Respond to 2 classmates posts for Social Welfare Course

timer Asked: Apr 9th, 2017

Question Description



Discussion 2: Emerging Issues in Mental Health Care

Children and youth mental health disorders are on the rise. Childhood emotional and behavioral disorders are the most prevalent and costly of all chronic illness in children and youth. The Systems of Care Grant is driven to enforce supporting services to children and youth with serious mental health conditions and their families. It is designed in creating comprehensive, individualized services and is family and youth driven. It’s designed to transform care to children and youth in the mental health field by providing more intensive cultural care to all communities. It is said that the SOC grant has severely impacted the field of Childrens mental health in a positive way to where most states have implemented the approach across all diverse populations (Miller, Blau, Christopher & Jordan 2012).

In order for the system of care grant to work is must be readily available to all children and youth regardless of a particular system such as juvenile service, mental health, child welfare, and education. To collaborate responsibility social workers should engage all entities and provide well rounded training to all agencies to begin enforcing such measures. Currently in Nevada the SOC is beginning to evolve. In my employment there has been Changes to our mental health system as instead of providing mental health therapy to a certain population or class with one type of insurance the SOC will ensure that the state is providing services to all regardless of insurance carrier or age and also provide long term case management service.

The Nevada Department of Health and Human services with the Medicaid expansion approach is utilizing its resources to make mental health services more accessible for within the community. Managed care models often allow additional flexibility in the delivery of services that is not allowable under the tradition Fee for Service Medicaid Model. Often allowing for a more integrated and person centered approach to service delivery (DHCFP n.d).


Miller, B., Blau, G., Christopher, O., & Jordan, P. (2012).Sustaining and Expanding Systems of Care to Provide Mental Health Services for Children, Youth and Families Across America. American Journal Of Community Psychology, 49(3/4), 566-579. doi:10.1007/s10464-012-9517-7

DHCFP (n.d) Division of health care Financing and Policy. Retrieved from


Mental health stigma and recovery are becoming more prevalent and main stream, with celebrities coming forward about their own mental health issues to help reduce the stigma. Another area of concern is the after care and recovery of those who have been hospitalized or are in need of further assistance. " A policy consensus has emerged internationally supporting a mental health system orientation around recovery." (Loos, Clarke, Jordan, & etc,. 2017, p. 2) Recovery continues to be a place where mental health is lacking in fully caring for the client, and currently once a client is discharged, then the care stops and a lack of follow up leaves the clients in sometimes worse situations than they started in. This lack of after care adds to further problems for the clients and can exacerbate or create more illnesses such as substance abuse.

As social workers, our obligations are to our clients and ensuring we are helping to empower them and find their strengths to better face the challenges they may be facing. This obligation should include the after care and recovery of those clients in mental health crisis or long term care. In the state of Montana, after care is not a funded program yet and continued issues with those who are being discharged after a mental health crisis, can be seen in Montana as well. "The American with Disabilities Act was passed in 1990 under President George H.W Bush. It outlawed job discrimination based on physical or mental disabilities." (Popple & Leighninger, 2015, p.174). This policy act is one of only a few policies that Montana is currently instituting but further policy updates are needed to ensure proper care for those who have mental health concerns.

Loos, S., Clarke, E., Jordan, H., Fiorillo, A., Luciano, M., Ivanka, T., Magyar, E., Krogsgaard-Bording, M., Ostermark-Sorensen, H., Rossler, W., Kawohl, W., Mayer, B., Slade, M., & Cedar Study Group. (2017). Recovery and Decision-Making Involvement in People with Severe Mental Illness from Six Countries: A Prospective Observational Study. BMC Psychiatry. 7, 1-8.

Popple, P.R., & Leighninger, L. (2015). The Policy Based Profession: An Introduction to Social Welfare Policy Analysis for Social Workers. (6th ed.). Upper Saddle River, NJ: Pearson Education.

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