American Psychiatric Hospitals are not Effectively Treating the Ill
While the general public may view any psychiatric facility as being one to hold extremely dangerous mentally ill or the ultimate cure-all, treatment systems established for the mentally ill are far from perfect, namely inpatient programs. Within the past 50-60 years, rates of inpatient admission have increased, but length of inpatient stays has decreased, often resulting in readmissions for patients and higher rates of relapse. Insurance companies are funding shorter and shorter lengths of expensive hospital stays. While often considered an important aspect of treatment for severe mental illness, psychiatric hospitals and wards, in partnership with insurance companies and
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Pioneers of the modern psychiatric facility include Benjamin Rush, an 18th century psychiatrist often noted as “The Father of American Psychiatry”, and Dorothea Dix, a school teacher who acted as an activist for better psychiatric care and whose efforts eventually led to federal funding of treatment programs (NIH history https://www.nlm.nih.gov/hmd/diseases/index.html). Regardless of these developments, psychiatric care is far from perfect. Presently, psychiatric hospitals and wards are meant to serve as a transition towards normal life for those who are homicidal, suicidal, or otherwise severely ill, often in connection with other programs like residential settings, partial hospitalization programs, intensive outpatient programs, and outpatient …show more content…
This established, such system already exist, however, they often fail to adequately care and provide for patients. Insurance companies do not pay for long enough inpatient stays and often patients are left without plans for aftercare and tend to be readmitted within 30 days of discharge. Inpatient wards may have safety protocols which make patients uncomfortable and feel as though their privacy is being invaded, such as in bag-checking during intake or bathroom use monitoring. In summary, inpatient programs often fail the mentally ill
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 introduction of new psychotic drugs can provide better or more thorough care for the mentally ill. Creating options rather than one solution may have been believed to do greater good for the mentally ill community. Furthermore, the economic incentives involved as long term care was and continues to be at such a high cost. Community resources cost little to nothing for the federal Government to support. As well as releasing the mentally ill to their families, in any case those with minor illnesses. Additionally, a shift from treating chronic patients to treating acute ones would generate basic sense into the minds of many. This modification states through actions that
In the book, Crazy, by Pete Earley, provides a detailed overview of the mental health system in the United States, as it presents a first hand narrative of Earley’s family journey through the system. The author’s major premise and arguments, in the book, is to highlight the history of mental health, navigation through the judicial system with mental illness, the bureaucracy and policies of hospitals, society views on human rights and client safety, and the impact on the individual, family, and community. The content suggests that human service workers and public health workers should extend their professional lens to advocate for change in the mental health system in the United States.
Dorothea Dix was an American activist who pushed for reforms for the treatment of the insane after visiting several insane asylums during the 1800’s. While visiting, Dix noticed several things that led to her fight for the proper treatment for the mentally ill. One was discovering that patients in insane asylums were treated far worse compared to prisoners, who deliberately committed crimes on their own behalf. Another was finding out that several people in insane asylums were just thrown in there for reasons that were easy to treat, like depression. A third was witnessing several disturbing accounts, like finding patients chained in filthy cold cells, mentally ill women locked away with rapists and murderers,
Growing up, I had issues fitting in. Talking to popular people triggered a cumbersome stutter, the Kleenex at the front of class made me develop a waddle, and forget about presenting a project to everyone. Dancing was the only way to escape the pressure; however, every moment up to the performance, I’d fret over my synchronization with my peers. The never ending need to be normal still weighs heavily upon me to this day; however, I have developed some coping techniques over the years. Other people out there are not so fortunate, which is why I want to become a Psychiatric Nurse Practitioner. Yearning to be normal should not trigger anxiety attacks, everyone should feel comfortable in their own skin.
During the 1700’s the jails were not only used to confine criminals, but they confined people with mental illness as well. People with mental illness were subjected to inhumane treatment, even when the individual was admitted
It is clear that the burden of spending time within a mental hospital is carried around forever it doesn’t disappear when the patient is discharged from the hospital.
