Agenda Comparability Grid Task Template for Half 1 and Half 2
Half 1: Agenda Comparability Grid
Use this Agenda Comparability Grid to doc details about the inhabitants well being/healthcare concern you chose and the presidential agendas. By finishing this grid, you’ll develop a extra in depth understanding of your chosen concern and the way you may place it politically based mostly on the presidential agendas.
You’ll use the data within the Half 1: Agenda Comparability Grid to finish the remaining Half 2 and Half three of your Task.
Establish the Population Health concern you chose.
Describe the Population Health concern you chose.
Administration (President Identify)
Clarify how every of the 2 presidential administrations approached the difficulty.
Establish the allocations of assets that the present and earlier presidents devoted to this concern.
Half 2: Agenda Comparability Grid Assessment
Utilizing the data you recorded in Half 1: Agenda Comparability Grid, full the next to doc details about the inhabitants well being/healthcare concern you chose
Administration
Which administrative company (like HHS, CDC, FDA, OHSA) would probably be accountable for serving to you handle the healthcare concern you chose? Why is that this company probably the most useful?
How do you suppose your chosen healthcare concern may get on the presidential agenda? How does it keep there?
Who would you select to be the entrepreneur/ champion/sponsor (this could be a celeb, a legislator, an company director, or others) of the healthcare concern you chose? An instance is Michael J. Fox a champion for Parkinson’s illness.
Psychological well being
I will likely be discussing the subject of psychological well being and its function on the presidential stage, talk about how totally different presidential administrations addressed it and what I’d have completed in another way. I’ll talk about the Obama, the Trump, and the Biden administrations. Psychological Health Based on the Nationwide Institute of Psychological Health (n.d.), almost one out of each 5 United States adults stay with a psychological sickness. Nevertheless, the typical delay between the onset of signs in these experiencing a psychological well being sickness and receiving therapy and/or counseling is 11 years (NAMI,2021). The difficulty of suicide and psychological well being started its climb up the political ladder within the mid-1990s when a small, lower-level group replicated the United Nation’s tips to encourage a nationwide technique addressing psychological well being (U.S. Dept. of Health and Human Companies, Workplace of the Surgeon Common, Nationwide Motion Alliance for Suicide Prevention, 2012). This effort birthed two Congressional Resolutions that positioned suicide a nationwide drawback and its prevention a nationwide precedence (U.S. Dept. of Health and Human Companies, Workplace of the Surgeon Common, Nationwide Motion Alliance for Suicide Prevention, 2012). Since then, there was an ebb influx within the stage of public consideration or directed nationwide reforms in psychological well being. Nonetheless, progress was by no means halted with new legislative achievements together with acts offering grants to implement suicide prevention, suicide prevention packages for veterans, and the institution of the Nationwide Suicide Prevention Line. Within the following sections, I’ll consider the totally different presidential companies’ methods and development in psychological well being reform, acts, and enhancements.
The Obama Administration
The Obama administration demonstrated main leaps in lots of areas of healthcare reform. In 2010, President Obama positioned the Reasonably priced Care Act into motion. This act required all small-group well being plans beginning January 2014 to cowl ten important well being advantages wherein psychological well being and habit therapy have been included (Norris, 2021). Though the act couldn’t require large-group plans to cowl the ten important well being advantages in the event that they did present psychological well being or habit companies the protection charges needed to be in parity with medical/surgical advantages (Norris, 2021). In December of 2016, the Obama administration signed the 21st Century Cures act into place. This Act not solely supported main psychological well being and substance abuse therapy but in addition recruitment, coaching, and retaining the psychological well being workforce by means of grants for those that practiced psychiatry and/or habit in underserved communities (Levin, 2017). The drive to type and implement these acts is sourced from a famous robust deficit in healthcare protection or reasonably priced healthcare. With the acknowledgment of the low share of healthcare protection within the decrease financial standing, a scarcity of help for psychological well being suppliers, and the seen under-recognized psychological sickness, lobbyists and healthcare reformers have been keen to hunt consideration and seize the open window of a change in administration Simply as John W. Kingdon (2001) describes in his stream analogy when an issue is acknowledged, an answer is acknowledged and the political setting is true, the three metaphorical streams are joined and situations to efficiently push proposals are made. Psychological well being activists efficiently lobbied for their recognized issues and when the Obama administration opened the ‘window’ they have been in a position to set reform into place.
