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7 Valid Points from a TikTok Video we need to address.

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7 Valid Points from a TikTok Video we need to address.

By Vincent Cordova | Cordova 2028

September 28, 2024

Effect - Lady Love Lashes - TikTok Video

https://www.tiktok.com/t/ZP8RxCMxg/

There needs to be changes in hospitals because too many people working there don't care about the patients. When you go to the ER with an issue, why aren’t they addressing the problem? Why do they avoid giving you the help you need? They are quick to send you to the psych ward but don’t provide the necessary assistance. Going to the psych ward feels like a complete waste of time and energy because they do nothing to help you. All you do is get locked away. If you’ve experienced this, you know exactly what I’m talking about. There needs to be a change in the mental health system within hospitals. Why work in the field to help people, only to not help them? - Effect - Lady Love Lashes - TikTok Video

You have to ask yourself, if you Government wanted to, they would.

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Here are the Key Points from the Effect - Lady Love Lashes:

Lack of Patient Care in Hospitals: The author expresses frustration that many hospital staff do not genuinely care about their patients, especially in emergency room (ER) settings.

- Neglect in Addressing Issues: When patients go to the ER with a problem, they often feel that their concerns and issues are not adequately addressed or treated.

- Quick Referral to Psychiatric Wards: The author criticizes hospitals for quickly referring patients to psychiatric wards instead of addressing their underlying health issues.

- Psychiatric Ward Ineffectiveness: According to the video, psychiatric wards are perceived as ineffective. The author believes that being placed in a psych ward does not provide meaningful help and is merely a way to "put away" patients without solving their problems.

- Waste of Time and Energy: The author argues that being sent to the psychiatric ward is a waste of time and energy, as it does not lead to proper care or solutions.

- Personal Experience with Mental Health System: The frustration comes from personal or observed experiences with the mental health system, where individuals felt neglected or ignored.

- Call for Change in the Mental Health System: The video advocates for a change in how hospitals handle mental health care, particularly emphasizing the need for people working in

- the mental health field to genuinely help patients rather than neglect them.

The central theme is the urgent need for reform in hospital practices, particularly regarding mental health care, and the need for more compassionate and effective treatment for patients.

The TikTok video highlights some valid concerns about the treatment of mental health patients in emergency rooms and psychiatric wards. There is growing recognition that emergency departments (ERs) often fall short in providing adequate care for individuals experiencing psychiatric crises. Overcrowded ERs and a lack of specialized mental health services can lead to patients being admitted to psychiatric wards where the focus is more on managing crises rather than offering long-term, effective treatment. This has led to dissatisfaction and a sense of neglect, as described in the video.

For example, some patients report that when they are sent to psychiatric wards, they do not receive the help they need but instead feel like they are merely "put away" without adequate treatment. Research confirms that many psychiatric patients in ERs can experience long wait times and insufficient mental health interventions. Traditional methods of care, such as involuntary hospitalization, often focus on stabilizing the patient without addressing the underlying issues​(

North Carolina Health News )​( Psychology Today ).

The emergence of new models like the EmPATH (Emergency Psychiatric Assessment, Treatment, and Healing) units seeks to address these concerns by providing more empathetic, rapid intervention. These units focus on reducing unnecessary psychiatric hospitalizations and helping patients stabilize within 24 hours​(

Psychology Today ). However, many hospitals have yet to implement such reforms, leaving patients feeling like they are not being heard or properly cared for​( The Independent ).

For more in-depth analysis and potential solutions to these issues, you can explore resources like NC Health News or Psychology Today, which discuss alternatives to traditional emergency mental health care and advocate for more compassionate and effective solutions​( North Carolina Health News )​( Psychology Today ).

