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	<title>The Mental Health Social Worker &#187; Legislation</title>
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		<title>NASW Hails Supreme Court Decision Protecting Victims of Child Rape and Overturning Louisiana Death Penalty for Child Rape</title>
		<link>http://mhsw.org/mental-health/nasw-hails-supreme-court-decision-protecting-victims-of-child-rape-and-overturning-louisiana-death-penalty-for-child-rape/</link>
		<comments>http://mhsw.org/mental-health/nasw-hails-supreme-court-decision-protecting-victims-of-child-rape-and-overturning-louisiana-death-penalty-for-child-rape/#comments</comments>
		<pubDate>Fri, 27 Jun 2008 02:02:57 +0000</pubDate>
		<dc:creator>Chris H.</dc:creator>
				<category><![CDATA[Advocacy]]></category>
		<category><![CDATA[Legislation]]></category>
		<category><![CDATA[Mental Health News]]></category>
		<category><![CDATA[child abuse]]></category>
		<category><![CDATA[death penalty]]></category>
		<category><![CDATA[rape]]></category>

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		<description><![CDATA[Washington—Today, the U.S. Supreme Court issued a precedent-setting 5-4 decision, reversing a May 2007 ruling of the Supreme Court of Louisiana, and holding that the imposition of the death penalty for child rape violates the Eighth Amendment’s prohibition against cruel and unusual punishment.  The National Association of Social Workers (NASW) and its Louisiana Chapter filed [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Washington</strong>—Today, the U.S. Supreme Court issued a precedent-setting 5-4 decision, reversing a May 2007 ruling of the Supreme Court of Louisiana, and holding that the imposition of the death penalty for child rape violates the Eighth Amendment’s prohibition against cruel and unusual punishment. </p>
<p>The National Association of Social Workers (NASW) and its Louisiana Chapter filed an <em>amicus curiae</em> brief in Kennedy v. Louisiana (<a href="https://www.socialworkers.org/assets/secured/documents/ldf/briefDocuments/Kennedy%20v.%20Louisiana.pdf">https://www.socialworkers.org/assets/secured/<br />
documents/ldf/briefDocuments/Kennedy%20v.%20Louisiana.pdf</a>)  arguing that the death penalty for child rape harms the victims it is intended to help.  The Court adopted the reasoning in NASW’s brief as support for its conclusion that the death penalty is a disproportionate consequence for a crime that does not result in the death of the victim.  NASW was joined on the brief by several coalitions of sexual assault treatment providers from across the nation.  <span id="more-137"></span></p>
<p>The Supreme Court stated, “It is not at all evident that the child rape victim’s hurt is lessened when the law permits the death of the perpetrator.” (<a href="http://www.supremecourtus.gov/opinions/07pdf/07-343.pdf">http://www.supremecourtus.gov/opinions/<br />
07pdf/07-343.pdf</a>) It indicated that the repeated testimony required of the child victim in a capital case “forces a moral choice on the child, who is not of mature age to make that choice.”  It also pointed out the concerns cited in NASW’s brief that the death penalty provides an incentive for the perpetrator to kill his victim who is often the only witness, is likely to increase the emotional trauma to the victim due to repeated court testimony about acts of brutality, and may increase the underreporting of child sexual abuse, as perpetrators are often family members.</p>
<p>These factors, taken together, along with the Court’s substantial discussion of the lack of clear consensus among the states on the death penalty for child rape and the evolving standards of decency, formed the basis for the Court’s definitive ruling.</p>
<p>“We are heartened that the Court found the real-life experiences of victims and their families, as well as research on the reporting of child sexual abuse, persuasive.  This ruling supports the investigation and prosecution of child sexual abuse while providing an opportunity for victims to heal,” said NASW Executive Director Elizabeth J. Clark, PhD, ACSW, MPH. </p>
<p>NASW is the largest association of social workers in the world, with 145,000 members and 56 chapters throughout the United States and abroad.  Professional social workers provide treatment and advocacy for victims of sexual assault and other crimes.  NASW also advocates the adoption of policies that promote assistance for victims of crime and supports research on the effects of crime on victims.  NASW’s brief was prepared by the pro bono legal team of David M. Gossett and Kevin Ranlett from Mayer Brown LLP in Washington, DC and Joseph Thai of the University of Oklahoma College of Law.</p>
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<p><span style="text-decoration: underline;"><a href="http://www.socialworkers.org/">About the National Association of Social Workers</a></span><br />
NASW is the largest association of social workers in the world, with nearly 150,000 members in 56 chapters throughout the United States and abroad.<strong> </strong>It promotes, develops, and protects the practice of social work and social workers.  NASW also seeks to enhance the well-being of individuals, families, and communities through its advocacy.</p>
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		<title>Breaking News: House Passes Mental Health Parity Legislation</title>
		<link>http://mhsw.org/legislation/breaking-news-house-passes-mental-health-parity-legislation/</link>
