Agenda Comparison Grid: US Presidential Mental Health Policies

This report provides a comprehensive comparison of US presidential administrations' approaches to mental health, specifically focusing on depression. The assignment includes an agenda comparison grid analyzing the current and two previous presidents' focus, resource allocation, and strategies concerning depression. It examines the factors contributing to depression, administrative agencies involved, and how mental health issues gain and maintain prominence on the presidential agenda. The analysis further identifies key champions and sponsors of mental health initiatives. A fact sheet summarizes key statistics, characteristics, and barriers related to depression, highlighting the role of nurses in healthcare agenda-setting. The report references multiple sources to support its findings.

Running head: AGENDA COMPARISON GRID-ASSIGNMENT 1
AGENDA COMPARISON GRID-ASSIGNMENT 1
Name of the Student:
Name of the University:
Author’s Note:

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AGENDA COMPARISON GRID-ASSIGNMENT 1
Part 1: Agenda Comparison Grid
Identify the
Population Health
concern you
selected.
Depression is a major population health concern in the U.S.
Describe the
Population Health
concern you selected
and the factors that
contribute to it.
Depression is one of the common mental disorder in the United
States, resulting in severe damage that affects the ability to conduct
major life activities (Lin et al., 2016). According to the National
Institute of Mental Health, approximately 17.3 million people have
at least one episode of Depression that contributes to 7.1% of adult
in the country (Nimh.nih.gov, 2019).
Administration
(President Name)
(Current
President)
(Previous
President)
(Previous
President)
Describe the
administrative
agenda focus related
to this issue for the
current and two
previous presidents.
Law H.R. 6 was
signed that involve
Patients and
Communities Act
and the Department
of Health, and
Human Service
offered an
opportunity for
States to used
Medicaid
Barrack Obama had
introduced health
care reform in
alignment with the
Affordable Care
Act. It offered 20
million Americans
health insurance
coverage, and the
importance of health
and mental health
George Bush had
introduced the New
Freedom
Commission on
Mental Health
which is a key
component if the
New Freedom
Initiative. He
recognized the gaps
in the Depression

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AGENDA COMPARISON GRID-ASSIGNMENT 1
demonstration for
support patient with
serious mental
illness such as
Depression (The
White House, 2019).
The president has
focused on research
in depression thus,
highlighting the
need of attention.
was prioritized.
Depression was
identified as a
serious mental
illness and strategies
to mitigate it was
formulated. He has
stated that it is
important to
priorities the mental
disorder of
depression to limit
the rate of mortality.
and mental health
system and thus,
recommended
improvement in the
Federal, state and
local level of public
and private care
settings. He was the
pioneer in
postulating law
related to depression
(Wagner, 2018).
Identify the
allocations of
financial and other
resources that the
current and two
previous presidents
dedicated to this
issue.
In the fiscal year of
2020 budge, the
government has
requested to the
Congress for
initiating funding for
the Community
Mental Health
Service Block
Grants that will
offer financial aid to
the States for
In 2014, the
President had signed
legislation that
offers funds to the
Substance Abuse
and Mental Health
Services
Administration
(SAMHSA) for
supporting early
treatment of
Depression. It has
The funding from
various
organizations have
been initiated and
focused on early
diagnosis of
Depression was
promoted.

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AGENDA COMPARISON GRID-ASSIGNMENT 1
services of adult and
children suffering
from serious
Depression by
identification of
emotional
disturbances.
funded above 187
grantees using the
Primary and
Behavioral Health
Care Integration
program (Clark,
2017).
Explain how each of
the presidential
administrations
approached the
issue.
He proclaimed May
2019 as the National
Mental Health
Awareness Month
and initiated
program and
activities to prevent,
diagnosis and
treatment the issue
of Depression. It can
be stated that
depression is one of
the fatal mental
disdorder that need
to be addressed by
the government
(DeVylder, 2017).
He signed the ACA
and Patient
Protection Act for
early detection of
Depression. The
administrative
approach that has
been taken by him to
address the issue of
depression. This was
in association with
the economic
development as
depression was
increase as a result
of which, the
medical cost was
increasing
Bush proclaimed the
90s as the Decade of
Brain and signed the
American with
Disabilities Act. He
hosted the first
White House
Conference on
Mental Health
(Lambrew, 2018).

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AGENDA COMPARISON GRID-ASSIGNMENT 1
(Whitehouse.gov,
2016).

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AGENDA COMPARISON GRID-ASSIGNMENT 1
Part 2: Agenda Comparison Grid Analysis
Administration
(President Name)
(Current
President)
(Previous
President)
(Previous
President)
Which
administrative
agency would most
likely be responsible
for helping you
address the
healthcare issue you
selected?
The Nation Institute
of Mental Health
The significance of
Medicaid was found
to be prevalent. This
was in association
with the insurance
coverage with the
medical services
offered related to
depression (Wagner,
2018).
The New Freedom
Commission on
Mental Health was
responsible for
helping people with
Depression (The
White House, 2019).
How do you think
your selected
healthcare issue
might get on the
agenda for the
current and two
previous
presidents? How
does it stay there?
The president can
include the
provision of
Depression in the
Fiscal budget of
2020 (The White
House, 2019). This
will help in taking
care of the financial
aspect of the
population in
The president can
collaborate with
other countries in
order to address the
issue of Depression.
This will help in
offering a global
solution to the
concern of
depression as a
result of which, a
The president had
included it on the
agenda and focused
on offering
sufficient funding in
research for
Depression
(Lambrew, 2018).
The insurance
coverage could have
been focused on that