Several factors contribute to the issues raised in the video, particularly regarding the poor treatment of patients, especially in mental health care settings within hospitals. These problems can be attributed to systemic, institutional, and workforce-related issues, including:

- Overcrowded Emergency Rooms : Many hospitals, especially emergency rooms, are overcrowded and understaffed. As a result, mental health patients often do not receive the attention or care they need in a timely manner. Emergency departments are designed to handle acute, physical health crises, and are often unequipped to address psychiatric emergencies​(

North Carolina Health News )​( Psychology Today ).

- Mental Health Care Shortages : There is a shortage of mental health professionals across many healthcare settings. Hospitals often lack specialized staff or resources to address psychiatric needs properly, leading to subpar care or quick referrals to psychiatric wards where patients feel "put away" without receiving the help they need​(

The Independent ).

- Systemic Neglect and Fragmentation of Care : Mental health care is often fragmented, meaning psychiatric care is not integrated well with physical health care. In psychiatric wards, staff may focus on stabilizing acute crises rather than addressing underlying mental health or physical health needs. This leads to the feeling that patients are not being helped effectively​(

The Independent ).

- Focus on Crisis Management Over Treatment : Psychiatric wards in hospitals are often geared toward short-term crisis management rather than long-term treatment or recovery. This model focuses more on keeping patients safe rather than helping them with ongoing mental health needs, which can feel like "being put away" without meaningful treatment​(

North Carolina Health News )​( Psychology Today ).

- Underfunding of Mental Health Services : Mental health care often receives less funding compared to other areas of health care, leading to limited resources, poor staffing, and inadequate facilities. This results in overworked staff and under-resourced wards, exacerbating the neglect and poor treatment of patients​(

The Independent ).

- Stigma and Bias in Mental Health : There is still stigma attached to mental health, even within healthcare settings. Some medical professionals may have biased attitudes towards psychiatric patients, leading to less compassionate care. Additionally, psychiatric patients’ physical health needs are sometimes neglected because the focus is on their mental state​(

The Independent )​( ACEP Home ).

- Ineffective Policies and Protocols : Hospital protocols can sometimes be rigid and outdated, not reflecting the evolving needs of mental health care. Many psychiatric patients feel that they are not listened to or that their needs are not properly assessed, with decisions being made based on hospital policies rather than individualized care​(

ACEP Home ).

These systemic problems contribute to the issues raised in the TikTok video and are part of a larger conversation about the need for reform in mental health care delivery within hospitals. Solutions like the EmPATH units show promise, but broader changes are needed to address the deeper issues in the system​( Psychology Today ).

Despite the challenges in mental health care, several positive developments are happening within the sector, aiming to improve patient outcomes and overall mental health services. Some of these advancements include:

- Introduction of EmPATH Units : One of the most innovative developments in psychiatric emergency care is the creation of EmPATH (Emergency Psychiatric Assessment, Treatment, and Healing) units. These units provide a calm, supportive environment where psychiatric patients can be evaluated and treated rapidly, without being admitted to a psychiatric ward. This model has significantly reduced unnecessary hospitalizations, improved patient outcomes, and enhanced patient satisfaction​(

Psychology Today ).

- Telehealth for Mental Health Services : The rise of telehealth has expanded access to mental health care, allowing patients to receive counseling and treatment from the comfort of their homes. This has been particularly beneficial for individuals in rural areas or those who face barriers to in-person care. Telehealth has also reduced wait times and improved continuity of care for those in need of mental health services.

- Integration of Mental and Physical Health Care : More hospitals and healthcare systems are moving towards integrating mental and physical health care. This holistic approach helps ensure that psychiatric patients receive adequate physical health care, addressing long-standing issues of neglect in this area​(

The Independent ). For example, some hospitals are now incorporating physical health checks for psychiatric patients to prevent conditions like blood clots, which have historically been overlooked in psychiatric settings.

- Peer Support and Community-Based Care : There has been a growing recognition of the value of peer support specialists—people with lived experience of mental health challenges. Many hospitals and community organizations are now employing peer support specialists to provide empathy and guidance to those in psychiatric distress. Additionally, community-based care options, like peer-run respite centers, offer alternatives to hospitalization, providing support in a less clinical environment​(

North Carolina Health News ).

