The executive summary indicates the content of apiece(prenominal) chapter of the more detailed report. After an introductory chapter, the summary cites an overview chapter of mental-health and mental-illness " fundamental principle" that summarizes the kinds of scientific research dealing with body and mind (i.e., with brain, brain-chemistry, and brain-cell functions on one hand, and with behavioral functions on the other). Studies of experimental clinical responses to the research, in the form of both diagnostics and treatment, are also cited. The complex body part of the "hybrid" and non always coordinated mental-health system is explained, with fiber to public and private entities, as well as to " normal health and specialty mental health providers, and favorable services, housing, guilty justice, and educational agencies" (Satcher, 1999, p. xi). Consumer-advocacy and family- or culture-service shapings that have emerged to aid populations affected at once or indirectly by specific mental disorders.
The population-based mold that defines US public health policy is organized in the surgeon general's report around the human lifespan -- childhood/adolescence, adulthood, and elder adulthood (age 55 and up). One chapter is devoted to each lifespan. Mental disorders cross all socioeconomic grou
ps, and they can interfere with the ability to cope with the vicissitudes of social life.
Their identification and treatment can also be heterogeneous by cultural differences, the level of available family support, the socioeconomic stance of the family and/or mentally ill individual, and the failure of timely experience and intervention on the part of health-care providers unfamiliar with the range of treatment options available to them and their patients. The main message of a chapter on the organization and financing of mental-health services is that the knowledge/research base is faraway ahead of service-delivery options. Even where known treatments exist, the emergence of cost containment as a primary element of health-care delivery (e.g., via managed care, because of lack of insurance coverage for many) has highlighted inequitable distribution of services. Connected to institutional (insurer) conceal of health-care delivery is the issue of consumer privacy in matters of health. This is an area tensity because seeking mental-health treatment, always advisable, may require "personal revelations of mental distress" (Satcher, 1999, p. xviii) or may involve putting diagnostic or clinical-research information into a computer database that may not be secure. Nevertheless, the report's concluding policy-advocacy chapter urges those in need of mental-health service to seek it, and calls for continu
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