The Substance Abuse and Mental Health Services Administration

SAMHSA Stakeholder Feedback

(CLOSED) Strategic 4: Health Care Reform

This forum is closed.

The ideas and comments below are part of the feedback received during the development of SAMHSA’s Strategic Initiatives. The final document that reflects the input provided in these forums is available at: http://store.samhsa.gov/product/SMA11-4629.

Questions about this forum can be directed to newmedia@samhsa.hhs.gov

I suggest SAMHSA...

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  1. Support recovery & resilence with services that benenfit women and their children

    Assure that services provided under the block grants are relevant to women's roles, status, etiology of disorders, consequences of disorders and allows her to physcially and emotionally support her children.

    16 votes
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      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
    • With HRSA create grants encouraging PC providers to work with existing BH providers in MUA/Ps

      Unless HRSA and SAMSHA work to create initiatives for FQHCs to work with existing behavioral health providers, or regulations to mandate it, many existing behavioral health providers will go under. Their staff will be hired away by FQHCs, who can pay higher salaries. This need is especially important in MUA/Ps (medically underserved areas), as many BH providers that have been working in such an area for years have a unique relationship with and understanding of the needs of that community.

      8 votes
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        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
      • 35 votes
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          1 comment  ·  Flag idea as inappropriate…  ·  Admin →
        • Ban involuntary electroconvulsive therapy (ECT or 'electroshock') over the wishes of the subject.

          Many Americans are not aware that some individuals are administered involuntary electroshock (also known as electroconvulsive therapy or ECT) over their expressed wishes.

          Most people sign voluntarily for their procedure (and this can still be a problem with flawed informed consent and not being offered alternatives).

          However, this 'idea' is very simple: Ban federal funding for involuntary electroshock over the expressed wishes of the subject. Note I am not talking here about an individual who is mute or non-responsive (while of course they too should be free of intrusive controversial irreversible procedures).

          No, this idea is very focused: When an…

          61 votes
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            3 comments  ·  Flag idea as inappropriate…  ·  Admin →
          • 13 votes
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              2 comments  ·  Flag idea as inappropriate…  ·  Admin →
            • 19 votes
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                0 comments  ·  Flag idea as inappropriate…  ·  Admin →
              • 17 votes
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                  1 comment  ·  Flag idea as inappropriate…  ·  Admin →
                • 47 votes
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                    2 comments  ·  Flag idea as inappropriate…  ·  Admin →
                  • Explore and promote behavioral health parity for Medicare and Medicaid.

                    Medicaid and Medicare should offer the same behavioral health benefits. In fact, why not integrate the two systems into one public healthcare system? Think of the money that could be saved in administrative costs!

                    48 votes
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                      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                    • Leave medical decision-making to pratitioners, rather than to third parties

                      Too often, the designation of "medical necessity" is being used as a gatekeeper to restrict health care, and especially mental health care.

                      11 votes
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                        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                      • Fully fund intensive psychotherapy

                        Relationship-based, psychodynamically-informed open-ended psychotherapy has been shown time and again to SAVE health care dollars in the long run, resulting in fewer ER visits and hospitalizations, better self-care, and better use of other health care resources.

                        33 votes
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                          0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                        • needs to consider that many people will still not have coverage with the new HC bill.

                          I am not in favor of a total redo of the block grants at this time unless it is to strengthen the use of these funds for indigent care. A significant amout of this funding is used to pay for services to people who do not have coverage. There will still be many people in the future who are indigent, even with the new HC bill. Lets make sure we have the funding to serve those folks with prevention, early intervention, treatment and aftercare.

                          9 votes
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                            0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                          • Identifies best practices and barriers to bring physical health care into behavioral Health settings

                            There are clearly people out there that will want to have their behavioral heath provider be their medical home. To do this BH will need to bring physical health providers into our settings. We need to learn what are the best ways to do this, hurdles to doing this, how to get paid to do it, and the clinical implications.

                            23 votes
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                              0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                            • 3 votes
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                                0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                              • Focus on Brain Research

                                I do not understand the lack of resources focusing on brain research. It seems to be the most complex and important human organ, yet the least is known of it.
                                The money spent on research could affect so many neurological problems.

                                Alzheimers, Huningtons disease, Parkinsons disease, MS, Brain tumors, Autism, Schizophrenica, Bipolar, Depression, Sensory disorders, ADHD, Tourettes syndrome, dementia, Reyes disease

                                With all these devastating illnesses why isn't there more funding for brain research?

                                51 votes
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                                  1 comment  ·  Flag idea as inappropriate…  ·  Admin →
                                • Who pays for medications such as vivitrol at $1000.00 a shot? We need federal subsidy.

                                  We need a conversation with drug companies to wholesale necessary medications thru national chains such as Walgreen, Walmart, CVS, etc.

                                  3 votes
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                                    2 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                  • The concerns and initiatives need to acknowledge FASD

                                    FASD impacts all the issues being addressed in Health Care Reform, especially when FASD is undiagnosed.
                                    More diagnostic facilities are required, more referrals made and best practices implemented otherwise Health Care Reform will continue to be "reformed"

                                    4 votes
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                                      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                    • 18 votes
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                                        2 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                      • 38 votes
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                                          1 comment  ·  Flag idea as inappropriate…  ·  Admin →
                                        • aim to expand delivery of SBIRT services in emergency depts & hospitals, as well as primary ca

                                          I suggest that SAMHSA aim to expand SBIRT delivery in emergency departments and inpatients units of general hospitals, as well as primary care settings. Admission to EDs and hospitals often create teachable moments.

                                          6 votes
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                                            1 comment  ·  Flag idea as inappropriate…  ·  Admin →
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                                          (CLOSED) Strategic 4: Health Care Reform

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