11 Points For Mental Health Care Reform

Due to greater understanding of how many Americans live with mental illnesses and addiction disorders and how expensive the total healthcare expenditures are for this group, we have reached a critical tipping point when it comes to healthcare reform. We understand the importance of treating the healthcare needs of individuals with serious mental illnesses and responding to the behavioral healthcare needs of all Americans. This is creating a series of exciting opportunities for the behavioral health community and a series of unprecedented challenges mental-health organizations across the U.S. are determined to provide expertise and leadership that supports member organizations, federal agencies, states, health plans, and consumer groups in ensuring that the key issues facing persons with mental-health and substance use disorders are properly addressed and integrated into healthcare reform.

In anticipation of parity and mental healthcare reform legislation, the many national and community mental health organizations have been thinking, meeting and writing for well over a year. Their work continues and their outputs guide those organizations lobbying for government healthcare reform..

MENTAL HEALTH SERVICE DELIVERY

1. Mental Health/Substance Use Health Provider Capacity Building: Community mental health and substance use treatment organizations, group practices, and individual clinicians will need to improve their ability to provide measurable, high-performing, prevention, early intervention, recovery and wellness oriented services and supports.

2. Person-Centered Healthcare Homes: There will be much greater demand for integrating mental health and substance use clinicians into primary care practices and primary care providers into mental health and substance use treatment organizations, using emerging and best practice clinical models and robust linkages between primary care and specialty behavioral healthcare.

3. Peer Counselors and Consumer Operated Services: We will see expansion of consumer-operated services and integration of peers into the mental health and substance use workforce and service array, underscoring the critical role these efforts play in supporting the recovery and wellness of persons with mental health and substance use disorders.

4. Mental Health Clinic Guidelines: The pace of development and dissemination of mental health and substance use clinical guidelines and clinical tools will increase with support from the new Patient-Centered Outcomes Research Institute and other research and implementation efforts. Of course, part of this initiative includes helping mental illness patients find a mental health clinic nearby.

MENTAL HEALTH SYSTEM MANAGEMENT

5. Medicaid Expansion and Health Insurance Exchanges: States will need to undertake major change processes to improve the quality and value of mental health and substance use services at parity as they redesign their Medicaid systems to prepare for expansion and design Health Insurance Exchanges. Provider organizations will need to be able to work with new Medicaid designs and contract with and bill services through the Exchanges.

6. Employer-Sponsored Health Plans and Parity: Employers and benefits managers will need to redefine how to use behavioral health services to address absenteeism and presenteeism and develop a more resilient and productive workforce. Provider organizations will need to tailor their service offerings to meet employer needs and work with their contracting and billing systems.

7. Accountable Care Organizations and Health Plan Redesign: Payers will encourage and in some cases mandate the development of new management structures that support healthcare reform including Accountable Care Organizations and health plan redesign, providing guidance on how mental health and substance use should be included to improve quality and better manage total healthcare expenditures. Provider organizations should take part in and become owners of ACOs that develop in their communities.

MENTAL HEALTHCARE INFRASTRUCTURE

8. Quality Improvement for Mental Healthcare: Organizations including the National Quality Forum will accelerate the development of a national quality improvement strategy that contains mental-health and substance use performance measures that will be used to improve delivery of mental-health and substance use services, patient health outcomes, and population health and manage costs. Provider organizations will need to develop the infrastructure to operate within this framework.

9. Health Information Technology: Federal and state HIT initiatives need to reflect the importance of mental-health and substance use services and include mental-health and substance use providers and data requirements in funding, design work, and infrastructure development. Provider organizations will need to be able to implement electronic health records and patient registries and connect these systems to community health information networks and health information exchanges.

10. Healthcare Payment Reform: Payers and health plans will need to design and implement new payment mechanisms including case rates and capitation that contain value-based purchasing and value-based insurance design strategies that are appropriate for persons with mental health and substance use disorders. Providers will need to adapt their practice management and billing systems and work processes in order to work with these new mechanisms.

11. Workforce Development: Major efforts including work of the new Workforce Advisory Committee will be needed to develop a national workforce strategy to meet the needs of persons with mental health and substance use disorder including expansion of peer counselors. Provider organizations will need to participate in these efforts and be ready to ramp up their workforce to meet unfolding demand.

Mental Health Maintenance Is Made Simple

Your mental health is often drastically improved when you use the techniques Dr. Kuhn teaches in this article. When you are able to experience this improvement, your relationships blossom, career paths open, and people find you attractive and accessible. You deserve to have fun and joy in your life – and Cliff Kuhn, M.D. will help you do that.

In the classic Frank Capra film, It’s a Wonderful Life, George Bailey’s mental health is overwhelmed by the difficulties of his life and he wishes he’d never been born. George’s guardian angel grants his wish and takes him to a grim reality as it would’ve been without him. George feels nothing when he reaches into his coat pocket to retrieve the flower his daughter, Zuzu, placed there – and that’s when George knows that his wish has come true…he’s never been born.

