The Intersection of Behavioral Health, Mental Health, and Health Literacy Proceedings of a Workshop (2019) / Chapter Skim
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6 Reflections of the Day
6 Reflections of the Day
Pages 59-64
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From page 59... ...
Michael Wolf said that what struck him was how important assessment is when it comes to learning about patients, what their experience dealing with the health care system has been, and where they are in terms of knowledge and understanding, whether regarding health literacy in general or mental or behavioral health issues specifically. "I think before we get to payment models and restructuring our health care system, we have to start to understand the full extent of the barriers that patients face as they engage in health care," he said.
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From page 60... ...
By contrast, he said, the discussions at this workshop focused on why health literacy is so important for a group of individuals who are perceiving, processing, and communicating information because of a behavioral or mental health issue. "As I am preparing to do some training for clinicians," he said, "today's presentations gave me ammunition to talk about the dollars and cents, but also the why." Ellen Markman said the day's discussions reminded her of a workshop held several years ago on the child care workforce, where many of the recommendations called for collaboration among those with professional expertise in various areas as well as with parents and teachers.
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From page 61... ...
"We are reproducing an intergenerational aspect of how mental health is criminalized in our society, and we are never going to make progress until we address the issues that overlap between health literacy, access to care, and racism and class issues," Wong said. On a more optimistic note, Wong said there is precedent for looking at how health literacy can address issue of care for those with mental and behavioral health issues -- specifically from the work done on HIV and AIDS prevention.
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From page 62... ...
McKee also remarked on his growing concern that the health care system is becoming even more fragmented and said that it is important to protect some of the gains that have already been made. He said he worries about the growth of concierge models of care that will provide for longer visits, more personalized medicine, and multiple communication channels since this development will likely only benefit those who already have resources.
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From page 63... ...
She also commented on the importance of collaborative care, including approaches for addressing the social determinants of health if the ultimate goal is to address health disparities. Willis's final comment was the need to look at school shootings as a symptom of mental health issues.
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From page 64... ...
"I think when you are talking about people who have issues with health literacy or who have issues with mental health, that is even more important because it might take a while for them to get across to you what they need," she said, "but they do know what they want and what they need. It is important that we involve them in that process." It is also important, she said as the final comment for the day, to make sure that all stakeholders understand what is meant by the words "mental health" and "behavioral health" and that they are using them in the same way when talking about possible solutions.
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