- Behavioral Health Urgent Care Centers : These specialized centers are emerging as alternatives to emergency rooms for people experiencing mental health crises. Behavioral health urgent care centers offer immediate assessments, crisis stabilization, and referrals to follow-up services, providing a more appropriate and supportive environment than traditional ER settings​(

North Carolina Health News ).

- Innovations in Mental Health Treatment : The development of newer treatment modalities like Transcranial Magnetic Stimulation (TMS) and Ketamine therapy for treatment-resistant depression has provided new hope for patients who have not responded to traditional treatments. These therapies are being increasingly offered in specialized psychiatric settings​(

ACEP Home ).

These positive steps show that while challenges remain, significant progress is being made in mental health care to provide more compassionate, effective, and timely services to patients.

Several factors contribute to mental health issues, and these can be broadly classified into biological, psychological, environmental, and social factors. These elements often interact, creating complex pathways to the development of mental health conditions. Here’s a breakdown of the main causes:

1. Biological Factors :

- Genetics : Family history of mental illness can increase the likelihood of an individual developing a mental health condition. Certain genetic predispositions, inherited from parents, may make someone more vulnerable to issues like depression, bipolar disorder, or schizophrenia​( North Carolina Health News ).

- Brain Chemistry : Neurotransmitters, which are chemicals in the brain that help regulate mood and behavior, play a significant role in mental health. Imbalances in these chemicals, such as serotonin, dopamine, and norepinephrine, are linked to conditions like depression and anxiety​( ACEP Home ).

- Physical Health Conditions : Chronic illnesses such as cancer, heart disease, or neurological conditions can lead to psychological distress and mental health issues, especially when combined with pain, fatigue, or limited physical function​( The Independent ).

- Hormonal Changes : Hormonal imbalances, like those occurring during pregnancy, menopause, or thyroid problems, can also trigger or exacerbate mental health conditions such as anxiety or depression.

2. Psychological Factors :

- Trauma : Individuals who experience trauma, particularly during childhood, such as abuse, neglect, or witnessing violence, have a higher risk of developing mental health disorders like post-traumatic stress disorder (PTSD), depression, or anxiety​( The Independent ).

- Chronic Stress : Long-term exposure to high levels of stress, whether due to work pressure, financial problems, or relationship issues, can lead to mental health challenges. Over time, chronic stress can weaken emotional resilience and contribute to disorders like anxiety or depression​( ACEP Home ).

- Negative Thinking Patterns : Cognitive distortions, such as a tendency to focus on negative aspects of life or catastrophize situations, can lead to depression, anxiety, and other mental health problems​( ACEP Home ).

3. Environmental Factors :

- Poverty and Socioeconomic Disadvantage : Financial instability, lack of access to basic needs, or living in impoverished conditions can lead to mental health struggles. People living in poverty often experience higher levels of stress, and less access to mental health resources, leading to higher rates of mental illness​( The Independent ).

- Substance Abuse : Drug and alcohol abuse can contribute to or worsen mental health conditions. Substance use disorders and mental health issues like anxiety or depression often occur together, with each condition exacerbating the other​( ACEP Home ).

- Lack of Social Support : Isolation and loneliness are strong risk factors for developing mental health issues. Individuals who lack social connections may experience feelings of alienation, which can increase the risk of depression and anxiety​( The Independent ).

4. Social and Cultural Factors :

- Discrimination and Social Stigma : Marginalized communities, including racial minorities, LGBTQ+ individuals, and people with disabilities, often face discrimination and social stigma. This can lead to higher rates of mental health disorders due to the constant stress and isolation​( North Carolina Health News )​( The Independent ).

- Workplace Stress : Job-related pressures, burnout, and lack of job security are significant contributors to mental health issues. Poor work-life balance and a lack of control over one’s job responsibilities can increase stress and anxiety​( ACEP Home ).

