Kunzwa kweCongress kuri pakati pezvishandiso zvine simba zvikurusa mubhokisi ramaturusi ehurumende yehurumende nokuda kwokuumba, kutsigira mari, uye kutarisira utano hwendangariro. Uku kuronga kwomutemo kunopa nzvimbo yakarongeka umo vagadziri vomutemo, nyanzvi, vakuru vakuru vamasangano, uye vatsigiri vanoungana kuti vanzvere mugariro wetsika yendangariro yorudzi, kuonesa miganhu yendangariro, uye kukarakadza mhinduro. Nepo kunzwa kusingazviiti vamene mutemo, pesvedzero yavo panhungamiro yomuitiro, ganhuriro, uye kuziva vanhu vose kwakakura. Kuvambira pamutemo wokutanga wezvoutano hwendangariro pakati pezana ramakore rechi20 kusvikira kumhinduro inopfuurira kumugariro wendangariro wepwere, kugadziridza kugadziro kwabvumikisazve kuva kugadziridza mativi endangariro nokuda kwokuchinja mamirioni echiAmerica.

Basa Rekuteerera Kwemisangano Yechechi Yechechi

Kunzwa kweCongress kunobatira mabasa mazhinji anokosha mumashoko ezvirongwa zvendangariro zvomubatanidzwa. Pakati pazvo, inhambo dzinonzvera dzinobvumira mitezo yeCongress kuunganidza ufakazi, zvapupu zvemibvunzo, uye yera kushanda kwepurogiramu dziripo. Kunzwa kunopawo vanhu nzvimbo yavose nokuda kwenhau dzinokwidziridza idzo dzingaramba dziri pasi perada yemiitiro. Nokuda kwoutano hwendangariro, hwakatambura nechekare nenyadziso, kunzwa kwave kuri chishandiso chinodenha kujekesera zvinetso zvavanhu nenzanga.

Muitiro unotanga chaizvoizvo apo dare rine chiremera pamusoro poutano, nhau dzenguva refu, dzidzo, kana kuti dare rinoronga kutongwa pamusoro wakati kuti ````s'') uye kuzivikanwa kwechipo chemari inotengwa, kukwanisa kutarisirwa, kana kuti kutarisirwa kwepfungwa. Zvapupu zvinokokwa kubva kumasangano ehurumende akadai se STACE Abuse and Mental Health Administration (SA)[FLD] uye National Institute of Mental Health (NIMH) [FLT], pamwe chete nehurumende dzomunzvimbomo, masangano ezvoruzivo rwedzidzo, mavarakabhineti, mapoka anoshivirira, uye anopa chibvumikiso chapa chinyorwa chapachivanze.

Kupfuura chinyorwa chapamutemo, kunzwa kunoparira kuziviswa kwezvinobudisa nhau nehurukuro yavose. Kunzwa kunogombedzera kunogona kubetsera vanhu kunzwisisa chirwere chendangariro, kuderedza kunyadziswa, uye masangano anodzvinyirira kuita chiito nokukurumidza zvikuru. Muzvinoitika zvakawanda, chizivisowo zvacho chokutonga chinogona kusunda masangano ehurumende kuzivisa nhano itsva kana kuti kubudisa mashoko pamberi perudungwe. Nokudaro, kunzwa kunoshanda zvose zviri zviviri segadziriro dzinoderedza ndangariro uye sezviratidzo zvezvamatongerwe enyika.

Kudzora Mitemo uye Kudzika Mitemo

Kubudiswa kukurusa kwokunzwa kwedare chiito chemitemo. Apo dare rinonzwa ufakazi hune simba pamusoro pekukundikana kwegadziriro yendangariro youtano hwendangariro . yakadai senguva refu yokumirira nokuda kwetarisiro, kurambwa kweinishuwarenzi, kana kuti kupiwa kwemhosva dzechirwere chendangariro (inowanzonyora mabhiri okugadzirisa zvinetso izvozvo. Somuenzaniso, Martal Health Parity ne Addiction Equity Act ya2008[[FLL:1]] yakatangira namakore okunzwa muzvose zviri zviviri Imba neSatirome iyo yakapupurira tswo tswo yorusaruro pamusoro poutano hwendangariro neropajastical. Kunzwa kwakagovera nheyo yakajeka pamusoro pemaindasitiri uye kutsigira kwamabiko.

