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Health and Mental Health Care Policy: A Biopsychosocial Perspective, 2/E
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
New to this edition:
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
Mental Health
(Social Work / Family Therapy / Human Services)
Health Care Policy
(Social Work / Family Therapy / Human Services)
Health Care Policy
(Social Work / Family Therapy / Human Services)

Cynthia Moniz, Plymouth State College
Stephen H. Gorin, Plymouth State CollegeOverview:
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:
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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