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Overcrowding of Mental Health Hospitals: A Health Care Quality Issue The crowding in mental health hospitals comes from the use of emergency medicine as a specialty that has a federal law that allows any patient to receive treatment there (Barish, McGaudly, & Arnold, 2012, p. 304). Because of the lack of primary care physicians for a proper referral to seek mental health treatment, patients seek medical care in ERs (Barish, McGaudly, & Arnold, 2012, p. 304). Within mental health, patients with severe psychiatric disorder visit the emergency room one or multiple times throughout their diagnosis. These patients with mental health-related emergency department visits were twice as more likely to result in hospital admission to the emergency room …show more content…
About 0.5 million American suffer from severe mental health illnesses do not receive the appropriate treatment through the mental health system (Cost of not caring: Nowhere to go, 2015). Often these people have been brought to jails or homeless shelters and receive uncompassionate services from facilities with inadequate services. Through the increasing rate of people experiencing mental illnesses, recent literature shows increased use of overburdened emergency rooms for mentally disturbed patients (Barish, McGauly, & Arnold, 2012, p. 307). These patients have failed to receive inpatient mental health treatment because of hospitals operating at capacity or due to the lack of space in state-run and private psychiatric hospitals. Furthermore, Department of Behavioral Health and Developmental Services found that 72 people suffering from a mental health crisis and qualify for temporary detention order received inadequate emergency hospitalization from non-admittance to hospitals (Psychiatric Hospitals Denying Admittance Due to Overcrowding, 2012). The 1.5% represents people who were denied admittance in comparison with the 5,000 hospitalized under temporary detention orders. Even though another 273 people received TDO, these patients had difficulty finding placement in facilities furthering in …show more content…
Furthermore, these type of partnership will put pressure on health care organizations and hospitals who do not provide emergency psychiatric care to include that as part of their agency or emergency department. Social workers and health professionals work together to intervene at this level for patients. They help advocate the importance of collaborating with community organizations and the benefits associated with the relationship (Lustig, 2012, p. 146). Furthermore, they can assess the need for more emergency services through community clinics and integrated healthcare programs to alleviate a number of psychiatric patients within the emergency department. Policy advocacy strategies should influence county legislature to open create more community clinics or have access to more community clinics open on weekends in vulnerable regions of the
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.
Four Frame Organizational Analysis Grid – Care of the Mental Health Patient in the Emergency Department
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.
States obtain many services that fall under mental health care, and that treat the mentally ill population. These range from acute and long-term hospital treatment, to supportive housing. Other effective services utilized include crisis intervention teams, case management, Assertive Community Treatment programs, clinic services, and access to psychiatric medications (Honberg at al. 6). These services support the growing population of people living in the...
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.
Involuntary hospitalization is a legal procedure used to require individuals with mental health disorders to receive treatment withoaut their care. I am addressing this topic because there is an enormous problem in the medical field with treatment care. Involuntary health care treatment should not be forced upon because it can cause more harm than damage.
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.
Wouldn’t it be completely irrational to sentence every mentally ill individual to jail purely because they suffered from a mental illness? Often, mentally ill people behave in an eccentric manner and allure the attention of police officers who do not differentiate the mentally ill from mentally stable people and immediately charge them with misdemeanors. There are approximately 300,000 inmates, with the number increasing every year, which suffer from a mental illness and do not receive proper treatment. Jails are not adequately equipped to care for mentally ill inmates, which can lead to an escalation of an inmate’s illness. Society has failed to provide enough social resources for citizens suffering from psychiatric illnesses in its community, transferring mentally unstable individuals between mental institutions and jails, when in fact adequate aid such as providing proper medication, rehabilitation opportunities, and more psychiatric hospitals in communities is a necessity to reconstitute these individuals.
In today’s society, the stigma around mental health has caused many people to fear seeking medical treatment for problems they are dealing with. With an abundance of hateful outlooks and stereotypical labels such as: crazy, psycho, and dangerous, it is clear that people with a mental illness have a genuine reason to avoid pursuing medical treatments. Along with mental health stigma, psychiatric facilities that patients with a mental health issue attend in order to receive treatment obtain an excessive amount of unfavorable stereotypes.
Since the beginning of deinstitutionalization in the mid twentieth century, there has been a significant need for community mental health care, which was recognized after long term institutional care was considered ineffective. One concept that arose during the community mental health movement was case management. An important goal of the community mental health movement was to create full time mental health centers throughout the United States, and case management was to provide outpatient care to those who suffered from severe mental illness. Case management is still widely recognized today, and continues to be effective in providing care to clients who suffer from mental illness. Case management is a fundamental solution to the advocacy, recruitment, treatment, and care of both the disadvantaged and mentally disabled individuals.
According to the response of the State’s legislation, the change involves the four regional mental health hospitals that operate independently without common policies to regulate or synchronize their efforts. Although the legislation is evidence-based, it does not depend on local resources driven from within the mental health organizations inv...
Additionally, correctional psychologists are on-call to handle emergency situations involving mentally ill inmates, such as hostage negotiations and crisis intervention. The treatment of mentally ill individuals in jails and prisons is a prominent concern that is becoming more so as more ill individuals are sentenced to jail and prison stays. Currently, the United States correctional facilities are the largest provider of mental health services. (Reingle Gonzalez, et al.
Several states authorize police officers to arrest mentally ill people who have not broken any law. It is argued that this process is a way to promote public order. Hospitals also transfer mentally ill patients to jail in order to deal with the overflow. It is not uncommon for children to be confined to criminal detention centers because there is a lack of facilities for severely mentally ill children. Relying on the criminal justice systems to be surrogate mental health systems conflicts with the basic notions of justice. (Aufderheide,