Mirangariro inoitawo rutivi rukuru mukunyorwazve nokugadziridzwa kwemitemo mikuru yendangariro. Curest Century Act, yakasainwa mumutemo muna 2016, kubatanidza gadziriro dzoutano hwendangariro dzinokosha. Kuchinja uku kwakaumbwa nemitemo yeSanzi yeMakemikari neBasa Rinoshandisa nzvimbo pa SAMHSA uye kubvumirwa kwe Community Behavial Health Clinic Clinic (CCHCC)[FK:] purogiramu yendangariro. Kuchinja uku kwakaumbwa nezvinoitika zvakawanda zvekunzwa zvakanzvera kugadzirwa kwemitengo, kupera kwemari, kushaidzwa kwemite, uye kufambidzana kwepfungwa netarisiro. Nomutengo. Nenzira yakafanana, kunzwawosero pamusoro pezvitsarudzo [5][20]

Imwe nzvimbo inotsoropodza yemitemo inopesvedzerwa nokunzwa iutano hwendangariro mugadziriro yemitemo yamatsotsi. Kunzwa kwaratidza kwaratidzazve kuti majeri namajeri akava masangano outano hwendangariro anodzikira. Chipupuriro chinobva kuvashandi vemitemo, vatongi, uye vaichimbova vanhu vakasungwa chakanyandura mabhiparti akadai se Julice naMental Health Coltamitation Act[[[FLLT:1]] uye mapurogiramu akasiyana- siyana okunzwa. Pasi pokusimbiswa nokuramba kwemitemo, idzi nhau kazhinji dzinokundikana kusvika pamusoro pesplangation patnual pat.

Kuchengetedza Mari Nezviwanikwa

Kunzwa kweCongress kunokosha mukusarudza kuti imarii inopedzwa nehurumende yehurumende pagadziriro dzoutano hwendangariro. Nepo kutaurirana kwegore negore kunobatanidza kurukurirano dzakawanda dzapaimba yakavharwa, kunzwa kunopa ruramisiro yavose yemipimo yemari. Apo vatsigiri vezvoutano hwendangariro, vatsvakurudzi, uye vakuru vakuru vakuru venyika vanopupurira pamusoro pezvinodikanwa zvokusashanda kwendangariro () zvakadai sokushaikwa kwendangariro kwezvirongwa zvenzanga, kuperevedza kwenyanzvi dzendangariro dzavana vana, kana kuti kushaikwa kwemibato yezvo yendangariro yakavakirwa pachikoro yezvoutano hwendangariro. [8]

Somuenzaniso, kunzwa mukupera kwama 2000 napakuvamba kwa2010 kwakasimbisa tapuro inoparadza yenjodzi yeopioid nokusakwanisa kurapa. Uchapupu ihwohwo hwakabatsira zvakananga Comhensive Addiction and Recovery Act (CARA) ya2016 uye kudzokororwa kwakatevera kwakadira mabhiriyoni evaviriki mukudzivirira, kurapa, uye tsigiro. Mumakore achangobva kupfuura aya, kunzwa nezveutano hwepfungwa (*) kazhinji kazhinji kacho vanhu vaduku vanorondedzera zvinetso zvavo vamene ([FLT:]] uye mapurogiramu outano. [53]

Kupa mari yokutonga kunogoverawo utarisiro. Apo masangano akafanana neSAMHSA kana kuti Veterans Health Administration anooneka pamberi peCongress kuti aruramise mabhajeti avo, anotumidzwa pamusoro pemitengo, nguva, uye migumisiro. Uku kuzvidavirira kunogona kutungamirira kuzvishandiso chaizvoizvo, zvibvumirano zvitsva, kana kuti chinjo dzinodzorwa. Somuenzaniso, pashure pokunzwa kwadzozve kwazivisa kuti VA yakanga isiri kutaurisa zvakakwana kuzviuraya, Dare rakaraira vadzori vadzori vokuzviuraya panzvimbo iri yose yeVa chipatara uye mari yakawedzerwa nokuda kwenjodzi dzinodaive dzisina kutongova pupurirwa nabvunzurudzo yavose.

