Improving Mental Health : More complex than you think
Included is a diagram of all factors that influence mental health ,
First , issues within the mental health system has less to do with providers and more to do with reimbursement and policies. Here are some examples
- Psychiatric services do not generate the revenue of other hospital services, as a result hospital administrators do not invest in sufficient inpatient psychiatric beds or psychiatric medical teams.
- Often mental illness is encountered in school, the criminal justice system or emergency rooms yet there is no real transitional plan to get follow up in the community once released from these settings
- Growth of pharmaceutical industry plus cuts in federal funding and philanthropy resulted in closure of mental health hospital and beds that could provide long term care to poorly functional individuals
- housing instability
- lack of social networks or support
- community violence
Finally , there are individual reasons why mental illness may persist.
- Not all psychiatric conditions are equal. Personality disorders do not respond to medication like mood disorders ( anxiety or depression).
- Self treating with substance or alcohol which aggravates mental illness
- Underlying medical conditions can complicate mental illness, that are difficult to treat or change like traumatic brain injury, dementia or intellectual disability
Health Empowerment for All.