The Trump Administration
With one other change within the political local weather, the Trump administration had its personal reforms in distinction to the Reasonably priced Care Act. The Trump administration sought to repeal the ACA previously put into place. This may retract the safety that the ACA set of equal parity necessities within the small-group and Medicaid well being protection (Nuzum & Abrams, 2020). In doing this, entry to psychological well being companies turned restricted to a big share of the decrease socioeconomic standing inhabitants and the older inhabitants. Though the act was not utterly repealed, adjustments have been made in order that these lined have been affected and the necessities to have protection have been altered. This modification, nevertheless, got here with demand and recognition of lobbyists throughout a time of ‘open window’ on the change of administration. The beginning of a pandemic sparked a unique sort of ‘change’ availability. In response, the Trump administration signed an order that had the potential to extend psychological well being companies to these affected by signs that have been worsened by the worldwide pandemic. This order spawned the Coronavirus Psychological Health Working Group which collaborates with the general public, stakeholders, and companies to Help folks in disaster (Le, 2020). Nevertheless, there was a seen scarcity of psychological well being suppliers which demanded motion and recognition as nicely. In 2021 the Trump administration introduced a 24% improve within the price range for behavioral well being workforce packages (Nuzum & Abrams, 2020). President Trump additionally set an government order laying the pandemic-related psychological well being wants as a nationwide precedence (Nuzum & Abrams, 2020). On this administration’s timeframe, we will instantly see the correlation between recognized issues, proposed options, and the alternatives created by ‘open home windows’ of various sorts (change in administration, the onset of pandemic setting).
The Biden Administration
As soon as once more, in a really distinct political battle, the figurative window for coverage change was opened once more. The Biden administration rapidly positioned an government order that opened a particular enrollment timeframe for residents and reeled again Trump’s constraints on the ACA and Medicaid (NAMI, 2021). The demand for one other healthcare reform impressed expansions of the ACA. This growth was a part of the American Rescue Plan Act (ARPA) which gave $10.7 million to develop pediatric psychological well being entry (Division of Health and Human Companies, 2021). The ARPA additionally gave $2.5 billion to the states to deal with the psychological sickness and habit disaster within the nation, $20 million towards packages for psychological well being professionals and first responders, $20 million to hold out Youth Suicide Prevention Applications, $100 million for psychological well being training grants and way more (Le, 2021).
What Would I Do Otherwise?
In finding out the totally different administrations and the reactions to political and social affect, I used to be each inspired and barely involved in regards to the prolonged and typically politically biased course of reform has to undergo to come back to motion. Though, I perceive totally different platforms of views on social, financial, and most not too long ago pandemic change; the interruption of progress strikes me as anti-progressive. As a healthcare skilled, my very best technique to maintain a circulation of progressing options can be to current my addressed drawback/subject (psychological well being) that was interesting to a number of ‘open window’ situations. Maintaining my psychological well being drawback on the forefront and ensuring my proposed options are sustainable by means of totally different political stances can be my technique to maintain it from faltering in development by means of partisan adjustments. Federal Agenda and Healthcare IssuesHealthcare points turn into political agenda priorities by means of a system of defining issues, discovering options, selling these options to policymakers, and by means of the mechanism of politics, these options turn into insurance policies, legal guidelines, or rules. (Laureate Training, 2018). The timing and readiness of policymakers are crucial to the effectiveness of the presentation of a proposed drawback and answer. Any change in administration, social disaster, or pandemic can signify a change or opening within the federal agenda. When this modification or opening happens, lobbyists and representatives should be fast and able to briefly but successfully current. Simply as DeMarco & Tufts (2014) describe, a coverage transient is a condensed report containing data that may be understood rapidly, present findings and provide suggestions to those that might not be an knowledgeable within the proposed subject. Subsequently, healthcare points turn into federal agenda priorities by means of identification, preparedness, and appropriate timing and alternative of knowledge supplied, and in return, the federal agenda promotes healthcare points by bringing consciousness of the issue to these, not healthcare professionals and looking for an answer to implement by means of coverage, legal guidelines or rules.