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AGENDA COMPARISON GRID-ASSIGNMENT 1
America because the
cost of treating the
issue is found to be
high in nature.
collaborative
approach can be
applied.
will allow in reduce
the economic stress
of the people and
help in offering
beneficial strtaegies
to address the issue.
Who would you
choose to be the
entrepreneur/
champion/sponsor
of the healthcare
issue you selected
for the current and
two previous
presidents?
The Nation Institute
of Mental Health
(NIMH) is
responsible for
supporting the
depression issue in
the current context
(The White House,
2019).
In addition to
NIMH, he that
includes $500
million for
increasing access to
the depression care
services initiated
funding from the
proposed budget.
The healthcare issue
of depression was
focused by a number
of mental health
instiutions and
sponsors for helping
in offering
appropriate fundings
(Mental Health
Primary and
Behavioral Health
Care Integration
(PBHCI) grant
program, ACA new
funding
opportunities and
United States
Department of
Agriculture
investment was
made for early
identification and
treatment for
Depression. The
investment of the
National Institute of
Mental Health was
also collaborated

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AGENDA COMPARISON GRID-ASSIGNMENT 1
America, 2020). with the government
in order to support
and funds for
addressing the issue
related to
depression.
Part C: Fact Sheet
 There is estimated that 17.3 million adults in the United States who has a major
depression episode that contributes to 7.1% of the population.
 The incidence of the major depression episodes was highest among the age group of
18 to 25 years that is 13.1% (Adaa.org, 2020)
 The prevalence is more among females which is approximately 8.7% as compared to
the male which is about 5.3%
 The characteristics of depression include depressed mood, loss of interest that cause
significant impact on conducting the activities of daily life
 In 2017, there are an estimated 11 million people that are above the age of 18 years
who have Depression as well as impairment
 The major depressive disorder that develops at any age where the median age of on
setting was 32.5 years old.
 According to the World Health Organization, the stress of Depression and other
mental health conditions is rise at a global rate because there are various barriers
associated with effective care (Who.int, 2020)

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AGENDA COMPARISON GRID-ASSIGNMENT 1
 The barriers that were identified in case of effective treatment to Depression are lack
of resources, lack of well-trained professionals and social stigma, thus, it is important
to include the healthcare issue in the legislation
 On a worldwide, it is stated to be a leading cause of disability
 According to Gilbert (2016), this leads to the development of high risk of other
physical diseases such as sclerosis
 Childhood depression is one of the most difficult diseases to handle because it affects
the entire life of the individual
 The role of the nurse in agenda-setting for healthcare issues is critical as they play a
various role in implementing the legislation within the healthcare setting

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AGENDA COMPARISON GRID-ASSIGNMENT 1
References
Adaa.org. (2020). Facts & Statistics | Anxiety and Depression Association of America,
ADAA. Retrieved 28 February 2020, from
https://adaa.org/about-adaa/press-room/facts-statistics
Clark, H. W. (2017). Health reform and the substance use disorder treatment system: a time
of change. Journal of psychoactive drugs, 49(2), 91-94.
DeVylder, J. E. (2017). Donald Trump, the Police, and Mental Health in US Cities. American
journal of public health, 107(7).
Gilbert, P. (2016). Depression: The evolution of powerlessness. Routledge.
Lambrew, J. M. (2018). Getting ready for health reform 2020: What past presidential
campaigns can teach us. Commonwealth.
Lin, L. Y., Sidani, J. E., Shensa, A., Radovic, A., Miller, E., Colditz, J. B., ... & Primack, B.
A. (2016). Association between social media use and Depression among US young
adults. Depression and anxiety, 33(4), 323-331.
Mental Health America. (2020). How Trump's Budget Will Affect People with Mental Health
Conditions. Retrieved 29 February 2020, from
https://www.mhanational.org/blog/how-trumps-budget-will-affect-people-mental-
health-conditions
Nimh.nih.gov. (2019). Major Depression. Retrieved 25 February 2020, from
https://www.nimh.nih.gov/health/statistics/major-depression.shtml
The White House. (2019). Presidential Proclamation on National Mental Health Awareness
Month, 2019. Retrieved 25 February 2020, from

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AGENDA COMPARISON GRID-ASSIGNMENT 1
https://www.whitehouse.gov/presidential-actions/presidential-proclamation-national-
mental-health-awareness-month-2019/
Wagner, K. D. (2018). Presidential address: Depression awareness and screening in children
and adolescents. Journal of the American Academy of Child & Adolescent
Psychiatry, 57(1), 6-7.
Whitehouse.gov. (2016). Presidential Proclamation -- National Mental Health Awareness
Month, 2016. Retrieved 29 February 2020, from
https://obamawhitehouse.archives.gov/the-press-office/2016/04/28/presidential-
proclamation-national-mental-health-awareness-month-2016
Who.int. (2020). Depression. Retrieved 28 February 2020, from https://www.who.int/news-
room/fact-sheets/detail/depression