A Brief Note On Agency Visit : Thresholds And Hrdi

Deinstitutionalization further exacerbated the situation because, once the public psychiatric beds had been closed, they were not available for people who later became mentally ill, and this situation continues up to the present.

Many years ago, mental illness was viewed as a demonic possession or a religious punishment. In the 18th century, the attitudes towards mental illness were negative and persistent. This negativity leads to the stigmatization and confinement of those who were mentally ill. The mentally ill were sent to mental hospitals that were unhealthy and dangerous. A push in the mid 1950s for deinstitutionalization began because of activists lobbying for change. Dorothea Dix was one of these activists that helped push for change. The change called for more community oriented care rather than asylum based care. The Community Mental Health Centers Act of 1963 closed state psychiatric hospitals throughout the United States. "Only individuals who posed an imminent danger to themselves or someone else could be committed to state psychiatric hospitals" (A Brief History of Mental Illness and the U.S. Mental Health Care System). Deinstitutionalization meant to improve quality of life and treatment for those who are mentally ill. This would hopefully result in the mentally ill receiving treatment so they could live more independently. The hope was that community mental health programs would provide this treatment but sadly there was not sufficient or ongoing funding to meet the growing demand for these programs. Budgets for mental hospitals were reduced but there was no increase for the community based programs. Many mentally ill individuals have been moved to nursing homes or other residential

Mentally disabled people in the 1930 's did not have the same treatment, which they are afforded today. Mentally disabled people during this era had the tendency to be placed into mental wards--at an alarming number. Doctors during this time did not have the understanding of mental disabilities that they do today. Many hospitals were overcrowded given doctors would tend to commit the mentally disabled person (given their inability to properly treat them).

While understanding of mental illness has increased since the 1950s, public opinion has only become worse. Another change since the 1950s, is the medication given to patients.

Evaluation and treatment of the mentally ill population has developed from confinement of the mad during colonial times, into the biomedical balancing of neurological impairment seen in these modern times. There were eras of mental health reform, medicalization, and deinstitutionalization sandwiched in between (Nies & McEwen, 2011). Regardless of the stage of understanding and development, communities have not been completely successful in dealing with and treating persons who are mentally unwell. Fortunately, treatment has become more compassionate; social and professional attitudes have morphed into more humanistic and

Furthermore, tremendous advances have been made in the understanding and treatment of mental illnesses in the recent decades. Nowadays, someone with a mental illness is treated with respect, just like every other person, because, in fact, everyone is equal. Society’s goals today are to treat and support the mentally ill individuals enough so they can live in

The mood shifted from hiding the mentally ill to curing the mentally ill. The definition of mentally ill was expanded to include anyone in the family that was unable to help the family in terms of survival and drained their family of money and resources: the aged, the epileptic, and the imbecilic. This caused massive overcrowding. The mentally ill were hidden from the public view along with the elderly and others suffering from debilitating disorders resulting in massive overcrowding of asylums which meant illnesses were not being treated in lieu of managing the ever expanding population.

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

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). .

Attitudes toward the mentally ill started to change in the 60’s and 70’s from both the communities and professionals. The two began to recognize that the mentally ill had rights to live an independent life style like that of ordinary citizens. Before this, people with mental illness or developing disabilities had been institutionalized, giving strong medications, sedated and isolated from the rest of society. Living amongst the community, they receive their medication as well as interact with the general public. In addition, they also interact with security personnel and law enforcement officers, and all too frequently with unfortunate consequences. (Russell, 2012).

According to the World Health Organization, mental illness will affect approximately 25% of people at some point in their life (“WHO Qualityrights”, n.d.). Despite that, the current mental health care system in the United States is inadequate. Many aspects of the system need improving, especially the barriers to service. In fact, approximately 20% of individuals are left without necessary treatment for their mental health disorder (“Mental Health”, 2016). Mentally ill individuals have difficulty accessing necessary mental health care services for various reasons; insurance, socioeconomic status, and mental health stigma can all function as barriers to treatment. Insurance discrimination can make it difficult for individuals to find treatment (Han, Call, Pintor, Alarcon-Espinoza, & Simon, 2015). Gaps in insurance coverage can also be a barrier, as they disrupt the long-term treatment process (Gulley, Rasch, & Chan 2011). Socioeconomic status has been found to negatively affect appointment scheduling (Kugelmass, 2016). Finally, stigma in our society can also stop people from seeking out treatment that they need (Bathje & Pryor, 2011). The mental health system in the United States is not capable of caring for the mentally ill, as insurance, socioeconomic status, and perceived stigma all act as barriers that prevent people from receiving the treatment they need.

Although about 450 million people in the world currently are suffering from a mental illness, many untreated, the topic still remains taboo in modern society (Mental Health). For years, people with mental illnesses have been shut away or institutionalized, and despite cultural progression in many areas, mental illnesses are still shamed and rarely brought to light outside of the psychiatric community. The many different forms in which mental illness can occur are incredibly prevalent in the world today, and there is a substantial debate about the way that they should be handled. Some people are of the opinion that mental illness is merely a variance in perception and that it either can be fixed through therapy or should not be treated at

The growing population extends in diversity by the second around the world, for there is not a single human being identical to another. In terms of personality, looks, and interests, each individual creates a unique addition to our own developed society. Tolerance towards indifferences to the percent of population containing a mental illness needs to be expanded. Society needs to expose the reality of the multiplicity of individuals. Undeniably, different characteristics about a person should be identified. However, people should not be labeled with a diagnosis or a disorder due to their actions.The members of the world today have most likely experienced a form of mental instability at one point in their life. The education provided to the public concerning mental illnesses is limited, and perhaps not taken seriously. Addressing the problem and educating society 's people is the only way to reach a solution to a broad conflict. To expose the amount of people that struggle with an illness that disables them to act differently in situations would create a wider understanding of different reactions. Society has isolated these actions of mental illnesses as something to be ashamed of over time, and have discriminated these acts making them prohibited. To reach a solution of tolerance towards mental disorders, the combination of actions for addressing the problem, educating the public of the intolerance, and

(Transition) Until the 1950s States continued opening State Hospitals, to house all mental and MRDD patients. However, the invention of drugs used to treat mental illness changed the rules. Suddenly patients that seemed hopeless could be helped with medicine, and possibly function in the community.

When people are mentally ill, they suffer social stigma, have higher health costs, and are at an increased risk of becoming poor. Every one out of five Americans is diagnosed with a mental illness. That 20 percent of the population can negatively influence the normal stresses of life, working productively and fruitfully, and being able to make a contribution the community. When humankind as a whole cannot recognize that mental illness is a serious issue, there is more harm being done than good. Any kind of mental illness can be caused merely by society, but also can worsen due to humanity not understanding how injustice can make a serious impact. The mental health problems that people face can be limited to society learning about the injustice of these illnesses.