The need for mental health services coordination is discussed in this report. It is noted that, without coordination, government units and service providers can operate independently and in competition with one another. The move to deinstitutionalization is discussed, including the lack of service coordination resulting from this move and the…

This document presents Congressman Claude Pepper's report on the Medicare Home Care Benefit. Section I traces the history of home health care in the United States. Section II offers statistics and general background information about older Americans and Medicare. The beginning of the Medicare home care benefit and its present operation are…

Reviews the Reagan administration's approach to maternal and child health policy. Analyzes the administration's legislative and regulatory efforts in this area and concludes that its goal has been to lessen the national commitment to maternal and child health at a time of heightened need for federal intervention. (CMG)

The President's New Freedom Commission on Mental Health solicited public comment from stakeholders in the mental health community on various topics related to the Commissions mission. The goal was to gain a better understanding of the publics experiences with, concerns about, and hopes for the mental health care system. More than twelve hundred…

Housing is a critical component of community care for people with long-term mental illness. Without a place to live, the best mental health treatment and the most sophisticated rehabilitation services cannot be effective. The first phase of the deinstitutionalization movement, releasing large numbers of patients from the state hospitals and…

The homeless mentally ill, numbering approximately 300,000 persons, are a group neglected and forgotten by society. While deinstitutionalization promised a bright future, the necessary, long-term support to implement deinstitutionalization never materialized. Government policies have helped produce problems that encourage recidivism and…

The mental health policies of the past 20 years and the evidence of unserved populations suffering from serious mental illness constitute a public health crisis. Currently there are at least 3,000,000 people in the United States suffering from mental disorders. A fully developed continuum of care is needed to respond effectively to the diverse…

Many mentally ill children, especially those who are seriously disturbed, are not receiving the mental health care they need. Although the federal government offers financing to the states for child and adolescent mental health programming, the primary responsibility for financing mental health services has been assumed by state governments. At…

In 1969, the Joint Commission on the Mental Health of Children made several recommendations based on the conclusions in their report entitled "Crisis in Child Mental Health: Challenge for the 1970's." These recommendations included formation of a child advocacy system at every level of society; the development of supportive, preventive,…

Due to the efforts of mental health consumer and advocacy organizations, there now exists a legislated community-based mental health policy for the treatment of children and adolescents with serious emotional disorders and their families. But the implementation of this policy has not met the intended legislative standards. Accordingly, this…

For certain groups of the mentally ill, most notably individuals with serious mental disabilities, the community-based mental health system can be more of a "non-system." Unforeseen problems have plagued both the dream of deinstitutionalization and the effectiveness of community mental health centers during the last 20 years. Uncoordinated…

Historically, the financial responsibility for caring for those with mental illness has shifted back and forth from the local community, to the state, to the federal government. Today states provide the vast majority of the funds to the state mental health agencies and oversee local governments and most private resources for mental health funding.…