- Cultural Expectations : Cultural norms and expectations, such as pressure to succeed academically or professionally, can contribute to anxiety, depression, and other mental health issues. Social pressures to conform or meet high standards can leave individuals feeling overwhelmed.

5. Life Events :

- Loss and Grief : The death of a loved one, the breakdown of a relationship, or other significant losses can trigger depression, anxiety, and other mental health issues. Grief can have long-lasting psychological effects, especially if not properly processed​( North Carolina Health News )​( The Independent ).

- Major Life Changes : Life transitions such as divorce, moving to a new city, or losing a job can also contribute to stress and mental health challenges. While some people are resilient to change, others may struggle to adjust, leading to conditions like anxiety or depression.

Understanding the complex interplay of these factors can help improve mental health care and support systems, making it easier for individuals to seek treatment and manage their mental health conditions.

Poverty and socioeconomic disadvantage are extremely important factors in contributing to mental health issues and can often exacerbate the impact of other psychological, environmental, and social stressors. On a scale of importance relative to other non-biological factors, poverty often sits at the top due to its widespread and pervasive impact on multiple aspects of life. Here's why it ranks so highly compared to other factors:

1. Chronic Stress and Financial Instability

Poverty creates a constant state of stress due to the insecurity around basic needs like food, housing, and healthcare. This chronic stress can lead to anxiety, depression, and feelings of helplessness. The continuous strain of living in poverty depletes mental resilience, making individuals more vulnerable to mental health issues. Studies have shown that people living in poverty are more likely to experience depression and anxiety disorders​(

North Carolina Health News )​( The Independent ).

2. Access to Mental Health Services

Individuals in lower socioeconomic brackets often have limited access to mental health care. They may not have insurance, face long wait times, or encounter financial barriers to seeking treatment. This lack of access can delay or prevent early intervention, leading to the worsening of mental health conditions over time​(

ACEP Home ). In contrast, people with higher incomes can more easily afford therapy, medications, and support services.

3. Environmental Stressors

Poverty is often linked with living in areas with higher crime rates, poor housing conditions, and limited educational opportunities. These environmental factors contribute to mental health problems by increasing exposure to violence, trauma, and social instability. These neighborhoods also tend to have fewer resources, such as parks and recreational spaces, which can otherwise promote mental well-being​(

The Independent ).

4. Social Isolation and Stigma

People in poverty often experience social isolation, exacerbated by stigma and shame associated with financial struggles. Isolation can lead to feelings of alienation and hopelessness, increasing the likelihood of mental health disorders like depression. Additionally, lower-income individuals may lack strong social networks, which are crucial for emotional support during difficult times​(

ACEP Home ).

5. Amplification of Other Issues

While factors like trauma, job stress, or discrimination are significant contributors to mental health challenges, poverty amplifies their impact. For example, someone experiencing job stress in poverty may also have the added stress of potentially losing their home, feeding their family, or affording healthcare. This creates a compounded effect, making it harder for individuals to cope with their mental health problems.

Comparatively:

- Workplace Stress and Social Isolation are important factors, but they often stem from poverty or are significantly exacerbated by it. For instance, a low-income job can create high levels of stress due to job insecurity or lack of control, but in affluent communities, work stress may be mitigated by better access to resources like therapy or wellness programs.

- Substance Abuse often co-occurs with poverty, where people might turn to substances as a form of coping with financial instability and chronic stress, further linking poverty to mental health issues.

- Trauma and Chronic Stress may happen in any socioeconomic class, but poverty often intensifies the consequences, making recovery more difficult and mental health services harder to access.

Conclusion:

Poverty and socioeconomic disadvantage are among the most important non-biological factors contributing to mental health issues, often amplifying the impact of other social and psychological stressors. It creates a cycle of stress, poor access to care, and environmental hardship, which profoundly affects mental health outcomes. Addressing poverty is crucial for improving mental health on a broader scale, as it underpins many other issues people face.