		<comments>http://mhsw.org/legislation/breaking-news-house-passes-mental-health-parity-legislation/#comments</comments>
		<pubDate>Sun, 16 Mar 2008 04:32:41 +0000</pubDate>
		<dc:creator>Chris H.</dc:creator>
				<category><![CDATA[Legislation]]></category>

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		<description><![CDATA[On March 5th the House of Representatives passed landmark comprehensive legislation requiring private health insurance plans to use the same treatment limitations and financial requirements for mental health and addictive disorder coverage as is used for other covered services. H.R. 1424, the &#8220;Paul Wellstone Mental Health and Addiction Equity Act of 2007,&#8221; introduced by Representatives [...]]]></description>
			<content:encoded><![CDATA[<p>On March 5th the House of Representatives passed landmark comprehensive legislation requiring private health insurance plans to use the same treatment limitations and financial requirements for mental health and addictive disorder coverage as is used for other covered services. H.R. 1424, the &#8220;Paul Wellstone Mental Health and Addiction Equity Act of 2007,&#8221; introduced by Representatives Patrick Kennedy (D-RI) and Jim Ramstad (R-MN), was passed with strong bipartisan support by a vote of 268-148. (House members&#8217; votes are listed online at <a href="http://clerk.house.gov/evs/2008/roll101.xml">http://clerk.house.gov/evs/2008/roll101.xml</a>.) The legislation is named for the late Senator Paul Wellstone of Minnesota, a tireless advocate for Americans with mental illness. House passage of H.R. 1424 is an historic step forward for mental health and addiction treatment advocates, and comes after years of hard work by the mental health and addictive disorder advocacy community.</p>
<p>ACA applauds Representatives Patrick Kennedy (D-RI) and Jim Ramstad (R-MN) for their long, hard, heroic work in gaining House passage of H.R. 1424. During floor debate, both Kennedy and Ramstad spoke about their own personal battles with mental and addictive disorders, their treatment, and how their treatment has enabled them to lead productive lives. ACA also thanks those counselors who took the time to contact their representative on this issue.</p>
<p>ACA and other mental health and addictive disorder advocates are now working to build upon the strong bipartisan support for H.R. 1424 and the unanimous passage last year of the Senate&#8217;s bill, to encourage the development and enactment of parity legislation that provides consumer protections that are as strong as possible. Details: Scott Barstow at <a href="mailto:sbarstow@counseling.org">sbarstow@counseling.org</a>.</p>
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		<title>Second Chance Act Improves Mental Health Services for Prisoners</title>
		<link>http://mhsw.org/legislation/second-chance-act-improves-mental-health-services-for-prisoners/</link>
		<comments>http://mhsw.org/legislation/second-chance-act-improves-mental-health-services-for-prisoners/#comments</comments>
		<pubDate>Sun, 16 Mar 2008 04:27:54 +0000</pubDate>
		<dc:creator>Chris H.</dc:creator>
				<category><![CDATA[Legislation]]></category>

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		<description><![CDATA[ARLINGTON, Va. (March 13, 2008) &#8211; The American Psychiatric Association applauds recent Congressional efforts led by Rep. Danny Davis, D-Ill., to improve treatment for the large number of people with mental illnesses and substance use disorders who are currently incarcerated in U.S. jails and prisons. The U.S. Senate passed the Second Chance Act (H.R. 1593) [...]]]></description>
			<content:encoded><![CDATA[<p>ARLINGTON, Va. (March 13, 2008) &#8211; The American Psychiatric Association applauds recent Congressional efforts led by Rep. Danny Davis, D-Ill., to improve treatment for the large number of people with mental illnesses and substance use disorders who are currently incarcerated in U.S. jails and prisons.</p>
<p>The U.S. Senate passed the Second Chance Act (H.R. 1593) this week by unanimous consent. The U.S. House of Representatives passed the legislation last fall. The legislation would provide transitional assistance to ex-offenders in an effort to reduce a return to alcohol abuse. Additionally, the legislation would extend and provide a full continuum of care for treatment of substance use disorders and improve mental health screening and treatment.<span id="more-111"></span></p>
<p>&#8220;It is a national tragedy that jails and prisons have become the primary mental health care facilities in the United States today,&#8221; said APA President Carolyn Robinowitz, M.D. &#8220;This bi-partisan action represents significant steps forward in improving access to mental health services and substance abuse treatment programs for those incarcerated within the prison system.&#8221;</p>
<p>According to a 2006 report by the U.S. Department of Justice, entitled &#8220;Mental Health Problems of Prison and Jail Inmates,&#8221; more than half of the population incarcerated in U.S. prisons and jails &#8211; including 56 percent of state prisoners, 45 percent of federal prisoners and 64 percent of local jail inmates &#8211; were found to have a mental illness. Many of these inmates suffer from treatable disorders such as major depression, bipolar disorder and substance use disorder.</p>