References
Division of Health and Human Companies. (2021, August 27). Biden-Harris Administration invests $10.7 million in American rescue plan funds to develop Pediatric Psychological Health Care Entry. HHS.gov. https://www.hhs.gov/about/information/2021/08/27/biden-harris-admin-invests-nearly-11-million-for-pediatric-mental-health-access.html
DeMarco, R., & Tufts, Ok. A. (2014). The mechanics of writing a coverage transient. Nursing Outlook,62(three), 219-224. DOI: 10.1016/j.outlook.2014.04.002
Kingdon, J.W. (2001). A mannequin of agenda-setting with the applying. Legislation Assessment M.S.U.-D.C.L., 2(331)
Laureate Training (Producer). (2018). The Policy Course of [Video file]. Baltimore, MD: Writer.
Le, D. (2021, March 12). President Biden Indicators American Rescue Plan Into Legislation. American Counseling Affiliation. https://www.counseling.org/information/updates/2021/03/12/president-biden-signs-american-rescue-plan-into-law.
Le, D. (2020, October 6). Newest information from ACA. American Counseling Affiliation. https://www.counseling.org/information/updates/2020/10/06/president-trump-issues-executive-order-on-behavioral-health.
Levin, A. (2016). Obama indicators landmark laws with main psychological well being provisions. Psychiatric Information, 52(1), 1-1. https://doi.org/10.1176/appi.pn.2017.1a10
Nationwide Alliance on Psychological Sickness (2021) Psychological well being by the numbers. NAMI. https://www.nami.org/mhstats.Nationwide Alliance on Psychological Sickness. (2021, January 28).
NAMI Applauds President Biden’s Efforts to Strengthen Entry to High quality, Reasonably priced Health Care [Press release]. https://www.nami.org/Press-Media/Press-Releases/2021/NAMI-Applauds-President-Biden-s-Efforts-to-High quality-Reasonably priced-Health-CareNational Institute of Psychological Health (n.d.). Psychological Sickness.
Nationwide Institute of Psychological Health. https://www.nimh.nih.gov/well being/statistics/mental-illness.
Norris, L. (2021, March 30). How Obamacare improved psychological well being protection. medical health insurance.org.https://www.healthinsurance.org/obamacare/how-obamacare-improved-mental-health-coverage/
Nuzum, R., & Abrams, M. (2020, October 14). Health care within the 2020 presidential election: Psychological well being and substance use problems. Commonwealth Fund. https://www.commonwealthfund.org/weblog/2020/health-care-2020-presidential-election-mental-health-and-substance-use-disorders.
U.S. Dept. of Health and Human Companies, Workplace of the Surgeon Common, Nationwide Motion Alliance for Suicide Prevention. (2012). 2012 Nationwide Technique for Suicide Prevention: Targets and Goals For Motion: A Report of the U.S. surgeon normal and of the Nationwide Motion Alliance for Suicide Prevention.v
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Policy and Advocacy for Improving Population Health
NURS 6050
Half 1: Agenda Comparability Grid
Establish the Population Health concern you chose.
Psychological well being
Describe the Population Health concern you chose and the components that contribute to it. Nationwide Institute of Psychological Health point out that no less than one out of 5 American adults stay with psychological well being issues. Nevertheless, the typical interval between onset of symptom and therapy is 11 years (NAMI,2021). Psychological well being and suicide points began to climb in 1990s. United Nation’s tips inspired nations to develop methods to deal with psychological well being (U.S. Dept. of Health and Human Companies, Workplace of the Surgeon Common, Nationwide Motion Alliance for Suicide Prevention, 2012). Congressional resolutions a nationwide drawback and its prevention a nationwide precedence. Since then, nationwide reforms have been made to counter psychological well being.
Administration (President Identify) President Biden President Trump President Obama
Describe the executive agenda focus associated to this concern for the present and two earlier presidents.
President Biden gave an government order to eradicate the constraints positioned by the previous administration on ACA and Medicaid (Division of Health and Human Companies, 2021).
President Trump made makes an attempt to change and repeal the ACA, an act that might have an effect on healthcare supply to hundreds of thousands of low-income communities. Though the act was not accomplished, its alteration affected supply of psychological healthcare to low-income communities. In 2021, Trump introduced a 24 p.c improve in funding for the habits workforce packages. Trump gave an government order indicating psychological well being want is a nationwide precedence (Yan et al., 2021).
In 2012, Obama positioned the Reasonably priced Care Act into motion to cater for well being points resembling psychological well being. In 2016, Obama signed 21st Century Cures act to make sure psychological healthcare employees have been receiving acceptable funding, coaching, and recruitment. Obama administration inspired reforms to reinforce psychological healthcare supply (Levin, 2016).
