Under the new health-care legislation mental health and substance use disorder benefits must be offered on a parity with other medical and surgical benefits for all insurance plans. There can be no annual or lifetime limits or denial of benefits based on pre-existing conditions. There will be special support for the delivery of services, education and research for depression. The increased Medicaid eligibility will provide more mental health services and there will be some special demonstration projects under Medicaid. There is a 5% increase scheduled for psychotherapy services under Medicare. However there are some complicated issues concerning Medicare rates which need to be worked out including the feasibility of psychotherapy being provided under the prevailing fee schedule.
A 38 year old women drowns here 3 children ages, 3 weeks, 2 and 4 years old and then attempts to kill herself of ingesting lye. She had a postpartum psychosis.
Postpartum or Baby Blues, post partum depression and postpartum psychosis are described as well as the possible causes and treatment approaches to these conditions. Recent efforts to bring about a federal law which would provide education and services with respect to the diagnosis and management of post partum conditions ( Melanie Stokes Mothers Act ) are also discussed.