Tapuro Pavatungamiriri Vakuru Vehurumende Negadziriro

Ukama pakati pekutongwa kwedare nenhamba dzeutano hwepfungwa dzehurumende hahusi hwokungobvuma chete, asi urongwa hwakawanda hunokosha hwehurumende nemasangano hunonyatsoratidza pahwakabva hwabva pahwakabva kumashoko airatidza kuti pane dambudziko renyika uye aida kuti hurumende iite chimwe chinhu.

Community Mental Health Act uye Kumuka Kwemasangano Anotsigira Kurapwa Nemari

Mumwe wemienzaniso yapakuvamba zvikurusa uye inoguma zvikurusa i Community Mental Health Act ya 1963, yakasainwa naPrezidenti John F. Kennedy. Chiito chacho chakanga chiri chibereko chenhevedzano yokunzwa kwakaitwa nedare reSenator Literader Hill rapamber, iro rakanzwa uchapupu hune simba pamusoro pemigariro yemagariro endangariro muzvipatara zvehurumende nechipikirwa chiri kukura chepsycharmaticology. Avo vakanzwa vakabatanidza kufamba kwemiitiro yenzanga yenzanga yezvoutano hwendangariro ndokutanga chibvumirano chenyika yose chezvirongwa zvendangariro, pasinei zvapo nezvinetso zvahwo, vakagadza mushandiro wemibatanidzwa yendangariro yehurumende muzvoutano hwendangariro.

Mitongo muna 1970 na 1980 yakapfuurira kuumba basa rehurumende, pakupedzisira ichitungamirira kukusikwa kwe Alcohol, Drug Abuse, uye Mental Health Administration (ADAMA) uye gare gare mutsivi wayo, SAMHSA. 1990 akaona kunzwa kwakafumura mirangariro yakapoteredza chirwere chendangariro, kuchisimbisa kumanikidzirwa kwemitemo. Peant’s New Freedom paSty Health iyo imene yakaziviswa nenhevedzano yokunzwa kwemitengo yakaziviswa kuti mabasa akaputsika, kushairira, kushairira, uye kudikanwa kwemipimo yemipimo inokwira.

Chisiko uye Kushanduka - shanduka kweSAMHSA

SAMSA, zvino sangano guru rehurumende remibato youtano hwendangariro nemirimo, rakarongwa mukuvamba kwama1990 kunzwika kwaitevera kwakatsoropodza kuparadzaniswa kwekudzorwa kweutano hwendangariro negadziriro dzemirimo. Kunzwa kwapashure kwakaumba SAMHSA zvinhu zvinokosha. Kubva pakunangidzira ngwariro pasimbiso inopa rusimbiso rwakakura pamiitiro yakavakirwa paufakazi, kunaya-ya, uye utano husingadzorwi. Misi ichangobva kupfuura iyi, kunzwa pamusoro pekunakwa kwoutano hweCHOD-19 kwendangariro kwakaparira SA kukudza [[FLT:] mabhiriyoni 3 [$3] mukubetsera mamiriro ezvinhu ekurumidziro echipokachaidzo, mabasa outano, mabasa ezvekubudirira, uye kufambira mabasa ebasa.

Kunzwa kwakaisawo SAMHSA kuzvidavirira nokuda kwokutarisirwa kwayo kwezvipo zvehurumende, kuunganidzwa kwamashoko ayo pamusoro pokuzviuraya uye kufa kwakawandisa, uye kuitwa kwazvo kwe 988] Upenyu. Somuenzaniso, kunzwa 2022 kwainzvera kana SAHSA yakanga ichigadzirira zvakakwana nokuda kweigwa ra 988, kuchitungamirira kukudzikunura rovedzo yakarongwa nenhimbe dzokuziva vanhu vose. Pasina idzi mhesano dzezvivara zvinokosha dzingadai dzakaramba dzisina kuiswa panzvimbo.

