The field of mental health care in the United States is relatively new and has changed dramatically over the years. It was once believed that mental illness was the result of being possessed by a demonic spirit. We now know that psychopathologies are the result of a mixture of many things including abnormalities of chemicals in the brain plus the influences of our environment and daily experiences. We may never fully understand how the mind works. It has been a challenge determining the most appropriate and most effective way to treat people with mental illness. This has resulted in the mental health care system making many mistakes and wrong judgements in its development. The issue of care for the mentally ill is a very important one since according to the National Institute of Mental Health, “An estimated 26.2 percent of Americans ages 18 and older — about one in four adults — suffer from a diagnosable mental disorder in a given year.” (“Numbers Count”, n.d) As professionals learn more about the brain and the mentally ill, the care will continue to progress and improve. The origins of mental health care in America began in the 17th century in colonial Virginia. The matter of managing how the insane were taken care of became a problem that had to be addressed. The method of diagnosing someone as insane was determined by twelve citizens that had to state under oath that the person in question was in fact insane. (Wacksman, 2003) Labeling someone as insane gave them some certain exemptions from the law but they were not provided with much care or assistance to deal with their illness. The mentally disordered at that time relied on care from their family, but those without caretakers were left to deal with their illness on th... ... middle of paper ... ... care that is not being provided to them due to this push for more acute care hospitalizations. Many patients are hospitalized numerous times with no signs of improvement. (Flory, 1999) Deinstitutionalization has been more beneficial to the developmentally disabled population than to the mentally ill. People with DD get more funding from the government and better residential treatment centers. The mentally ill are often left to fend for themselves. As the country continues to treat the mentally ill and the developmentally disabled there will need to be serious changes to the way things are run. With an abundance of new knowledge, there has been great advancement since the first hospitals were founded. The mental health care system has learned from its mistakes and is doing its best to correct them to the best of their ability with the allocated funds given to them.
Leupo, Kimberly. "The History of Mental Illness." The History of Mental Illness. N.p., n.d. Web. 13 Nov. 2013.
As a result of the lack of regulation in state mental institutions, most patients were not just abused and harassed, but also did not experience the treatment they came to these places for. While the maltreatment of patients did end with the downsizing and closing of these institutions in the 1970’s, the mental health care system in America merely shifted from patients being locked up in mental institutions to patients being locked up in actual prisons. The funds that were supposed to be saved from closing these mental institutions was never really pumped back into treating the mentally ill community. As a result, many mentally ill people were rushed out of mental institutions and exposed back into the real world with no help where they ended up either homeless, dead, or in trouble with the law. Judges even today are still forced to sentence those in the latter category to prison since there are few better options for mentally ill individuals to receive the treatment they need. The fact that America, even today, has not found a proper answer to treat the mentally ill really speaks about the flaws in our
In the book “The Mad Among Us-A History of the Care of American’s Mentally Ill,” the author Gerald Grob, tells a very detailed accounting of how our mental health system in the United States has struggled to understand and treat the mentally ill population. It covers the many different approaches that leaders in the field of mental health at the time used but reading it was like trying to read a food label. It is regurgitated in a manner that while all of the facts are there, it lacks any sense humanity. While this may be more of a comment on the author or the style of the author, it also is telling of the method in which much of the policy and practice has come to be. It is hard to put together without some sense of a story to support the action.
The fight for improved health care for those with mental illness has been an ongoing and important struggle for advocates in the United States who are aware of the difficulties faced by the mentally ill and those who take care of them. People unfortunate enough to be inflicted with the burden of having a severe mental illness experience dramatic changes in their behavior and go through psychotic episodes severe enough to the point where they are a burden to not only themselves but also to people in their society. Mental institutions are equipped to provide specialized treatment and rehabilitative services to severely mentally ill patients, with the help of these institutions the mentally ill are able to get the care needed for them to control their illness and be rehabilitated to the point where they can become a functional part of our society. Deinstitutionalization has led to the closing down and reduction of mental institutions, which means the thousands of patients who relied on these mental institutions have now been thrown out into society on their own without any support system to help them treat their mental illness. Years after the beginning of deinstitutionalization and after observing the numerous effects of deinstitutionalization it has become very obvious as to why our nation needs to be re-institutionalized.
Mental illness has been around as long as people have been. However, the movement really started in the 19th century during industrialization. The Western countries saw an immense increase in the number and size of insane asylums, during what was known as “the great confinement” or the “asylum era” (Torrey, Stieber, Ezekiel, Wolfe, Sharfstein, Noble, Flynn Criminalizing the Seriously Mentally Ill). Laws were starting to be made to pressure authorities to face the people who were deemed insane by family members and hospital administrators. Because of the overpopulation in the institutions, treatment became more impersonal and had a complex mix of mental and social-economic problems. During this time the term “psychiatry” was identified as the medical specialty for the people who had the job as asylum superintendents. These superintendents assumed managerial roles in asylums for people who were considered “alienated” from society; people with less serious conditions wer...
Mental healthcare has a long and murky past in the United States. In the early 1900s, patients could live in institutions for many years. The treatments and conditions were, at times, inhumane. Legislation in the 1980s and 1990s created programs to protect this vulnerable population from abuse and discrimination. In the last 20 years, mental health advocacy groups and legislators have made gains in bringing attention to the disparity between physical and mental health programs. However, diagnosis and treatment of mental illnesses continues to be less than optimal. Mental health disparities continue to exist in all areas of the world.
