Child Mental Health

If you would like to work as a mental health nurse (RMN) in the UK you will need to register with the Nursing and Midwifery Council (NMC) under Part 1 and 3 of the Register.
RMNs can work across the complete range of mental illnesses. They work to prevent mental illness as well as manage mental and physical disorders. RMNs work as part of a team including GP, psychiatrists, social workers and other health professionals. They can also work with patients in their own private homes and residential units
Mental Health positions can be accessed through various UK jobsites. Due to the chronic shortage of nurses in the UK employers are proactively widening their recruitment nets abroad to try and cover their vacancies. This is seen by many foreign nurses as a great opportunity to work in the NHS and experience life in the United Kingdom.
Healthcare agencies provide facilities such as a CV creator service and instant forwarding services. Agency websites also provide information on events, conferences and exhibitions related to mental health nursing jobs in the UK. The role demands lots of dedication and care, so you need to discuss the job profile with your future employers in advance of accepting a position.
Jobs in mental health nursing deals with the following cares:
Addictions Psychiatry
Child and Adolescent Care
Emergency/Crisis Intervention
General Psychiatry
Geriatrics Psychiatry
Neuropsychiatry Care
HM prisons
We can sum up the responsibilities of mental health nurses under the following points:
Reassuring patients about their treatments
Systematic care and medication
Attend to patients and discuss their needs and concerns
Winning the confidence of patients
Counselling
Coordination with other health professionals
Motivating patients to take part in art, drama or occupational therapy
Organizing social events
Maintaining patient records
Developing care plans and risk assessments
Summary : Registered Mental Health Nurses work across a wide range of Mental Health areas. Many nurses will specialise in certain areas building up their expertise in a variety of Environments. Recruitment agencies can play an important part in this by providing the link between nurse and employer


Pilates Exercises

Breathing:

Although simple – If you breath correctly, you will find it easy to relax and provide adequete oxygene to your muscles. You will notice the difference when you breathe correctly as it will enhance your overall experience. Breathing is a major part of all pilates exercises. You simply breathe in through your nose for a count of five, and out through your mouth for a count of 5, with a shushing sound. Make the breaths into short, rhythmic bursts – in,in,in,in,in and shush,shush,shush,shush,shush. Never rush your breathing and don’t go overboard to the point that you feel light headed and fall over.

Toe Lifts:

This will help you with core balance. Core balance works in harmony with the alignment of your feet supporting your whole body. You will be amazed at how much strength your toes possess to balance your body. This movement strengthens the muscles on the top of your feet and increases the blood flow into your toes. Poor circulation to your feet can lead to stiff muscles and problems that affect the rest of your body.

This is a very simple exercise designed to improve circulation and enhance your awareness of balance.

Start standing with your feet together inlign with your body. Hold your head straight and keep your arms rested at your sides. Start simply by raising your right foot toes slowly up as far as they will go and then back down again. Do this a couple of times alternating feet.

Then lift up the toes of both feet at the same time pressing the metatarsal bones at the base of your toes strongly and evenly into the floor.

** Remember – Do not roll your feet inward or outward while performing the exercise. And do not lean back as you lift **

You should be breathing in as you lift, and breathing out as you lower your toes. Try closing your eyes as you exhale and lower your toes. Keep your eyes closed for five repetitions and you will notice an improvement in your sense of balance.

Finger Flicks:

This exercise improves the circulation in your arms and hands. The increased blood flow into the fingertips helps to flush out toxins and reduce arthritis or stiffness in the joints. It’s also a good forearm workout and is excellent for relieving aching elbows.

Start standing with your feet together inlign with your body. Hold your hands down in front of you below your waist and make loose fists by rolling up your fingers with your thumb on top. In this exercise your arms should always be fully extended as they move in a circular motion into six main positions.

1. Down and in front. Hands facing inwards.

2. Raised to shoulder height and in front. Hands facing inward

3. Stretched straight up. Hands facing inward.

4. Stretched out to the sides. Hands facing upwards.

5. Lowered to 45 degrees. Hands facing down.

6. Lowered to sides. Hands facing inward.

The idea is to strongly flick your fingers open continually throughout all the positions. Do eight flicks while you stand in position 1 and four flicks as you move to position

2. Do eight flicks while standing in position 2 and four flicks as you move into position

3. Continue this pattern.

** Remember – Keep your wrists still and your arms straight **

The Hundred:

This is a classic pilates exercise so named because it takes a count of 100 to complete. This exercise strengthens core abdominal muscles and expands the chest and ribcage.

This is a floor or mat exercise. It involves raising your legs to vertical and waving or pulsing your arms up and down in small motions.

1. Start by lying on the floor with knees bent as if you were doing sit-ups and have your arms resting palm down at your side.

2. Squeeze your abdominal muscles so that your head, neck, and shoulders raise off the floor. Keep your abdominals squeezed tight throughout the whole exercise. Stretch your arms forward toward your toes and start pulsing them up and down a distance of about 15cm. Stay is this position for a count of 20.

3. Slowly lift your legs to a 90 degree angle with your body. Continue the pumping for a further count of 20.

4. Slowly extend your legs straight up to the ceiling and keep pumping for 20 counts.

5. Begin to lower your legs at a 45 degree diagonal to your torso and keep pumping for 20 counts.

6. Keep your legs straight and lower them as close to the ground as possible without lifting your spine off the floor and keep pumping for 20 counts.

7. Lower your head to the floor. Release your arms, bend your knees, and place your feet back on the floor.

Roll-up to Diamond:

This exercise works your abdominals and improves ease of your spine. This is a floor or mat exercise and involves rolling up your upper body while extending your arms.

1. Lie with your legs in the diamond position. Keep your back flat on the floor and rest your arms on the floor above your head. The diamond position is when you point your toes and bring your legs into a diamond shape with your knees out to the sides.

2. Lift your arms toward the ceiling and slowly start rolling or peeling your upper body off the floor from your head down.

3. Keep peeling and extend your legs forward while keeping your toes pointed.

4. Stretch your arms and torso forward over your legs creating a C shape with your body. Keep your abdominal muscles tight and hold your arms directly around your ears.

5. Begin to roll back down to the floor pulling your legs back into the diamond position. Your arms should start to point to the ceiling again.

6. Finish in the starting position with your spine flat on the floor, your hands resting above your head and your legs in the diamond position.

