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Counselors As Contributors to Health Care Reform
The training of counselor educators and supervisors provides for instruction in the wellness model, developmental stages of lifetime adjustment, early intervention and prevention, and empowerment of clients. These values seem perfectly matched for the re-focusing of health care on the early stages of care rather than end-of-life care. An example of a health care model that utilizes early identification of mental health issues and has a client-centered approach to care is Intermountain Healthcare’s Mental Health Integration model.
Intermountain’s Mental Health Integration involves licensed mental health professionals working side-by-side with primary care physicians. Together they are administering or reviewing clients’ mental health screening instruments, consulting with physicians on mental health issues, providing same-day brief counseling and psycho-education, recommending referral for chronic and severe patients, and working in a health care team along with other professionals. This model engages community agencies such as the National Alliance for Mental Illness (NAMI) to support patients and families in the treatment process. Studies at Intermountain indicate that the Mental Health Integration model provides higher quality health care at revenue-neutral or reduced costs. The idea is for mental health workers to collaborate across professional fields to increase quality health care.
The Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders offers the following six aims to achieve high-quality health care:
“The Six Aims of High-Quality Health Care:
Source: Institute of Medicine (Eds.). (2006). Improving the quality of health care for mental and substance-use conditions. Washington, DC: The National Academies Press. Retrieved from http://books.nap.edu/openbook.php?record_id=11470&page=57
To prepare for this Discussion:
With these thoughts in mind:
Post by Day 4 an explanation of how you think you would be affected personally by the implementation of the mental heath integration model. Be specific, using the model and your situation to illustrate your points.
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