Just need the two peer responses: Review the information on the following site. Be sure you understand the measures used in the rankings that are listed.
GuidelinesLinks to an external site.
Next, access the following page within the same site:
Ranking
the StatesLinks to an external site.
Review the statistics here for your home state. Share your state’s rankings and percentages that are listed under the “All Data” category (near the bottom of the page). Given the measures used, what does this information portray about mental health services in your state? Select one other category listed on this page to discuss; how does/should that data impact mental health services? What is a specific initiative in your state that deals specifically with mental health care?
Be sure to write an initial, substantive post by Thursday at 11:59 p.m. MT and respond to two or more peers with substantive responses by Sunday at 11:59 p.m. MT. A substantive initial post answers the question presented completely and/or asks a thoughtful question pertaining to the topic. Substantive peer responses ask thoughtful questions pertaining to the topic and/or answers a question (in detail) posted by another student. Support your statements with logic and cite any information that is specifically referenced in your comments. Post your initial response early and check back often to continue the discussion. Be sure to respond to your peers’ and instructor’s posts, as well. Peer one:
Paris AdamsonTuesdayJul
5 at
12
:5
6
amManage Discussion Entry
California’s overall ranking in the prevalence of mental illness and access to mental health care is 19, which demonstrates a slightly lower-than-average prevalence of mental illness in both adults and youth and a slightly better-than-average access to services.
Measure |
Percentage |
Category |
||||||||||||||
Overall Ranking |
||||||||||||||||
Adult | 20. |
49 |
Prevalence of mental illness |
|||||||||||||
Adults with Substance Use Disorder |
36 |
16. |
7 |
|||||||||||||
Adult with serious thoughts of suicide |
8 |
4. | 39 | |||||||||||||
Youth |
14.83% |
|||||||||||||||
Youth with Substance Use Disorder in the Past Year |
30 |
6.64% |
||||||||||||||
Youth with Severe MDE |
9.2% |
|||||||||||||||
Adults with AMI Who Did Not Receive Treatment |
62.6% |
Access to care |
||||||||||||||
Adults with AMI Reporting Unmet Need |
26 |
27 | ||||||||||||||
Adults with AMI who are Uninsured |
17 |
7.5% |
||||||||||||||
Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs |
17% |
|||||||||||||||
Youth with MDE Who Did Not Receive Mental Health Services |
46 |
69.50% |
||||||||||||||
Youth with Severe MDE Who Received Some Consistent Treatment |
25.4% |
|||||||||||||||
Youth with Private Insurance That Did Not Cover Mental or Emotional Problems |
8.2% |
|||||||||||||||
Students (Grades K+) Identified with Emotional Disturbance for an Individualized Education |
43 |
4.06% |
||||||||||||||
Mental Health Workforce Availability |
10 |
240:1 |
There were some measures demonstrating positive outlooks, such as the prevalence of adult suicidality, youth depressive episodes, and youth with severe MDD ranking in the top 10 of the nation (least prevalent). Notable, also, is the availability of mental health providers in the state, again placing California in the top ten for availability of mental health workers in ratio to population. This is impressive, considering California’s huge population of 39 million people. In juxtaposition to these relatively positive measures, the poorly ranked measures were really jarring. California was ranked an abysmal 49th in the nation for adults with any mental illness who received no treatment at all, and 46th for youth with a major depressive episode who received no mental health services. Another notably poor measure was the ranking of 43rd for the number of students who identified Emotional Disturbance as part of their individualized education plan, suggesting a lack of appropriate mental health screening for children or a lack of attention and resources being allocated to mental health care for school-aged children.