** Remember – Keep the movement fluid and constant. Work with your abdominal muscles. Don’t straighten your spine while rolling. If you feel any stress or discomfort, hold on to your thighs until you are stronger. **

For more pilates exercises check out http://www. pilates-class. com

Activities For Mental Health Patients

Medical billing services encompass a variety of activities, the main purpose of which is the complete processing of bills and the filing of claims with insurance companies, so that the clients of such medical billers, i.e. physicians, be paid the appropriate amount in due time. The typical medical billing services are provided independently of clinics and hospitals. Nowadays, medical billing is carried out with the help of medical billing software. The clients’ billing data is input and sent to insurers, whilst adhering to the current laws and regulations. The services provided by medical billers also include providing answers to the questions and concerns of both insurance companies and patients, as well as following up overdue payments, should the case be such. Aside from the advantages that derive from the type of services mentioned above, medical billing services can be used to assess the profitability of certain insurance contracts. Medical billers can generate reports for private practices and perform cash flow analysis.

As has been said before, medical billing encompasses many activities and covers all the fields of activity within the health care industry. Mental health billing services are available from a series of medical billing providers. Or if you choose to do your mental health billing yourself, you can opt for one of the recommended technology solutions, which have been specifically designed for mental health professionals. In fact, your mental health billing needs can be met in a variety of ways. You can resort to a mental health billing service to take this matter completely off your hands, or you can have professional mental health biller remotely log into your computer and use your already-existing mental health billing software.

Mental health billing services and mental health billing software represent the best and most effective way to get billing done professionally. The most notable advantages that derive from using a professional mental health billing service or appropriate mental health billing software are cost reductions, time effectiveness, less paperwork, an increased number of clients, a reduced number of missed appointments, as well as opportunity to keep your client database.

An experienced mental health biller will play an important part in your health care team. He or she interacts with insurance companies and stays up to date with absolutely everything that concerns regulations and procedures. An experienced mental health biller processes claims quickly and thoroughly, which translates into reduced costs and less time spent on doing your medical bills. Mental health billing, much like any other type of medical billing, requires in-depth knowledge and time to handle claims, which your staff may not have. Conversely, experienced mental health billing service providers have combined skills of bookkeeping, interpersonal communication, basic medical knowledge, as well as office and computer skills, which are essential in running an efficient practice.

Mental health billing services are available from various providers. It is your responsibility to choose the best and most efficient mental health billing service that’ll contribute significantly to the smooth running of your practice. Some services include billing professionals working at home and telecommuting bills, using an already-existing database or one that your mental health billing provider sets up especially for your practice.


Exercises To Reduce Hips

If fat begins to accumulate in your body the first place it will hit is the mid region. As you gorge on fast food like chips, burgers and ice cream you will find fat accumulating around your hips. People who have a wider pelvis will find that fat accumulates faster in the hips for them. Exercise for the hips becomes essential to help reduce fat around the hips. It pays to perform exercises that help build up strength around your hips while doing the hip slimming exercises.

Exercising and strengthening the hip is important as it helps to keep the body in good shape. There are many hip strengthening exercises that work on different parts of the hip. For strengthening the muscles around the hip you can do the straight leg raise exercises. The straight leg raise exercise helps to make the hip muscles strong. Doing this exercise will help bending the hip easier.

The back kick also increases strength while providing easy backward mobility. Everyone knows the side kick exercise while works on the sideways mobility of the hip. To increase flexibility of the hips perform standing knee raises.
All these hip strengthening exercises are simple and easy to perform and can be done in the comfort of your home. Performing these exercises everyday will ensure that your hips become strong in no time. Your hips will be more flexible and movement of the hips in various directions would be easy. Work on these hip exercises and see the difference!


Wrist Exercises

Happen to be concerned about the strength of your forearms, wrists or hands? Why? Our hands seem to do many things they need to. It is when they are hurt or when there’s a new and tougher demand on them that we stop taking them for granted. Even though we move them the entire day, almost never is strength needed. Most all the things they have to perform are designed to need very little dexterity or strength. Typing on keyboards and pushing remotes just are not a major strain.

Less and less do folks need hand strength for day to day tasks. Youngsters don’t use hand tools much anymore. The mechanical screwdrivers and hammers that we used in the past are all power tools now, only requiring us to hold them in place instead of using our muscles to power them.

And so today about the only exercise for hands, wrists and forearms comes from sports. Whether it’s hitting a tennis ball or throwing a football, it’s just as good a time no matter how strong the grip. But performance would improve with stronger forearms or grip. Better hitting and throwing, and stronger gripping would result. Our practices and exercises would bring greater results because stronger hands and forearms would allow handling heavier weights or performing faster practice drills.

A lagging forearm causes us not to apply as much power when we throw, grab or hit. Despite having strong arms and shoulders, a weak wrist does not transmit the force to the ball because it gives way. If we correct this weakness, we can perform better.

If the supporting tissue is too weak, the joint of the wrist is more easily injured. The wrist ligaments must be made stronger to support the joint when forces are applied to the joint. If the force comes from an attempt to smack a baseball harder, or wrist being hit or twisted while pulling an opponent, the wrist ligaments must be strong to prevent an injury to the joint. An injured wrist really curtails our ability to do everyday tasks.

If the forearm and wrist are strengthened, strength of the hand will improve. Some specific exercises for the little muscles in the hand might be useful, but the greatest amount of grip strength results from the forearm musculature. Forearm work might be done with common equipment. Regular dumbbells and barbells work fine, and any slight modifications to the standard equipment can make for even more stimulating hand, wrist and forearm exercises.

Wrist strength through forearm exercises protects the wrist, making injury less likely. Wrist strengthening developed through wrist exercises gives the hand enhanced grip strength for extra power in sports and everyday activities. Forearm exercises don’t need expensive equipment or fitness clubs, but might be done with simple forearm equipment. If we specifically do forearm exercises, we make it not likely we’ll injure the wrist, and, and as we age, make it more likely we’ll be capable to perform normal everyday tasks for ourselves. For more information, see http://www.forearm-exercises.org/forearm-exercises/forearm-exercises-for-forearm-strength-how-to-begin


Most Popular Religions

India is a secular country and is dominated by people who follow different religions and adopt variable beliefs and customs. The country has a vast diversity in cultural beliefs and customs due to travelers, immigrants, traders and invaders who visited from all across the globe. The Indian religions that originated in here are broadly categorized into four types, namely, Hinduism, Buddhism, Jainism and Sikhism. Though people of other religions such as Islam, Christianity, Jewish and Zoroastrians also form a part of the population, but they are very thinly populated as compared to Hindus which account for nearly 80% of the population. Hinduism is around 5000 years old and is supposed to amongst the most ancient religions of the world. The Indian religion regards life as a continual cycle of birth, life and re-birth and are linked by a belief in karma.

The diversity in the religion can be linked to a multitude of pilgrimage destinations located all across the country. The major pilgrimage places in India are the Holy shrine of Mata Vaishno Devi, Holy cave of baba Amarnath, the land of Sikh gurus Punjab, the Jagannath Dham in Puri, the abode of Sai Baba in Puttaparti and Shirdi and the Arokkiya Madha Church in Velankanni. In Hinduism, pilgrimage has a lot of significance and all sacred site is noted for its set of advantages. People also visit temples to offer prayers to different gods and goddesses in their own special ways.

