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Allyn & Bacon

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Health and Mental Health Care Policy: A Biopsychosocial Perspective, 2/E
Cynthia MonizPlymouth State College
Stephen GorinPlymouth State College

ISBN-10: 0205509371
ISBN-13:  9780205509379

Publisher:  Allyn & Bacon
Copyright:  2007
Format:  Paper; 288 pp
Published:  08/31/2006

This text fills a void in social work literature by offering a comprehensive, in-depth overview of health and mental health care policy.

 

Health and Mental Health Care Policy provides an overview of the development of health and mental health policy in the United States, with a particular focus on the failure to achieve universal coverage. It also discusses the role of private and public insurance and examines uninsured populations. Finally, the text examines managed care in health and mental health and its impact on social work.


This product accompanies:
Moniz & Gorin,  Health and Mental Health Care Policy: A Biopsychosocial Perspective, 3/E

  • Provides statistical data and policy updates onkey issues and trends in health care.
  • Provides an inclusive overview of the health status of at-risk groups, specifically people of color, women, children, and elderly adults, and discusses the need to improve conditions for all.
  • Introduces students to the study of epidemiology, which is central to public health efforts to improve the nation’s health and reduce health disparities among different segments of the population.
  • Discusses the health care system today, including access to care, the uninsured population, utilization of services, managed care and behavioral managed care, Medicare, and Medicaid.

New to this edition:

  • Includes new information about health care reform efforts during the Bush years and concerns about bioterrorism in the wake of 9/11 and the spread of infectious disease.
  • Examines U.S. health care costs in international perspective and the quality of health care in the U.S.
  • Provides new information on research and public health efforts to understand and  reduce disparities in health outcomes in infant mortality, cardiovascular disease, HIV/AIDS, cancer, diabetes, and infectious disease. 
  • Each of the sections on African Americans, Latina/os, First Nations, Asian Americans, women, children, and older adults has been thoroughly updated. 

PART ONE Introduction

 

1 Models of Health and Health Policy

Determinants of Health: A Biopsychosocial Perspective

                Biological Factors

                Psychological Factors

                Social Factors

                Biopsychosocial Dynamics

A Biopsychosocial Approach to Health

Approaches to Health Policy

                Stage One: Disease and Health Care

                Stage Two: Escalating Costs

                Stage Three: A New Concept of Health

                Stage Four: A New Framework for Health Policy

                Stage Five: The Costs and Benefits of Health Policy

International Policy Efforts

Implications for Health and Health Care Policy in the United States

Highlights

References

 

PART TWO National Health and Mental Health Policy in the United States

 

2 The Failure to Enact National Health Insurance: 1865—1946

Early Efforts to Reform National Health and Mental Health Care: 1865—1912

                The Beginnings of Social Work and Public Health

                The Need for Public Health Services

                The Mental Hygiene Movement

Compulsory Health Insurance Efforts: 1912—1920

                American Association for Labor Legislation

                Establishment of the U.S. Public Health Service

Federal—State Reforms and Private Insurance: 1920—1932

                Sheppard-Towner Infancy and Maternity Bill

                The Creation of Blue Cross and Blue Shield and the Veterans Administration

                The Decline of Public Health

The New Deal Reforms: 1932—1940

                Maternal and Child Health Services

                The Failure to Enact Compulsory Insurance

Federal Health and Mental Health Policy and Services: 1941—1946

                Emergency Maternal and Infant Care Program

                Public Health Services Act

                National Mental Health Act

                Hill-Burton Hospital Survey and Construction Act

Highlights

References

 

3 The Emergence of Employment-Based Insurance and Managed Care: 1943—Present

                Political Opposition to National Health Insurance: 1943—1950

The Defeat of National Health Care Legislation: 1943—1949

The Enactment of Medicare: 1950—1965

Health Care Inflation and Strategies for Reform: 1970—1988

                Renewed Struggle for National Health Insurance

                The Rise of HMOs

                Regulatory Reform

                Diagnosis-Related Groups (DRGs)