<p>&#8220;People with mental illness, left untreated, can develop symptoms and behaviors that lead to their arrest and incarceration,&#8221; Robinowitz said. &#8220;Treatment can help prevent incarceration. Improving funding and cooperative programs between mental health care professionals and correctional agencies is a step in the right direction.&#8221;<br />
About the American Psychiatric Association:<br />
The American Psychiatric Association is a national medical specialty society whose more than 38,000 physician members specialize in diagnosis, treatment, prevention and research of mental illnesses including substance use disorders. Visit the APA at www.psych.org and www.HealthyMinds.org.</p>
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		<title>Medicaid Managed Care Plans Place More Burden on Patients and Families with Severe Mental Illness, AJP Study Shows</title>
		<link>http://mhsw.org/legislation/medicaid-managed-care-plans-place-more-burden-on-patients-and-families-with-severe-mental-illness-ajp-study-shows/</link>
		<comments>http://mhsw.org/legislation/medicaid-managed-care-plans-place-more-burden-on-patients-and-families-with-severe-mental-illness-ajp-study-shows/#comments</comments>
		<pubDate>Tue, 29 Jan 2008 14:11:11 +0000</pubDate>
		<dc:creator>Chris H.</dc:creator>
				<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://mhsw.org/legislation/medicaid-managed-care-plans-place-more-burden-on-patients-and-families-with-severe-mental-illness-ajp-study-shows/</guid>
		<description><![CDATA[Arlington, Va. &#8211; Managed care health plans for Medicaid patients with schizophrenia and other severe mental illnesses may result in lower costs to the Medicaid system, but lead to greater personal expenditures and higher caregiver burden for patients and their families, new research indicates. This cost pattern was revealed in an analysis of total societal [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Arlington, Va.</strong> &#8211; Managed care health plans for Medicaid patients with schizophrenia and other severe mental illnesses may result in lower costs to the Medicaid system, but lead to greater personal expenditures and higher caregiver burden for patients and their families, new research indicates. This cost pattern was revealed in an analysis of total societal costs for 628 patients in the Tampa Bay area, to be published online Jan. 15 by The American Journal of Psychiatry (AJP) (http://ajp.psychiatryonline.org/pap.dtl), the official journal of the American Psychiatric Association.<span id="more-87"></span><br />
The study, &#8220;Medicaid Managed Care and the Distribution of Societal Costs for Persons With Severe Mental Illness&#8221; by David L. Shern, Ph.D., president and CEO of Mental Health America, and colleagues at the Louis de la Parte Florida Mental Health Institute at the University of South Florida in Tampa, will also appear in the February 2008 print issue of AJP.<br />
&#8220;We have long known that the burden to families of patients with severe persistent mental illness is considerable and includes situations for which families are not prepared, such as violence and drug abuse,&#8221; said AJP editor-in-chief Robert Freedman, M.D. &#8220;We published this study because it documents the magnitude of this burden.&#8221;<br />
The comparison was based on a natural experiment in 1997-1999 that resulted from the state of Florida&#8217;s inaugural attempts to manage community mental health care through a Medicaid waiver for the Tampa Bay area. Two types of managed care plans were introduced: a health maintenance organization (HMO) and a plan with a behavioral health &#8220;carve-out,&#8221; which provided mental health care and general health care through separate systems. The patients enrolled in the HMO and those in the carve-out actually received services from the same community mental health center providers. Therefore, Shern and his colleagues say, any differences between the managed care plans reflect the plans themselves, not the care providers.<br />
The analysis compared costs for patients in the two managed care plans and those who remained in the standard fee-for-service Medicaid plan. Total societal costs were calculated by adding separate estimates for Medicaid, other government programs, and private sources. The other government programs included non-Medicaid health care, criminal justice, public housing, supplemental security income, and food stamps. The private sources were earned government transfer income (such as veterans&#8217; benefits), private income, and money and time contributed by family and friends. The financial value of this time was based on the minimum wage, and this informal care accounted for the majority of the private costs reported.<br />
- more -<br />
The managed care strategies employed by plans led to savings within the Medicaid budget, but these savings were offset by personal expenditures and the contributions of family and friends of the enrollees in the managed care plans. Managed care was not associated with increased overall costs to non-Medicaid government programs.<br />
Despite the Medicaid-specific savings, society&#8217;s total costs were not reduced by managed care. This wider public health perspective is especially important when considering patients with long-term disabling illnesses, who have multiple needs that cross different types of services and payers. Although an earlier report by the same authors indicated similar clinical outcomes for the patients in the three plans studied, the outcomes may have depended in part on substantial contributions from families and friends. Cost substitution may further impoverish already destitute individuals and result in inefficient treatment.<br />