NIMH Nechinotsvakurudza

Kunzwa kweCongress kunoumbawo zvirongwa zvokunzvera pa National Institute of Mental Health . Kupfurikidza nokunzwa, vaiti vemitemo pamusoro pezvokutanga kunzvera, kuronga pakati petsinga dzetsinga dzetsinga, muedzo wezvokushandura. Somuenzaniso, kunzwa muma 1990 pamusoro pemwero wakakwirira wokuzviuraya pakati pavanhu vaduku kwakatungamirira kuNIMH STUD (Urapfitizo neTS) panhau dzehwakaro yemifungo yetsinga, izvo zvakazivisa kukuramapinduriro okupindira nokuronga. Kunzwa kwapamhika nokuwedzera kwemitengo pakati pavanhu vaduku pakati pezvizhinji navagari vomumaruwa vane njodzi yeNUM.

Kuongorora Kunzwa Kwemanzwi Akaita Zvokurwarira

Kunzwisisa zvizere tapuro yemhosho dzedare panhano dzoutano hwendangariro dzomubatanidzwa, kunobetsera kunzvera kunzwa chaiko uko kwakachinja mugariro. Nzvero dzinotevera dzinoratidzira kuti ufakazi, kubvunza, uye dzvinyiriro yavose zvinoshandura sei kuva chinjo chaidzoidzo dzenyika.

Kuchinja Kwepfungwa Kwakaitika Muna 2016

Muna 2016, nhevedzano yenhau dzinooneka muzvose zviri zviviri Dare reUtano hweDare, Dzidzo, Basa, uye Penssions (HELP) neDare reInday Energy and Commerce Committee yakaita hwaro hwegadziriro dzoutano hwendangariro mu Nhamba yeCentury Curets Act[. Zvapupu zvaibatanidza vakuru vakuru vezvoutano, vanachiremba vekamuri rekurumidziro, vakuru vakuru vemitemo, uye vanhu vamwe navamwe vane ruzivo rwokuzviwanira. Chimwe chipupuriro chisingakanganwiki chakabva kuna mai avo vairondedzerazve kugara mumakamuri enguva yapamberi yeyaidzo nejeri nemhaka yokusa.

Kunzwa kwakasimbisa zvinetso zvinoverengeka zvinopfuurira: kuperevedza kwemibhedha yendangariro inoshivirira, kushaikwa kwetarisiro yakabatana nokuda kwavanhu vane chirwere chendangariro chakakomba, uye kusabatanidzwa kusina kukwana kweutano hwendangariro netarisiro huru. Kubvumirana kwakabuda mukudikanwa kwe Community Behavioral Health Certical Clinic [CBHC]) muenzaniso wekudzivirira upenyu [, unoda makiriniki kuti pave nemwero wakakwana wemabasa, kubatanidza kutarisira kwenjodzi, kurapa kwoufakazi, uye kurapa kunonyandurawo gadziriro dzokuita kuti parati iyi ive tsvikidzwe upenyu [[FFFF:]].

Kunzwa Pachinetso Choutano Hwepfungwa cheCOVID - 19

Kuvambira muchirimo 2020 kusvikira muna 2021, Congress yakaita kurangarira kwakawanda kwokuvadziko yendangariro yedenda racho. Chipupuriro chakabva kuna Mutungamiriri weSanoucional Dr. Vivek Murthy, NIMH. Joshua Gordon, uye vapamberi vekiriniki vakapeta mufananidzo wakajeka wefunganyo inokwira, kuora mwoyo, kushandisa zvisina kufanira, uye kuzviuraya pakati pavechiduku, zvikurukuru pakati pavana vedzinza nedzinza duku, uye vashandi vanokosha. Uku kunzwa kwakanga kusina muenzaniso mukusimba kwavo kwemirangariro uye kwakatungamirira kumari yokukurumidzira: [[FLT:] Coravirus Ease, Rusunungu, uye Security (CALS) Act[FLD: [FFF]

Kutonga kwakakurumidzisawo kuchinja kweNational Suicide Prevention Lifeline kusvika ku 988 code yokutyaira. Vagadziri vemitemo vakanzwa kuti vhoriyamu yakawedzera ne30% mukati medenda uye kuti nhamba ye10 yemadhigirii yakanga iripo yakanga ichivhiringidza. Mumwedzi mishomanene, Dare rakapa mutemo wairayira Federal Commissions kuti ishande 988 panosvika July 2022.Nguva yenguva yaizodaive isina kufungwa navose yaitangwa nokunzwa. Nhasi, 988 inoshanda uye inotarisirwa kuva mavambo emhinduro yenjodzi yenyika, wirirano yekuti kunzwa kunogona sei kuchinja nokukurumidza.

