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Historical background of mental health problems
History Of Mental Illness During The Late 19Th Century
Mental illness and government policy
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Speech: History of Mental Illness Specific Purpose: To inform my audience how treatment of mental illness in America has changed. Central Idea: Treatment of mental illness in America from past, to present. INTRODUCTION I What is Mental Illness? Mental illnesses are disorders of the brain that disrupt a person's thinking, feeling, moods, and ability to relate to others-and if severe interferes with all aspects of daily living. A. The care and support of people with mental illness affects everyone in society. 1. The National Mental Health Association reports that 40 million adult Americans are affected by mental disorders 2. 6.6 million Americans are disabled by severe mental illness. The cost of metal health care is over $150 billion a year. B. Today I am speaking about how the treatment of Mental Illness has changed in America 1. I have worked in the mental health field sense I was 16 years old. 2. I have seen first had the effects of past treatments of mental illness working in an immediate care facility for mentally retarded adults. 3. Unfortunately not much was known about the cause or treatment of mental illness until very recently in our history. The history of mental illness can seen in 3 separate stages: the old system of State hospitals, the Invention of Thorazine and other anti-psychotics, and community integration, the current system for the mentally ill. (TRANSITION) Hopefully I can explain when and why these changes occurred today, lets begin with the State Institution BODY I State mental Institutions open in 1800's (Providing care for insane usually left to prisons + Families before this time) A. Mental illness belie... ... middle of paper ... ...ndiana. Central State Hospital Home Page. http://www.state.in.us/icpr.webfile.csh_ain/csh.html "Deinstitutionalization of the Mentally Ill" (Sen. Daniel P. Moynihan in the Congressional Record, July 12 1999) Treatment Advocacy Center. http://www.psychlaws.org/hospitalClosure/index.htm "Did You Know? National Mental Health Statistics" National Mental Health Association home page. http://www.nmha.org/infoctr/didyou.cfm Greene Jan. Help for the Mentally Ill On Health. 25 June. 1999. Patients Rights Archive. http://onheath.webmd.com/home/comluminist/item,40937.asp Steel Elizabeth, MSW Seclusion and Restraint Practice Standards: A Review and Analysis. 1 June. 1999. National Mental Health Associantion http://www.ncstac.org/content/materials/seclusion.htm
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.
In the 1800’s people with mental illnesses were frowned upon and weren't treated like human beings. Mental illnesses were claimed to be “demonic possessions” people with mental illnesses were thrown into jail cells, chained to their beds,used for entertainment and even killed. Some were even slaves, they were starved and forced to work in cold or extremely hot weather with chains on their feet. Until 1851, the first state mental hospital was built and there was only one physician on staff responsible for the medical, moral and physical treatment of each inmate. Who had said "Violent hands shall never be laid on a patient, under any provocation.
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.
As science has evolved, so have treatments for mental illnesses have over time. The medical model is described as the view that psychological disorders are medical diseases with a biological origin (King, 2010, pg. 413). Abnormal behavior that categorizes some disorders can be impacted by biological factors such as genes, psychological factors such as childhood experiences, and even sociocultural factors such as gender and race (King, 2010). Treatments such as psychosurgery (lobotomy) , drug therapy (pharmaceuticals), electroconclusive therapy, and psychoanalysis are used to treat a wide range of psychological disorders. Back then, the public’s negative views on mental illnesses also went as far to associate with the people who treated it; psychiatrists. “Nunnally (1961) found that the public evaluated professionals who treated mental disorders significantly more negatively than those who treat physical disorders,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). People back then didn’t see the point in “paying to be told that they were crazy”. However, in today’s society, it is now acceptable to seek help from psychiatric professionals; we are seeing more and more people seek mental health treatment. “In terms of facility-based records of utilization (Manderscheid and Henderson 1998), the data suggest that the rate of utilization of professional mental health services has at least doubled and maybe tripled, between the 1950’s and today,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). In the 1950’s, neuroleptic drugs like Thorazine were introduced to treat the symptoms of schizophrenia. These drugs block a neurotransmitter called dopamine from getting to the brain, which in turn reduce schizophrenic symptoms, however there are some side effects such as substantial twitching of the neck, arms, and legs, and even dysphoria or lack of pleasure. (King, 2010, pg.
Leupo, Kimberly. "The History of Mental Illness." The History of Mental Illness. N.p., n.d. Web. 13 Nov. 2013.
As time goes on, the law has put more emphasis on facility just like Bridgewater State Hospital in which many of the actions of the facility workers can face legal consequences such as facing prison time, fines, lawsuits, and etc. Society has a better understanding of why certain people act the way that they do and being more knowledgeable about psychology and mental diseases allows us to have a different approach when dealing with these topics or these individuals. In today’s era, there are many normal individuals who are willing to stand up for those who do not have a voice of their own. I believe that this change in one’s ability to stand up for another individual or group of individuals is what brought about change to the medical environment of those who are mentally
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...
...a and Mental Illness • Social Justice Solutions." Socialjusticesolutions.org, 2012. Web. 13 Jan 2014. .
Mental illness is an increasing problem in America. Currently about 26.2% of Americans suffer from a mental disorder. A mental illness/disorder is a medical condition that disrupts a person’s thinking, feeling, mood, and ability to relate to others and daily functions. Mental illness can affect humans of any age, race, gender and socioeconomic status. However the care that is needed to effectively cure and help the people affected by the illness is not equal for everyone here in American, especially for African Americans.
"Mental Illness Treatments." Better Health Channel. Sane Australia, 14 Aug. 2013. Web. 27 Jan. 2014.
Mental illness is more common than one would like to believe. In reality, one in five Americans will suffer from a mental disorder in any given year. Though that ratio is about equivalent to more than fifty-four million people, mental illness still remains a shameful and stigmatized topic (National Institute of Mental Health, n.d.). The taboo of mental illness has an extensive and exhausting history, dating back to the beginning of American colonization. It has not been an easy road, to say the least.
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.
In 1955, over 559,000 individuals resided in inpatient psychiatric hospitals. By 1995, however, the number had drastically diminished to 69,000, (National Health Policy Forum, 2000). This drastic reduction was largely due to the discovery of antipsychotic medications in the 1950s, and the deinstitutionalization movement of the 1960s, wherein several thousands of mentally ill individuals were released from psychiatric institutions to return to their communities for treatment. Mental health centers (MHCs) were conceptualized during deinstitutionalization to provide treatment to these newly-released mentally ill persons in their communities. Although efforts were well-intended, the MHCs failed to serve the neediest subset of individuals. Instead, they served those who had minor psychiatric diagnoses and needed little treatment. As a result, the United States experienced an increase in the number of homeless individuals, most of whom still exhibited psychotic symptoms. Involuntary Outpatient Commitment (IOC) was created to serve those “forgotten” mentally ill individuals without placing them back in institutions. Ideally, IOC will increase community tenure for the severely mentally ill, decrease the likelihood of decompensation, and provide the necessary treatment by means less restrictive than hospitalization, (Borum et al., 1999).
In the nineteenth century the United States had established hospitals to house and care for the chronically ill and mentally ill. Several individual states assumed responsibility for mental hospitals in the 1980’s. At the beginning of the twentieth-century mental health treatments proved to have limited efficacy. Many of these patients received custodial care in state hospitals. New psychiatric medications were developed and introduced into state mental hospitals in 1955 as a result of the National Institutes of Mental Health (NIMH).The medicines that were developed brought new hope and addressed some of the symptoms of mental disorder. In 1963, President John F. Kennedy enacted the Community Mental Health Centers Act. This accelerated deinstitutionalization.