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Counteracting Ebola Stress

It is hard to escape the stories about ebola today.  As the country and  individual states scramble to form public health policy, media reports of health care worker exposures are emerging daily.  The latest, a nurse in Texas, triggers the question “Just how contagious is this?” and now a possible exposure in Braintree, MA.  As psychiatric nurses working in health care facilities and seeing multicultural clients in a multicultural city, these are important times to get educated about actual risks and preventative practices. The Boston Public Health Commission  released a statement Sunday night saying that the man in question in Braintree did not meet criteria to be considered at high risk for Ebola but that the commission would continue to monitor the situation.  The Department of Public Health web site provides information for clinicians, universities and colleges and general information about ebola virus. Additionally, Psychiatric CNS’s and Psychiatric NP‘s are mindful of our own concerns and fears as well as those of our clients.  These times provide another opportunity to empower our patients and ourselves with education and strategies to cope with traumatizing news, as well as actual risks.

 

The Mental Health Parity and Addiction Equity Act

http://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/mhpaea_factsheet.html#Summary of MHPAEA Protections

Massachusetts Psych APRN’s will benefit from parity initiatives that seek to equalize access and reimbursement for treatment across Mental Health and Addiction treatment.  As our clients have an ever advancing  access to mental health and addiction services just as they do for primary care, there will be more opportunities to treat our mental health and addiction clients and achieve better outcomes if we can fully and completely treat them as the issues demand – not subject to arbitrary cut offs and ineffective treatment options.

Transform Deep Brain Stimulation – Mass General Hospital

The Psychiatric CNS and Psychiatric NP working in Massachusetts have opportunities to inform and refer our most challenging clients with severe lifelong depression to those who are on the cutting edge of treatment.  The Psychiatric CNS and Psychiatric NP will be encountering clients with implants in the near future. We have a role in continuing therapy and conventional treatment in those with implants who can now expect a higher quality of life.   Psychiatric APRN’s will have opportunities to help clients form new life goals that they might have not imagined and use their capabilities to live the life they always intended to live.  Novel treatments provide the opportunity to reduce the burden of illness. Psych APRN’s will be key in giving therapy and care  to those emerging from a painful past and reducing the impact of depressive habits that could  interfere with achieving optimum outcomes.

Can the Damaged Brain Repair Itself?

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In this Ted Talk , Siddharthan Chandran explores how to heal damage from degenerative disorders such as MS and motor neuron disease (ALS).  As Psychiatric APRN’s we are continually interested in novel treatments and the opportunities neuroscience might offer our patients who suffer with mental disorders.   Psychiatric CNS‘s and Psychiatric Nurse Practitioners routinely screen for non-psychiatric disorders that may present with psychiatric symptoms. We direct our clients to address the non-psychiatric issues in tandem with the psychiatric issues impeding qualtity of life.  As professionals who are expert in interprofessional collaboration , Psych APRN’s  are highly qualified to communicate with the professionals in medicine and neuroscience to direct care and treatment of our clients with serious neurological co-morbid disorders.

TED Talk: Mental Health for All by Involving All

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Psych APRN‘s (CNS and Psych NP’s)  play larger roles in global mental health more often then you think.  Psychiatric CNS’s and Psychiatric Nurse Practitioners teach in diverse universities, take  global service trips to war torn countries and guest lecture at schools of nursing in remote areas.  But how do we take our skills to reach the mentally ill in those places –  including the mentally ill within our own state – when when we can’t always be there?   Vikram Patel describes a way to improve mental health at the local levels by training others to the “SUNDAR” model, an empowering, “dare to care” way to involve those affected by mental illness and their caregivers.   As part of that, The Movement for Global Mental Health established as a platform where mental health providers and those with mental illness can stand together.

Payment Reform: The Massachusetts Experiment

 

JAMA Forum — The Massachusetts Health Care Reform Experiment: A Success

To some extent, the Affordable Care Act (ACA) is based on the “Massachusetts experiment,” the health care legislation passed by the state in 2006, leading politicians on both sides of the political aisle to claim it as a success or failure. Supporters assert that the legislation resulted in nearly universal health insurance coverage in Massachusetts. Detractors point out that the quality of coverage may be suboptimal and its costs are exorbitant. Both sides have overstated their cases.Massachusetts health care reform was evolutionary, not revolutionary. In 1985, the state established a “free care pool” paid for by profitable facilities to support the safety net hospitals. Hospital rate deregulation in 1991 resulted in a cost crisis, leading both conservative and liberal politicians in Massachusetts to cooperate on legislation. In 2006, a Republican Governor, a Democratic Speaker of the House, and a Democratic President of the State Senate collaborated to develop Massachusetts health insurance reform. The Republican Governor insisted on a proposal originally written by Stuart Butler, PhD, of the conservative Heritage Foundation (and a JAMA Forum contributor), which included an individual mandate to purchase health insurance. Butler said, “If a young man wrecks his Porsche and has not had the foresight to obtain insurance, we may commiserate, but society feels no obligation to repair his car. But health care is different. If a man is struck down by a heart attack in the street, Americans will care for him whether or not he has insurance.”

Although it is true that the legislation resulted in near-universal health insurance coverage in Massachusetts, including 98% of the state’s population and nearly 100% of children, baseline rates of insurance were high before the law went into effect. In 2007-2008, when the law was just being implemented, uninsured rates in Massachusetts were only 5% at a time when up to 25% of the population of California, another progressive state, was uninsured.

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Czech nursing students.

Czech nursing students. (Photo credit: Wikipedia)

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Optum-Provider Express is pleased to present its latest webinar topic:
DSM-5 and ICD-10: Keeping up with Kaleidoscopic Changes
Optum is aligning the implementation and use of the DSM-5 with the national ICD-10 implementation on October 1, 2014. Registration required for this 1 hour session.
Sessions offered in Dec, Jan and Feb. Space is limited, so register soon. www.providerexpress.com/webinars

ANCC Pharma Contact Hr requirement
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DSM-5 Transition to ICD-10  – FAQ
Diagnostic changes and impact on coding

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