In recent times, there were extraordinary events that put a pause routine has put our country in an animated conversation, but mostly bad news – 9 / 11, the invasion of Iraq and more recently the Wall Street bailout. The election was neither bad news or entertainment, celebrity, disaster, what really mattered. And as a result of this incredible election season in America? S children have the opportunity to grow know exists? S no wonder a president or an African American woman running for the White House. 2008 Legislative SuccessNow, right? S most – the emotion, the flight and, in some cases, the prayer of snoring, primaries and debates – the presidential campaigns are over. It has been my good fortune to attend the Democratic National Convention held in speeches and actions that our community has made significant progress. We had Senator Kennedy? S bittersweet aspect and unwavering commitment, which was so important to the passage of equality, Michelle Obama? S unforeseen mental health reference, when talking about universal health care, Bill Clinton? S description of a mother who struggles with their children? autism, the first "double recovery" in a conference and a luncheon in honor of Mental Health Campaign reforms that included a list of celebrities, as well as national and state political leaders express their support for all access, treatment affordable mental health and addictions. The rhetoric of the Convention was accompanied by a year of great success in the law: the delay of damaging Medicaid regulations regarding rehabilitation services and specific case management and the introduction of the Restoration Act Medicaid Services, the passage of parity for Medicare, veterans of the legislation extends the mental health and addictions services through the VA to communities, improve collaboration between criminal justice and mental health, expanding the definition of disability under the ADA to make it easier for people with disabilities to obtain protection against disability-based discrimination and equal step to end discrimination in health insurance. This is a moment of hope for people with disabilities. Our series of legislative policy successes and reflects the tremendous progress. And substance use and mental health advocates – joined by the presidential campaign – you can share a path towards a new era. The economy and CapacityBut Service Times are hard in communities across the country – and the world, people who lose their jobs, their homes and their retirement savings. Many of us in the National Council has spent the last few months, traveling from state to state and from community to community. And we return from this trip full of anxiety. As the attempt to manage their budgets in a very fragile economy, increasing demand for mental health services could be on collision course with cuts to publicly funded services. Our mental health and addictions and discredited safety net is in grave danger of falling unemployment rates go up, the anxiety about the future growth and demand for services is high. We urge Member States to resist cutting mental health and addictions to essential services and us? King of lobbying for stimulus packages that provide federal Medicaid assistance and financial assistance for communities to meet the demand for treatment in the difficult months and perhaps years. At the same time, our industry, mental health – must be willing to work with maximum efficiency and be accountable for every dollar of taxpayers. And the National Council? S proud of the initiatives – our access and conservation, Six Sigma process-benchmarking projects we have? Go introduced to support State efforts to simplify access, capacity building to address more and more effectively to consumers and communities involved in the recovery process. Our role in a Progressive EraNow asks the question is why? S our role in a new administration, a new era? One of President-elect Obama? S challenge will be to exploit the extraordinary idealism that inspired its campaign for a larger national cause. Looks like we're leaving behind them the next time we go into a conservative and progressive. A new era gradually formed over millennia by the Internet culture and a new generation of wealthy people who use their wealth to support progressive causes and demand accountability in return for philanthropy. But even in a new era, the reality, pace, or the shape of health reform – is uncertain. Washington is already full of lobbyists health of their views and potential candidates for the posts of health care in the new administration polishing their resumes. However, the economy, politics and history suggests that any comprehensive review of our system of healthcare delivery will be a difficult process. Health care is now bigger than the military-industrial complex "of which we are informed in the years 1950, 1960 and 1970, and there? S any sector of the economy with more politically powerful special interests. To date, mental health care? Progress S has received widespread attention recently. And our community has a good story to tell. While health care costs have skyrocketed, our services, insufficient funding, historically, have seen increases slightly. Richard Frank, a Harvard economist and co-author of the best, but is not well with data from the National Cooperative Morbidity Survey in the event that more money is spent on mental health, but health care mental? S is a constant proportion of GDP and its share in health spending is in decline, while the access, quality, and supports for people with mental illness have increased. We have data that tells a compelling story, and the science that supports the return on investment. So? It? S almost a sure bet that the next administration include treatments for mental illness and addiction in any expansion of health coverage. We? Ll be included in the move toward universal coverage, if gradually, as the reauthorization of SCHIP, or as part of a more general, as the plan offered by Ezekiel Emanuel (Dr. Emanuel, who is invited to speak at the Council National? S Conference in San Antonio, is the brother of Obama? s new chief of staff Rahm Emanuel) in health care guaranteed. However, the inclusion in the strategies for universal coverage or comprehensive reform to solve the fundamental problems we face? At best, the reform will allow us to solve our problems. Parts of mental health problems of broader health system, such as health care are suffering the unintended consequences of policy. We threw the medicine with the medical model, we now? Talking or not? I found that mental health is fundamental to health and the result is that people with serious mental illness are dying too young. Medicaid We've brought all the possible services promoted decentralization and the market, and now? Once again faced with the same result – fragmentation. Over the years, the risk and responsibility has been dumped by member organizations to communities without the resources to keep pace with mental health, addictions and co-produced advances in treatment, without the necessary resources to create a organizational infrastructure that supports the changes, and the resources to coordinate and ensure good medical care for people with serious mental illness. Instead of investing in quality services, states have introduced intermediaries to handle what we still call their "system" – the result is an unskilled labor and business as usual. And in some cases, vendors have lost the trust of their communities. How? Fri increasingly relegated and only pay for the treatment of people with severe mental illness, their communities have been left adrift. The mental health prevention and early intervention has been a very important role in the original concept of community based mental health care. We justified the elimination of funding for these services from the supply of dollars spent on "very concerned". Serve your community is run a "receptive and