1. Inter generational conflicts & Healthcare
1.1. HIPPA states the following: Children are not required to protect parent health information, in the event of an emergency a dcotor can give children updates on their parents health status, if a parent does not want the doctor communicating with the child, the child can still reach out to the doctor, the doctor is not obligated to answer, and lastly if the parents judgment is impaired there may be an ethical reason to override their wishes.
2. Patient mental healthcare and childrearing ( aka what is the effect of paternal PTSD on parent child relationships)
2.1. In a study of 209 Khmer adolescents and one of their parents, Sack et al. found that PTSD in refugees clusters in families, it is significantly related across parent-child generations.
2.1.1. This study used DSM-3 criteria because it is older, but there is change to criteria of PTSD since then.
2.1.2. The specificity of this study to the population of Cambodian refugees makes it highly applicable to our case and suggest that the trauma experienced by Narith and Chanta may have an effect on their son.
2.2. Hope et al. found that, “impaired funcitonaing across parenting domains, increased parental stress, lower parent satisfaction, less optimal parent-child relationships, and more frequent use of negative practices, such as overt hostility and controlling behaviours” (Hope at al. 2019).
3. Nature of the ACA
3.1. The ACA is handled by the Federal government and applies to everyone. Lawfully present immigrants can find insurance through the healthcare marketplace to shop for insurance (provided via the ACA).
3.2. It provides checkups, hospital visits, counseling, prescriptions, flu shots, and depression screenings. It applies to physical health, mental health, and substance abuse.
3.3. Premium is what you pay each month to have health insurance. A co-pay is the portion you as the insurance holder pay in addition to the premium. The insurance company pays most of the costs while the co-pay only represents a small portion of what the actual cost of a visit represents. A deductible is the portion you have to pay of the visits before the insurance company covers anything. Co-insurance means that after you have met your deductible, you will pay the percent you are responsible for determined by your coinsurance. If your coinsurance is 20% then after you have met your deductible, you will be 20% of the cost of a visit.
4. Significance of ID/Tx patient with PTSD
4.1. relationships
4.1.1. Increased levels of PTSD linked to impaired social relationships.
4.1.1.1. Therapy is critical to reduce the heightened state of fear and restore the ability to form healthy social bonds.
4.1.1.2. social bonds help to create a sense of safety, which appears to be essential to the prevention of or recovery from PTSD. Important to consider the social support system in conjunction with treatment.
4.2. work
4.2.1. PTSD can affect performance at work
4.2.1.1. therapy is crucial for helping overcome the effects of PTSD no job performance.