Kunzwa Pamusoro Peutano Hwepfungwa Hwepwere Nezvinobudisa Nhau Zvenzanga

Muna 2023 na 2024, zvipupuriro zvinobudisa vakuru vakuru vanobva kumasangano makuru enhau dzenzanga neuchapupu kubva kuvachiri kuyaruka navabereki (jekesei kunzverazve mamiriro emipimo pautano hwendangariro hwavachiri kuyaruka. Kunzvera kwakaratidzwa mukati mekambani kwakaratidza kuti kushandiswa kweInstagram kwakabatanidzwa nemwero yakawedzerwa yefunganyo nenhau dzomuviri pakati pavasikana vechiduku. Uku kunzwa hakuna kukurumidza kubudisa mutemo mutsva wehurumende, asi kwakaita mhoteredzo yezvamatongerwe enyika yakadzvinyirira [[FLT: 0] Department of Health and Human Services[[FLT:][FFFFF]] uye G.[4]

Kunzwa kwakanyandurwawo SAMHSA kutanga nhano itsva inonangidzirwa nepwere, “ Isu Tose Tiri Vakabatanidzwa” [[FLT: 1] kusimudzira kushandiswa kwemanyuko akanaka enzanga nokukudza mabasa outano hwendangariro anotsamira pachikoro. Kuwedzera, NIMH yakazivisa kutsigira kutsva kwemiuyo yenzvero yetsinga netsika dzenzanga pakukukura kweuropi (panzvimbo yokubvunza kwaichimbova kwateverwa. nechero migumisiro yokupedzisira yasara iripo, kunzwa kwakatochinja purogiramu yenzvero nehurukuro yavose. Nokuda kwokunyudzanyura zvikuru musayenzi, ona NH] peji yemanyuko youtano hwemwana nowendangariro.[FLT][FFFF]]

Matambudziko uye Kutadza Kunzwa

Zvipingamupinyi zvakasiyana - siyana zvourongwa uye zvematongerwo enyika zvinoganhurira kubudirira kwazvo mukubudisa zvirongwa zvomunyika zvinoshanda panguva yakakodzera, zvinotsinhirana, uye zvinotsigirwa zvakakwana.

Matongerwe Enyika Nemagariro Evarwi

Utano hwendangariro ndeimwe yenzvimbo shomanene dzakasara dzechirwere chendangariro namasimba masimba epfuti, bva kunyange pano, mapoka akaparadzana anonzwa nemitemo yakatevera. Mumakore achangobva kupfuura, kukakavadzana pamusoro pebasa rehurumende yehurumende nehurumende, pamusoro pemari, uye pamusoro pegadziriro dzepfuti dzinobatanidzwa (zvakadai sokudzidza kubatana pakati pechirwere chendangariro namasimba masimba epfuti) zvakavhara zvikwereti zvemifungo. Somuenzaniso, kunzwazve pamusoro pe Chiratiso chemari yezvoutano hwemari, [ mu 114 ne 115:] Dare reProtoote pamusoro perondedzero pamusoro pe “kurwara kwendangariro kwakakomba nerevo. Kugadziridzwa kwomugariro wokupedzisira, kwakarevererwa, kwakarevererwa makore akarevererwa nokuda kwokugadziridzwa.

Kunzwa kumene kunogona kuvawo zviono zvinoparadza, mitezo inoshandisa chikuva kunyora mapfundo ezvamatongerwe enyika panzvimbo pokupinda mukuita nzvero yechokwadi. Apo zvapupu zvinobvunzwa mibvunzo inotungamirira yakarongedzerwa kusimbisa nzvimbo dzinovapo, donzo rekunzwa rinoregwa. Ikoku kunogona kubvisa chivimbo chavanhu mumuitiro wacho ndokukuita kwakaoma zvikuru kuvaka mibatanidzwa mikuru inodikanwa nokuda kwechinjo yenguva refu.