Wishing she had never been born, Roberta became my patient, seeking desperately to improve her mental health. Like the fictional George Bailey character, Roberta’s depression and anxiety had grown so strong as to threaten her ability to lead any semblance of a normal life. Fortunately for Roberta, she soon discovered exactly why the natural medicine of humor is one of the most powerful adjunctive treatments for improving mental health, because humor literally pours water on the fire of depression and anxiety.

Roberta is not alone. As many as 35% of all Americans suffer from depression and anxiety, the twins that make mental health elusive for millions. Your depression and anxiety is exacerbated by your seriousness – taking yourself too seriously. As we move into adulthood, we unfortunately buy into the notion that responsible and productive people must be “serious.” As we make the biggest mistake of our lives and relegate our humor nature and fun to recreational activities (if we experience fun at all), we doom ourselves to all the symptoms of the corresponding seriousness that fills the void – declining health, rising stress, increased pain, lessened energy, impaired creativity, and more.

The good news for your mental health, however, is that we know how to shrink your deadly seriousness to practically nothing and reduce almost completely the sway it holds over your health, vitality, wellness, and zest. The natural medicine of humor is an incredibly powerful resource that you already possess; you’ve only forgotten how to use it to maximum effectiveness. You will soon discover that, while not a panacea, the natural medicine of humor is a tremendous tonic for depression or anxiety and will also supercharge other treatments because it is an amazing adjunctive medicine too!

I have distilled the natural medicine of humor, through my years of medical practice, into an amazing prescription I call The Fun Factor. Based on what I learned over twenty years ago from a terminally ill fifteen-year-old patient, I created a unique set of principles I call the Fun Commandments, then forged these Commandments into my Fun Factor prescription and have been prescribing The Fun Factor with great success for years. This report will show you how to use just three of my Fun Commandments to turn your mental health around, and gain new joy, pleasure, and appreciation from your life!

Improve Your Mental Health Using My Fun Factor Prescription

Step One: Always Go the Extra Smile

The first Fun Commandment I recommend for improved mental health is: Always Go the Extra Smile. This Commandment is doubly helpfully for depression and anxiety because not only does it provide measurable emotional and physical relief, but it also is completely under your control – regardless of your circumstances. Because smiling remains totally under your control, it can be your greatest resource for using humor’s natural medicine to accelerate your mental health.

Smiling produces measurable physical benefits you can experience immediately: your stress decreases, your immunity improves, your pain and frustration tolerances increase, and your creativity soars. And guess what? You experience all these benefits even if your smile is “fake.” That’s right…forcing a smile onto your face perks up your immune system and lightens your mood just as readily as a genuine smile. Fake a smile and you’ll soon feel well enough to wear a real one!

This is great news for your proactive stance on sustainable mental health. You have an amazing amount of pre-emptive control over your mood – you can, literally, choose more energy and happiness. The key for your use of this Fun Commandment in enhancing your mental health is to start practicing right now, so that smiling becomes an entrenched, habitual method of accessing the natural medicine of humor. If you wait to smile until your mental health has taken a turn for the worse, and depression or anxiety has taken hold of you, it will not be as effective.

Step Two: Act and Interact

Smiling leads us right into the second Fun Commandment you’ll find instrumental in maintaining your mental health: Act and Interact. Humor’s natural medicine works best when we are sharing ourselves and this Commandment will teach you how to capitalize on the control you’ve taken over your physiology and mood by smiling. Acting and interacting is now easier for you to do because you’re smiling more. Not only is your mood improved, but your smile is also a pleasant invitation to other people.

My suggestion is that you solidify the power of this Commandment by setting a reasonable goal regarding the number of people you will interact with each day. These social interactions are great for your mental health, forcing you to exchange information and ideas with another person. Combined with your commitment to smiling, your interactions should be pleasant, because your heightened energy, lessened pain, and lowered stress levels are very attractive to others.

Beyond keeping you out of isolation, there is another reason why acting and interacting with the people you encounter fosters improved mental health. It allows you to avoid spiritual “flat tires.” Spiritual flat tires occur when you sidestep, or avoid, an interaction that is about to happen naturally – you duck into an office to avoid encountering someone in a hallway or you don’t answer the phone because you don’t want to talk to the person calling. This type of avoidance drains and deletes your reservoir of powerful natural energy and siphons your mental health reserves.

Have you ever noticed that it usually takes you twice as much mental and physical energy to avoid doing a job than you would have expended just doing it? It also takes twice the energy to avoid acting and interacting with the people who cross your path because you are, in effect, saying, “I’m going to correct the mistake that nature made by putting this person in my path and I’m going to correct it by being mentally and spiritually negligent.” Mental and spiritual negligence have the same effect as physical negligence (isn’t it strange how you get tired if you don’t exercise?). If your mental health can afford to allow this much energy to be drained, then you have a much bigger reservoir than I!

