Predicament of Services: An Independent Survey of New Orleans Mental Healthcare System

Sean I. Gibbs^1, , Sonia Cooper¹, Victoria Robertson¹, Brandi M. Billingsley¹ and Courtney Landry¹

¹Psychology Program, Dillard University, New Orleans, Louisiana, USA

Cite this paper:
Sean I. Gibbs, Sonia Cooper, Victoria Robertson, Brandi M. Billingsley and Courtney Landry. Predicament of Services: An Independent Survey of New Orleans Mental Healthcare System. Research in Psychology and Behavioral Sciences. 2019; 7(1):16-22. doi: 10.12691/rpbs-7-1-3

Abstract

In the city of New Orleans, a number of social, cultural, economic, and historical factors have affected the availability and accessibility of mental health services. To assist individuals suffering from mental illness in the city of New Orleans, various agencies, programs and databases have been implemented to promote easy access to the available mental health services. This study explores the ease of accessing available mental health services through telephone contact. The telephone was used as the main source of contact in this study to emulate the experience that a potential mental health client would undergo when trying to find treatment. National, state, and local mental health provider databases were used to compose a list of mental health agencies in the New Orleans area. One hundred and twenty-seven facilities were identified as mental health treatment agencies. Each agency was contacted by phone and requested to participate in the study by completing a 15-item questionnaire regarding the availability and accessibility of mental health services. Seventy-nine percent [n= 101] of the agencies contacted by phone did not answer or had an automated voicemail service. Descriptive information regarding the availability and accessibility of mental health services, types of services, and treatment populations are reported and discussed. This research addresses the disparities between the burden of mental disorders, resources and accessibility.

Keywords:
New Orleans mental health services availability accessibility

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References:

