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Essay on the history of treatment for mental health
History of insane asylums thesis
History of insane asylums thesis
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Healthcare Concerning Mental Illness As of now, there is no general consensus that would require states to cover mental health (Cauchi, Landess, & Thangasamy 2011). Out of the 49 states that do cover mental illness, there are three main categories that vary considerably; mental health “parity” or equal coverage laws, minimum mandated mental health benefit laws, and mental health “mandated offering laws.” Mental illness is as serious a condition as any other health condition. It should be covered as such. Mental health parity has come a long way over the years. With health care reform underway, this issue is bound to come up. Hopefully the reform can enact a program that will lead to more mental health parity. Mental health parity means the recognition that mental health conditions are equivalent to physical illnesses (Barry, Huskamp, & Goldman 2010). Historically most health insurance companies offered substantially limited benefits to individuals with mental illness when compared to individuals with physical conditions (it can be stated that mental illnesses are physical conditions caused by damage or imbalances in the brain, but for purposes of simplicity there will be a line drawn between mental and physical conditions). As a consequence of this limited coverage, many people chose not to seek treatment. Even when individuals chose to seek treatment, there was only coverage for brief therapy sessions. Private insurance policies did not even include mental health coverage until after WWII (Barry, 2006). To them there was not a lot of financial incentive, because services were already paid through the public sector. More and more psychiatric care units started showing up in hospitals. This was aided by third party payment (priv... ... middle of paper ... .../Content/ContentGroups/E News/1996/The_Mental_Health_Parity_Act_of_1996.htm New York State Archives. (2010, February 9). Overview of mental health in new york and the nation. New York State Archives. Retrieved November 19, 2011, http://www.archives.nysed.gov/a/research/res_topics_health_mh_timeline.shtml Office of the Legislative Counsel. (2010, May 1). Compilation of patient protection and affordable care act. Legislative counsel. 1-111. Print. U.S. Department of health & Human Services, (2010, Janurary 29). Obama Administration Issues Rules Requiring Parity in Treatment of Mental, Substance Use Disorders. U.S. Department of Health & Human Services. Retrieved November 21, 2011, http://www.hhs.gov/news/press/2010pres/01/20100129a.html Weiss, G. L., & Lonnquist, L. E. (2012). The sociology of health, healing, and illness. Boston: Prentice Hall.
How do the issues facing those doing strategic planning differ from those doing tactical planning? Can the two really be
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.
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.
U.S. Public Health Service.(1999). The Surgeon General’s Report on Mental Health. Retrieved June,5,2000, from http://www.surgeongeneral.gov/library/mentalhealth/home.html
Mental health care disparities can be rooted in inequalities in access to good providers, differences in insurance coverage, or discrimination by health professionals in the clinical encounter (McGuire & Miranda, 2008). Surely, those who are affected by these disparities are minorities Blacks and Latinos compare to Whites. Due to higher rates of poverty and poor health among United States minorities compared with whites. Moreover, the fact that poverty and poor health are
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.
were males, 7221, and the rest 564 were females. In order to see if the participates had any sort of mental illness they looked at self reported treatment, related to mental health (Biltz). The results of this study found that the amount of inmates that participating in this study had a disproportionally number of inmates with mental healthy that were physically victimized. According to this study prisons are a violent and unsafe place for people who suffer from mental illness (Biltz). Male inmates who suffered from any form of mental illness were nearly 1.6 times more likely to be physically victimized while in prison. Females inmates who had a mental illness were even more likely to suffer from physical victimization, they were nearly 2 times more likely than male inmates with mental illness (Blitz). Inmates that were African Americans and Hispanics were more likely to be physically victimized either by inmates or staff.
The culture of managed care for behavioral mental health is rapidly changing. In 2014, the American health care community saw new federal legislation requiring the inclusion of behavioral health in insurance plans (retrieved: http://www.nytimes.com/2014/01/10/your-money/understanding-new-rules-that-widen-mental-health-coverage.html?_r=0) . These legislations came at the heal of several debates about the gro...
Isabel Fletcher Sociology of Health & Illness Vol. xx No. x 2013 ISSN 0141-9889, pp. 1–16
In the case of changing the mental health policy in North Carolina, the impetus for the change seems to be adopted by the State Auditor’s report beside other reports of many entities confirming the deviation of mental health service away from its original goal. According to these reports, mental health services are still delivered via traditional health delivery models rather than coordinated well-managed ones. Interestingly, these reports analyze the spectrum of mental health services nationwide with the exception of the State Auditor’s 2000 report Study of the Psychiatric Hospitals and the Area Mental Health Programs which was specifically designed for the North Carolina.
The treatment of the mentally ill started back in the far past. In 400 BC, Hippocrates, who was a Greek physician, treated mental illness as diseases of disturbed physiology, and not displeasure of the Gods or demonic possession ("Timeline: Treatments for," ). Greek medical writers found treatments such as quiet, occupation, and the use of a drug called purgative hellebore ("Timeline: Treatments for,”). During these times, family members took care of the mentally ill ("Timeline: Treatments for,”). In the middle Ages, the Europeans let the mentally ill have their freedom, as long as they were not dangerous ("Timeline: Treatments for,”). The mentally ill were also seen as witches who were possessed by demons ("Timeline: Treatments for,”). In 1407, the first mental illness establishment was made in Valencia, Spain ("Timeline: Treatments for,”).
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,
Those basic needs such as health care create obstacles for those with disabilities as well. Mental health care is unbelievably expensive as shown by the quote, “Depression is estimated to cost the EU €41 billion in direct costs and €77 billion in productivity losses. This compares to €35 billion in productivity losses for cardiovascular disease” (“The Effect”). This is also interesting because cardiovascular disease is one of the leading causes of death in the world today, yet depression raises so many more costs. Not only are mental health issues more expensive, they’re more common than one might realize as well: “One in four (132.4 million) Europeans are affected by mental health problems every year. This resulted in an economic cost of
Bibliography:.. https://www.palgrave.com/biotonpdfs0333 994571914 cha13.pdf (Accessed 11-04-2014). http://interruptions.net/literature/waitzkin-JHSB89.pdf (Accessed 12-042014). Cliffsnotes.com. Article p: 4 sociology perspectives on health.