The Creation and Role of Community Mental Health Centers: 1963—1992

                Mental Retardation and Community Mental Health Centers Construction Act

                Medicaid’s Role in Deinstitutionalization

                Alcohol and Drug Abuse Services

                Consumer Protection Efforts: Patients’ Rights

                Community Support Program

The Decline of Community Mental Health: 1980—1992

                State Comprehensive Mental Health Services Plan Act

                Stewart B. McKinney Homeless Assistance Act

The Rise and Fall of the Health Security Act: 1988—1996

                Proposals for a Single-Payer Plan

                Clinton’s Proposal: The Health Security Act of 1993

                                Mental Health Parity

                Why the Act Failed

                                Political Weakness of Reformers

                                Strong Opposition

                                Public Ambivalence and Confusion

The Aftermath of the Health Security Act

                Health Insurance Portability and Accountability Act

                State Children’s Health Insurance Program (S-CHIP)

                Mental Health Parity Act

                Reforming Veterans Health Administration

                Efforts to Renew Public Health

Reform During the Bush Years

                Public Health Concerns Post 9-11-2001

                                Bioterrorism

                                 Spread of Infectious Disease

                The President’s New Freedom Commission on Mental Health

                Medicare Prescription Drug, Improvement, and Modernization Act of 2003 MMA)

                                Prescription Drug Coverage

                Health Savings Accounts

                Health Care in the 2004 Election

U.S. Health Care Costs in International Perspective

Quality of Health Care in the U.S.

Highlights

References

 

 

PART THREE The U.S. Health Care System Today

 

4 Access to Care

                The Need for Access

                                What is Access?

                                Why is Access Important?

                                Trends in Coverage and Reasons for Concern

Health Insurance Coverage in the United States

                Declining Coverage

                                Rising Costs

                                Jobs without Coverage

                                Changing Workforce

                                Reductions in Coverage

                The Uninsured Population in the United States

                                Uninsured Workers

                                Regional and State Differences

                                Age

                                Race and Ethnicity

                                                Latinas/os

                                                African Americans

                                                Asian Americans

                                                Native Hawaiians and Pacific Islanders

                                                Native Americans

Health Insurance and Utilization of Services

                Differences in Access among the Insured and Uninsured

                                Use Patterns by People of Color

                                U.S. Indian Health Service

                Community Benefits: The “Free Care” Safety Net

Highlights

Websites to Obtain Updated and Additional Information

References

 

5 The Growth and Development of Managed Care

The Health Maintenance Act (HMO) of 1973

From HMOs to Managed Care

From Managed Care to Managed Competition

Managed Care Backlash

Managed Care and Medicare

                Medicare+ Choice

                Medicare Advantage

Managed Care and Medicaid

                Balanced Budget Act of 1997

                State Medicaid Managed Care Plans

                Future Concerns

Managed Behavioral Health Care

                Managed Behavioral Health Care Plans

                Medicaid Behavioral Health Carve-Out Plans

                Managed Behavioral Health Care and Cost Control

                Managed Behavioral Health Care and Parity

                Managed Behavioral Health Care and Clinical Practice

The Future of Managed Care

Highlights

Websites to Obtain Updated and Additional Information

References

 

6 Medicare and Medicaid

Medicare

                Benefits and Financing

                                Hospital Insurance (Part A)

                                Medical Insurance (Part B)

                                Medicare Advantage (Part C)

                                Prescription Drugs (Part D)

                                Gaps in Coverage and Cost Sharing

                                Medicare Benefit Payments

                Beneficiaries

                                Older Adults

                                Adults with Disabilities

                                Women

                Managed Care and Medicare

                Future of Medicare

Medicaid

                Benefits and Financing

                                Mandatory and Optional Benefits

                                Mandatory and Optional Eligibility

                                Medicaid Benefit Payments

                Recipients

                                Poor and Low-Income Pregnant Women, Children, and Families

                                                State Children’s Health Insurance Program (S-CHIP)

                                                Personal Responsibility and Work Opportunity Reconciliation Act of 1996

                                Poor and Low-Income Children and Adults with Disabilities

                                                SSI and Children

                                                S-CHIP Today

                                                SSI and Adults

                                                Medically Needy

                                Poor and Low-Income Older Adults (Medicare and Medicaid Dual Eligibles)

                Managed Care and Medicaid

Highlights

Websites to Obtain Updated and Additional Information

References

 

PART FOUR At-Risk and Underserved Populations

 

7 Disparities in Health: People of Color

Defining Risk

Measuring Health Disparities

                Demography

                                Morbidity

                                Mortality

                                Life Expectancy

                Epidemiology

                                Health Targets

African Americans

                Life Expectancy and Infant Mortality

                HIV/AIDS

                Cancer and Cardiovascular Disease

                                Cancer

                                Cardiovascular Disease

                Diabetes

                Unintentional Injuries: Neighborhood Violence

Latinas/os (Hispanics)

