Are Mental Health Services Covered By Health Insurance?

School Based Mental Health Services Reduce School Violence

In a time when resources are scarce and problems are many, professionals are choosing evidence-based practices to improve outcomes related to services. Evidence is emerging that school-based mental health services are an effective and cost efficient way to improve school performance and mental health and reduce behavioral problems. To assess the effectiveness of school based mental health (SBMH) services to provide these outcomes in students from Pre-K – 12th grades, Robert Schmidt, M.Ed. and Kathryn Seifert, Ph.D. collaborated on the evaluation of outcomes for a SBMH program for a mid-Atlantic rural school district.

The project began in 1999 after a Federal grant was awarded to the school district. The children’s scores on the Devereaux, BASC, CARE and several school measures such as absenteeism, disciplinary referrals, and suspensions were measured from the beginning of services and at the beginning and end of each school year. Youth were referred to the project from teachers, guidance counselors, parents, student self-referrals and other agencies such as the Departments of Social Services and Juvenile Services of which resulted in 1,247 SBMH referrals during a five-year period.

From 1999 to 2004, 36% of these students were referred because of symptoms of depression, 26% because of family problems, and 24% because of behavior problems. There were 84 referrals to the program in 1999, compared to 437 students in 2002 and 239 students in 2003. Peak referral times were consistently observed during the months of October and February. Youth in the transition years of sixth and ninth grades were referred to the program most often. More Caucasian females participated in the project than any other ethnic/gender group. In 2000, 2,132 mental health sessions were provided, in contrast to an amazing 15,763 sessions during the 2003/04 school year.

A group of one hundred thirty-two students who participated in the program showed significantly improved attitudes toward teachers and school, decreased mental health symptoms, and increased self-esteem after one year of services. From the 2001 to the 2002 school year, students participating in SBMH had significantly improved school attendance (from approximately 4600 to 4200 days absent). One hundred seventy-eight students had a significant (49%) decrease in disciplinary referrals and violence related disciplinary referrals from the 2001 to the 2002 school year. One hundred thirty-four participants had a significant decrease (54%) in suspensions from school. Parents of 103 students reported that their children were having significantly fewer problems after receiving services. Ninety-nine youth self-reported significantly improved commitment to school, interpersonal relationships and self-esteem, as well as fewer stress related problems. Two hundred fifty students reported significantly reduced school maladjustment and clinical maladjustment and improved attitudes toward parents and emotional well-being.

This project demonstrated that school based mental health services improved student well-being, behavior and school success, while showing a significant decrease in the initial presenting mental health symptoms, violence and other behavior problems at home and at school. Although these services and study enter into it’s sixth year and is on-going, other school-based mental health services must be provided, expanded, and studied. This project provides a framework for improved student health/success and decreased school violence while positively enhancing the community of which we live, work and play.

The Various Financing Options for Behavioral Health Services

Behavioral Health Services are some of the latest beneficiaries of reimbursement from Medicaid, which is acting under instructions from the Program Information Notice by the Health Resources and Services Administration. All nursing practitioners, physicians, physician assistants, clinical social workers and clinical psychologists, as well as Federally Qualified Health Centers that provide these services are entitled to reimbursement from Medicaid, which operates under the guidelines of the Program Information Notice, regardless of whether they the state Medicaid plan includes their services. However, these service providers must practice according to the state law in order to benefit from these guidelines.

Although the blind, disabled and aged people, who are the main beneficiaries of the Medicaid funding that is available for behavioral health services, may not have easy access to public health services that meet medical necessities by targeting populations, the Program Information Notice means a lot to them and the overall Medicaid population. This is because it varies from one state to another.

Although CHC offers behavioral health services to Medicaid populations that have lower behavioral health and higher physical health risks, the Program Information Notice is the overall financier in all states that have public health systems whose focus is on populations that have serious emotional problems and mental illnesses since it has the ability to create opportunities for other Medicaid populations. The Program Information Notice serves to assure net populations of their safety by ensuring consistencies between CHCs and HRSA initiatives, which are essential for the creation of behavioral health capacities and the reduction of disparities in the provision of health services.

