lines of argument, explaining why the decision has been taken to focus on healthcare professionals’ efforts to educate the ...
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The introduction outlines the approach adopted within the book, and the main lines of argument, explaining why the decision has been taken to focus on healthcare professionals’ efforts to educate the public, rather than public opinion. Analysing recent British mental health anti-stigma campaigns, the introduction identifies common characteristics in terms of messages, objectives and difficulties encountered. It contextualises the book’s approach in relation to recent debates as to how the history of psychiatry and mental healthcare should be written, and provides a brief overview of key pieces of legislation which affected mental healthcare in the period under study. The introduction outlines how the plurality of groups working within the field of mental health, wielding divergent levels of power and status, affected discourses. A brief analysis of the concepts of stigma and discrimination is provided.Less
The introduction outlines the approach adopted within the book, and the main lines of argument, explaining why the decision has been taken to focus on healthcare professionals’ efforts to educate the public, rather than public opinion. Analysing recent British mental health anti-stigma campaigns, the introduction identifies common characteristics in terms of messages, objectives and difficulties encountered. It contextualises the book’s approach in relation to recent debates as to how the history of psychiatry and mental healthcare should be written, and provides a brief overview of key pieces of legislation which affected mental healthcare in the period under study. The introduction outlines how the plurality of groups working within the field of mental health, wielding divergent levels of power and status, affected discourses. A brief analysis of the concepts of stigma and discrimination is provided.
Vicky Long
- Published in print:
- 2014
- Published Online:
- May 2015
- ISBN:
- 9780719085819
- eISBN:
- 9781781706404
- Item type:
- chapter
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719085819.003.0003
- Subject:
- History, History of Science, Technology, and Medicine
This chapter explores mental healthcare politics, demonstrating the impact of the economic and political climate on professional strategies, and revealing the interconnected fates of different ...
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This chapter explores mental healthcare politics, demonstrating the impact of the economic and political climate on professional strategies, and revealing the interconnected fates of different professional groups. It focuses on psychiatric nurses and psychiatric social workers, examining how these two occupational groups represented mental illness and sought to obtain public support as they attempted to establish a distinct role in the field of mental healthcare. As mental healthcare policy and practice evolved, these occupational groups had to adapt to find a new role. Revealing the challenges facing insecure professional groups who tried to balance their interests with those of their patients, the chapter argues that we need to examine the relative power and status of different occupational groups, and consider efforts to destigmatise mental illness within the context of the broader goals of that occupation.Less
This chapter explores mental healthcare politics, demonstrating the impact of the economic and political climate on professional strategies, and revealing the interconnected fates of different professional groups. It focuses on psychiatric nurses and psychiatric social workers, examining how these two occupational groups represented mental illness and sought to obtain public support as they attempted to establish a distinct role in the field of mental healthcare. As mental healthcare policy and practice evolved, these occupational groups had to adapt to find a new role. Revealing the challenges facing insecure professional groups who tried to balance their interests with those of their patients, the chapter argues that we need to examine the relative power and status of different occupational groups, and consider efforts to destigmatise mental illness within the context of the broader goals of that occupation.
Richard P. Bentall
- Published in print:
- 2009
- Published Online:
- March 2016
- ISBN:
- 9780814791486
- eISBN:
- 9780814739143
- Item type:
- book
- Publisher:
- NYU Press
- DOI:
- 10.18574/nyu/9780814791486.001.0001
- Subject:
- Psychology, Developmental Psychology
Toward the end of the twentieth century, the solution to mental illness seemed to be found. It lay in biological solutions, focusing on mental illness as a problem of the brain, to be managed or ...
