Category Archives: mental health

Health Reform and Mental Health

School shootings and other mass gun murders, the opioid crisis, homelessness — these social ills all could be improved with adequate attention to the mental-health infrastructure in America. What is missing in most of this current national discussion is that mental-health evaluation and treatment should be a primary part of the solution.

As a family physician, I contend that mental-health evaluation and treatment is too late if we only concentrate on the prospective shooter, the addict, or the schizophrenic person who is living on the street. Do not misunderstand me: We need to help these individuals. What I am specifically saying is that we need to help them, as well as the vast number of people with mental-health diseases, when the diseases first occur or even before they occur.

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Health Reform and Health Coaches

Preparing for this blog entry and for an upcoming talk regarding health coaches, I asked one of my health coaches to share a memory she had about when she had connected with one of my patients in an especially meaningful way. To put this memory in perspective, my health coaches see my diabetic patients and patients who are having Medicare physicals before I see these patients. My health coach shared a memory from one of these preparatory visits with a diabetic patient who had recently learned of the violent death of her sister. My health coach spent a few minutes with this grieving patient before I entered the room. Because the patient had known and worked with this health coach for more than a year, they were able to connect, and I believe that the patient felt fully supported by my practice in the person of this health coach.

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