Masten resilience

Recent federal legislation holds promise for increasing access to and the quality of children’s mental health services. Children’s Health Insurance Program Reauthorization 2009 requires that mental health and substance abuse benefits are equal to other medical benefits in health insurance. Similar provisions are included in the Patient Protection and Affordability Care 2010. Consistent with the Wellstone-Domenici Act (2008), it requires mental health and substance abuse benefits in the individual and group market to be on par with medical benefits. It makes providers of mental health and substance abuse services a high priority in the law for increasing the work-force competency and availability of community based services. The law also provides for prevention and early intervention and includes mental health as part of the quality initiatives to manage chronic conditions, along with a range of initiatives to address disparities.

This shared brain circuitry for social and physical pain has implications for education , work, and relationships. When children are bullied by exclusion and rejection, they are truly in pain. When co-workers frequently exclude colleagues from lunch invitations, it does hurt. Receiving rejection feedback at work, school, or from parents really hurts. Children might medicate by the natural reaction to protect themselves, aggression against attacker. And of course, the aggression might be turned inward and manifest as a mental illness. Some minority groups may find themselves excluded from mainstream society; others may share the same experience as a byproduct or belonging to a low socioeconomic class. And they remain in pain...

Masten resilience

masten resilience

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