There are various temples in India, as religion plays an important part in the lives of people here. The major ones being, the Konark Sun temple in Orissa, Thanjavur temple in South India, Somnath temple in Gujarat and the Golden temple in Amritsar. The Sun temple is in the shape of a huge chariot drawn by seven spirited horses and depicts the art and architecture of Kalinga era. The other places of worship here are mosques, churches and gurudwaras. The Indian temples in South India have Dravidian architecture characterized by pyramid shaped temples with intricately carved stones.

The followers of all the religions practice different rituals for occasions such as birth, marriage and death. These rites show great differences among regions, villages and individuals though purification ideally with water from the Holy Ganges is a common for all religious acts. All the Indian rituals are performed to please the gods and goddesses and generally take place at dawn or dusk. Some strange rituals are also practiced by people which are more superstitions that an act of religion such as, walking barefoot on burning hot firewood, men lifted off the ground by piercing sharp hooks, bullfighting and self-flagellation. Tongue cutting was followed by some tribes in front of god as a means of punishment.

The Indian culture is characterized by humanity, tolerance, unity and secularism, therefore people of different caste and creed stay here as a closely knit social system. The people across the country are free to share their thoughts despite their religious affinity towards a specific religion. The Indians are noted for their humbleness, open-mindedness and spiritual inclination across the globe.


Mental Health Systems

Mental disorders that are noticed during childhood or a person’s adolescence are mostly seen to last in that person even after the person has turned into an adult. Researches say that mental syndromes developed during childhood seem to affect the person’s attitude and lifestyle harmfully in the later stages of his life. This includes physical ailments like asthma or allergies, persistent pain, headaches or migraine, epilepsy and even heart disorders.

In any children vision and hearing problems have also been noticed who have underdone any sort of mental health disorders. Among the adolescent range these mental disorders have been found in the range of depression, substance and anxiety disorders, or personality syndromes in the categories of paranoia or schizophrenia. Children who have been subjected to stress at earlier ages have been seen to show the symptoms of this condition.

Although parents might not be able to understand the reasons behind their children’s stress, there are a lot of ways in which a child can be subjected to stress. Most of the stress is observed in children from external agents like friends, school and family. But it may even include serious issues like child abuse, or discrimination or may be, even self generated stress. This stress or anxiety can even be observed in kids as old as two years to kids who are in the pre-school level leaving their parents for the sake of their education.

In recent years, there have been several studies and researches regarding mental health issues in which people with health disorders in their childhood had been compared with people who were in good mental health. The research was based on the questioning of the volunteering participants, in which they were asked questions about their lifestyle, their physical and psychological heath condition, their relationships and about their everyday home and office chores. The research results have shown that the participants that had past records of ill-health were in worse physical health in their adulthoods compared to the ones who had not gone through any of the mental health disorders.

The ones with mental disorders were also investigated to have had relationship problems and personality disorders in their adulthood in greater number of occasions than the ones that have not undergone these syndromes. Some of the reported problems that the adults with health disorders faced were poor psychological conditions together with problems with their communities and insecurity of their lives and homes. These patients have been observed to suffer more in all the aspects of their lives than the ones who were mentally healthy. With the improvement in technology and medicine together with the growing concern of people towards teen mental disorders, we can rescue the future or our present world by treating these adolescents at early stages by recognising the symptoms and the signs.

With early diagnosis and good care, these children can overcome these mind barriers and start living their lives happily, being fruitful to the society and themselves.


Belly Exercises

Men and women with all sizes of waists constantly search the web for the magic to get rid of stubborn belly fat. Fitness forums are bombarded with the questions and the replies. The answer most often given is to get a particular ab exercise routine or apparatus and burn it off. Unfortunately, the magic routine or apparatus often recommended more often than not simply doesn’t work.

If any of the magic really worked, why would so many people still be in search of the elusive elixir? Let’s face it, the models you see posing attractively while using the equipment and demonstrating the routine did not get those six-pack abs and sculpted bodies from using the equipment. The models were chosen because they already had six-pack abs.

So how do you get those ripped stomachs? For sure it is not from abs workouts alone. Even if exercise by itself was enough, the exercises most people are looking for are not the right types to help lose that stubborn belly fat. Besides which, there simply is no combination of abs exercises or complete workouts that will melt off that belly fat.

Ab workouts do strengthen and build muscle tissue. They are just not designed to burn fat. The purpose of abs routines is to tone and strengthen the abdominal muscles. The abs are already there under the fat but if you want to see them you need to work on getting a full body workout. This increases the metabolic rate and increases the fat burning likely of your system.

Many authorities stress cardio routines to gain this, but again, cardio alone is not the answer. What it takes is a complete, rounded program that works all of your lean muscle tissue with resistance training and multi-joint high intensity exercises.

The real magic to burning that extra belly fat covering the abdominals is consistent full body, high intensity routines combined with a healthy, nutrient rich balanced diet. Ab workouts by themselves even if they include specific ab exercises like crunches and leg raises will never make you lose your belly fat.

In spite of this, the majority of people trying to lose their gut still continue with their daily ab workouts using hundreds of reps. And the internet is full of people still handing out this bogus advice in fitness forums. But it does not work! The “experts” did not get six-pack abs that way and neither will you.

I am not saying that you should ignore ab routines. Abdominal exercises are important. You need them to strengthen and tone the abdominal muscles and they are a major aid to your back. But you need to mix them into a complete exercise routine to enjoy their full benefit. The fact is that abdominal exercises are not structured to melt the fat and they never will.

The most important factors for weight loss in general and belly fat loss in particular are a full body resistance workouts and a healthy, balanced diet. Full body exercises will also work the abs and core muscles and melt the belly fat so you can see that six-pack of abs that you already have buried in there.


What Exercise Burns The Most Calories

Just existing burns calories. Every hour of the day we need energy, regardless of how much we use. That’s a fact everyone is pretty much aware of. What is lesser known, however, is that your resting metabolic rate is determined by the amount of your body muscle. The smallest increase in your muscle mass will raise your resting metabolic rate, which means you burn more calories throughout the day.

Lifting weights at the gym for two or three hours a day is not necessary to benefit from a higher metabolism. My day doesn’t have that kind of extra time in it – yours probably doesn’t either.

Would you like to lose a few pounds? If you would also like to increase your amount of muscle, a slow start is always best with simple exercises like squats and push-ups. Do five of each exercise daily. Do these exercises at home and you don’t have to spend money on gas or a gym membership. If you need to do more than just simple exercises, does that mean you need to buy a set of weights? Although it may sound silly, a pair of rocks will do the trick, even if they only weight three or four pounds each.

