Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Pros and cons of deinstitutionalization
Opinion of the deinstitutionalization of mentally ill
Opinion of the deinstitutionalization of mentally ill
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Pros and cons of deinstitutionalization
Myriad contemporary trends have emerged in a bid to revitalize the mental or psychiatrist correctional approaches. Some of these include deinstitutionalization concept as far as mental care is concerned. It is indisputable to stipulate that the use of long-term institutions have had a substantial impact on the process of handling mental cases in the society. From definition perspective, deinstitutionalization refers to the process that incorporates the transfer of patients who have mental disorders, as well as, development disabilities from the long-term institutions. These institutions are perceived to facilitate an environment of isolation as far as the patients are concerned. These patients are moved to an integrated community-based mental health service. There are two approaches that are used to facilitate deinstitutionalization. First, the concept is used to reduce the population size of these mental institutions through releasing of the patient population in the institutions. That includes reducing the rate of admissions and even readmissions. Secondly, the second one focuses on conducting reforms on the mental hospital institutional processes. These reforms are expected to eliminate high level of dependency and other maladaptive demeanor. …show more content…
First, the essay incorporates a general overview of the concept in a bid to depict the extent of understanding of the concept. Secondly, the essay will provide an analysis of the impact of deinstitutionalization over the last 35 years especially in consideration of the criminal justice system. Further, the essay will provide a detailed overview of the advantages, as well as, disadvantages of deinstitutionalization. It will also provide the manner in which the mental health issues are supposed to be addressed especially in the correctional
The traditional approach to the care of the mentally ill during the last 200 years was custodial, rather than therapeutic. This approach to “Psychiatric Care Delivery System” was introduced in India from Britain . Mental hospitals were established in isolated areas, often on the outskirts with the object of segregating the patient as troublesome and dangerous to their neighbors. The overriding concern was to protect the citizens without regard for appropriate care and cure of the ailing patients. As a consequence of this objective of the mental hospitals, the quality of care in such hospitals had been very poor. The inmates were subjected to indignity and humiliation for an indefinite period, and once admitted never recovered, or rehabilitated back in their family, but doomed to the inevitable end. The stigma of mental illness thus prevailed.
Psychiatric hospitals, also known as mental hospitals and mental asylums, are hospitals or wards specializing in the treatment of serious psychiatric diseases, such as clinical depression, schizophrenia, and bipolar disorder. Psychiatric hospitals vary widely in their size and grading. Some hospitals may specialize only in short-term or outpatient therapy for low-risk patients. Others may specialize in the temporary or permanent care of residents who, as a result of a psychological disorder, require routine assistance, treatment, or a specialized and controlled environment. Patients are often admitted on a voluntary basis, but people whom psychiatrists believe may pose a significant danger to themselves or others may be subject to involuntary commitment.
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.
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.
Social justice has influence change in policies for the mentally ill. Opening the doors for political reform. Throughout history, the treatment of the mentally ill has taken many shapes. Influence by the time periods core values and ideas of social justice. Before the colonization, society did not see the mentally ill as human beings. This ideology was Influence by religion that considered them to be evil or demons. Especially during the Black Death when people were only looking for escape goats. Day, & Schiele, (2013) This would only make things worse for mentally disabled. Rendering them defenseless and at the will of society. Their disabling conditions would prevent them from self-advocacy. They would have to depend on family members to advocate; and demand social justice for them. The overwhelming societal norms influence by religion and fueled by fear punishment appeared to be the only solution.
The homeless- found on city park benches, street corners, and subway grates. Where did all of these people come from? One third, to one half of the homeless suffer from a mental illness. A lot is said about the homeless-mentally ill, but what their plight says about us may be more significant. We still have not found a place for those who are both poor and insane. Once there was a place for them; the asylum fulfilled the basic needs of thousands for decades, but now these institutions lay empty and in ruin. Has the hope to heal the mentally ill also been abandoned? Is there once again a need for the asylum? The disbandment of the asylum was the first step in ending segregation for those with mental illness, but we have yet to accomplish integration.
Until the middle of the last century, public mental health in the United States had been the responsibility, for the most part, of individual states, who chose to deal with their most profoundly mentally-ill by housing them safely and with almost total asylum in large state mental hospitals. Free of the stresses we all face in our lives, the mentally-ill faced much better prospects for peaceful lives and even recovery than they would in their conditions in ordinary society. In the hospitals, doctors were always accessible for help, patients were assured food and care, and they could be monitored to insure they never became a danger to themselves or others. Our nation’s state hospital system was a stable, efficient way to help improve the lives of our mentally disabled.
In 1950s the construction of new psychiatric centres took place in order to treat people with mental disorders. Local authorities provided financial resources to sustain these establishments of psychiatry. Apparently those psychiatric centres were treating the patients in unappropriated ways and inhuman acts as well as demanding them to remain inside the psychiatric centres for the rest of
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.
Thousands of people statewide are in prisons, all for different reasons. However, the amount of mental illness within prisons seems to go unaddressed and ignored throughout the country. This is a serious problem, and the therapy/rehabilitation that prison systems have do not always help those who are mentally ill. Prison involvement itself can contribute to increased suicide (Hills, Holly). One ‘therapy’ that has increased throughout the years has been the use of solitary confinement, which has many negative effects on the inmates.
The idea of mental illnesses, diseases, and disorders may frighten some people, but there is more to the concept. Many rules and regulations have been changed or modified to care in mental institutions. The effects of removing mental patients from the care of specialists has been defined as deinstitutionalization. The concepts of deinstitutionalization include its definition, its effect on mental hospitals, its effect on community mental hospitals, and homeless populations.
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,
This act called for the construction of comprehensive community mental health centers, the cost of which would be shared by federal and state government. The deinstitutionalization movement (the closing of state mental hospitals and discharging of individuals with mental illness” (Townsend, pg. 723). Which in turn led to grants funding for additional funding when the states funding become inadequate and could not be maintained. Federal funding for community mental health centers was terminated in 1984. Funding and services were utilized and provided for high risk populations, rape, research and services.”
There should be a holistic approach to the treatment diagnosis and management of the people with mental illness. Such an approach should put into consideration the families of the people with mental illnesses and help them understand the issue. Once they understand, it is easier for them to welcome and help the individuals instead of sending them to institutions. To achieve prompt treatment, the mental health facilities and personnel need to be accessible and operate within the recommended standards.