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Assertive Community Hospital Case Study

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Summarize the challenges for prison/jail administrators related to “special needs” inmates. What should corrections do about the cost and health issues associated with these populations? One of the biggest challenge that we see in jails and prisons regarding the “special needs” is the reduction of state hospital beds. One major problem that has come up in jails/ prisons is the reduction of public bed population in state hospitals. “By the first quarter of 2016, our survey of the states found the ratio had dropped and additional 17% to its lowest level on record: 11.7 beds for 100,00 people” (going, going, gone). The major conflict of eliminating hospital bed is fewer beds result people in crisis having to wait longer in the ER, which means a longer wait time in the ER for all …show more content…
The government should take action on determining how many psychiatric beds are necessary. This will help the hospitals concentrate on helping the “special needs” population by trying to reduce the waiting time for a bed. One important strategy that can be used is trying to use programs that will reduce hospitalization rates. The evidence-based practices that are being used are the Assisted Outpatient Treatment, Assertive Community Treatment, and the Sequential Intercept Model. All these programs are similar. The Assertive Community Treatment is a program that consist of a team of medicals that can assist the patients from where they live. Focusing more on these evidence based programs can reduce emergency room visits and psychiatric hospitalization. Lastly, there should be a reform for medicaid from the government for the population of “mentally ill” in prisons and jails. The medicaid should cover the expenses for inmates that financially qualify. However, Congress should direct and fund certain agencies. This would be beneficial for getting more beds instead of reducing beds as we see this is the challenge we are facing now a

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