Component 1: Problem Statement On October 31, 1963, President Kennedy signed the Community Mental Health Act into law with the aim to change the delivery method of mental health care (National Council for Behavioral Health, 2013). The primary aim was to release the mentally ill from institutions and allow them to successfully integrate into functional members of society. In an effort to achieve this goal, delivery of care would be a coordination of effort from a network of outpatient clinics, community services, partial hospitalizations, and when needed emergency services. The funding for these services was to be from a combination of government, private programs and self-pay sources. However, due to the recent recession government sources reduced funds available for mental health services (Thomas). This economic reality coupled with an already fragmented health care system has left mental ill vulnerable. Patients that fall into the cracks in the system often end up in homeless shelters, jails/prisons or the morgue (Szabo, 2012). In 2013, a news agency reported a California city sought reimbursement for services from Nevada for alleged patient dumping (CBS News). Patients without proper support systems struggle to survive by any means available and for some that means criminal activity. Government reports estimate that nearly two thirds of jail inmates have experienced a mental health issue within the previous year (National Institutes of Health). This raises several questions about the implications the closing of public psychiatric institutions and the perceptions associated with mental illness by the public. Specifically, if the public is at risk due to the deinstitutionalization of the mentally ill. To... ... middle of paper ... ... Retrieved Jun 10, 2014, from National Council for Behavioral Health: http://www.thenationalcouncil.org/about/national-mental-health-association/overview/community-mental-health-act/ National Institutes of Health. (n.d.). NIMH Statistics Inmate Mental Health. Retrieved June 7, 2014, from National Institute of Mental Health: http://www.nimh.nih.gov/statistics/1DOJ.shtml Scull, A. (1982). Deinstitutionalization and public policy. Social Science & Medicine , 5, 545-552. Szabo, L. (2012, May 12). The cost of not caring: Nowhere to go. The financial and human toll for neglecting the mentally ill. USA Today . Thomas, M. (n.d.). States make deep cuts in mental health funding. Chicago Sun-Times.com . Torrey, E. F. (2008). The insanity offense: How Americas's failure to treat the seriously mentally ill endangers its citizens. New York, NY, USA: W. W. Norton & Company, Inc.
During the 1960’s, America’s solution to the growing population of mentally ill citizens was to relocate these individuals into mental state institutions. While the thought of isolating mentally ill patients from the rest of society in order to focus on their treatment and rehabilitation sounded like a smart idea, the outcome only left patients more traumatized. These mental hospitals and state institutions were largely filled with corrupt, unknowledgeable, and abusive staff members in an unregulated environment. The story of Lucy Winer, a woman who personally endured these horrors during her time at Long Island’s Kings Park State Hospital, explores the terrific legacy of the mental state hospital system. Ultimately, Lucy’s documentary, Kings
In the book Crazy in America by Mary Beth Pfeiffer, she illustrated examples of what people with mental illness endure every day in their encounters with the criminal justice system. Shayne Eggen, Peter Nadir, Alan Houseman and Joseph Maldonado are amongst those thousands or more people who are view as suspected when in reality they are psychotic who should be receiving medical assistance instead, of been thrown into prison. Their stories also show how our society has failed to provide some of its most vulnerable citizens and has allowed them to be treated as a criminals. All of these people shared a common similarity which is their experience they went through due to their illness.
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.
Flory, Curtis and Marie Rose. "Half a Million Liberated from Institutions to Community Settings without Provision for Long-term Care." Mental Illness Policy Org, n.d. Web. 02 Dec. 2013.
Forcing someone to take medication or be hospitalized against their will seems contrary to an individual’s right to refuse medical treatment, however, the issue becomes complicated when it involves individuals suffering from a mental illness. What should be done when a person has lost their grasp on reality, or if they are at a risk of harming themselves or others? Would that justify denying individuals the right to refuse treatment and issuing involuntary treatment? Numerous books and articles have been written which debates this issue and presents the recommendations of assorted experts.
Parker, Laura. "The Right to Be Mentally Ill: Families Lobby to Force Care." USA TODAY. Feb. 12 2001: 1A+. SIRS Issues Researcher. Web. 11 Feb. 2014.
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.
Pollack, Harold. "What Happened to U.S. Mental Health Care after Deinstitutionalization." Washingtonpost.com. N.p., 12 June 2013. Web. 13 Nov. 2013.
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.
The public’s views on mental illness. Paper presented at the annual meeting of the National Association for Mental Health. Swindle,R.,Heller,K.,& Pescosolido,B.(1997,August). Responses to “nervous breakdowns” in America over a 40-year period: Mental health policy implications. Paper presented at the meeting of the American Sociological Association, Toronto, Ontario.
A huge factor in the prevalence of mental health problems in United States prison and jail inmates is believed to be due to the policy of deinstitutionalization. Many of the mentally ill were treated in publicly funded hospitals up until the 1960’s. Due to budget cuts and underfunding of community mental health services we ...
If the United States had unlimited funds, the appropriate response to such a high number of mentally ill Americans should naturally be to provide universal coverage that doesn’t discriminate between healthcare and mental healthcare. The United States doesn’t have unlimited funds to provide universal healthcare at this point, but the country does have the ability to stop coverage discrimination. A quarter of the 15.7 million Americans who received mental health care listed themselves as the main payer for the services, according to one survey that looked at those services from 2005 to 2009. 3 Separate research from the same agency found 45 percent of those not receiving mental health care listing cost as a barrier.3 President Obama and the advisors who helped construct The Affordable Care Act recognized the problem that confronts the mentally ill. Mental healthcare had to be more affordable and different measures had to be taken to help patients recover. Although The Affordable Care Act doesn’t provide mentally ill patients will universal coverage, the act has made substantial changes to the options available to them.
Those with mental illness would live in the community with an array of services and be able to be free from the constraints of confinement. In the early 1960’s the United States began an initiative to reduce and close publicly-operated mental hospitals. This became known as deinstitutionalization. The goal of deinstitutionalization was to allow people suffering from mental illness to live more independently in the community with treatments provided through community health programs. Unfortunately, the federal government did not provide sufficient ongoing funding for the programs to meet the growing demand. States reduced their budgets for mental hospitals but failed to increase funding for on-going community-based mental health programs. As a result of deinstitutionalization hundreds of thousands of mentally ill people were released into the community without the proper resources they needed for their treatment. (Harcourt,
Individuals with mental disorders were let out into the community without a specific plan or system in place (Drake, 1998). Many individuals, with mental illness, did not have the knowledge or understanding how to navigate the broken mental health system outside of institutions and ended up incarcerated or homeless (Furlong, Leddy, Ferguson, & Heart, 2009). As a result, the need for case management, diverse practitioners, and integrated services in the 1970’s led to the development of Program of Assertive Community Treatment (PACT) in Madison, Wisconsin by Test and Stein (Drake, 1998). Test and Stein realized that community based services lacked the effectiveness of inpatient care services. Frequently, client’s mental health would decline with out- patient care
Kennedy, J. F. (1963, 2 5). Special Message to the Congress on Mental Illness and Mental Retardation. Retrieved from American Presidency Project: http://www.presidency.ucsb.edu/ws/?pid=9546