Evaluation Of The Montford Unit Offers Services

In 1965, there was a histrionic change in the method that mental health care was delivered in the United States. The focus went from State Mental Hospitals to outpatient settings for the treatment of mental health issues. With the passing of Medicaid, States were encouraged to move patients out of the hospital setting (Pan, 2013). This process failed miserably due to under funding and understaffing for the amout of patients that were released from the State Mental Hospitals. This resulted in patients, as well as their families, who were in dire need of mental health services. This population turned to either incarceration (jails and/or prisons) or emergency departments as a primary source of care for their loved ones.

The observation was conducted at The Jude House. The Jude House is an in-patient Residential medium to high intensity co-occurring treatment facility. Most of the Clients come from the County Detention Center or a Prison that is in the State of Maryland. Client’s tend to stay in treatment on average 4 to 6 months. Ages range from 19 and older. There are male and female Clients in the facility. The facility houses up to 12 females and up to 40 males. There are structured groups every day. Clients on average attend 36 groups per week and one individual session with their primary counselor, mental health therapist if needed, family intervention specialist, and other case management services if needed. The location of the facility is in

The deinstitutionalization of state mental hospitals has left many individuals untreated and in the community where there come under police scrutiny due to their odd behavior, that is a manifestation of their illness. Majority of mentally ill offenders have not committed a serious crime and are subjected to inappropriate arrest and incarceration (Soderstrom, 2008). This new policy has become quite a concern to the fact that the correctional environment has proven to show no positive results in the mental health of the offender during their time of incarceration or upon their release date and thereafter (Soderstrom, 2008).

Once released from an institution a mentally ill person, without the support of the community and much needed medication, might find themselves feeling very scared and threatened by interactions with the community. This leads us to another problem, which is crime and the mentally ill. About one thousand people in the U.S. are murdered by severely mentally ill people who are not receiving treatment. These killings are about 5% of all homicides nationwide, and help show once again how important it

Jail diversion is a mental health platform explicitly premeditated to isolate and divert individuals with mental health, substance abuse disorders or both from the criminal justice system into a need-specific treatment in the mental health system. Specifically, the program provides linkages to community-based treatment and support services to assist the individual in reducing deviant behavior. For this reason, the individuals avoid arrests and spend a lesser period in jail. The effectiveness of the diversion program relies on various activities that involve the identification of the target group and a proper integration of the victim into the program. While there are many different types of jail diversion programs the accessibility to jail diversion programs are limited, due to the strict qualification guidelines set. In addition, the availability of appropriate mental health professionals is paramount to the efficiency of the program. It is a common belief that linking mentally ill offenders to Community-Based Services decrease their chances of recidivism and contact with security officers (Sirotich, 2009).

With states closing many of its mental facilities in the communities, there were a lot of people in need of outpatient care who fell through the cracks of the system and ended up in prison. Prison is where many of them died from inadequate treatment. Prisons were suddenly receiving inmates with the following types of mental illnesses: Schizophrenia, bipolar, and deep depressions. These prisons just did not provide these inmates with any medication during their incarceration. Because the community based health services is lacking, and patients aren’t receiving sufficient outpatient care, it makes the effectiveness of deinstitutionalization a serious problem. Without the availability of 24/7 psychiatric services that are well structured, I believe that deinstitutionalization is what is accounting for the increase of the mentally ill inmates in the correctional facility.

CASES if successful can reduce crime once their clients finish treatment. They take mental health evaluations serious when providing case management. As a social worker, I could build on the what CASES mental health assessments. Mr. Jacobs discussed how assessments can identify those at risk to be rearrested while in the program. In the identification of those individuals, different resources can be given to keep them from committing a criminal offense. I know what works with New York may not work for Los Angeles, but we can take those same principles to fit geographical

Other housing needs for the mentally ill include specialized in- house primary care, health promotion programmes, open access mental services (accessible to all at any time, missed appointments are also tolerated), assertive management, street based service provision, holistic and generalist support apart from just clinical diagnosis, talking therapies and full access to mainstream services. Most importantly, the housed mentally ill persons have to be shielded from becoming homeless again. Such assurance that they will forever have a comfortable place to stay will relax their minds. This will go a long way in promoting their mental well being (Randall et al. 2006).

In the Frontline presentation, “The New Asylums”, the program explored the lives in prison of several Ohio inmates. The presentation presented numerous distinct issues of the treatment of the mentally ill in the prison system. The most significant issues presented within the program were the medical treatment received both in and out of the prison system, factors that influence punishment, isolation and medication, the length of the sentencing the mentally ill receive, and why prisons seem to have become the new asylums.

Despite the fact that my parents have worked in the criminal justice system for many years, I have never given much thought to the treatment of prisoners. As we learned from the readings, the current state of the United States criminal justice system is imperfect to the point of cruelty to those involved in it. This is truer for individuals with a mental illness. Due to a lack of psychiatric facilities throughout Alabama and overcrowding of those that do exist, many criminal offenders with mental illnesses are sent to prisons instead. State prisons are currently overcrowded, leading to substandard conditions such in almost every aspect.

Jails have been described as “de facto mental hospitals” because they have filled the void created when state psychiatric hospitals began closing in the early 1960s through a process known as deinstitutionalization. Supporters of deinstitutionalization thought the process would help individuals suffering from a mental illness live more self-reliantly while being treated by community mental health programs. However, the federal government did not provide the necessary funding to meet the mounting demand for these programs, leaving numerous untreated. Individuals with serious mental illnesses are often poor or homeless and are likely to have substance abuse problems. Therefore, when they are left untreated, they are more likely to commit minor crimes that have been the focus of law enforcement in recent years (H. Richard Lamb and Linda Weinberger).

The Frontline episode “The New Asylums”, dove into the crisis mentally ill inmates face in the psychiatric ward in Ohio state prisons. The episode shows us the conditions and every day lives of mentally ill patients in Ohio state prisons, and explains how these inmates got to this point. It appeared that most of these prisoners should have been patients in an institute of some sort, out in society, but unfortunately due to whatever circumstances they ended up in prison. According to the episode, most of the inmates end up in prison due to them not coping with the outside world on their own. Prior to becoming imprisoned, the inmates had difficulties dealing with the outside world. Mainly due to lack of necessary

Montfort Therapeutic Residence (MTR) is a ten bed male residential facility whose program model is rooted in Cognitive behavioral therapy (CBT). The purpose of MTR is to intervene in the life of young males ages 14-18 to reframe their world perspectives and teach new coping skills. Generally MTR residents commit nonviolent crimes and attend MTR voluntarily as an alternative to incarceration. MTR is a non-secure facility however the young men are under twenty-four hour supervision of an MTR staff member and all residents contact with the outside world including family is thoroughly monitored.

Research suggests that recovery is nurtured by positive relationships. These relationships encapsulate those with friends, family, service providers and connections with their personal community and culture. Such connections support individuals in becoming more than their “mental illness” identity. Important in fostering these connections are concepts of treating people with dignity, compassion and understanding.

Most people who have mental health problems experience symptoms, and gradually recover. They may pick Up where they left off, or head in a new direction in life. Everybody’s experience of mental ill health is Different and everybody’s recovery is therefore individual. For a minority of people, the symptoms of their mental health problem might lead them to act