Policy Brief To:  Professor Janet GuidiFrom:  Keziah BabuDate:  July 9, 2021Re:  Federal Mandate for Expanded Coverage of Mental Health Services for the Incarcerated Statement of the Issue:  Of those who are incarcerated, approximately 37% of those in state and federal prison and 44% of those in jails suffer from mental illness. Unfortunately, jails and prisons were not structured to provide prisoners with adequate mental health services. Federal law prohibits prisoners from receiving coverage via Medicaid, via the Medicaid Inmate Exclusion Policy. This policy terminates Medicaid benefits that would have been available to the prisoner, even if the person was only …

Case Study Summary             Mrs. Z, a 70-year-old woman who is unable to speak English, comes to the U.S. to have suspicious masses in her neck and axillary region evaluated. Biopsies of the masses revealed aggressive B-cell lymphoma. Her eldest son, who is her health care agent, asked the provider not to let his mother know that she had lymphoma. He believed that his mother would not be able to emotionally handle the diagnosis or tolerate the treatment, as his mother’s younger sister had died from lymphoma six years prior, despite being treated with aggressive chemotherapy. Mrs. Z’s providers argued …

Clinical Correlations has been a class which has allowed me to grow exponentially as a PA student. I found it challenging at first, as it was the first experience trying to combine all aspects of my learning into a single patient case. With time, I have become more comfortable in knowing what questions to ask, what exams I want to do, what tests I want to order, etc. What I feel would have been helpful, would be to further that experience and talk more about managing the patient and how I could follow up with the patient, as this would …