Kuganhurirwa Kwemaidi Nokuunganidza Zvinhu Zvokutanga

Kunyange apo kunzwa kunobudirira kuita chinoitika nokuda kwemari yakawedzerwa, muitiro wemari yehurumende unowanzoisa ganhuriro dzakaoma. Nhamburiko dzoutano hwendangariro dzinokwikwidzana nedziviriro, gadziriro dzemarongedzero, dzidzo, uye mamwe mapurogiramu omumba nokuda kwemari yakaganhurirwa. Sequester, somuenzaniso, yakaderedza mari inokwana $1,2 000 000 000 muboka racho mugumi ramakore, kuderedza bhajeti ya SAMHSA kupfurikidza neinokwana 5% pagore (8%) nyevero inoita kuti kuchekedzere njodzi yeopioid. Misi ichangobva kupfuure, kuwedzerwa kwewedzero yechigarire yemari yemari mumipi yendangariro yezvo youtano yakadzokorodza kupfurikidza nezvinodariro yokuwedzera kupfurikidza nemhinduro yehosha nemamiriro okunze.

Mirangariro inogonawo kutambura ne “kunzwa kumwe kuzhinji zvikuru” njodzi dzakawanda zvikuru padzinoparirwa pasina kujeka, vagadziri vemiitiro vanova vasinganzwi. Ukuru hwokunzwa pautano hwendangariro (kazhinji kazhinji 50 paCongress) kunoreva kuti zviwanwa zvinokosha zvakawanda zvinonyangarika muyeuko nguva youtano hwendangariro isati yavamba. Kutora izvi, mamwe matare zvino anoda kutevera kunzwa [ kutevera kutevera kuzadzika nokuvimbisa kuti zvipupuriro zvapakuvamba hazvisati zvatsakatikara mumasaririra. Nokuda kwemashoko akapoteredza mamiriro endangariro egore negore, ona bhajeti remari remariapo yegore negore.

Kunonoka Kwehurumende Nokuparadza

Kunyange apo kunzwa kunoguma nemitemo uye mari, ihurumende yehurumende inogona kunonoka kufambira mberi. Zvirongwa zvinofanira kunyora mirau, mari inotambirwa, uye kugadzira gadziriro dzokuongorora dzinogona kutora makore. Somuenzaniso, Community Behavial Health Clinic (CBHC) C. [[FL:1]], inotenderwa muna 2014 Dectific Actal to Medicare Act, yakatora kusvikira 2016 kutanga purogiramu yayo yokutanga kupa. Zviratidzo zvakazivisa kuti nyika dzakawanda dzakanga dzichitamburira kusvitsa mipimo yeCreaces, inotungamirira kubetsera. Nenzira yakafanana, [FLT] upenyu [FLD:2] [FFLT]] [FLT]], nepo dzinopembererwa sezvikamu zvikuru, zvichingoitika mumikana yokubudirira, pakati penharaunda dzomumaruwa, nzvimbo dzomumaruwa dzakashaiwa zvishoma.

Nhungamiro Dzomunguva Yemberi: Kuchinja Kunogona Kuita Kuti Nzeve Dzichinje Zvine Chinangwa

Kuchinja kunoverengeka kunoitwa mapoka okunzwa pachawo, pamwe chete nezviito zvinotsigirana zvinoitwa nemasangano uye mapoka evateereri, zvingabatsira.

Chipupuriro Chinosimbisa Ufakazi

Mibvunzo inoshanda zvikurusa apo inodzikamiswa mumashoko akaoma nenzvero. Matare anofanira kuisa chipupuriro chinobva kuna vose vari vaviri vatsvakurudzi navanachiremba avo vanogona kupa mashoko enhau pamusoro pemiuyo, miuyo yendyiko, uye kupesana. Conforialialical Research Service (CRS) uye [FLT] Government Accountrity Office [GAO:3] inotobudisa mishumo yakaisvonaka, asi inowanzoshandiswa sezvidiso. Kunzwa kuri kwose kunobatanidza kunzvera kupfupikisa kana kuti kudhura kwamashoko kungadzikisa nokuderedza paAEcdote.