Establish the allocations of monetary and different assets that the present and two earlier presidents devoted to this concern.
The administration by means of American Rescue Plan Act (ARPA) gave an additional $10.7 million to develop pediatric psychological well being entry. ARPA gave $2.5 billion to counter psychological well being points and habit. The quantity was subdivided into $20 million in the direction of psychological well being and $20 million in the direction of Youth Suicide Prevention Applications and $100 million for training grants on psychological well being points (Division of Health and Human Companies, 2021).
President Trump allotted $15 million for a brand new Assertive Neighborhood Remedy. $425 million in emergency funds and $175 billion grant program and different healthcare entities (Yan et al., 2021).
President Obama allotted $500 for psychological well being. Obama elevated Nationwide Institute of Psychological Health (NIMH) price range by $56 from $1.434 billion to $1.489 billion to facilitate psychological well being analysis. $482.5 million for the Psychological Health Companies Block Grant and $7.5 billion for psychological well being care for veteran affairs (Levin, 2016).
Clarify how every of the presidential administrations approached the difficulty.
President Biden approached the difficulty proactively growing funding, eliminating boundaries, and selling wider protection (Division of Health and Human Companies, 2021).
President Trump made an try to repeal ACA, a problem which created boundaries to entry to psychological healthcare (Yan et al., 2021).
President Obama was efficient in dealing with the difficulty by growing protection amongst low-income communities (Levin, 2016).
Half 2: Agenda Comparability Grid Assessment
Utilizing the data you recorded in Half 1: Agenda Comparability Grid, full the next to doc details about the inhabitants well being/healthcare concern your chosen
Administration (President Identify) President Trump President Obama President Bush
Which administrative company would probably be accountable for serving to you handle the healthcare concern you chose?
The Heart for Illness Management and Prevention and Nationwide Institute of Health are the perfect positioned to deal with the issue. Nationwide Company for Meals and Drug Administration and Management (NAFDAC), Nationwide Health Insurance coverage Scheme (NHIS), and CDC.
Division of Health and Human Companies, The Heart for Illness Management and Prevention, and Nationwide Company for Meals and Drug Administration and Management.
How do you suppose your chosen healthcare concern may get on the agenda for the present and two earlier presidents? How does it keep there?
The psychological well being concern can get into the agenda of the present president because it has been declared Congress as a nationwide drawback that require nationwide precedence. Publish-Covid-19 period presents numerous well being points regarding psychological issues.
The Trump administrative gave an government order to counter the rising instances of psychological well being points in 2021 throughout the pandemic.
Psychological well being concern was a precedence for the Obama administrative since he was involved in regards to the psychological well being points affecting the low-income communities.
Who would you select to be the entrepreneur/ champion/sponsor of the healthcare concern you chose for the present and two earlier presidents?
I’d select the Invoice Clinton Basis and NBC’s Dr. John Torres
I’d select the Invoice Clinton Basis and NBC’s Dr. John Torres
I’d select the Invoice Clinton Basis and NBC’s Dr. John Torres
References
Division of Health and Human Companies. (2021, August 27). Biden-Harris Administration invests $10.7 million in American rescue plan funds to develop Pediatric Psychological Health Care Entry. HHS.gov. https://www.hhs.gov/about/information/2021/08/27/biden-harris-admin-invests-nearly-11-million-for-pediatric-mental-health-access.html
Yan, B. W., Hsia, R. Y., Yeung, V., & Sloan, F. A. (2021). Adjustments in psychological well being following the 2016 presidential election. Journal of normal inner medication, 36(1), 170-177.
Laureate Training (Producer). (2018). The Policy Course of [Video file]. Baltimore, MD: Writer.
Levin, A. (2016). Obama indicators landmark laws with main psychological well being provisions. Psychiatric Information, 52(1), 1-1. https://doi.org/10.1176/appi.pn.2017.1a10
NAMI Applauds President Biden’s Efforts to Strengthen Entry to High quality, Reasonably priced Health Care [Press release]. https://www.nami.org/Press-Media/Press-Releases/2021/NAMI-Applauds-President-Biden-s-Efforts-to-High quality-Reasonably priced-Health-CareNational
Institute of Psychological Health (n.d.). Psychological Sickness
Nationwide Institute of Psychological Health. https://www.nimh.nih.gov/well being/statistics/mental-illness.
References
