One of the primary responsibilities of medical social workers is to ensure that patients have access to health care services and essential resources. Given the excessive cost of health care in the United States, health insurance is essential in providing access to care for patients of all socioeconomic classes.
n the United States, private insurance and government-funded insurance are available. Private insurance may be offered by employers or paid for by individuals out of pocket. Medicaid is a state-run health insurance program for individuals of low socioeconomic status, and requirements vary from state to state. Medicare is a federal health insurance program that is offered to senior citizens and disabled individuals who have contributed to the Social Security system through employment taxes.
In addition to providing health insurance options, the U.S. government also provides two of the largest disability insurance programs in the world. The Supplemental Security Income (SSI) program provides financial assistance to adults and children who are disabled and have limited income and resources. The Social Security Disability Insurance Program (SSDI) pays benefits to disabled individuals who have worked and paid social security taxes. SSI is a means-tested program, whereas SSDI is not.
To prepare for this Discussion, think about the resources needed by an individual for his or her health care. Consider health insurance as a resource that covers health care for an illness.
By Day 3
Post an explanation of the differences between the public and private health insurances as well as the difference in access to care based on one’s insurance. Explain the differences between Medicare and Medicaid in terms of eligibility, cost, benefits, services provided, and limitations in services. Finally, describe special programs that your state’s Medicaid program offers to increase access to care for vulnerable populations, such as pregnant women, children, single mothers, or immigrants.

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There are two major types of antipsychotic medication. Typical antipsychotics are older drugs, such as chlorpromazine and haloperidol. Typical antipsychotics tend to be highly effective, yet they often have severe side effects. Older clients are more likely to have been prescribed typical antipsychotics before newer atypical antipsychotics became available. However, as long as the client is tolerating the medication, generally the treatment will continue.
Atypical antipsychotics, or newer drugs, tend to be tolerated more readily, and the side effects are less severe (Perry, Alexander, Liskow, & DeVane, 2007). Since typical antipsychotics often have severe side effects, they are used as a last resort when the atypical antipsychotics are not effective. Nevertheless, both antipsychotic medications manage the positive symptoms of schizophrenia or other psychotic disorders, including hallucinations and delusions.
For this Discussion, review the media programs “Psychotic Disorder Case Study: Harry” and“Psychotic Disorder Case Study: Ralph”and consider the case study’s current antipsychotic drug treatments. Next, you will be placed into one of two groups (i.e., Group A: “Harry” case study or Group B: “Ralph” case study). You then will post to your specific group about your assigned case study. You will then respond to a colleague from the opposite group about their case study.
By Day 3
Post an alternative antipsychotic drug treatment for your assigned case and explain why you think it is more appropriate. Explain the potential negative side effects and identify symptoms that may not be relieved by the treatment. Then, explain one potential ethical concern related to this client’s treatment and your role as a mental health professional once the client has been stabilized on his medication.
Be sure to support your postings and responses with specific references to the Learning Resources.
By Day 5
Read a selection of your colleagues’ postings.
Respond to at least two of your colleagues’ posts from the opposite group about their treatment choice by:
Discussing any additional important information that should be considered
Suggesting an alternative therapy and supporting your suggestion with evidence from the Learning Resources or other scholarly sources.
If a post already has two responses, you must choose another post.

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