Health and Mental Health Care Policy : A Biopsychosocial Perspective

by Moniz, Cynthia; Gorin, Stephen H.

• ISBN13: 9780205746941
• ISBN10: 0205746942
• Edition: 3rd
• Format: Paperback
• Copyright: 2009-07-21
• Publisher: Pearson

Summary

This text fills a void in social work literature by offering a comprehensive, in-depth overview of health and mental health care policy in the United States. Health and Mental Health Care Policyprovides a biopsychosocial perspective on health and mental health care and policy. It examines the legislative and political development of health and mental health care policy in the United States with a focus on the failure to achieve universal coverage and the development of employment-based insurance and managed care. The authors discuss the impact of poverty and inequality on health, examine the health status of disadvantaged and at-risk populations and consider implications for policy and practice.

Table of Contents

Preface	p. vii
Introduction	p. 1
Models of Health and Health Policy	p. 1
Introduction	p. 1
Highlights	p. 11
References	p. 12
National Health and Mental Health Policy in the United States	p. 14
The Failure to Enact National Health Insurance: 1865-1946	p. 14
Early Efforts to Reform National Health and Mental Health Care: 1865-1912	p. 14
Compulsory Health Insurance Efforts: 1912-1920	p. 19
Federal-State Reforms and Private Insurance: 1920-1932	p. 21
The New Deal Reforms: 1932-1940	p. 24
Federal Health and Mental Health Policy and Services: 1941-1946	p. 26
Highlights	p. 28
References	p. 30
The Emergence of Employment-Based Insurance and Managed Care: 1943 to the Present	p. 32
The Defeat of National Health Care Legislation: 1943-1949	p. 33
The Enactment of Medicare: 1950-1965	p. 34
Health Care Inflation and Strategies for Reform: 1970-1988	p. 36
The Creation and Role of Community Mental Health Centers: 1963-1992	p. 40
The Decline of Community Mental Health: 1980-1992	p. 44
The Rise and Fall of the Health Security Act: 1988-1996	p. 45
The Aftermath of the Health Security Act: 1995-2003	p. 52
Reform During the Bush Years	p. 55
Prospects for Reform Under Obama	p. 61
United States Health Care Costs in International Perspective	p. 62
Highlights	p. 63
References	p. 65
The U.S. Health Care System Today	p. 73
Access to Care	p. 73
Health Insurance Coverage in the United States	p. 75
Health Insurance and Utilization of Services	p. 94
Improving Access to Health Care	p. 99
Highlights	p. 101
Websites to Obtain Updated and Additional Information	p. 103
References	p. 103
The Growth, Development, and Future of Managed Care	p. 108
The Health Maintenance Act of 1973	p. 109
From HMOs to Managed Care	p. 111
From Managed Care to Managed Competition	p. 112
Managed-Care Backlash	p. 114
Managed Care and Medicare	p. 117
Managed Care and Medicaid	p. 121
Managed Behavioral Health Care	p. 123
The Future of Managed Care	p. 127
Highlights	p. 128
Websites to Obtain Updated and Additional Information	p. 130
References	p. 130
Medicare and Medicaid	p. 137
Medicare	p. 138
Medicaid	p. 146
Medicare Milestones	p. 160
Medicaid/CHIP Milestones	p. 161
Highlights	p. 162
Websites to Obtain Updated and Additional Information	p. 163
References	p. 164
At-Risk and Underserved Populations	p. 168
Disparities in Health: People of Color	p. 168
Defining Risk	p. 168
Measuring Health Disparities	p. 169
African Americans	p. 173
Latina/os (Hispanics)	p. 182
Asian Americans and Pacific Islanders	p. 185
Native Americans	p. 187
Racial Differences in the Delivery of Medical Care	p. 191
Highlights	p. 195
Websites to Obtain Updated and Additional Information	p. 195
References	p. 196
Disparities in Health: Gender and Age-Based Differences	p. 201
Women and Infants	p. 202
Children and Adolescents	p. 214
Older Adults	p. 223
Highlights	p. 229
Websites to Obtain Updated and Additional Information	p. 230
References	p. 231
New Directions for Health and Health Policy	p. 237
Looking Beyond Health Care	p. 237
What Determines Good Health?	p. 237
Implications for Change	p. 247
Highlights	p. 248
Websites to Obtain Updated and Additional Information	p. 248
References	p. 249
Glossary	p. 253
Index	p. 257
Table of Contents provided by Ingram. All Rights Reserved.