argument essay (1)

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Apr 3, 2024

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1 Promotion of Outreach Services to Vulnerable Psychiatric Patients Rachel Friemoth Chamberlain University ENGL148: Advanced English Composition Professor Kayla Kassakatis August 1, 2023

2 Promotion of Outreach Services to Vulnerable Psychiatric Patients There is no denying the fact that mental health and the treatment of such disorders carries an unprecedented amount of stigma and even shame for the individual who is plagued with the internal battles of real versus intrusive thoughts. In a Journal article published by The Permanente Journal, it states that one-third of the world’s disabilities are due to mental health problems. It also states that because of these staggering numbers, there is a direct relationship between mental health and increased socioeconomic costs and suffering for those inflicted (Lake & Turner (2017). With all the implementations of inclusion for different populations of people, those who suffer with mental health disorders are guaranteed to have stories and experiences where they felt the sting of judgement because of the ways these illnesses affect them. Whether a person deals with debilitating anxiety or depression or suffer with more severe symptoms such as paranoia and self-harming behavior, it is the duty of mental health providers to advocate and create a system to which these patients will remain in control of their disorder, maintain compliance and thus be able to maintain stability and not be a burden to the system. Lake & Turner (2017) also reported that the average patient requires almost 10 years of treatment, but because of lack of adequate care, more than two-thirds of patients will never receive the care needed for a full recovery. Because of these alarming and very concerning statistics, it is imperative that improvements be made, if anything to allow these individuals to thrive and maintain the highest level of independence as possible. Mental health providers should be required by governing bodies, such as CMS, or the Mental Health Board in the patient’s local area to enforce a system to require all patients be screened for the potential of non-compliance, and then implement policies that will then reachout to the patient after a period of 4 months to

3 address needs in medication refills, face to face appointment with therapist or mental health provider, or arrange for inpatient admissions if warranted. Non-compliance in regard to mental health treatment is a complex problem. Many factors are credited to the failure of long-term recovery for psychiatric patients. Many communities across the country lack community involvement to intervene during acute and chronic mental health crisis. There is also a huge lack of funding for mental health services. Many racial and ethnic groups suffer greatly from these disparities. According to an article in FOCUS, a journal published by the American Psychiatric Association, individuals living in minority ethnic groups, an average of 20-50% of these patients are less likely to initiate mental health services, and those that do seek treatment, 40-80% of them are more likely to drop out prematurely (Mongelli et al., 2020). According to Mongelli et al., 2020, these individuals instead utilize emergency services, or enter treatment involuntarily after run-ins with law enforcement. After these admissions, they are less likely to follow-up with regular outpatient services after discharge. Because of the lack of ongoing treatment, these patients do not generally achieve or experience remission, and therefore are unlikely to improve or return to normal functions that allow them to return to a normal work life. Some communities across the country have begun implementing mobile outreach teams. These teams are staffed by mental health professionals who bring needed services and resources to people. The idea behind these practices is that “services need to move toward people rather than wait for people to move toward them” (Mongelli et al., 2020). Other implementations include Peer navigator programs, which are services that are rendered by professionals and paraprofessional staff who have similar life experiences and are recognized as being more empathetic, more emotionally present and believed to be better listeners than the nonpeer providers. (Mongelli et al., 2020).

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