Yes, poverty and socioeconomic disadvantage should indeed be a critical starting point when addressing the issues raised in the TikTok video about mental health care in hospitals. Here’s why:

1. Foundational Impact of Poverty on Mental Health :

As we discussed earlier, poverty is a root cause that exacerbates many other mental health challenges. Starting with poverty allows you to address not only the immediate stressors but also the broader, systemic issues like access to care, stigma, and long-term health outcomes. Tackling poverty-related barriers, such as improving healthcare access, could prevent many people from even needing to enter the emergency room or psychiatric wards in the first place.

2. Financial Barriers to Mental Health Services :

Many people experiencing poverty are forced to use emergency rooms as their primary source of mental health care due to the lack of affordable outpatient services. As the video suggests, hospitals may quickly refer patients to psychiatric wards without addressing their core issues, which could be avoided if they had access to earlier, more comprehensive mental health support. Focusing on poverty helps to address the financial limitations that push people into emergency services rather than preventative care​(

The Independent )​( ACEP Home ).

3. Poverty as a Lever for Systemic Change :

Poverty drives not only poor mental health but also neglect within the healthcare system. Hospitals serving lower-income populations are often under-resourced and overburdened, leading to the kind of dismissive and ineffective treatment discussed in the video. Addressing the disparities in hospital funding and improving services for low-income communities could be a direct way to improve the care provided in emergency rooms and psychiatric wards​(

North Carolina Health News )​( ACEP Home ).

4. Intersectionality with Other Issues :

By starting with poverty, you can address a range of intersecting issues like social isolation, substance abuse, and trauma. These are all magnified by poverty and socioeconomic disadvantage, which makes it a central point of intervention. Once you improve the conditions that poverty creates, it becomes easier to implement solutions in other areas, such as mental health care reform in hospitals and more compassionate handling of psychiatric cases.

5. Policy and Resource Allocation :

Focusing on poverty as the starting point allows for advocacy around better policy and funding decisions. By improving access to housing, financial support, and community-based mental health services, we could reduce the number of people ending up in crisis situations that require emergency or psychiatric interventions​(

North Carolina Health News ).

Conclusion:

Poverty and socioeconomic disadvantage should be a key focus while working on the other issues raised in the TikTok video. Addressing these root causes will provide a stronger foundation for improving mental health services in hospitals, reducing the need for emergency interventions, and ensuring that those who seek help actually receive it in a timely and effective manner.

Presidential Executive Order on the Creation of the Task Force to Address Poverty, Socioeconomic Disadvantage, and Mental Health Care Reform

By the authority vested in me as President of the United States by the Constitution and the laws of the United States of America, it is hereby ordered as follows:

Section 1. Purpose

The impact of poverty and socioeconomic disadvantage on mental health is a critical public health issue that requires immediate action. Socioeconomic disparities not only exacerbate mental health challenges but also limit access to care and perpetuate systemic neglect within the healthcare system. This Executive Order establishes a Presidential Task Force to address these urgent issues and provide actionable solutions that will improve mental health outcomes, reduce the need for emergency interventions, and ensure equitable access to care for all.

Section 2. Establishment of the Task Force

A "Presidential Task Force on Mental Health and Socioeconomic Disadvantage" (hereafter referred to as the "Task Force") is hereby established within the Executive Branch.

Section 3. Mission and Scope

The Task Force will be responsible for the following:

(a) Foundational Impact of Poverty on Mental Health

- Conduct a comprehensive review of how poverty and socioeconomic disadvantage contribute to mental health challenges.

- Identify the root causes of poverty-induced mental health issues, focusing on stressors such as housing insecurity, food insecurity, and unemployment.

- Propose interventions that mitigate the mental health burden caused by poverty.

