The Journal of
Common Sense
Special Issue      Winter 2000/2001      Vol. 6 No. 3

The Unhealthy State of our Mental Health

Contents
Introduction
A Plea for Political Courage
History and Overview
A View from the Community
Now What? An Analysis of
    Recent Reports on
    NC Mental Health Services

Some Findings and
    Recommendations

The Mental Health System
    and its Financing And Use:
    An Introduction

A Mental Health Glossary
The Stigma of Mental Illness
Housing and the Disability of
    Extreme Poverty

Adult Care Homes
Treating Persons with
    Dual Disorders

Correctional Mental Health
    in NC:An
    Expensive Non-solution

Race and Mental Health
Richard's Story: One
     Family's Journey through
    the Mental Health System

Harmony in Three Parts:
     Why Is this
     a Utopian Scenario?

References
Recommendations
Mental Health Services
Current Area Programs
Seth Is His Name and
     He Needs Your Help

Mental Health Services

Assessment: Evaluation of need and determination of needed services.
Case management: A person or team of people who provide outreach to consumers; provide to them information about services; work with them to develop a service plan; assist in obtaining need services, supports, and entitlements (such as Medicaid, housing, medical care); and advocate on behalf of consumers.
Individual and group therapy: Sessions with a professional, sometimes including family members or others with similar problems, over a period of time to help identify problems and identify and progress toward solutions.

Family Preservation: Services to assist families to learn to manage behavior and support the needs of their children to ensure that the child can remain in the home environment.
Parenting Skills:Educational opportunities to learn ways to positively respond to the child's needs.
Medication management and education, including availability of new medications: Assessment of the consumer's psychiatric medical needs and prescribing and monitoring of medications by a physician.
Respite: Temporary care to offer relief to the caregivers of a child or an adult with serious mental illness or to provide a break for the child or adult who is ill.
Crisis services: Emergency services include evaluating the consumer's need for inpatient hospitalization and, when possible, preventing hospitalization by providing intensive, short-term services aimed at stabilizing immediate problems and ensuring safety.
Inpatient hospital: Required when a condition requires 24-hour medical supervision.
Assertive community treatment teams (known nationally as Program for Assertive Community Treatment, or PACT): Multi-disciplinary teams of professionals, that include a psychiatrist and a nurse as well as case managers, that go out to consumers in the community. These teams provide comprehensive care to the highest need individuals, including regular outreach to identified consumers in the community. A highly effective treatment model with identified research-based standards.
Rehabilitation services: Educational approaches to teach consumers how to cope with their disabilities, by developing social and job related skills, leisure activities, and community living skills such as meal planning, shopping, cooking, and using public transportation.
Psychosocial clubhouse programs: A type of rehabilitation program, it is a more participative model to offer consumers opportunities for socialization, community living activities, and transitional employment.
Partial hospitalization programs: A therapeutic environment including medication monitoring, group and individual therapy, recreational therapy, and training in coping and social skills, which is often used as an alternative to hospitalization.
Supported housing: Allows for a consumer to choose an independent living arrangement and receive support services to help with social/vocational needs and activities, community and daily living needs, and medical management.
Supported employment: Services to assist consumers to prepare for, obtain, and maintain employment.
Transportation services: Transportation assistance for consumers to get to doctor appointments, treatment programs, and employment.



The Journal of Common Sense is published by The Common Sense Foundation.