Mental Health and Substance Abuse

CSG Midwest
A quiet health care revolution is under way as Midwestern states revamp their delivery of mental health services with an increasing focus on behavioral health, which integrates mental health and substance abuse treatments, and an expansion of mental health services to children.
CSG South

This SLC Regional Resource raises policy considerations and highlights the connections between the ongoing opioid crisis and the national shortage of organs for transplantation. In addition, this report looks at the history and process of organ donation and transplants; actions taken at the state and federal level to facilitate organ donation; and how the national opioid crisis is affecting transplant rates.

In April, the federal government released $485 million in grants to states to combat the opioid crisis. The amounts of the grants, the same in both 2017 and this year, vary from $2million to states with less population to $44.7 million dollars to California.

CSG Midwest
By next year, school districts across Iowa must begin to provide at least an hour of annual training on suicide prevention and “postvention” — the coordinated school response following a student’s suicide — for all licensed personnel who have regular contact with students.

Ten emergency departments in Colorado volunteered to participate in a Colorado Hospital Association project to reduce the use of opioids over a six-month period in 2017. Data collected upon completion of the project showed a 36 percent reduction in opioid use, far exceeding the project goal of a 15 percent reduction. All ten hospital emergency departments posted opioid prescription rates beat the 15 percent reduction goal.

Human Rights Watch, a nonprofit, nongovernmental human rights organization, released a report earlier this year that claims some nursing homes are overprescribing antipsychotic drugs to manage the behavior of dementia patients even though antipsychotic drugs are...

Read about top health issues facing states in 2018. Medicaid expenditures are 30 percent of states general fund budgets and states are looking for ways to cut costs. The opioid epidemic shows no signs of letting up, increasing the need for treatment, harm reduction programs and prevention. Questions of how to provide health service to the growing aging population and rural populations are top-of-mind in many states. Finally, state policymakers are beginning to look at the social determinants of health, searching for strategies that are more preventive in nature.

CSG Midwest
Seeking to make greater use of their states’ prescription drug monitoring programs and to prevent opioid abuse, Illinois and Michigan lawmakers have established new requirements for prescribers. These measures were signed into law in December.

Three speakers addressed ways states are both reacting to federal efforts and leading the charge to create sound health policy in the areas of Medicaid and health insurance as well as opioid treatment. The Committee approved two policy resolutions and released CSG's 50-state survey diabetes spending.

CSG Midwest
Four years ago, Northwestern University Medicine researchers completed the largest-scale study to date of depression among postpartum women. The findings were surprising to some (including the researchers), and disturbing to most everyone: 14 percent of women in the study screened positive for depression, a condition among new mothers that often isn’t treated or even screened in today’s U.S. health care system.
“It’s the No. 1 complication of pregnancy,” says Jamie Zahlaway Belsito, advocacy chair for the National Coalition for Maternal Mental Health.
And without effective intervention, she adds, depression during pregnancy and among new mothers can negatively impact birth outcomes, child development, and a woman’s own long-term health.
More federal resources for states to help with this public health problem will soon be on the way.
Under the U.S. 21st Century Cures Act, signed into law in late 2016, federal grants will be awarded to states to develop or strengthen programs that improve the availability of maternal depression screening and treatment. Funding priority will be given to states that propose “to improve or enhance access to screening services … in primary care settings.”
As of late October, it was not yet known exactly how much money would be appropriated for this new competitive federal grant program. According to Belsito, it most likely will be between $1 million and $5 million annually over the next five years.

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