On the Growing Population [Mental] Health Cohorts

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[By Carol Miller RN MBA]

Carol S. MillerIncreased and Diversified Patient Populations

It is well know that patient populations at community mental health centers are on the rise and this rise is associated with different groups or classifications of individuals. Some centers may or may not have experienced increases in these specific classifications previously; however, they are increasing in many centers today and will continue in the future.

For example:

Older Adults

There is an unprecedented number of older adults who are experiencing substance abuse issues, depression, anxiety, or dementia-related behavioral and psychiatric symptoms along with a multitude of medical issues as well as complicated medication regimens that frequent these centers across the United States. The current clinic healthcare workforce is not prepared to address this influx of patients and their associated special needs at these centers.

Youngsters

Another category, children and teenagers, is also on the rise. This can be attributed to more schools referring students, more families seeking care for their children, more emphasis being placed upon mental health treatments and medications, or a combination of things.

Minorities

Minorities, such as Hispanics, Latinos, African American, and others are somewhat reluctant to seek behavioral health treatment because of the associated cultural stigma surrounding mental health. However, when these same individuals have a combined physical and mental healthcare related need, they are seeking care at community centers.

PTSD

Finally, others seeking care have had terrorism scares, are Veterans with Post Traumatic Stress Disorder (PTSD) and other affiliated behavioral symptoms, or have been afflicted with a long term mental or emotional issue from the impact of natural disasters that caused a lost loved one, home, pet, or job.

Brain view

Assessment

Many of these individuals not only have mental health issues but also have one or many medical health issues creating a complex case.

Conclusion

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  1. New York City Hospitals
    [New Reporting Requirement-Effective January 21st]

    Beginning January 21, 2014, New York City hospitals must report the admission of any adult person ages 18-29 being admitted for first-episode psychosis diagnoses. Hospitals are required to make the report within 24 hours of admission, by telephone or in an acceptable electronic transmission format to the Director of the Division of Mental Hygiene of the New York City Department of Health and Mental Hygiene (the “Department’s Division of Mental Hygiene”).

    No reporting is required for a patient with a known prior hospitalization for psychotic illness as an adult. Hospitals outside of New York City are not subject to the new reporting requirement.

    To learn more about the new reporting requirement, please Click here.

    http://www.garfunkelwild.com/ClientAlerts/AlertPages/2014/ReportingReq-NY.htm

    Garfunkel Wild PC
    via Ann Miller RN MHA

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