The fastest way to gain more muscle is to keep your body rebuilding and repairing muscle. Does that mean working everything: back, chest, shoulders, biceps, triceps, forearms, quads, glutes, calves, hamstrings, and abdominals? It sure does. Do you need to kill yourself to accomplish this by lifting weights at the gym every day? Of course not. It bears repeating: push-ups and squats. You will exercise every muscle in your body with just those two moves (if you have time to concentrate on exercising individual muscles, then all the better).

So how do you find out what kind of diet works best for you? To start, analyze how many calories you eat every day. Make sure it is the proper amount for your current body weight. Next, take note of how you feel emotionally and physically thirty minutes after you have eaten. Feel drained, like you just need to crash? Or do you feel an increased amount of energy? You probably know the answer already because your body is not shy about telling you how it feels after you consume a meal.

Adequate water consumption, light exercise, and a diet that leaves you feeling alive and energetic are the fundamentals of losing weight. If you successfully incorporate all three of the above, you will be well on your way to living a healthier lifestyle, and effortlessly losing weight!

Today’s sedentary lifestyle leads to weight gain. That’s inarguable. However, how to lose the weight is the topic of many a discussion.

The transformation of stored fat into energy is one of the liver’s vital functions. Your liver should always be functioning at its optimum for that important reason. Assisting dehydrated kidneys with their performance is another job of the liver. Drink more water to keep your liver focused on converting fat to energy! A critical need in maintaining a healthy body is water consumption. Drink less dehydrating beverages because – bottom line – your body needs plenty of water.

Nevertheless, don’t ignore the last important feature of weight loss or weight gain: your diet. Consume a double cheeseburger, large fries, and a regular sugar-laden soda three times a day, and it’s going to be hard to get rid of the weight no matter what you do.

While there is a vast array of opinions as to what diet works best (all fruit, pure meat, all carbs, low fat, etc.), everyone can have a different reaction to several kinds of food. Essentially, we’re not equal when it comes to how our body metabolizes food. What’s good for one person could be bad for the next.


Religion

Imagine for a moment that there is no God!

That we’re just here. That we come into being and pass away and the rest of the human race after us carries our memories and in some cases our genes.

Is that such a bad thing?Do we cease to have meaning? Cease to love one another any less? Cease to struggle? Cease to care?

Or do we start to just live moment by moment and understand that our actions, our words, our deeds are of our own making and therefore our responsibility.

Be remembered for what you do here! The reward is your life and the world you create, the memories and positve change your life causes. Don’t wait for the next life or heaven. Create it here!

Look at the world around you. There are many things that are wrong and need to change. Stop blaming God for them!
Don’t expect divine intervention! We are the ones that inhabit this planet it is our responsibility. Believe in yourself and the power you have to create change in the world around you. Start small, change happens person by person.

Begin the revolution. Begin believing that God lives inside you and imagine that perfect part of yourself in other people

Mental Health Conference

A few days ago I was interviewed online by dozens of readers, in a fun Q&A on lifelong cognitive fitness, “mental capitalism”, and more. Here is the full transcript (lightly edited) for you to enjoy the conversation.

Rick Moody: Welcome to everyone from Rick Moody

AlvaroF: Please ask your questions! We had a fun session with Dr. Gary Small last time, and look forward to another good session today.

Steve: What are the products that you have reviewed, and what are their differences?

AlvaroF: Good question, but we need to start before products. The question is, what type of interventions produce what kind of results? We also track lifestyle options such as aerobic exercise, non-products such as meditation and cognitive therapy, technologies such as biofeedback. So, the starting point that everyone needs to understand how our brains work and what and why we need to enhance. Only then we can make informed decisions about what product, if any, makes sense.

(Editor’s Note: I did not have time to answer the question of what specific products were analyzed. The answer is: twenty one products developed by Nintendo, Learning Enhancement Corporation, Vivity Labs, Scientific Brain Training, Lumos Labs, CogniFit, Dakim, Posit Science, Cogmed, Houghton Mifflin,Scientific Learning, Applied Cognitive Engineering, NovaVision, HeartMath, Wild Divine, InterCure, Helicor.)

Rick Moody: I think this question is the big one, the one from consumers. It’s of great importance: how to give guidance to consumers?

AlvaroF: key is to engage and interest consumers in the fact that we all have brains and cognitions that deserve our attention. How to enhance then, how to maintain them…in the same way we take care of our bodies and even of our cars. Then, once consumers and engaged, they need to learn about what is possible and what not, and what tools are becoming available and how to best use them. The field is not about “magic pills” or general solutions, but options in our mental fitness toolkit. Interventions and products can “work” but we need to have realistic expectations about what “works” means

Peter Whitheouse: Please address the issue of generalizability of improvements from “programs” into daily life.

AlvaroF: Great question, Peter. The ultimate objective in my view is not to generalize but to transfer to real life outcomes. That’s why the questions needs to be, what life outcomes do I need to improve on, and then work backwards to figure out what intervention/s may make more sense.

Nasrin Lakhani: Are there any studies on brain function improvement with biofeedback intervention.

AlvaroF: Let me link this to Peter’s previous question. Biofeedback-based training may not “generalize” to overall intelligence, but certainly it can help to learn how to recognize and regulate stress and emotions better, which is a critical outcome in itself.

Kate: How soon should we start trying to maintain our brain health, and is it ever too late to try?

AlvaroF: Never too early, and never too late. The UK government run a major research project a few years ago and main takeaway was that everyone should invest in their own Mental Capital as early as possible. Because the objective here is not only the delay of disease/problems, but the enhancement of our wellness and productivity as citizens. Now, different age groups will of course have different priorities. Educational, workforce, driving safety, health-related…what we are talking about is a new framework and toolkit to enhance targeted capacities through life.

Peter Whitheouse: We need a new form of mental capitalism I guess.

AlvaroF: We are all mental capitalists.

Rick Moody: Here’s another thought. Can we begin to identify the typical pitfalls and mistakes that consumers make when they approach brain fitness products?

AlvaroF: Main problems: consumers buy what they don’t need, and don’t buy what they need. But we’re not even talking “brain fitness”, we’re talking supplements, books, classes, tapes… Information is power, and I think most people, not all, would benefit from first of all understanding the basics of cognition, and second what are some key pillars to enhance cognition, and third how can we use specific tools for specific purposes. Let me provide an example. One key ingredient for good mental exercise is: Challenge. It probably makes little sense for young minds to play more videogames, and older minds to play more crossword puzzles. The level of Challenge would be very limited, because they are already very familiar with those. But what if kids start doing crossword puzzles and older adults master new videogames?

