Epidemiologic data on the prevalence of psychiatric and substance disorders compared with the
nations behavioral health care needs highlights gaps in service adequacy. Continuing changes in
organization and fiscal structures resulting from the implementation of the Patient Protection and
Affordable Care Act (ACA), specifically how Medicaid expansion impacts behavioral health
services, is an important area of concern. In addition, there are special challenges of the homeless
and incarcerated mentally ill populations. Behavioral health also has a workforce shortage. This is
another area for improvement in health care organizations throughout the nation.
Review and analyze the graphs in Figure 10-1, Prevalence of any Mental Illness Among U. S. Adults;
Figure 10-2, Prevalence of Serious Mental Illness Among U.S. Adults; Figure 10-3, Top Leading
Disease or Disorder Categories Contributing to U.S. Disability-Adjusted Life Years (DALYs) (2010),
and Figure 10-4, U.S. DALYs for Mental and Behavioral Disorders as a Percent of Total U.S.
DALYs.
Some of the barriers to care are provider geographic distribution, financial limitations, lack of or
inadequate health insurance, stigma, misunderstandings about the treatability of conditions,
personal and provider attitudes, cultural issues, and a poorly organized care delivery system (see
page 285 of the textbook). Consider also the mental health services of children and adolescents.
Consider the current events with mass shootings at schools, movie theaters, concerts, et cetera and
have tough conversations about mental health.
Instructions
Write a three page paper in which you:
1. Analyze the graphs and figures noted and describe your findings in behavioral health.
2. Explain the Mental Health Parity and Addition Equity Act of 2008.
3. Explain the role of the National Institute of Mental Health and its influence on access to and
utilization of health care services within the current health care system.
4. Use at least three recent (that is, last five years) quality academic resources in this assignment.
Note: Wikipedia and similar websites do not qualify as academic resources.
