E. Clarke Ross D.P.A.

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This article discusses the results of a survey of U.S. Congressional staff about the effectiveness of the mental health, developmental disabilities, aging, childrens, and AIDS communities in Washington, D.C. The mental health group was perceived to be the most divided and least effective, of the five. The author suggests advocacy strategies than can be(More)
President Clinton has proposed (under S. 1757 and H.R. 3600 "Health Security Act") the single most significant insurance coverage related to mental illness in the nation's history--universal coverage for all Americans, prohibition of lifetime limits, prohibition of pre-existing condition exclusions, portability of insurance coverage, the use of community(More)
This article will concentrate on two areas: an overview of state mental health agency ( S M H A ) financing with a focus on statefederal relationships, and an overview of how the fiscal crisis in the states appears to impact on decision making and management of the S M H A . Informat ion on the first area is derived from a review of statistical data, and(More)
What happens when you can no longer rob Peter to pay Paul? The answer--you mandate it under Medicaid. The federal government's expectation that state governments expand community services for persons with serious mental illness continues though its financial contribution declines. This column examines these expectations in the context of state budgets, the(More)
While the national mental health association constituency housed in Washington, D.C. continues to be incrementally successful in convincing federal policy makers (particularly the U.S. Congress), to expand federally financed mental health benefits, much of the real burden for this expansion rests on the states. For every increase in federally financed(More)
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