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Factors influencing community health
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The thinking behind community mental health focuses on the altogether mental health of people in a particular community. To observe a communities mental health needs, nurses first must assess at least one common denomination among its members, which is called an aggregate group. For example, adolescent’s behavioral anger issues mothers who are victims of abuse, and the homeless elderly and middle age adults. Aggregate mental health refers to the way in which families and groups within a given environment contribute to or enhance interactions among people along the mental health-illness continuum (Nies & McEwan, 2007). During an uproar of untreated mentally ill people in1955, Congress passed the Mental Health Study Act to examine people with …show more content…
For example, home visits to provide social support to childbearing women from low income homes, cognitive behavioral therapy, and some type of psychological support for long term nurses, coping skills due to life changing events such as job loss, birth, caregiving, separation, divorce, bereavement, poverty, etc. For children, early interventions for preschoolers from low income communities, social skill practice to deal with problems that may become upsetting or depressing, improve relationships, improve positive attitudes, emotional support for children experiencing loss of a loved one or divorce or separation of parents, etc. The Center for Mental Health Services is the US agency that takes the lead of national efforts to improve prevention and treatment of mental illness for all American citizens. The agency is responsible for the vast ranged services and support needed for those with mental health issues, their families, and communities. A community based care system creates and delivers many of the community based care to a specific population who under any other circumstance require long term care. Range of services are included but not limited to social networks, mental health care, rehabilitation, educational and employment opportunities, etc. All of these play a substantial role in how mental health patients are cared for but all of these efforts can be stalled and yield no real result due to many contributing factors. Such as stalled resource, poverty, reinstitutionalization, education, psychopharmacology, and stigma. Stalled resources are a result of a system fragmented and characterized by multiple providers and inadequate funds (Stroul & Friedman, 1968). Poverty is a huge reality for many people. These people are burdened with a reality
The Centers for Disease Control and Prevention (CDC) reports that 25% of people suffer from a mental illness and that 50% of people will develop one during their life ("Surveillance Report," 2011). Mental illness is also associated with “chronic diseases such as cardiovascular disease, arthritis, asthma, and diabetes” (Pederson et al., 2013, p. 695). Rural communities have higher rates of chronic illnesses, mental health issues and fewer providers thus making this population vulnerable to health disparities. The purpose of this paper is to explore mental illness in the rural community, ways to improve accessibility to care, and improve outcomes through the role of a rural nurse educator.
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.
Saxana, S. (n.d.). WHO | Community mental health services will lessen social exclusion, says WHO. World Health Organization. Retrieved March 10, 2010, from http://www.google.com/url?sa=t&source=web&ct=res&cd=3&ved=0CBwQFjAC&url=http%3A%2F%2Fwww.who.int%2Fmediacentre%2Fnews%2Fnotes%2F2007%2Fnp25%2Fen%2Findex.html&ei=3eKXS7f9I5WzlAeSpZGyAw&usg=AFQjCNHZnkqgOFJ0oHo0o9uN8IlGWpNm8g&sig2=OBjC-IrKMqnnafu7B5jRSw
The impetus for change to improve the healthcare services provided to individuals suffering from mental illness came about because the deinstitutionalization efforts begun in the 1970s were failing to properly assist this population (McLaughlin & McLauglin, 2008). McLauglin and McLauglin (2008) explain North Carolina’s four regional mental health hospitals were acting as independent entities and not working to provide better coordinated services to its’ local community mental health centers. They reveal local community mental health centers were not receiving the resources necessary to run effective rehabilitation programs for their patients (McLaughlin & McLauglin, 2008). Similar situ...
The public’s views on mental illness. Paper presented at the annual meeting of the National Association for Mental Health. Swindle,R.,Heller,K.,& Pescosolido,B.(1997,August). Responses to “nervous breakdowns” in America over a 40-year period: Mental health policy implications. Paper presented at the meeting of the American Sociological Association, Toronto, Ontario.
Although medical social workers have always played a role in helping loved ones adjust to significant illness in a family member and in securing needed resources to pay for medical care (Furstenberg & Olson, 1984), a new role for mental health professionals in the care of those afflicted with disease has emerged. D...
On May 25th 2016 I officially started an internship with Montgomery County’s Department of Mental Hygiene. The department consists of one hard working woman named Sara Borenko who was my supervisor and boss throughout this internship. One of the main duties of Sara’s job is the funding of community programs that are aimed towards helping the mental health community. In fall 2015 I took a class called Community Psychology and while working at this internship; I applied what I had learned from that class and used it to my advantage. Some of the lessons I applied included social oppression, community organizing, stress and coping, and emotional support. Before taking this internship, I didn’t realize how much my county had to offer as for services. I’m inspired by the community and its strides towards helping the mentally ill. I’ve learned a lot during this internship. I’ve gained experience in the field, I’ve grown a broader
Mental health disparities, “the power imbalances that impact practices influencing access, quality, and outcomes of behavioral health care, or a significant disparity in the overall rate of disease incidence, prevalence, morbidity, mortality, or survival rate in a specific group of people defined along racial and ethnic lines, as compared with the general population” (Safran, 2011). Although there are many mental health care dipartites, I’m going to focus on the impact of poverty and lack of attention given to mental health. By advocating for a prevention, promotion, and intervention related to mental health, will aid in minimizing mental health disparities. Not only is it important to advocate on a macro level, but it is important to educate
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
Perkins, R. Repper, J. (1998) Dilemmas in Community Mental Health. Oxon: Radcliff Medical Press Ltd.
Community psychiatric nursing entails collaboration and coordination making nurse eminently suitable to participating in community service. The greatest advancement in community psychiatric nursing is home care which is an array of health related services to clients and families in their place of residence, which includes residential care facilities, group homes, and private homes. Home health is one aspect of community health nursing, not an alternative to institutional care. (Stanhope & Lancaster, 2008). Services given by psychiatric home care are medical care, social work, family building pharmacy services, and various services such physical, recreational, speech, etc. Valuable principle play a key role in is type of care setting such as
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.
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,
Community Mental Health Nursing Community mental health is a decentralized pattern of mental health, mental health care, or other services for people with mental illnesses. Community-based care is designed to supplement and decrease the need for costlier inpatient mental health care delivered in hospitals. Community mental health care may be more accessible and responsive to local needs because it is based in a variety of community settings rather than aggregating and isolating patients and patient care in central hospitals. Mental health care needs range across the board with a variety of conditions, disorders, disfunctions.
SL) in mental health practice can serve as a way to isolate individuals, it can also serve to create a distinct community. Cecile Rousseau (1993) describes in her article that community empowerment through offering alternative resources is a way to increase decision making power and access to communities that are more popular in comparison to hospitals. In the 19th and early part of the 20th century, it was believed that the only way to treat mental illness was to contain people both physically and mentally (Fleury & Grenier, 2004). In recent years, the institutionalization approach moved towards a community approach (Rousseau, 1993) where individuals were transferred from hospitals to communities (Fleury & Grenier, 2004, p. 24-25). Alternative resources consist of a bottom-up approach instead of top-down approach (Rousseau, 1993, p. 540).