But spiritual flat tires do more than drain our energy, they are detrimental in at least two additional ways:

We miss out on an interaction with a teacher. If nature didn’t have a lesson for you, that person you just avoided would not have been placed in your path. You say that the person you just avoided was a negative influence or would’ve wasted your time? I know we have legitimate schedules to keep, but if I am avoiding people based on my prejudgment of them, I’m cutting myself off from my greatest teachers – those very same people.
We all learn tolerance from the intolerant, patience from the impatient, temperance from the intemperate, gentleness from the ruffian, etc. I am supremely grateful for those teachers and the lessons they give me.

We create a small, nagging spiritual void of dishonesty, the kind of dishonesty that keeps us from laying our heads down with complete peace of mind each night. Our spiritual flat tire is caused by the pothole our avoidance created; it is a natural consequence, or symptom, of our spiritual dishonesty. These consequences clutter our lives with mental and emotional baggage that further drains us of our energy and vitality.

Step Three: Celebrate Everything

The third Fun Commandment which will help you use the natural medicine of humor to charge up your mental health is: Celebrate Everything. Celebrating everything may sound like a monumental task to someone who’s mental health isn’t up to par, but you will find this part of my doctor’s orders much easier to fulfill once you start practicing my first two Commandments. In fact, celebrating everything is more than a maintenance step providing sustainable mental health. It will also become your lifestyle, the more you practice it, because you will enjoy the results so much.

How do you celebrate everything and how will this keep your mental health on the upswing? The epitome of this Commandment is found in the old joke about the boy who wanted a pony for his birthday. Instead, he found a room full of manure waiting for him. But he dove right into the dung, gleefully exclaiming, “With all this manure, there’s got to be a pony in here somewhere!”

Laugh as we might, we’re quick to remember that, as adults, we would never allow ourselves such “naive” enthusiasm. Why not? Do you realize what is behind such a “grown up,” “mature” decision? Your deadly seriousness (taking yourself too seriously) encourages the attitude that a mature adult should not let herself be so optimistic and thus mental health is jeopardized.

We could do more than chuckle at this birthday boy’s unabashed optimism – we should emulate it! When was the last time you encountered an unexpected pile of manure in your life? You had absolutely no control over the mess, right? But you had absolute control over your reaction to it and this is the key to using celebration to keep your mental health improved!

When you celebrate everything, the natural medicine of humor creates spiritual, emotional, and mental health like nothing you’ve felt before. You will find that your fears become much less controlling when you are celebrating everything because it no longer matters so much how things turn out. In fact, you are literally ready for anything because you are prepared to find the blessing in whatever happens.

My daughter-in-law, for example, broke her back last year. My son, who is often my model for the embodiment of my Fun Commandments, can tick off a laundry list of blessings his family has received as a direct result of his wife’s “tragedy.” Not that his mental health hasn’t been challenged, but faced with the choice of depression and anxiety over an event he couldn’t control versus finding the blessings waiting for him, he has chosen the latter.

The choice to celebrate everything is not a panacea; my son’s choice did not change the reality of his wife’s injury. What did change, however, was his ability to respond to the injury and, thus, keep his mental health on an even keel. Celebrating everything changes our lives because it allows us to positively control the only things we have control over – our actions, ideas, and attitudes.

There you have it. Start by going the extra smile, use your newfound smiling energy and vitality to act and interact with people, and celebrate everything to maintain your positive momentum. Say good-bye to imprisonment from depression and anxiety and welcome to your new world of improved mental health!
Start Using The Fun Factor to Improve Your Mental Health…Right Now

Here are some simple, easy steps you can take right now to turbo-charge your mental health.

Subscribe to my Fun Times newsletter. The Fun Times is all about using your natural power of humor to increase the quality of your life – including your mental health. The Fun Times is 100% free, and is delivered instantly, every week, to your email inbox. If you sign up now, I’ll also throw in a copy of my “Stop Your Seriousness” Ecourse and my book, Ten Ways You Can Be Happier…Right Now! which will show you how you can use my Fun Factor prescription in your life to increase your mental health!

Check out The Fun Factor. This prescription has changed so many lives for the better – it would be a shame if you passed it up. Check it out here if you’re sick of wishing for mental health and want to finally achieve your greatest mental health!
My patient Roberta, by the way, learned to use these three Fun Commandments – and the rest of my Fun Factor prescription. She has enjoyed the same job for three years now and was recently engaged to be married. Roberta occasionally has setbacks, as most people suffering from depression or anxiety do. But, her mental health has never been stronger as she continues to apply The Fun Factor to her life.

In It’s a Wonderful Life, George Bailey is so shocked by the grim vision of a world without him that he decides he wants to live again and begs to return. He knows he is back when he finds Zuzu’s flower petals in his coat pocket again.

Let this article be like finding Zuzu’s petals. Move forward today with a new, positive outlook on your improved mental health by using my Fun Factor prescription.