Health and Mental Health Care Policy : A Biopsychosocial Perspective

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  • Edition: 3rd
  • Format: Paperback
  • Copyright: 2009-07-21
  • Publisher: Pearson

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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

Prefacep. vii
Introductionp. 1
Models of Health and Health Policyp. 1
Introductionp. 1
Highlightsp. 11
Referencesp. 12
National Health and Mental Health Policy in the United Statesp. 14
The Failure to Enact National Health Insurance: 1865-1946p. 14
Early Efforts to Reform National Health and Mental Health Care: 1865-1912p. 14
Compulsory Health Insurance Efforts: 1912-1920p. 19
Federal-State Reforms and Private Insurance: 1920-1932p. 21
The New Deal Reforms: 1932-1940p. 24
Federal Health and Mental Health Policy and Services: 1941-1946p. 26
Highlightsp. 28
Referencesp. 30
The Emergence of Employment-Based Insurance and Managed Care: 1943 to the Presentp. 32
The Defeat of National Health Care Legislation: 1943-1949p. 33
The Enactment of Medicare: 1950-1965p. 34
Health Care Inflation and Strategies for Reform: 1970-1988p. 36
The Creation and Role of Community Mental Health Centers: 1963-1992p. 40
The Decline of Community Mental Health: 1980-1992p. 44
The Rise and Fall of the Health Security Act: 1988-1996p. 45
The Aftermath of the Health Security Act: 1995-2003p. 52
Reform During the Bush Yearsp. 55
Prospects for Reform Under Obamap. 61
United States Health Care Costs in International Perspectivep. 62
Highlightsp. 63
Referencesp. 65
The U.S. Health Care System Todayp. 73
Access to Carep. 73
Health Insurance Coverage in the United Statesp. 75
Health Insurance and Utilization of Servicesp. 94
Improving Access to Health Carep. 99
Highlightsp. 101
Websites to Obtain Updated and Additional Informationp. 103
Referencesp. 103
The Growth, Development, and Future of Managed Carep. 108
The Health Maintenance Act of 1973p. 109
From HMOs to Managed Carep. 111
From Managed Care to Managed Competitionp. 112
Managed-Care Backlashp. 114
Managed Care and Medicarep. 117
Managed Care and Medicaidp. 121
Managed Behavioral Health Carep. 123
The Future of Managed Carep. 127
Highlightsp. 128
Websites to Obtain Updated and Additional Informationp. 130
Referencesp. 130
Medicare and Medicaidp. 137
Medicarep. 138
Medicaidp. 146
Medicare Milestonesp. 160
Medicaid/CHIP Milestonesp. 161
Highlightsp. 162
Websites to Obtain Updated and Additional Informationp. 163
Referencesp. 164
At-Risk and Underserved Populationsp. 168
Disparities in Health: People of Colorp. 168
Defining Riskp. 168
Measuring Health Disparitiesp. 169
African Americansp. 173
Latina/os (Hispanics)p. 182
Asian Americans and Pacific Islandersp. 185
Native Americansp. 187
Racial Differences in the Delivery of Medical Carep. 191
Highlightsp. 195
Websites to Obtain Updated and Additional Informationp. 195
Referencesp. 196
Disparities in Health: Gender and Age-Based Differencesp. 201
Women and Infantsp. 202
Children and Adolescentsp. 214
Older Adultsp. 223
Highlightsp. 229
Websites to Obtain Updated and Additional Informationp. 230
Referencesp. 231
New Directions for Health and Health Policyp. 237
Looking Beyond Health Carep. 237
What Determines Good Health?p. 237
Implications for Changep. 247
Highlightsp. 248
Websites to Obtain Updated and Additional Informationp. 248
Referencesp. 249
Glossaryp. 253
Indexp. 257
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