As time goes on, the law has put more emphasis on facility just like Bridgewater State Hospital in which many of the actions of the facility workers can face legal consequences such as facing prison time, fines, lawsuits, and etc. Society has a better understanding of why certain people act the way that they do and being more knowledgeable about psychology and mental diseases allows us to have a different approach when dealing with these topics or these individuals. In today’s era, there are many normal individuals who are willing to stand up for those who do not have a voice of their own. I believe that this change in one’s ability to stand up for another individual or group of individuals is what brought about change to the medical environment of those who are mentally
In today’s society there is a greater awareness of mental illnesses. With this greater awareness one might assume that there would be a substantial increase in government involvement or funding in the area of mental illness treatment. Unfortunately this isn’t the case in the U.S. today. There are hundreds of thousands of people with mental illness that go untreated. These potential patients go untreated for many reasons. These reasons are discussed in the Time article “Mental Health Reform: What Would it Really Take.
The United States has the highest incarceration rate in the world and of that over sixty percent of jail inmates reported having a mental health issue and 316,000 of them are severely mentally ill (Raphael & Stoll, 2013). Correctional facilities in the United States have become the primary mental health institutions today (Adams & Ferrandino, 2008). This imprisonment of the mentally ill in the United States has increased the incarceration rate and has left those individuals medically untreated and emotionally unstable while in jail and after being released. Better housing facilities, medical treatment and psychiatric counseling can be helpful in alleviating their illness as well as upon their release. This paper will explore the increasing incarceration rate of the mentally ill in the jails and prisons of the United States, the lack of medical services available to the mentally ill, the roles of the police, the correctional officers and the community and the revolving door phenomenon (Soderstrom, 2007). It will also review some of the existing and present policies that have been ineffective and present new policies that can be effective with the proper resources and training. The main objective of this paper is to illustrate that the criminalization of the mentally ill has become a public health problem and that our policy should focus more on rehabilitation rather than punishment.
In the nineteenth century the United States had established hospitals to house and care for the chronically ill and mentally ill. Several individual states assumed responsibility for mental hospitals in the 1980’s. At the beginning of the twentieth-century mental health treatments proved to have limited efficacy. Many of these patients received custodial care in state hospitals. New psychiatric medications were developed and introduced into state mental hospitals in 1955 as a result of the National Institutes of Mental Health (NIMH).The medicines that were developed brought new hope and addressed some of the symptoms of mental disorder. In 1963, President John F. Kennedy enacted the Community Mental Health Centers Act. This accelerated deinstitutionalization.
For many decades the mentally ill or insane have been hated, shunned, and discriminated against by the world. They have been thrown into cruel facilities, said to help cure their mental illnesses, where they were tortured, treated unfairly, and given belittling names such as retards, insane, demons, and psychos. However, reformers such as Dorothea Dix thought differently of these people and sought to help them instead. She saw the inhumanity in these facilities known as insane asylums or mental institutions, and showed the world the evil that wandered inside these asylums. Although movements have been made to improve conditions in insane asylums, and were said to help and treat the mentally ill, these brutally abusive places were full of disease and disorder, and were more like concentration camps similar to those in Europe during WWII than hospitals.
Continuing budget cuts on mental health care create negative and detrimental impacts on society due to increased improper care for mentally ill, public violence, and overcrowding in jails and emergency rooms. Origins, of mental health as people know it today, began in 1908. The movement initiated was known as “mental hygiene”, which was defined as referring to all things preserving mental health, including maintaining harmonious relation with others, and to participate in constructive changes in one’s social and physical environment (Bertolote 1). As a result of the current spending cuts approaching mental health care, proper treatment has declined drastically. The expanse of improper care to mentally ill peoples has elevated harmful threats of heightened public violence to society.
Failure to provide successful treatment alternatives to the deinstitutionalization of the mentally ill and the unequal opportunity to receive proper mental health care treatment in the U.S has resulted in the overrepresentation of the mentally ill in U.S jails and prisons. Mental health courts have shown they reduce recidivism, long term treatment plans over incarceration is a clear step in the right direction. (National Alliance on Mental Illness, 2008) The expansion and creation of more mental health courts in necessary, additionally, there is a need for improvements in the innovation to better serve their clients ethically and effectively.
Introduction Due to the nature of the criminal justice system, the history of the treatment of those with mental disorders and the history of the criminal justice system have been intimately intertwined. Both the criminal justice system and treating mentally ill individuals can be traced back to the beginning of human existence. Over the ages, both systems have evolved and expanded with the changes within society. In some ways, the criminal justice system has become more tolerant of those with mental illness, while in other aspects, the criminal justice system has become less tolerant of those with mental disorders. Now more than ever, the criminal justice system interacts with mentally ill individuals.
Mental health is just as important as physical health in a person’s life. Mental health is critical to a person’s well-being, their ability to live a productive life and to keep a healthy family and interpersonal relationships. Mental health does not just affect the mind it also affects people’s physical health. Some physical health diseases can cause a mental health disorder and vice versa. Mental health disorders are associated with the occurrence, development, and outcome of some of the today’s most chronic diseases such as diabetes, heart disease, and cancer. When people go untreated from a mental health disorder are at a higher risk for many unhealthy behaviors such as alcohol and drug use, violent behavior, and suicide.