(b) Financial Barriers to Mental Health Services

- Investigate the financial obstacles faced by low-income individuals when accessing mental health services, including the lack of affordable outpatient services and gaps in insurance coverage.

- Develop strategies to expand affordable access to mental health care through new funding models, subsidies, and insurance reform.

(c) Poverty as a Lever for Systemic Change

- Assess how addressing poverty could serve as a lever for broader systemic change within the healthcare system.

- Analyze the disparities in healthcare funding for hospitals and clinics that serve low-income populations and recommend policies to reduce these gaps.

- Explore ways to improve hospital care for low-income patients, particularly in emergency and psychiatric settings.

(d) Intersectionality with Other Issues

- Study the intersecting factors of social isolation, substance abuse, and trauma, which are magnified by poverty.

- Recommend solutions that address the compounded impact of these issues on mental health, including community-based interventions and social support services.

(e) Policy and Resource Allocation

- Advise on federal policy changes that can improve resource allocation for mental health services in low-income communities.

- Propose mechanisms for improving access to housing, financial support, and community-based mental health services.

- Recommend strategies for reducing the number of individuals who require emergency or psychiatric interventions by addressing their needs earlier.

Section 4. Timeline

Phase 1 – Research and Stakeholder Engagement (3 months):

- Within the first 3 months, the Task Force will gather data and conduct consultations with state and local governments, healthcare providers, non-profits, and affected communities.

- Public hearings and workshops will be organized to gather lived experiences and expert recommendations on the relationship between poverty and mental health.

Phase 2 – Initial Findings and Recommendations (6 months):

- By the 6-month mark, the Task Force will submit an initial report to the President, outlining the key findings from Phase 1 and providing short-term recommendations that can be implemented immediately to address urgent issues.

- The report will include proposals for pilot programs and funding mechanisms to begin addressing the foundational impact of poverty on mental health services.

Phase 3 – Comprehensive Policy Recommendations (12 months):

- Within 12 months , the Task Force will deliver a final report containing comprehensive policy recommendations aimed at addressing the full scope of issues related to poverty and mental health.

- The report will include detailed legislative and administrative proposals, including budgetary considerations, healthcare reforms, and strategies for resource allocation.

- This phase will also include the development of performance metrics and accountability measures to track progress.

Phase 4 – Implementation and Monitoring (Ongoing):

- After the final report is submitted, the implementation of key recommendations will begin, with federal agencies taking immediate action on the short-term goals.

- The Task Force will continue to monitor the progress of implementation, providing quarterly updates on the status of reforms, identifying any barriers, and adjusting strategies as needed.

Section 5. Membership

The Task Force will be chaired by the Secretary of Health and Human Services (HHS) and will include representatives from:

- The Department of Housing and Urban Development (HUD)

- The Department of Education

- The Department of Labor

- The Office of Management and Budget (OMB)

- The National Institutes of Health (NIH)

- The Substance Abuse and Mental Health Services Administration (SAMHSA)

- Experts in mental health, poverty alleviation, and community services

Section 6. Stakeholder Engagement

The Task Force will engage with state and local governments, non-profit organizations, healthcare providers, and individuals with lived experiences in poverty and mental health struggles. Public hearings and consultations will be held to gather input and ensure that the voices of those most affected by these issues are represented in the policy-making process.

Section 7. Implementation

Federal agencies will be directed to prioritize resources and cooperation with the Task Force. The recommendations made by the Task Force will guide federal budgeting, policy development, and the distribution of resources to improve mental health care and reduce poverty-related mental health burdens across the nation.

Section 8. General Provisions

- This Order shall be implemented consistent with applicable law and subject to the availability of appropriations.

- The Task Force shall be advisory and consultative in nature, providing guidance for future legislative or administrative action.

Section 9. Effective Date

This Executive Order is effective immediately.

Signed:

The President of the United States

Vincent Cordova · Candidate for U.S. President 2028
www.cordova2028.com

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