Mental Healthcare 21st Century
Government’s policies on mental health care have not materialized nor helped those with mental illnesses the way they were intended. Insurance companies continue to cheat the mentally ill of affordable treatment; mental hospitals are persistent on not releasing patients for years, robbing others of medical care; sick and unable to hold steady jobs, homelessness becomes the only option for many; irrational decisions become rational and crime becomes viable. With a rebuilding of the mental health care system, stricter rules on parity insurance, and reduced stigmas, crime would lower, the homeless would dissipate, and more Americans would lead normal, healthy lives.
The brain is the most unchartered organ in the human body, so it is not surprising that many of the psychological illnesses have been misdiagnosed. Dementia is a biological disease, not a mental disease and right now there are up to 5.3 million citizens with Alzheimer’s (Hebert). This creates a growing demand for treatment in a mental health facility, for issues that are not even mentally related. There is a copious amount of false placement because disorders like Dementia, ADHD, and many others are not mental, but biological. What the United States has is a fractured system that has made convenient treatment nearly unattainable for sick people in need. People of all ages suffer from mental illnesses but because of the misconceptions of what is a mental illness, social and legal pressures thwart victims from seeking help. Mental illness is not the “result of weak will or misguided parenting” as once thought, but it has been discovered that “most ‘mental’ illnesses are biologically based, just like physical illnesses are” (Carter). Because...
... middle of paper ...
...g for medical education programs, revamped regulated care facilities, and stern government involvement with insurance. Mental health care programs deserve appropriate classification and budget procedurals, which in time would reduce government and social expenditures in costly areas such as criminal facilities and homeless shelters dominated by the mentally ill.
Rebuilding and refinancing the mental health care system would transform the socioeconomic status of millions of Americans but most importantly righteousness to the ill who have been beaten, caged, burned, persecuted, shunned and stereotyped for having a mental illness. Reform could bring suicides to a low, lessen mass killings, lower crime rates, tapper homelessness, and forward a more productive American society. It is time to demand change for the millions suffering from untreated mental illnesses today.
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.
Two decades ago hospitals were for the physically ill and asylums were for the mentally ill. With the stigma fading from mental illness and a movement toward deinstitutionalization, this paradigm of segregation of mental and physical health care does not hold true today. A direct effect of the paradigm shift is a greater willingness on the part of the public to seek help for mental health problems. (Madonna, 2000, ¶ 6) Managed care has stepped up to fill the increasing need for inexpensive mental health care coverage.
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.
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 present day America the way mental health is handled is very different from the treatment of mental health in the 1990’s. Today the mentally ill have effective medication and therapy. Back in the 1990’s treating mental health was very new. Unlike today before the 1900’s most of the mentally ill were in prisons. Around the 1950 the United States Government invested in making a safe haven for mentally ill patients where they could be protected and could be medically help. Sadly this took a turn for the worse. Mental hospitals soon became the quite opposite of what it was once hoped to be. The rise and fall of mental asylums changed mental health in America forever.
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.
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.
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).
Mental Health treatment disparities amongst under-class white and African American women. Mental health used to be a taboo topic to discuss in public, or even to the people closest to you. Now it is becoming more acceptable to talk about some aspects of the once controversial topic. Everywhere people look now they are being constantly reminded about how important mental health awareness is, whether it be a suicide prevention hotline posters, celebrities raising awareness on social media, or even in movies. Mental Health is an upcoming social topic that is rightfully becoming more socially acceptable to discuss rather than sweep it under the rug. It is very important that awareness is being practiced whether it be for more common illnesses like depression , or something more serious like schizophrenia it is important that people are educated about mental illnesses so they know how to cope with them, and treat them Although the solution sounds easy it isn't because not everyone has equal access to mental health treatment.There are invisible barriers in the way for some people when it comes to access to mental health treatment. Race and class are two variables that are huge
Public opinion polls support expanding such treatment to reduce violence. It is tempting to capitalize on this sentiment to call for increased funding, but there are ample Reasons to advocate for better mental health services. State funding cuts are limiting access to needed public services, and criminalization of people with mental illness is a worsening public health crisis. Persons with serious mental illness are more likely to be placed in jails and prisons than hospitals.” (.424)
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,
The development of mental health policy has gone through many changes in the course of the twentieth century. Today, mental health policy is totally different from the policy hundreds of years ago. Because of this, it is important to emphasize the fact that mental health policy has shifted from the indifference and isolation of people with mental illness, to the delivery of social services and community integration. In other words, mental health policy has experienced a serious change that has changed the attitude of policy makers, health care professionals, ordinary people, and also to people with a mental illness. Today, people with mental health problems are no longer outsiders as they used to be. Instead they are seen as people who have different needs and social geared towards their integration into the community. The federal government now has a policy that addresses the problems faced by people with mental illness, gives the community a chance to understand these people, and sets a standard in providing mental health services. There are over seventy actions in The Federal Mental Health Action Agenda. “It offers an unprecedented opportunity to fundamentally alter the form and function of the mental health service delivery system in this country to one that puts individuals-adults with mental illnesses, children with emotional disturbances, and family members-at its very core” (The Federal Action Agenda: First Steps. Web. 24 Mar. 2014).