Peter Whitheouse: How about schools and universities etc.? They seem to be in the brain health business.

AlvaroF: Couldn’t agree more! it is clear that education level is one of the main ingredients in building a protective cognitive reserve. Now, what they could be doing better to be full “brain health” providers would be to incorporate other aspects and tools, and eventually even assessments to pinpoint an individidual’s needs and best course of action.

Anna G.: Aren’t there ways of increasing brain health that are not products (i.e., fitness, self learning, nutrition, etc.) that are just as effective?

AlvaroF: Yes, we jumped into the product discussion too early. In the book we start with a much more comprehensive discussion of main lifestyle factors, and of “nonproduct” brain training techniques such as meditation. Now, products also play a role. And a key takeaway is that most interventions do NOT substitute each other, but they AUGMENT each other.

Peter Whitheouse: Where do we spend out money individually and socially for best value?

AlvaroF: BIG question….as an overall theme I’d say, Spend more time and money on noninvasive interventions that build capacity. The starting point in all this is that day after day we see how malleable core mental abilities such as attention, working memory, self-regulation, processing…are. So, let’s all be mental capitalists by investing in our capacities. This framework is different, but complements, the standard medical model based on diseases.

Anand Deoskar: I think a really interesting question is what stimulates individuals to think? What is the key motivating factor for each individual to apply their brains to speak up, to challenge themselves..

AlvaroF: Great question. Last year Marian Diamond opened our annual virtual conference. After the conference we had lunch and I asked her, what do you think is the most important personal characteristic you’d like everyone to have? Her answer: curiosity. Curiosity will drive us to learn, and master new realities, and thinking come handy then.

Nasrin Lakhani: How would you finish the phrase “Investing in our mental capacities causes/enables…………”

AlvaroF: …enhanced wellness, control of one’s destinies, and longer productive lives. It also helps protect against decline by delaying it (not preventing it).

Guest: Alvaro, Have you had any communication with insurance companies to see if they intend to pay wellness dollars for people to take brain health and wellness courses? They frequently pay for gym memberships for physical fitness are they getting active in mental fitness?

AlvaroF: Yes, and no. Insurance companies now see this mainly as a marketing opportunity if more consumers show they care about this, the insurers will follow. A few of them are doing their own trials to see if they’d like to offer products for free or reimburse them, but it is still in the very early stages. The key is that consumers keep driving interest otherwise, insurers say they have a trillion other important things to do. The same goes for payers and providers: consumer interest can motivate them to take action, and that would help enhance the rationality and maturity of the field.

Gerard Finnemore: Another issue is that the medical profession (often in the role of gatekeepers) tend to be skeptical about cognitive training/enhancement. Usually, this is due to ignorance.

AlvaroF: Well, yes and no. Sure, there’s much ignorance about cognition (please ask your doctor to define what “working memory” is), but also they play an important role to protect from the usual nonsense consumers are exposed to.

Rick Moody: This is one step in a long journey…Bye to all

Copyright (c) 2011 SharpBrains


Exercises For Thighs

Cellulite can be uncomfortable, and can be difficult to hide when you are on your thighs. That is why so many people turn to exercise as a means to the visual effects of cellulite, with mixed results. Those who are wondering how to get rid of those ugly stains on the skin can probably wondering how specifically to get rid of cellulite on the legs, because this is one of the most common areas for it to be. They will face a range of options, probably the best and most natural, that is a combined exercise with a healthy and balanced diet.

Legs and thighs – the bottlenecks
The lower limbs are prone to problems with cellulite, because the body areas that contain hundreds of muscles. Genetics may be poor nutrition, hormonal or lack of exercise can easily lead to poor muscle tone and cellulite conditions emerges. It may be worth noting that those who to get rid of cellulite on the thighs looking in a hurry not to a strict regimen of exercises to deal with unrealistic expectations about possible outcomes. Advice should be sought with the recommended levels of exercise, especially if you have an existing medical condition.

Several remedies
People turn to the effects of different methods to reduce cellulite. There are many creams that are offered as an excellent result to create new diets are mainly in the form of requests for reduction of cellulite and increase self-esteem, and vitamin tablets or connections are available, a few options to mention. Other treatments on the market, including more radical surgery and some may even be risky. It pays to be skeptical when it comes to extravagant claims in the press and because some research before you think something is a quick fix for sure. Those who consider the exercise as the obvious means is considered probably the best method when it comes to getting rid of cellulite thighs course. Exercise is the most natural way, and probably the best to the effects of cellulite reduction. A balanced diet and regular exercise toning will lead to better health and improved appearance.

Read more about http://www.himalayahomeremedies.com/homeremedies_cellulite.htm

Realistic expectations
Since many people experience negative psychological feeling as a result of cellulite it is important to control expectations when it comes to various methods to improve their appearance. Many experts will tell you that there is no panacea, but there is no shortage of charlatans to tell you that does not exist. Maintaining realistic expectations is the best way to avoid disappointment. When it comes to specific issues such as how to get rid of cellulite on the back of the thighs, people should be aware that it is very likely to be natural and inevitable.

Precautions healthy
It is wise to be cautious when it comes to extreme diets, new regimes of exercises that the body or too radical treatments for cellulite work. Many professionals will tell you that cellulite is a natural part of aging process after we go through puberty. Hormones are a factor as well as genetics. Healthy diet and exercise can only lead to benefits, but can be a mistake to other aspects of our health risk through the conclusion of the courses of action reckless. If you are wondering how to get rid of cellulite on your thighs do not forget to also consider how you and stay healthy during the process.

Cellulitis Complications | Cellulitis Icd 9 Code | Cellulite Reduction Exercises Thighs Hi, I’m Ashleigh Gass, certified strength and conditioning specialist with BrilliantAthlete. Com. So. . .


Nothing Can Stop A Train HVAC Air Conditioning System

One of the most common air conditioning problems is improper operation ac repair granbury. If your airconditioner is on ac repair oklahoma city, be sure to close your home’s windows and outside doors. For room airconditioners ac repair dallas, isolate the room or a group of connected rooms as much as possible from the restof your home. For a list of common air conditioner problems and what to look for, check out our Energy Saver 101 infographic on home cooling.

Other common problems with existing air conditioners result from faulty installation ac repair azle, poor serviceprocedures, and inadequate maintenance. Improper installation of a central air conditioner can result in leakyducts and low airflow. Many times, the refrigerant charge (the amount of refrigerant in the system) does notmatch the manufacturer’s specifications. If proper refrigerant charging is not performed ac repair cleburneduring installation, the performance and efficiency of the unit is impaired. Unqualified service techniciansoften fail to find refrigerant charging problems or even worsen existing problems by adding refrigerant to asystem that is already full. Learn what to ask for when hiring a technician to maintain your air conditioner.

http://en.wikipedia.org/wiki/Air_conditioning

Air conditioner ac repair fort worth manufacturers generally make rugged, high quality products. If your airconditioner fails, begin by checking any fuses or circuit breakers. Let the unit cool down ac repair watherford for about five minutes before resetting any breakers. If a central air conditioner’s compressor stops on a hotday, the high-pressure limit switch may have tripped; reset it by pushing the button, located in the compressor’saccess panel.