One initiative that the state has passed to address barriers to care is the Mental Health Services Act, which allocates extra tax funds to bolster county mental health programs and early detection and intervention programs (Siantz et al., 20
). To encourage early detection and interventions of youth, Medicaid, the largest insurer of California children, requires that behavioral health screenings be implemented into regular primary care visits. Earlier detection and treatment of mental illness in youth can prevent functional impairment or long-term disability in adulthood. Nearly half of all lifetime mental illnesses manifest prior to the age of 14, so early detection and diagnosis can help prevent future impairment from the conditions going untreated (Tran & Ponce, 2017). Integrating behavioral health and substance use screenings and treatment into primary care could help increase access to mental health care by eliminating the need to navigate several disparate care systems to address various conditions. Such integrated care measures could improve outcomes by implementing appropriate diagnosis and treatment for mental health conditions in a primary care setting, thereby hopefully also reducing self-stigma that is often cited as a reason to avoid seeking out mental health specialty services.
References
Siantz, E., Hiller, S., Ojeda, V. D., & Gilmer, T. P. (2022). Barriers to accessing mental health care under the Mental Health Services Act: A qualitative case study in Orange County, California. Community Mental Health Journal, 59(2), 381–390.
https://doi.org/10.1007/s10597-022-01016-7
State of Mental Health in America (2023). Mental Health America.
https://www.mhanational.org/issues/2023/mental-hea…
Tran, L. D., & Ponce, N. A. (2017). Who Gets Needed Mental Health Care? Use of Mental Health Services among Adults with Mental Health Need in California. Californian journal of health promotion, 15(1), 36–45.
Reply
Peer 2:
Jacqueline
LescroartSundayJul 23 at 10:47pmManage Discussion Entry
In reviewing the statistics for my state of Colorado, I learned that the overall ranking 30 which indicates a mid level prevalence of mental illness with a mid level availability of care (Mental Health America, 2023). The overall rankings and percentage are as follows:
MEASURE | RANK | PERCENTAGE | CATEGORY | |||||||
1.
Adults with Any Mental Illness (AMI) |
35 | 23.16% | Prevalence of Mental Health | |||||||
2.
Adults with Substance Use Disorder in the Past Year |
17.25 | |||||||||
3. Adults with Serious Thoughts of Suicide | 41 | 6.01% | ||||||||
4.
Youth with at Least one Major Depressive Episode (MDE) in the Past Year |
21 | 10.90% | ||||||||
5. Youth with Substance Use Disorder in the Past Year | 6. | 37 | ||||||||
6. Youth with Severe MDE | 17.05% | |||||||||
7. Adults with AMI Who Did Not Receive Treatment | 55.50% | Access to Care | ||||||||
8. Adults with AMI Reporting Unmet Need | 34.20% | |||||||||
9. Adults with AMI who are Uninsured | 28 | 10.40% | ||||||||
10. Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs | 31 | 23. | 13 | |||||||
11. Youth with MDE Who Did Not Receive Mental Health Services | 34.40% | |||||||||
12. Youth with Severe MDE Who Received Some Consistent Treatment | 57.40% | |||||||||
13. Youth with Private Insurance That Did Not Cover Mental or Emotional Problems | 17.20% | |||||||||
14. Students (Grades K+) Identified with Emotional Disturbance for an Individualized Education Program | 29 | 6.29% | ||||||||
15. Mental Health Workforce Availability |
Given the measures used, this information portrayed that the majority of measures were ranked higher than the majority of the other states that were measured, however the percentages were relatively low. I honestly was shocked at these numbers and thought they would have been much worse. It gives me hope that things are improving in the area of access to care within the mental health world.
I really liked that the percentage of youth receiving consistent treatment was so high. However I was so shocked to see that we ranked 49th for “Youth With Private Insurance That Did Not Cover Mental or Emotional Problems”. This information impacts mental healthcare services in the sense that those services are not available to people that need them and those people being children. That makes me sad. These children are reaching out and asking for health and due to their type of insurance, they cannot have it. The specific initiative that Colorado is working on to deal specifically with mental health care is that they have declared a “state of emergency” due to the increase of 57% in the past two years of pediatric patients that went to the emergency room due to mental health concerns (Brambila, 2023).
Brambila, N. C. (2023, March 3). U. S. surgeon general visits Children’s Hospital Colorado to talk about youth health crisis. Gazette, The (Colorado Springs, CO).
Mental Health America. (2023). Ranking the States. Retrieved from
https://www.mhanational.org/issues/2023/ranking-states
Jacqueline
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