Given the number of incarcerated inmates who suffer from some form of mental illness, there are growing concerns and questions in the medical field about treatment of the mentally ill in the prison system. When a person with a mental illness commits a crime or break the law, they are immediately taken to jail or sent off to prison instead of being evaluated and placed in a hospital or other mental health facility. “I have always wondered if the number of mentally ill inmates increased since deinstitutionalization” Since prison main focus is on the crimes inmates are incarcerated; the actual treatment needed for the mentally ill is secondary. Mentally ill prisoners on the surface may appear to be just difficult inmates depending on the
Around the 1970’s and 1980’s around the United States many mental hospitals were shut down. There were many reasons why they closed these Asylums was because money, and knowing that there was only about twenty county asylums were built around the country. The asylums also known as the Looney bin was established in Britain after passing in 1808 county asylum act. There were so many patients in these asylums around the world in 1955 about 558,239 severely mentally ill people in the United States were accounted for. Now in these times any mentally ill people don’t get help they just go straight to jail without proper diagnosis or treatment. People need to know these people need extreme care and treatment. Even regular people or considered the norm in today’s society eventually go crazy when they’re in prison too long. We have as much people that are mentally ill as regularly incarcerated. There is one prison in Houston Texas that does take care there mentally ill. We have about 2.2 million
Institutional care was condemned, as in many cases patients’ mental conditions deteriorated, and institutions were not able to treat the individual in a holistic manner. In many state institutions, patients numerously outnumbered the poorly trained staff. Many patients were boarded in these facilities for extensive periods of time without receiving any services. By 1963, the average stay for an individual with a diagnosis of schizophrenia was eleven years. As the media and newspapers publicized the inhumane conditions that existed in many psychiatric hospitals, awareness grew and there was much public pressure to create improved treatment options (Young Minds Advocacy, 2016). .
In today’s society there is a greater awareness of mental illnesses. With this greater awareness one might assume that there would be a substantial increase in government involvement or funding in the area of mental illness treatment. Unfortunately this isn’t the case in the U.S. today. There are hundreds of thousands of people with mental illness that go untreated. These potential patients go untreated for many reasons. These reasons are discussed in the Time article “Mental Health Reform: What Would it Really Take.
The United States has never had an official federal-centered approach for mental health care facilities, entrusting its responsibility to the states throughout the history. The earliest initiatives in this field took place in the 18th century, when Virginia built its first asylum and Pennsylvania Hospital reserved its basement to house individuals with mental disorders (Sundararaman, 2009). During the 19th century, other services were built, but their overall lack of quality was alarming. Even then, researchers and professionals in the mental health field attempted to implement the principles of the so-called public health, focusing on prevention and early intervention, but the funds were in the hands of the local governments, which prevented significant advances in this direction.
What is left is that we have many citizens who are mentally ill and are not receiving treatment. However the patients who are able to receive treatment are only able to have some treatment covered. Health insurers are responsible for covering the immensely large cost of substantial treatment, a mixture of medication and therapy; since therapy is highly priced, less reliable, and time consuming; patients typically do not receive treatment for therapy. Health insurers would much rather cover medication because it is cheaper, it heals patients faster, and it is more reliable than therapy. However, medication is not made to heal, but to only coax symptoms of a mental illness (Sandberg).
The United States criminal justice system has been continuously increasing incarceration among individuals who suffer from a sever mental illness. As of 2007 individuals with severe mental illness were over twice as likely to be found in prisons than in society (National Commission of Correctional Health Care, 2002, as cited in Litschge &Vaughn, 2009). The offenses that lead to their commitment in a criminal facility, in the majority of cases, derive from symptoms of their mental illness instead of deviant behavior. Our criminal justice system is failing those who would benefit more from the care of a psychiatric rehabilitation facility or psychiatric hospital by placing them in correctional facilities or prisons.
The mentally ill were cared for at home by their families until the state recognized that it was a problem that was not going to go away. In response, the state built asylums. These asylums were horrendous; people were chained in basements and treated with cruelty. Though it was the asylums that were to blame for the inhumane treatment of the patients, it was perceived that the mentally ill were untamed crazy beasts that needed to be isolated and dealt with accordingly. In the opinion of the average citizen, the mentally ill only had themselves to blame (Surgeon General’s Report on Mental Health, 1999). Unfortunately, that view has haunted society and left a lasting impression on the minds of Americans. In the era of "moral treatment", that view was repetitively attempted to be altered. Asylums became "mental hospitals" in hope of driving away the stigma yet nothing really changed. They still were built for the untreatable chronic patients and due to the extensive stay and seemingly failed treatments of many of the patients, the rest of the society believed that once you went away, you were gone for good. Then the era of "mental hygiene" began late in the nineteenth century. This combined new concepts of public health, scientific medicine, and social awareness. Yet despite these advancements, another change had to be made. The era was called "community mental health" and