legislation tagged posts

What is MHFA and why should we care?

In Tuesday’s Expert Perspective, the National Council’s Chuck Ingoglia described the Mental Health First Aid Act, the proposed legislation which seeks $20 million in grant funding for training that prepares individuals to recognize and respond to emerging mental health conditions and crisis situations.

CFYM sat down with Lisa Goodale, Vice President of Peer Support Services at the Depression and Bipolar Support Alliance and a certified trainer for Mental Health First Aid to learn more about the program and discuss the potential impact of this legislation. Goodale has been training individuals in Mental Health First Aid since 2010.

Lisa Goodale, M.S.W., on Mental Health First Aidlisa

CFYM: Why is Mental Health First Aid important?

LG: You’re much more likely to encounter somebody in a mental health crisis than you are to encounter someone having a heart attack or a stroke. Even though they may never encounter someone [experiencing physical trauma], people take first aid to be prepared. So when you look at the prevalence of mental health conditions, it’s a no-brainer.

People think they have to have specialized knowledge to help with mental health problems. But there’s a lot that people can do for themselves in those situations in terms of self-help, and one of the pieces of Mental Health First Aid that we highlight is how the Mental Health First Aider can help encourage someone to use self-care and support strategies.

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Mental Health First Aid Legislation

Chuck Ingoglia, M.S.W.
Vice President of Pubic Policy,
National Council for Community Behavioral Healthcare

MHFA
In January, legislation was introduced in both the U.S. House of Representatives and Senate to fund public education programs that train emergency services personnel, police officers, teachers/school administrators, primary care professionals, and students to identify, understand, and respond to signs of mental illnesses and substance use disorders. The legislation, referred to as The Mental Health First Aid Act, seeks $20 million in grant funding for Mental Health First Aid educational programming to:

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Nearly 50 Years of Legal Discrimination

capitolIn Tuesday’s Expert Perspective, Mark Covall discussed Medicare’s 190-day limit for inpatient care for mental illness. Today, we offer a bit of background on this confounding—and life-threatening—limit.

Fear and Politics

Eliminating the 190-day lifetime limit on has been on the stove—albeit not the front burner—for more than two decades.

The limitation originated in the Social Security Act of 1965, when Medicare came into being. In 1965, people feared mental illness; they were biased against psychiatric hospitals and those who received care there. Combined with political strife over whether the states or the federal government should bear the costs of that care, this bias could explain the arbitrary and discriminatory limit.

Despite numerous changes in mental health care administration, medical practice, insurance, and—arguably most important—perceptions and understanding of mental health conditions, the 190-day lifetime limit persists.

And to get rid of it, there needs to be a change to federal law.

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