Kusiyana - siyana KweZvapupu Kunowedzera

Nepo kunzwa kunowanzobatanidza vatsigiri, ivo havawanzobatanidza vanhu avo vamene vanoshandisa gadziriro yendangariro yeutano hwavo vamene — zvikurukuru avo vanobva munzanga dzeruvara, nharaunda dzomumaruwa, uye migariro yakaderera yokuwana. Nhamburiko yenengwariro huru yokuwana zvapupu zvakasiyana - siyana zvisina ruzivo rwokuzviwanira yaizovimbisa kuti mitemo ichakurukura zvomene zveavo vakatapurwa zvikurusa. Somuenzaniso, vanonzwa pamusoro pekushaiwa kwetarisiro yendangariro muAmerica yomumaruwa vanofanira kuratidzira murimi, mukuru wechikoro chomuruwa, uye mumiririri weminamasangano rorudzi. Uku kuita kwave kwakadzorwa mumimwe mishumo yedare nebudiriro huru, kuchitungamirira kukupa mapurogiramu anoitirwa nokuda kwemiitiro youtano yomumaruwa muruwa nechikoro.

Kuumba “Hurumende Youtano Hwendangariro yeUnion” Kunzwa Kwenguva Dzose

Imwe mitoo yezvivako ingagona kubetsera i “Chimiro cheMamiriro endangariro” chegore negore kana kuti chinogara nguva dzose “Chimiro cheMabasa eMitemo yenzeve, uye kunzwika kunotsigirwa namatare outano edzimba dzose dziri mbiri. Kunzwa kwakadaro kungada SAMSA, NIM, VA, Department of Education, uye Department yokushuma pamusoro pezviratidziro zvikuru: mwero yokuzviuraya, kukwanisa kurapa, simba rokuita kuti vashandi vaenderere, uye fambiro mberi pamifungo inotsigirwa nehurumende. Kushuma kwavose kungaparira kuzvidavirira kwakavakwa, kuchikuita kwakaoma nokuda kwokuvimbisa miitiro yokukanganwika pashure penhambo imwe yokunzwa. Daysmhio yokunzwa inoitwa muuku kunzwa kungazivisawo [[FF] , nokuda kwekuzivisa dare rokunzwa.[5]

Kupedzisa: Kukosha Kusingaperi Kwekutongwa Nematare

Kunzwa kweCongress inopfuura nhevedzano yamagamuchidzanwa nezvinochengetedzwa zvinongowanika neinjini yegadziriro yezvoutano hwendangariro yehurumende. Kuvambira paCommunity Mental Health Act ya 1963 kusvikira ku 21st Century Cures Act kusvikira ku 988 Lifeline, kunzwa kwave kuri nharaunda umo zvinetso zvakatumidzwa, zvigadzikiso, uye pfuma zvinochengetwa. Zvinogovera nzvimbo isingawanzowirirani pakati poufakazi hwesayenzi, ufakazi hwomunhu oga, uye chiito chemitemo (mubatanidzwa wechinoumba) chinogona kukuvadzwa nomuruzha rwezvamatongerwe enyika ndokuparira chinjo dzakasimba.

Chokwadika, kunzwa kwoga hakugoni kupedza zvinetso zvikuru zvendangariro zvakatarisana negadziriro yendangariro: perevedzo yavashandi, kushaikwa kweinishuwarenzi, mabasa akakamurwa, kunyadziswa kunopfuurira, uye tapuro isingaenzaniswi pavagari vemo vakaderedzwa. Asi zvinoramba zviri chishandiso chine simba zvikurusa mubhokisi rezvishandiso zvinofambira mberi rehurumende. Nokupfuurira kuisa mari mukunzwa kwakakwirira kwendangariro nezvapupu zvakasiana-pererwa, mashoko, uye kutevera kusvikira ku-$Conrefret zvinogona kuva nechokwadi chokuti utano hwendangariro hunoramba huri chinhu chikuru muboka rezvokufambira mberi. Nokupfuurira kuisa mari mumitengo yakaenzana nezvinodikanwa zvorumano.

Vaiti vemitemo, vanotsigira, uye vagari vemo zvakafanana, nyaya inotevera haisi bhokisiwo zvaro rokuongorora naro, asi ibanza rokuumba remangwana rekutarisira utano hwepfungwa muAmerica.