REFRIGERANT LEAKS
If your air conditioner is low on refrigerant, either it was undercharged at installation or it leaks. If itleaks, simply adding refrigerant is not a solution. A trained technician should fix any leak, test the repair,and then charge the system with the correct amount of refrigerant. Remember that the performance and efficiencyof your air conditioner is greatest when the refrigerant charge exactly matches the manufacturer’s specification,and is neither undercharged nor overcharged. Refrigerant leaks can also be harmful to the environment.

INADEQUATE MAINTENANCE
If you allow filters and air conditioning coils to become dirty, the air conditioner will not work properly, andthe compressor or fans are likely to fail prematurely, ac repair granbury

ELECTRIC CONTROL FAILURE
The compressor and fan controls can wear out, especially when the air conditioner turns on and off frequently, asis common when a system is oversized. Because corrosion of wire and terminals is also a problem in many systems,electrical connections and contacts should be checked during a professional service call.

SENSOR PROBLEMS
Room air conditioners ac repair cleburne feature a thermostat sensor, located behind the control panel, whichmeasures the temperature of air coming into the evaporative coil. If the sensor is knocked out of position, theair conditioner could cycle constantly or behave erratically. The sensor should be near the coil but not touchingit; adjust its position by carefully bending the wire that holds it in place.

DRAINAGE PROBLEMS
When it’s humid outside, check the condensate drain to make sure it isn’t clogged and is draining properly. Room
air conditioners may not drain properly if not mounted level.

http://energy.gov/energysaver/articles/common-air-conditioner-problems

Action Mental Health

The health care industry has undergone any significant changes over recent years. A series of new administrative difficulties were brought about by the need to deal with complicated insurance forms and prepare insurance policy procedures. As a result, many practices choose to outsource their medical billing to independent professionals. Mental health practices are no exception to this rule.

When it comes to handling your mental health billing, you are presented with several options, the most common of which are as follows: you can try to do your mental health billing yourself, you can hire new staff to do that for you, or you can use one of the many mental health billing services available on the market. There are any advantages and disadvantages to each of these alternatives.

Doing your mental health billing yourself is cost-effective, but it can be very time consuming, and have a negative impact on the efficient running of your practice, including a reduced number of patients and many missed appointments. If you opt for hiring your own staff to handle your mental health billing, you will eventually find that this course of action is neither time nor cost-effective. Hiring new billing staff requires extra space, as well as extra costs with payroll and payroll taxes. On the other hand, outsourcing your billing to a mental health billing service company emerges as a very good option, as it equals efficiency, time-effectiveness and the opportunity to control your costs.

When you choose to outsource your billing to medical billing professionals, there are numerous advantages on your part. Mental health billing service equals professionalism, experience and specialization, which is exactly what the efficient running of your practice requires. A mental health billing specialist can perform most of the major services that healthcare insurance encompasses, such as paper and electronic billing, super bill design, electronic claim submission, dead claim recovery, claim entry, annual code updates, insurance verification, patient setup, consultation, fee reviews, eligibility testing, customized service for your practice, reporting, etc. And when the mental health billing service that you choose includes the use of exclusively designed mental health billing software (either your already-existing one or the one that that they provide), things couldn’t be simpler.

You are probably aware of how demanding the mental health billing task can be, and how no more than a minute error can lead to your insurance application being rejected. Such errors can be easily avoided with the assistance of a professional mental health billing service.

In conclusion, using a mental health billing service is both effective and efficient. The advantages on your part include time and cost effectiveness, less paperwork, fewer missed appointments, more clients, compliance with HIPAA, and the opportunity to keep a client database. Your mental health biller can work from his or her home and log into your computer to use your already-existing database or one that will be set up especially for you. If you are already using mental health billing software, your mental health biller can work on that. If not, all your mental health billing can be handled with the help of specially designed billing software that professional billers can provide for you.

Mental Health Australia is calling on the Australian Government to lead a decade-long, systemic reform program for mental health, following the outcome of the National Mental Health Commission’s. . .


Lawn Care Service In Demand Today

Cheap lawn care fort worth, Why do we love our lawns? Perhaps the reason is rooted in childhood memories of running barefoot through freshly cut grass, feeling the tickle of cool blades, and inhaling the clean chlorophyll scent. Or maybe it’s the way well-tended turf sets off a house, like a tailored tux highlights any man. (Realtors report that a nice lawn can bump up a house’s value by nearly 20 percent.) organic lawn care fort worth

Whatever the reason, we lavish affection on our lawns—to the tune of $40 billion a year—in the form of fertilizer, weed and pest controls, and yard-care equipment. But buying stuff in hopes of having a lush lawn isn’t the same as actually knowing how to grow one. Most of us pick up our yard-care habits in bits and pieces—by watching Dad, imitating our neighbors, or talking to garden-aisle clerks at the home center. And if that doesn’t work, well, let the best lawn service fort worth take care of it.

Here’s a less expensive suggestion: Follow the advice in this grass-growing guide and become your own lawn-care expert. We’ve tapped authorities such as This Old House landscape contractor Roger Cook; Dr. Bruce Augustin, chief agronomist at Scotts; Kevin Morris at the National Turfgrass Federation; and organic lawn advocate Paul Tukey. Fort Worth Lawn Care Service From them you’ll learn the fundamentals: which grass is best for your area, how to plant it, when to mow it, how much to water it, and what you need to do at each stage of the growing season. Who knows—in a year or two you could be strolling barefoot through your own thick carpet of turf, feeling that old familiar tickle on your toes.Professional lawn care fort worth

http://www.thisoldhouse.com

Phrases That Keep Your Guy Obsessed With You

Professional hypnotists use emotional trigger phrases to lift clients out of depression, help them let go of bad habits and change their lives for the better. There is more to ETPs than just saying the words; they must be said in the right way and at the right time to be effective. Throughout the course, readers are taught how to implement these obsession phrases review and how to recognize when the moment is right for their use. Every step of the process is explained in detail, so there is no guesswork involved. Some of the ETPs you will learn include:

  • The Whiz-Bang Phrase: To quickly form a connection and pique his interest in getting to know you better great for first dates.
  • The Subconscious Bonding Phrase: To create a deep, loving bond and make your man believe he has found his one and only soul mate.
  • The Everlasting Attraction Phrase: This will fan the flames of attraction and make him dream about you when you are not around.
  • The Attraction Spinner Phrase: This powerful phrase transforms the casual attraction of a fling into genuine feelings of love and affection.