                Life Expectancy and Infant Mortality

                Diabetes

                HIV/AIDS

Asian Americans and Pacific Islanders

                Life Expectancy

                Cancer and Cardiovascular Disease

                Diabetes

Native Americans

                Chronic Diseases and Infant Mortality

                                Alcoholism and Alcohol-Related Health Problems

                Environmental Health Risks

                Cancer

Racial Differences in the Delivery of Medical Care

                Infant and Child Health

                Heart Disease and Stroke

                Cancer

                Diabetes

                HIV/AIDS

Highlights

Websites to Obtain Updated and Additional Information

References

 

8 Disparities in Health: Gender and Age-Based Differences

Women and Infants

                Cancer and Cardiovascular Disease

                HIV/AIDS

                Maternal and Infant Mortality

                Maternal, Prenatal, and Child Health Services

                Family Planning Services

                Violence against Women

                Depression

                Women in Medical Research

Children and Adolescents

                Infectious Diseases

                Risky Behaviors: Substance Abuse

                                Youth Smoking

                                Youth Drinking

                                Youth Drug Abuse

                Child Abuse and Neglect

                Exposure to Violence

Older Adults

                Long-Term Care

                Elder Abuse

                Older Adults in Medical Research

Highlights

Websites to Obtain Updated and Additional Information

References

 

PART FIVE New Directions in Health and Health Care Policy

 

9 Looking Beyond Health Care

What Determines Good Health?

                Inequality and Health

                                Absolute versus Relative Poverty

                                Inequality and Mortality

                Explaining the Health Gradient

                                Psychosocial Variables

                                Social Cohesion

                                Childhood Development

                                Material Conditions

                                Conclusion

Implications for Change

Highlights

References

 

Glossary of Terms

 

Index

 

 

 

 

  • 9780205746941
    Health and Mental Health Care Policy: A Biopsychosocial Perspective, 3/E
    Moniz & Gorin
    ©2010 | Allyn & Bacon | Paper; 272 pp | Instock
    ISBN-10: 0205746942 | ISBN-13: 9780205746941
    Brief Description

Cynthia Moniz, Plymouth State College

Stephen H. Gorin, Plymouth State College

Overview:

 

This text fills a void in social work literature by offering a comprehensive, in-depth overview of health and mental health care policy.

 

The second edition of Health and Mental Health Care Policy provides a comprehensive overview of health and mental health care policy in the U.S. and presents a biopsychosocial perspective for examining health care, mental health and health care policy. It examines the impact of poverty, inequality, and inadequate access to health care on disadvantaged and at-risk populations and considers implications for policy and practice. In the past four years, the problem of access to health insurance has actually worsened, policymakers have done little to address gaps in coverage and escalating health care costs, and low-income individuals and families, people of color, children, women, and older adults continue to experience significant disparities in health.

 

New to this edition:

  • Includes new information about health care reform efforts during the Bush years and concerns about bioterrorism in the wake of 9/11 and the spread of infectious disease.
  •  Examines U.S. health care costs in international perspective and the quality of health care in the U.S.
  • Provides new information on research and public health efforts to understand and  reduce disparities in health outcomes in infant mortality, cardiovascular disease, HIV/AIDS, cancer, diabetes, and infectious disease.  Each of the sections on African Americans, Latina/os, First Nations, Asian Americans, women, children, and older adults has been thoroughly updated. 

 

    

What reviewers are saying:

 

“The primary strengths of this book include:  it's quite well-written and very readable; it provides a concise overview of health care in this country, as well as comparative international models; it provides important content on health disparities, as well as the implications for social work practice; it provides an overview of the biopsychosocial approach to health care.”

--Mark Holter, University of Michigan

 

“I think the major strength of this book is that it gives an outstanding, comprehensive perspective on the historical antecedents of health care and health care policy in the United States as it relates to the profession of social work.  An additional strength is the inclusion of chapters devoted to disparities in health and access to health care.  Finally, the text has an exceptional conclusion that allows students to to think critically about issues of health care for the future.”

--Makeba Thomas, Bowie State University

 

 

Allyn & Bacon’s Themes of the Times for Health Care and Mental Health makes a great companion to this text (at no extra charge when valuepacked with this book).  It includes 43 recent articles from the New York Times and allowsfor lively discussion of issues and controversies in the field of Health Care and Mental Health.

 

 

 

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