Last Updated 02 Jan 2021

Principles for Systems of Managed Care in Accordance with IOM recommendations

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The United States Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Care (CMHC) set the first step in attaining and transforming mental health care in the United States. The federal action agenda is the first step in addressing such issues and challenges confronting the mental health care in the state. The Principles for Systems of Managed Care emphasizes on building a system that is evidence-based, recovery focused, and consumer and family driven.

Reforms is insufficient to use in order to improve the current mental health care system, the commission carefully chose the word ‘transformation’ to drastically reach its visions and objectives (SAMHSA, 2008). The principles point out the main objective of the healthcare focusing on individual level, community level, policies, mental health researches and the principle of federalism. The Federal Action Agenda focuses its action base on these five principles of the executive order.

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Principles are as follows: (attaining each individual's maximum level of employment, self-care, interpersonal relationships, and community participation is one of the main focuses in order to extract the desired outcomes of mental health care; focus on community-level models of care that effectively coordinate the multiple health and human service providers and public and private payers involved in mental health treatment and delivery of services;  focus on those policies that maximize the utility of existing resources by increasing cost-effectiveness and reducing unnecessary and burdensome regulatory barriers;  consider how mental health research findings can be used most effectively to influence the delivery of services; and, ollow the principles of Federalism, and ensure that [the Commission's] recommendations promote innovation, flexibility, and accountability at all levels of government and respect the constitutional role of the States and Indian tribes. Are they in accordance with the IOM recommendations for redesigning the healthcare system that we have been discussing throughout the session? Please explain. These agenda fits the call of the Institute of Medicine (IOM) recommendations for redesigning the healthcare system.

IOM as established in 1970 under the charter of the National Academy of Sciences, the Institute of Medicine provides independent, objective, evidence-based advice to policymakers, health professionals, the private sector, and the public. As the IOM serves as an adviser to the state to improve health situation, it sets standards and suggestions in redesigning the health care system in order to improve the present condition of the nation’s healthcare system. IOM recommends focus on the individual level of recovery of the mental health patients; transform services to community level, policies supporting the improvement of the services and most importantly is the health researches that will further develop the health care practices. The agenda set by SAMHSA Center for Mental Health Services (CMHS) is in accordance to the IOM recommendations in redesigning the health care system in order to advances.

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