2 ms·

i don't know how this works in the US, but in the netherlands we have an extensive system of mental healthcare (financed through the public healthcare system).

i don't know how this works in the US, but in the netherlands we have an extensive system of mental healthcare (financed through the public healthcare system). This system goes from crib to coffin as far as age brackets go, and is integrated with each other. This system seems to work quite well because it has a lot of different methods of dealing with issues people have. Some people live in semi-independant communal homes and function normally in society, while other are being put in a closed enviroment ("gesloten inrichting"). Most people with mental health issues seem to be able to live relatively normal lives, although they need (some) support from the outside and society in general.

wjossey 8y ago
This is really great to learn about, thank you. It's nothing like that here, primarily because we have such a fragmented system. If one is poor, you will qualify for medicaid, which will vary wildly in terms of quality and access depending on the state in which you live. Even with medicaid, you'll have out of pocket expenses, because of the way our insurance system works in the US. If you are homeless or someone who is working poor, even the smallest co-pay is a barrier. The semi-independent communal home concept is what I generally have in my head as being the right alternative to what we have now, and I'm glad to hear it already has some proof points. Look forward to reading more about it.
- kazen44 8y ago
  some more information can be found at the dutch website for help (roughly translated)[0]. It is in dutch, but with a bit of google translate you should be able to make out how these "open instellingen" function. (most are aimed at youth and young adults, because the issues seem to be more prelevant there). some more information about how long term healthcare works in the netherlands can be found at [1]. and more info about communal living here [2]. [0] https://www.regelhulp.nl/ik-heb-hulp-nodig/verblijf-in-een-jeugdinstelling https://www.regelhulp.nl/ik-heb-hulp-nodig/verblijf-in-een-j... [1] https://www.regelhulp.nl/ik-heb-hulp-nodig/wet-langdurige-zorg-wlz https://www.regelhulp.nl/ik-heb-hulp-nodig/wet-langdurige-zo... [2] https://www.regelhulp.nl/ik-heb-hulp-nodig/langdurig-verblijf https://www.regelhulp.nl/ik-heb-hulp-nodig/langdurig-verblij...

wjossey 8y ago

This is really great to learn about, thank you. It's nothing like that here, primarily because we have such a fragmented system. If one is poor, you will qualify for medicaid, which will vary wildly in terms of quality and access depending on the state in which you live. Even with medicaid, you'll have out of pocket expenses, because of the way our insurance system works in the US. If you are homeless or someone who is working poor, even the smallest co-pay is a barrier. The semi-independent communal home concept is what I generally have in my head as being the right alternative to what we have now, and I'm glad to hear it already has some proof points. Look forward to reading more about it.

kazen44 8y ago
some more information can be found at the dutch website for help (roughly translated)[0]. It is in dutch, but with a bit of google translate you should be able to make out how these "open instellingen" function. (most are aimed at youth and young adults, because the issues seem to be more prelevant there). some more information about how long term healthcare works in the netherlands can be found at [1]. and more info about communal living here [2]. [0] https://www.regelhulp.nl/ik-heb-hulp-nodig/verblijf-in-een-jeugdinstelling https://www.regelhulp.nl/ik-heb-hulp-nodig/verblijf-in-een-j... [1] https://www.regelhulp.nl/ik-heb-hulp-nodig/wet-langdurige-zorg-wlz https://www.regelhulp.nl/ik-heb-hulp-nodig/wet-langdurige-zo... [2] https://www.regelhulp.nl/ik-heb-hulp-nodig/langdurig-verblijf https://www.regelhulp.nl/ik-heb-hulp-nodig/langdurig-verblij...