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Toward the end of the twentieth century, the solution to mental illness seemed to be found. It lay in biological solutions, focusing on mental illness as a problem of the brain, to be managed or improved through drugs. We entered the “Prozac Age” and believed we had moved far beyond the time of frontal lobotomies to an age of good and successful mental healthcare. Biological psychiatry had triumphed. Except maybe it hadn't. Starting with surprising evidence from the World Health Organization that suggests that people recover better from mental illness in a developing country than in the first world, this book asks the question: how good are our mental healthcare services, really? It picks apart the science that underlies our current psychiatric practice, and puts the patient back at the heart of treatment for mental illness, making the case that a good relationship between patients and their doctors is the most important indicator of whether someone will recover. Arguing passionately for a future of mental health treatment that focuses as much on patients as individuals as on the brain itself, this is a book set to redefine our understanding of the treatment of madness in the twenty-first century.Less
Toward the end of the twentieth century, the solution to mental illness seemed to be found. It lay in biological solutions, focusing on mental illness as a problem of the brain, to be managed or improved through drugs. We entered the “Prozac Age” and believed we had moved far beyond the time of frontal lobotomies to an age of good and successful mental healthcare. Biological psychiatry had triumphed. Except maybe it hadn't. Starting with surprising evidence from the World Health Organization that suggests that people recover better from mental illness in a developing country than in the first world, this book asks the question: how good are our mental healthcare services, really? It picks apart the science that underlies our current psychiatric practice, and puts the patient back at the heart of treatment for mental illness, making the case that a good relationship between patients and their doctors is the most important indicator of whether someone will recover. Arguing passionately for a future of mental health treatment that focuses as much on patients as individuals as on the brain itself, this is a book set to redefine our understanding of the treatment of madness in the twenty-first century.
Anne Balay
- Published in print:
- 2018
- Published Online:
- May 2019
- ISBN:
- 9781469647098
- eISBN:
- 9781469647111
- Item type:
- chapter
- Publisher:
- University of North Carolina Press
- DOI:
- 10.5149/northcarolina/9781469647098.003.0006
- Subject:
- History, American History: 20th Century
Trucking is one of the most dangerous jobs, and truckers also see many fatalities while working. At the same time, few have health insurance, most can’t schedule mental health care, and mental ...
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Trucking is one of the most dangerous jobs, and truckers also see many fatalities while working. At the same time, few have health insurance, most can’t schedule mental health care, and mental illness is stigmatized in their culture anyway. Thus, they live with trauma, and regulations compound, rather than mitigate, this situation.Less
Trucking is one of the most dangerous jobs, and truckers also see many fatalities while working. At the same time, few have health insurance, most can’t schedule mental health care, and mental illness is stigmatized in their culture anyway. Thus, they live with trauma, and regulations compound, rather than mitigate, this situation.
Gabriel Mendes
- Published in print:
- 2015
- Published Online:
- January 2016
- ISBN:
- 9780226249933
- eISBN:
- 9780226250274
- Item type:
- chapter
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226250274.003.0005
- Subject:
- History, Cultural History
This chapter examines the history of race within American psychotherapy, through the prism of a largely-forgotten institution dedicated to psychiatric treatment founded on antiracist principles. ...
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This chapter examines the history of race within American psychotherapy, through the prism of a largely-forgotten institution dedicated to psychiatric treatment founded on antiracist principles. Founded soon after World War II by writer Richard Wright and psychiatrist and social critic Fredric Wertham, Harlem, New York’s Lafargue Mental Hygiene Clinic linked black psychic well-being to social transformation and sought to redirect the fundamental orientation of psychotherapy towards the social bases of mental illness and health. Both a precursor and challenge to recent models of combating health disparities through cultural competence in mental healthcare, Lafargue represents a landmark in African American encounters with psychiatry and the behavioral sciences.Less
This chapter examines the history of race within American psychotherapy, through the prism of a largely-forgotten institution dedicated to psychiatric treatment founded on antiracist principles. Founded soon after World War II by writer Richard Wright and psychiatrist and social critic Fredric Wertham, Harlem, New York’s Lafargue Mental Hygiene Clinic linked black psychic well-being to social transformation and sought to redirect the fundamental orientation of psychotherapy towards the social bases of mental illness and health. Both a precursor and challenge to recent models of combating health disparities through cultural competence in mental healthcare, Lafargue represents a landmark in African American encounters with psychiatry and the behavioral sciences.