&#8220;It is critically important to understand all costs when evaluating the impact of these financing strategies,&#8221; said lead author David Shern, Ph.D. &#8220;Without this information, we can make very bad policy choices.&#8221;<br />
The study was funded in part under a contract with the Florida Agency for Health Care Administration and a grant from the U.S. Substance Abuse and Mental Health Services Administration.<br />
Reference:<br />
Shern DL, Jones K, Chen HJ: Medicaid Managed Care and the Distribution of Societal Costs for Persons With Severe Mental Illness. Am J Psychiatry (published online January 15, 2008; doi:10.1176/appi.ajp.<br />
2007.06122089)<br />
Note to Editors:<br />
For more information about the American Journal of Psychiatry, including embargoed copies of journal articles, contact Jim Rosack at 703-907-7862 / jrosack@psych.org or the APA Office of Communications and Public Affairs at 703-907-8640 / press@psych.org. To sign up to receive eTOCs and other email alerts about AJP, visit http://ajp.psychiatryonline.org/subscriptions/etoc.dtl.<br />
About the American Journal of Psychiatry:<br />
The American Journal of Psychiatry, the official journal of the American Psychiatric Association, publishes a monthly issue with scientific articles submitted by psychiatrists and other scientists worldwide. The peer review and editing process is conducted independently of any other American Psychiatric Association component. Therefore, statements in this press release or the articles in the Journal are not official policy statements of the American Psychiatric Association.<br />
The Journal&#8217;s editorial policies conform to the Uniform Requirements of the International Committee of Medical Journal Editors, of which it is a member.<br />
AJP in Advance is a regular online feature within which original research articles accepted for publication in The American Journal of Psychiatry are posted ahead of their appearance in print. AJP in Advance articles have been peer reviewed, copyedited, and approved by authors. Articles in AJP in Advance may be cited by using the date they were posted online and their unique digital object identifier (DOI).<br />
For further information about the Journal visit www.ajp.psychiatryonline.org.<br />
About the American Psychiatric Association:<br />
The American Psychiatric Association is a national medical specialty society whose more than 38,000 physician members specialize in diagnosis, treatment, prevention and research of mental illnesses including substance use disorders. Visit the APA at www.psych.org and www.HealthyMinds.org.</p>
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		<title>ACA, Others Pushing for Mental Health and Addictive Disorder Parity This Year</title>
		<link>http://mhsw.org/legislation/aca-others-pushing-for-mental-health-and-addictive-disorder-parity-this-year/</link>
		<comments>http://mhsw.org/legislation/aca-others-pushing-for-mental-health-and-addictive-disorder-parity-this-year/#comments</comments>
		<pubDate>Mon, 10 Dec 2007 03:27:20 +0000</pubDate>
		<dc:creator>Chris H.</dc:creator>
				<category><![CDATA[Legislation]]></category>

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		<description><![CDATA[Only a few legislative days are left in the current session of Congress, and ACA and other mental health advocacy organizations are working to push mental health and addictive disorder parity legislation over the goal line. A very strong parity bill -H.R. 1424, the &#8220;Paul Wellstone Mental Health and Addiction Equity Act&#8221; &#8211; has been [...]]]></description>
			<content:encoded><![CDATA[<p>Only a few legislative days are left in the current session of Congress, and ACA and other mental health advocacy organizations are working to push mental health and addictive disorder parity legislation over the goal line. A very strong parity bill -H.R. 1424, the &#8220;Paul Wellstone Mental Health and Addiction Equity Act&#8221; &#8211; has been approved by the House committees to which it was referred. A somewhat weaker Senate bill, S. 558, was passed by that chamber in September.<span id="more-76"></span></p>
<p>Though the bills are similar, a handful of key differences are proving difficult to resolve. Arguably the most important difference is that the House bill requires plans to cover treatments for the full range of disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), the same coverage enjoyed by members of Congress and other federal employees. The Senate bill would allow health plans to exclude coverage for certain disorders. Both the House and Senate bills allow health plans to continue using standard managed care practices in administering services.</p>
<p>Counselors are encouraged to contact both their Representative and their Senators to ask them to pass a strong mental health and addictive disorder parity bill before the year ends. Health plans should no longer be allowed to discriminate by diagnosis in covering mental health care. For more information, contact Scott Barstow with ACA at <a href="mailto:sbarstow@counseling.org">sbarstow@counseling.org</a> or by phone at 800/347-6647, Ext. 234.</p>
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