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Community Health Framework and Intervention Plan - Research Proposal Example

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This proposal deals with a public policy model for intervening with older adults with mental illnesses. It discusses how the federal government is dealing with this population and explain why because of the focus on costs, it is having some difficulty in promoting the concept of collaborative care. …
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Community Health Framework and Intervention Plan
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Download file to see previous pages This report will review several other models and policy initiatives that promote both mental and primary care for the elderly who have mental illnesses and, accordingly, suggest a prevention model.
OConner et al (2009) point out that federal policy will have to change to really begin to face the growing needs of older adults with mental illnesses. The elderly population will be growing at increasing rates over the upcoming decades. The DHHS estimates that 20% of the elderly population have mental illnesses of which 2% are seen as serious. It is a population which requires ongoing mental health services. Elderly with mental illness in general face shorter life expectancy compounded by comorbid medical illnesses and unhealthy and limiting lifestyles that are sometimes characterized by alcohol and drug abuse, poor nutrition, obesity, and cigarette smoking. These characteristics often lead to medical problems of cardiovascular disease and diabetes among others. Mental illnesses may also lie hidden underneath the combination of physical illnesses, leading to misdiagnosis and insufficient treatment regimens.
The main concern of federal and state governments toward the mentally ill has been in regard to controlling costs. O’Conner et al outline the various federal programs for treating the elderly mentally ill and explain how these programs have had shortfalls usually in the more difficult area of providing consistent government funding. The authors discuss how federal and state policy struggle to provide long-term care for this population. Initially, Medicaid policy did not cover institutions for mental diseases (IMD) or nursing homes as coded by the Pre-Admission Screening and Resident Review (PASRR) stricture.  ...Download file to see next pagesRead More
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