[1]	United States Census Bureau. (2018). United States Census Bureau QuickFacts: Louisiana; Orleans Parish, Louisiana. (n.d.). Retrieved from https://www.census.gov/quickfacts/fact/table/LA,orleansparishlouisiana/PST045218
[2]	Louisiana Department of Health Office of Behavioral Health. (2017, September 1). FY 2018-2019 Combined Behavioral Health Assessment and Plan Community Mental Health Services and Substance Abuse Prevention and Treatment Block Grants. Retrieved from http://ldh.la.gov/assets/csoc/block_grant/FY1819_Block_Grant_Pl an_approved_update.pdf.
[3]	Mental Health America (MHA). (2019). Overall Ranking. Retrieved from https://www.mhanational.org/issues/ranking-states#four.
[4]	Substance Abuse and Mental Health Services Administration. (2019). Behavioral Health Barometer: Louisiana, Volume 5: Indicators as measured through the 2017 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services. Retrieved from https://store.samhsa.gov. website: https://store.samhsa.gov/system/files/louisiana-bh- barometervolume5-sma19-baro-17-us.pdf.
[5]	Vandal, G. (2005). Curing the Insane in New Orleans: The Failure of the "Temporary Insane Asylum," 1852-1882. Louisiana History: The Journal of the Louisiana Historical Association, 46, (2), pp. 155-184.
[6]	Louisiana Public Health Institute (LPHI) (2017). The New Orleans Behavioral Health Crisis System. pp. 1-39.
[7]	Rudowitz, R., Rowland, D., & Shartzer, A.. Health Care in New Orleans Before And After Hurricane Katrina. (2006, August 29). Retrieved from https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.25.w393.
[8]	State of Louisiana Bureau of Health Services Financing. (2011). Greater New Orleans Community Health Connection Provider Manual. Retrieved from http://www.lamedicaid.com/provweb1/Providermanuals/manuals/ GNOCHC/GNOCHC.pdf.
[9]	Centers for Disease Control and Prevention. (2006, January 20). Assessment of Health-Related Needs After Hurricanes Katrina and Rita --- Orleans and Jefferson Parishes, New Orleans Area, Louisiana, October 17-22, 2005. Morbidity and Mortality Weekly Report (MMWR), pp. 55(02); 38-41.
[10]	Rhodes, J., Chan, C., Paxson, C., Rouse, C. E., Waters, M., & Fussell, E. (2010). The impact of Hurricane Katrina on the mental and physical health of low-income parents in New Orleans. American Journal of Orthopsychiatry, 80(2), 237-247.
[11]	Substance Abuse and Mental Health Services Administration (SAMHSA), National Survey on Drug Use and Health (NSDUH): 2012a. Substance Use and Mental Disorders in the New Orleans-Metairie-Kenner Metropolitan Statistical Area (MSA). Rockville, MD: Substance Abuse and Mental Health Services Administration, 2012.
[12]	Prince, J. D., & Wald, C. (2018). Risk of criminal justice system involvement among people with co-occurring severe mental illness and substance use disorder. International Journal of Law and Psychiatry, 58, 1-8.
[13]	National Alliance on Mental Illness (NAMI). (n.d.). Jailing People with Mental Illness. Retrieved from https://www.nami.org/learn-more/public-policy/jailing-people-with-mental-illness.
[14]	World Health Origination (WHO). (2019). What do we mean by availability, accessibility, acceptability and quality (AAAQ) of the health workforce? Retrieved from https://www.who.int/workforcealliance/media/qa/04/en/.
[15]	Office of Disease Prevention and Health Promotion (ODPHP). (2019). Access to Health Services Healthy People 2020. Retrieved from https://www.healthypeople.gov/2020/topics- objectives/topic/Access-to-Health-Services.
[16]	McKenna, R. M., Pintor, J. K., & Ali, M. M. (2019). Insurance-based disparities in access, utilization, and financial strain for adults with psychological distress. Health Affairs, 38(5), 826-834, 834A-834F.
[17]	Davis, J. (2019). Children with chronic illness: When compliance is complicated: The essential guide to hospital-based care planning the essential guide to hospital-based care planning. Hospital Case Management, 27(10) Retrieved from https://search.proquest.com/docview/2287016668?accountid=26173.
[18]	Louisiana Department of Insurance. (n.d.). Understanding Health Care Networks. Retrieved October 13, 2019, from http://www.ldi.la.gov/consumers/insurance- type/healthinsurance/healthcare-provider-network.
[19]	American Psychological Association. (2015, March). Medicare's Shrinking Psychologist Reimbursement Rates. Retrieved from https://www.apaservices.org/practice/advocacy/state/leadership/m edicare-payment.
[20]	Aetna. (n.d.). Save money with Aetna’s provider network. Retrieved October 3, 2019, from http://www.aetna.com/individuals-families-health- insurance/document-library/2013-aetna-bh-provider-network.pdf.
[21]	American Medical Association. (2019, July 1). Fee schedule for Community/Private Mental Health Centers. Retrieved September 30, 2019, from https://medicaid.ms.gov/wp- content/uploads/2014/03/CommunityMentalHealthCenter.pdf.
[22]	U.S. Centers for Medicare & Medicaid Services. (2018). Physician Fee Schedule Search. Retrieved from https://www.cms.gov/apps/physician-fee-schedule/license- agreement.aspx.
[23]	Williams, M., Gilroy, J., Chang, T., Seymour, D. (2017). Challenges for insured patients in accessing behavioral health care. Annals of Family Medicine, 15, 363-365.
[24]	City of New Orleans Health Department. (2019). Health Department - Providers. Retrieved from https://www.nola.gov/health/resources/.
[25]	National Alliance on Mental Illness (NAMI) New Orleans. (2019). Resource Guide: A Roadmap to Resources and Support for Persons Living With Mental Illness Retrieved from https://namineworleans.org/wp- content/uploads/sites/145/2019/06/NAMI-Resource-Guide- 6.5.19-WEB-FINAL.pdf.
[26]	The NOLA Partnership for Mental Health. Resource Guide. (n.d.). Retrieved from https://www.nolapartnership.org/resources.html.
[27]	Substance Abuse and Mental Health Services Administration (SAMHSA). Behavioral Health Treatment Services Locator. (n.d.). Retrieved from https://findtreatment.samhsa.gov/.
[28]	Substance Abuse and Mental Health Services Administration (SAMHSA), National Mental Health Services Survey (N-MHSS): 2012. Data on Mental Health Treatment Facilities. BHSIS Series S-78, HHS Publication No. (SMA) 16-4949. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2015.