Medicaid models,which are different in each state, have numerous financing implications for the Behavioral Health Services that populations with various illnesses receive since their differences make is possible for CHC, CMHC and every community partnership with them to identify business models that provide the necessary support for their integration activities by assessing their specific policy and financing environments.

The aforementioned partnerships enable the Medicaid population to access behavioral health services easily since they are largely responsible for the development of policy directions that deal directly with the access to these services without harming or excluding any populations that receive their services from the public health system.

The Program Information Notice,which has a responsibility to implement and address the structural and financial issues of the various clinical models, plays a vital role in helping to make the treatment for depression more effective especially in primary care settings hence its special link to Clinical and System Strategies.

Although some resulting papers from special issues of Administration and Policy Mental Health and Mental Health Services Research provide useful information about the various policy and financial barriers that exist in the system, the Program Information Notice provides a different integration approach. Consequently, it has proven to be more effective in patching together various sources of funding.

State Medicaid pilot sites seek to find similar financing components even though the Federally Qualified Health Center and CMHC have a partnership that has a sustainable model for financing CMHC clinicians in through the various FQHC sites.

Understanding the Importance of Australian Certified Health Services Assistance Courses

A career in the health sector in Australia is regarded as rewarding, stable and interesting, with each week being completely different from the last- there will be a different set of patients, health professionals, client profiles and patient care requirements. If this is a profession you may be interested in, then you could start your career in the healthcare industry with entry-level work as a Health Services assistant.

You can develop a wonderful career caring for patients in hospitals as an assistant to professional health staff. You will train to work directly with patients under supervision. There are many varied duties that may be expected of you in this role.

As a Nursing Assistant you will need to provide assistance to clients according to their care plan- but only under the supervision of a qualified health professional. You can learn how to perform patient observations and how to work effectively with culturally diverse clients as well as co-workers. You will need to learn the rudiments of medical terminology. Besides this, you will also have to undertake a range of routine tasks and gain knowledge of transporting patients, preparing and maintaining beds, following basic food safety practice and infection control.

Your role, in short, will be to provide support to care providers, ensuring the health service functions effectively. You do not need to provide direct care support to patients. You can undergo the necessary training through the Certificate III in Health Services Assistance HLT32512 – this is a nationally recognised qualification and could enable you to find entry-level work as an Assistant in Nursing or Nursing Support Worker. Having completed this course, you could work with competence in aged care facilities, hospitals, clinics, private medical practices and home and community care services.

In such facilities, some of the areas where you could work are administration support, food service, maintenance, stores assistant or orderly, or on a pathway towards nursing assistant, operating theatre technician, patient support assistant and ward support. The Certificate III course content covers electives in specialised work functions such as operating theatre support or nursing work in acute care. You will also gain a broad range of skills necessary for working in remote or regional areas.

Common occupational titles may include Wards-person, Orderly, Patient Services Assistant (PSA) and Health Support Worker. You may also undertake additional tasks that may include cleaning, portering, waste handling and serving clients/patients with meals.

Potential career outcomes, once you have gained the required skills and competencies, may include work as an Assistant in Nursing, Nursing Support Worker, or Nursing assistant. If working in the theatre fascinates you, then you may opt to be a Theatre Support Worker or Operating Theatre Technician. Others can choose to work on the wards as Wards assistants or ward support workers. Patient service or Patient care are other services that you may try out as well.

Graduates of the Certificate III in Health Services Assistance are enabled to become competent members of teams within a hospital environment. You will be equipped with the skills and knowledge to support professionals such as doctors and nurses in ensuring health services function effectively when delivering care to patients and clients. Health Services Assistance in Australia is a profession that carries dignity and is respected, and can be the starting point of a long and meaningful career in healthcare services.