Medically Fragile Children And Pediatric Home Health Services

Pediatric Home CareIf you live in the North Texas area and are in need of home care for your child you might consider Pediatric Home Heath Fort Worth.  Ark Home Care offers great caregivers and nurses.  This article excerpt is about children with developmental delays and behavior problems.  These are the types of patients that need in home care the very most.

In the United States, one in six children have developmental-behavioral problems, including deficits or disorders in language, motor, or pre-academic/academic skills; deficits in intelligence; mental health/behavioral/social-emotional problems; or autism spectrum disorders (Baio, 2008, Boyle et al., 2011). One in four to one in five children have either mild delays or psychosocial risk factors predictive of future difficulties (e.g., housing instability, parental depression, limited parental education, poverty, and parenting behaviors that fail to promote children’s language and academic skills). Psychosocial risk factors are strong predictors of present and future developmental and mental health problems (Simon, Pastor, Avila, & Blumberg, 2013). The majority of these children who are not treated in early childhood experience school failure, drop out before completing high school, are less likely to be employed as adults, are more likely to become teen parents, incur high health care costs, and engage in criminal behavior (Simon et al., 2013, Stevens, 2006). If the problems are identified and treated early through services such as Head Start, parent training, or the Individuals with Disabilities Education Act, outcomes are vastly improved. Research on cost savings to society show that for every $1 spent on early intervention, taxpayers save up to $17 (Anderson et al., 2003, Campbell et al., 2002, Farran, 2005, Muennig et al., 2009, Reynolds et al., 2011, Reynolds et al., 2011, Schweinhart et al., 2005).

Accurate early detection depends on validated, standardized screening measures. When clinicians use poorly constructed measures such as the Denver-II (Glascoe et al., 1992) or informal checklists (e.g., milestones built into age-specific encounter forms, including those in electronic health records), only 30% to 40% of children with problems are identified (Bethell et al., 2011, Radecki et al., 2011, Sices et al., 2003). In contrast, when quality tools are administered, identification rates exceed 70% (Guevara et al., 2013, Hix-Small et al., 2007). In addition, providers are more likely to refer children who perform poorly on accurate screens, and families are more likely to follow through with referral recommendations (Cox et al., 2010, Guevara et al., 2013, Schonwald et al., 2009, Schonwald et al., 2009).

Although the policies of professional societies are wise, pediatric providers face many implementation challenges, including how to administer screenings, score screenings, advise parents, and write/send reports to referral services—with all such tasks, ideally, completed within the average time frame for well-child visits, which is about 18 minutes nationally (Baron, 2010, Halfon et al., 2011). Because no Relative Value Units are assigned to professional time, self-administered parent-report tools (with assistance from clinic staff as needed) are particularly efficient. Even more efficient is use of online screening services, with which parents can complete measures; scoring is automated, as are referral letters, parent summary reports, and billing/procedure codes. Despite an average per-patient expense of approximately $2.50, online screening ultimately costs less than paper and pencil screens because it saves at least 30 minutes of professional time (Glascoe, Dehnert, & Poon, 2014).

Even so, implementation of parent-report screens in an online environment requires a consideration of staffing patterns (e.g., availability of skilled nursing); equipment/access (e.g., waiting-room kiosks, computers in examination rooms, electronic parent portals, or paper and pencil in waiting rooms); and patient mix (e.g., circumvention of parental literacy challenges by interview administration and languages spoken/need for interpretation/translation services; Glascoe, Marks, Poon, & Macias, 2013). The central goal of this study is to help prepare clinics interested in implementing evidence-based screening by exemplifying (a) how and when other clinics use quality screens to comply with the policies of professional societies; (b) how children perform on screening tests; and (c) the various ways that clinics administer screening tools online according to staffing, equipment, and patient mix.

This article excerpt http://www.jpedhc.org/article/S0891-5245(14)00205-3/fulltext

Will The Popular British Comedy Starring Martin Clunes Return To TV?

Many people are asking if the popular 90’s program will return to television?   You know the one I am talking about, “Men Behaving Badly” starring Martin Clunes.  Word has it Martin is not too enthusiastic about it.

http://www.radiotimes.com/news/2015-02-13/martin-clunes-rules-out-men-behaving-badly-return

Martin Clunes has poured cold water on the possibility of a return for 90s sitcom Men Behaving Badly. His former co-star Neil Morrissey recently expressed an interest in resurrecting the show, but Clunes told RadioTimes.com emphatically that if Morrissey wanted to bring it back, “he’s doing it on his own!”
”We have always said we would only do it if all four of us wanted to do it,” added Clunes of the laddish flatshare comedy which starred himself, Morrissey, Leslie Ash and Caroline Quentin.
Asked if he would like ever resurrect it, he said “I don’t think so… [Gary and Tony] would be 52 now!”
Clunes also said that the recent sex cases surrounding Operation Yetwree would mean that the portrait of older men lusting after younger women could be even more inappropriate, even in a comedy.
“What if it were bad? That is the fear,” he added.

 

The New Amazing Desktop Software For Amazon Publishing KD Publishing Pro

Kindle e-books has continued to build up to a great technique of getting recognized in an area of service or perhaps particular subject. Perhaps you may have previously created your website style, however Kindle e-books allows someone to produce specific prospects to develop ones site develop and turn into a chance to assisting other people as you still boost your web based earnings.

Nevertheless, there is a technique to utilizing Kindle e-books that most are not appreciating to get basically the essential utilization of writing. If you wish to write, utilizing this technique is really a work of absolutely love, When you are in no way familiar with composing, this can be a terrific exercise which will stretch you capability to write great books for the reason that more you’re composing, the greater you’ll become.

At this point prior to the annum advances any further, I simply wish to clear in the fact that Kindle writing can be hugely complicated because of specific layout as well as cover measurements, however stay positive I have got you covered. I will end up with the details soon after i present  KD Publishing Software Pro which I have used just to write Kindle e-books.

The Hatian Religion Known As Voudou

For years Hollywood and the modern world have been mistified by the religon known as vodou.  There have been countless books and articles written about the controversial religion and have been a ton of movies and television shows created about it as well.  So what is this religion all about anyway?

Haitian Vodou , French: [vodu], also written as Vaudou;Vodun or Vodoun; and Voodoo is a syncretic religion practiced chiefly in Haiti and the Haitian diaspora. Practitioners are called “vodouists” (French: vodouisants [voduisɑ̃]) or “servants of the spirits” (Haitian Creole: sèvitè).

