The Mental Illness Crisis:

Mental illness problems generally do not go away and if they are not treated they get worse. We are not spending money on PREVENTING chronic mental illness.

The Problem:

  • Lack of proper funding has caused cost shifting by local, state, and federal governments. This lack of funding has in turn created disjointed, uncoordinated care.
  • Follow-up care is minimal and uncoordinated which causes relapse and re- admission (the revolving door effect).
  • Complete patient records do not follow the person who suffers from mental illness.

The MIRFA Solution:

50% of MIRFA donations will help to fund a future model hospital & treatment program dedicated solely to the treatment of persistent mental disease, 50% of the funds will be granted to institutes pursuing aggressive research to help find a CURE for persistent mental disease! All activities of this organization are designed to increase the public understanding of the devastating effects of mental disease on the individual and the family....

What we propose...

  • Cutting the Ties of State Funding - A location that offers a single point of service and contact therefore, single responsibility funding; this will prevent cost shifting thereby keeping the focus and decisions on what is BEST for the mentally ill person. (CHARITABLE when insurance runs out)
  • Providing an Environment of Best Practice - Properly trained staff: psychiatrists, advanced practice nurses, nurse practitioners, social workers, secretaries, etc...
  • Creating Continuity into the Community - Complete follow-up care programs: continuity yet flexibility is required so we can shape the services to meet the needs of the person suffering from mental illness.
  • Developing Oversight and Accountability - responsibility for funds and delivery of services. (Accountability for results-treatment outcomes should be measured and monitored)

Why it will work...

Single responsibility funding combined with accountability and prioritization of services can fundamentally alter and markedly improve services of persons with psychiatric illnesses.

Decisions on where to stabilize would be based on where the person would get the best care.

Without bureaucratic limitations, psychiatric hospitals/treatment facilities would change markedly with a shift toward crisis intervention in the community. (Use daily visits by public health nurses etc...and guaranteed medication compliance) Further examples:

  • Psychiatric nurses on 24 hour call
  • Antipsychotic medications available
  • Psychiatrists, advanced practice nurses, nurse practitioners, make home visits
  • Community residences with 24 hour nursing coverage
  • Continuous treatment teams-Actively seek out patients for follow up care
  • Social and educational activities

Continuity of Care is vital because of the complexity of their illnesses and because patients find it difficult to relate to an ever-changing panoply of case managers and other mental health professionals (low wages cause fast turn-over rates and the rent-a-doc syndrome).

Outcomes measured must be both subjective (quality of life point of view of the patient) and objective (from the interviewer, family, community).

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