responsive organization: flexible hours to suit the schedules of people, the availability of emergency work, and a presence in all aspects of the community where help is needed – Schools, prisons, senior centers, orphanages, and so on. This also means providing a single window, sending people to multiple sites of service does not work very well and doesn? Ta all the work, when there is little or no coordination. Can be transformed into organizations that will be operated by a program supported by coalitions of progressive and new? I think the question is answered by another problem. We can offer a vision of free communities and mental dependence, a vision of community where people with a history of drug abuse and mental disorders includes not excluded from ordinary life, and may be responsible for the quality of services we offer – with rules and practices? can do what he has done education combined with the vision of the responsibility? If the answer is yes, then maybe the new corporate philanthropy on our side and maybe one day write the President-elect Obama's staff in behavioral health, writes about teachers in The Audacity of Hope, "There? S no reason why an experienced and highly qualified and effective teacher should? t win $ 100,000 … teachers in critical fields like math and science – as well as those who are willing to teach in urban schools more difficult – to pay even more. "The appeal AgendaBut also how to think big thoughts about health reform, the National Council remains practical and ready to pursue a course of defiance. We must be responsible for continuity of care for people with severe mental illness and addiction. The National Council? S healthcare collaborative projects successfully combines behavioral health and primary care organizations that provides a bi-directional approach to care, addressing the integration of primary care services in behavioral health centers, and the need of behavioral health services in primary care. But very often when the patient walks out the door, our responsibility ends – from the hospital community, the Center for mental health, drug treatment in primary care, the streets to prisons – that we have? I created a series of disconnected, even though the services of intent. People with chronic illnesses and chronic problems need a house, and science has taught us that mental illness and addiction are often chronic conditions. The patient-centered medical home – which allows the management of care, shifting the focus of acute care to managing the health of people living with chronic diseases, and emphasizes the self that resonates with our recovery and resilience Orientation – is a model that can encompass. And EU level organizations the concept of behavioral health care, providing a "home health care for people with serious mental illness and addiction is a lot of sense. We need more based on the cost of financing that supports clinical excellence – the practice of personally delivering the nationally recognized organizations that live under the rule, if not? T as possible? T better. People want and deserve high quality services, but services are dependent on staff expertise and qualified personnel should be adequately compensated. Low wages have created and perpetuated, recruitment and retention as well as a behavioral health crisis of quality care. We need organizations and personnel capable of providing the state of the science of behavioral health interventions can be treated and classification problems in general health and may lead to improvements in site performance of service. The public is growing recognition that mental illness and addiction disorders are treatable and that recovery is possible. Now we must be sure that there are organizations and qualified professionals. We need an influx of federal funds dedicated to mental health and mental health services integrated treatment for the insured. Without health insurance have exceptionally high rates of untreated mental illness with co-occurring disorders of addiction and no safety net. State General Fund dollars for mental health were reassigned to match Medicaid. And now the state plans to cover the insured fought. We have a large number of people with treatable mental illness oppressed in emergency rooms, jails and streets. . . And without access to services that involve them, heal and return to work. We? Re deny our economy productive taxpayers. We? Losing the life of King. We need a set of investment funds to support an organization of information technology in behavioral healthcare. Talk technical information and transparency of service organizations is moving to automate their clinical systems found little support available, financing or technical assistance. A September 2006 survey by the National Council of healthcare providers of the Commonwealth of behavior throughout the country indicated that 8 percent had implemented a system of CCE components fully functional clinic. The technology provides critical support for the process of improving services, promote the use of protocols and guidelines, helps maintain contact with people moving through complex systems, and maintains its commitment to reduce the enormous financial burden duplication of paperwork and reporting, all the efficiencies that improve the quality of service. It's time to lead by example of high technology. We should have a greater emphasis on increased funding and research, education and prevention practices. We have prevention and education programs that work. The research-based prevention programs that reduce the risk of serious emotional disturbances of children by addressing maternal depression, and the nurse Partnership Program, which has a number of scheduled benefits in all studies. We based research training programs that enhance mental health literacy as a mental health help first. The National Academies Institute of Medicine that must be issued in 2008 is expected to stress the importance of greater emphasis on prevention and practices of health promotion to prevent the emergence or reduce the severity of mental health disorders and the substance 's use in children, adolescents and young adults. This report presents an excellent opportunity to put the new administration on prevention practices? Table S. The "key" touch Clubwear homes can provide care for people with severe mental illness and addiction, we can ensure a skilled workforce, organizations and effective quality care, we can help those who are mentally ill and uninsured become productive members of their community, and you can use the promise of technology, and we are capable of bringing research based on prevention and education in our community. But we know from our own? 08 hits that we can not do any of these things without the guidance of our members – members who have a real impact in the treatment of what appear to be intractable problems. We have a vision, have an agenda, and we have a contact "key" of the strategy. Under the direction of Chuck Ingoglia, our vice president, public policy, our strategy is to establish and track key contact system – a network of partners, advice, consumers and families who have a good and soon to be better, relationships with members of Congress. Key contacts must commit to meeting with elected officials and stay informed about these contacts. Our plan is to have a key contact in each congressional district. We? Kings take what was an ad hoc member coming to Congress and grow what we hope will be a formidable Rolodex. When change is being debated in Congress, there will be. We? Ll leave behind references to a system in ruins, we? Ll provide data, with our history, as good stewards of public funds, and with an agenda of challenges. But we need on our side, as John F. Kennedy said that long ago, "Political action is the highest responsibility of a citizen." I hope to hear from you and your participation in the ignition "key" of the club.
Tags: Healthcare, Reform...