Vodouists believe in a distant and unknowable Supreme Creator, Bondye (derived from the French term Bon Dieu, meaning “good God”). As Bondye does not intercede in human affairs, vodouists direct their worship toward spirits subservient to Bondye, called Loa. Every loa is responsible for a particular aspect of life, with the dynamic and changing personalities of each loa reflecting the many possibilities inherent to the aspects of life over which they preside. In order to navigate daily life, vodouists cultivate personal relationships with the loa through the presentation of offerings, the creation of personal altars and devotional objects, and participation in elaborate ceremonies of music, dance, and spirit possession.

Vodou originated in the Caribbean and developed in the French Empire in the 18th century among West African slaves when African religious practice was actively suppressed, and enslaved Africans were forced to convert to Christianity. Religious practices of contemporary Vodou are descended from, and closely related to, West African Vodun as practiced by the Fon and Ewe. Vodou also incorporates elements and symbolism from other African peoples including the Yoruba and Kongo; as well as Taíno religious beliefs, Roman Catholicism, and European spirituality including mysticism, Freemasonry, and other influences.

This article and it’s information were taken from here 1. I found the article very informative.  If you would like to learn more about real vodou and how it can help you, in your everyday life you can visit this page: http://www.ezilikonnen.com/services/

 

Mental Doctor

The infamous saying of an apple a day will keep the doctor away lives on. But further research now shows that eating an apple or two a day can actually affect your mental health as well. And it is this point that has doctors and researchers curious as to what kind of an impact it truly can have.

As studies continue, it is becoming more and more clear that what you eat can have just as powerful of an impact on mental health as any prescribed drug you may flood your system with. It has been found that fresh apples in one’s diet can improve memory while sustaining mental and brain health.

A doctor at the University of Massachusetts has gone on the record of saying apple juice can have the same effect as Alzheimer’s drugs on the production of chemicals in the brain that signals memory.

Other studies have backed this up stating that the consistent consumption of apples will protect neurons from any damage that naturally occurs from aging. On top of this, it can equally improve nerve cell communication in the brain that prevents and reverses some signs of Alzheimer’s disease.

Research continues on food, specifically vegetables and fruits, and the kind of impact they have on the body and mind. But there is no denying the fact that apples have jumped to the forefront of this research as it has become increasingly associated with mental health and the brain.

More recent studies have found that the multiple activity and effect of antioxidants and flavonoids that are within apples reduces brain-cell inflammation and oxidation that typically occurs because of free radicals. Simply eating two apples a day can increase the levels of acetylcholine, which are neurotransmitters that influence brain signals responsible for movement and sensory perception.

Eating an apple or two a day will also diminish the accumulation of toxins in the brain, specifically beta-amyloid. This has long been thought to be one of the primary culprits that cause Alzheimer’s.

Apples have always been considered a fruit that can keep you healthy and out of the doctor’s office. With this new evidence, it now shows they can aid, halt and reverse Alzheimer’s disease while enhancing cognitive functions, preventing memory loss and helping with other mental health and brain matters.

But if you truly need to enhance your mental health and make the most of what you have to offer, you may need to consider throwing the old saying away and jumping to two apples a day.

Oliver Queen otherwise known as Green Arrow is captured by the Mental Doctor but luckily Diggle comes in time to save him but Oliver feels a little dizzy.


Mental Health Info

There are many facets to the world of mental health, especially when it comes to health insurance and finding adequate coverage for a variety of afflictions and disorders. We’ve put together some answers to some of the more widely seen questions revolving around these topics for you below.

Do most health plans include mental health coverage? The answer, simply put, is yes. The vast majority of insurers and health plans cover at least a limited amount of mental health care.

According to a recent employer survey published in the journal Health Affairs:
91 percent of small firms (10-499 employees) and 99 percent of large firms offer mental health and substance abuse coverage in their most used medical plans.
Mental health and substance abuse coverage was included in 87 percent of indemnity plans, 88 percent of HMOs, 97 percent of Point of Service (POS) plans and 93 percent of Preferred Provider Organizations (PPOs).

It is generally acknowledged today, in 2006, that most employees who have employer-based health insurance have access to mental health coverage, and many of the employees who don’t have coverage have simply chosen not to join an employer’s plan that includes mental health services.

Does mental health coverage cost more? Yes, this is generally the case. There are limits to mental health coverage and the reason why most employers impose limits is due to cost. Estimates vary widely of how much more mental health coverage costs. Here are some results from some studies:

A 1998 study sponsored by National Advisory Mental Health Council (NAMHC) Parity Workgroup, a division of the federal National Institute of Mental Health, estimated that mental health services would add less than 1 percent to the cost of a health insurance policy for an HMO.

A 1998 study by Mathematica estimated a 3.6 percent increase across all plans, with a range of 0.6 percent increase for HMOs up to a 5 percent increase for fee-for-service plans.

A 1997 analysis by the actuarial firm Milliman & Robertson for the National Center for Policy Analysis, examining the cost of a typical mental health mandate (not specific legislation), concluded that mental health services parity legislation tends to drive up costs by 5 percent to 10 percent.

With regard to mental insurance in general, how do insurance companies treat mental illness? Insurance companies tend to be somewhat wary of mental health claims due to the increase of fraudulent claims. When Medicare looked for fraud in the community mental health centers last year, it barred 80 of them in nine states from participating in the program.

The Health Care Financing Administration (HCFA), which administers Medicare, knew something was amiss when the average yearly cost for each senior getting mental health services jumped from $1,642 in 1993 to more than $10,000 by 1997.

Medicare administrator Nancy-Ann DeParle contended at the time that 90 percent of the patients had no mental illness serious enough to qualify for special treatment.

That being said, it is straightforward to understand why there is trepidation on the part of health insurance providers.

What mental conditions are typically covered, and not covered by health plans? Generally speaking, a health plan pays for only those services included in the plan’s list of covered services. In the case of mental health services, inpatient and outpatient treatment are most mainly covered by health plans.

However, there is a continuum of services between inpatient (mental health clinic) and outpatient care that effectively treat many mental disorders and are mainly more cost-effective than inpatient care at a mental health clinic.

These intermediate services include nonhospital residential services, partial hospitalization services, and intensive outpatient services such as case management and psychosocial rehabilitation. Psychosocial rehabilitation includes pharmacologic treatment, social skills training, and vocational rehabilitation.

Such services are covered by approximately half of employer-sponsored health plans.
Prescriptions. Are they covered? Coverage of prescription medications is also important in providing access to treatment for mental health disorders. And, on a positive note, Prescription medications are nearly always covered by health plans (U.S. Department of Labor, 1996; 1998), but this coverage is sometimes limited by formulary restrictions.

Check with your healthcare provider for the exact details on what applies to you and your family with regard to your specific circumstances.