Mental Health Treatment And Rehabilitation

What are the implications of a recovery model for mental health services and for service users/survivors?

The provision of mental health services in the U.S. is a social justice issue that affects vulnerable populations in a variety of ways, including: limited access to quality mental health programs, especially in rural areas; the stigma associated with seeking mental health help; and discrimination against those with mental health issues. The far-reaching implications on our current system and policies of mental health care mean that it is a pervasive issue in the United States. According to the Scientific American, “Mental health care is one of the biggest

Mental Health America (formerly known as the National Mental Health Association) is the country’s leading nonprofit dedicated to helping all people live mentally healthier lives. With more than 320 affiliate nationwide, we represent a growing movement of Americans who promote mental wellness for the health and well being of the nation, every day, and in a time of crisis (2007 Mental Health America). As an organization, Mental Health America has been around for nearly a century. We began work in 1909 when Clifford W. Beers, a young business man who struggled with a mental illness and shared his story with the world in his autobiography “A Mind

The shutdown of state mental hospitals and lack of available financial and institutional resources force mentally ill people to the United States Judicial System for mental health. Every year thousands of people are arrested for various crimes and they are sent to jail. Sixteen percent of these people have some type of mental health problem (Public Broadcasting System , 2001). When we consider that the United States has the largest incarcerated population in the world at 2.2 million, this number is staggering (Anasseril E. Daniel, 2007). This is about 1% of the entire population of the United States. There are many reasons as to why the situation has taken such a bad turn and when the history of the treatment of mental illness is examined one can see how the situation developed into the inhumane disaster it is today.

The Mental Health Services Act is a monumental proposition that has helped many people for more than a decade. In California alone, close to 1.2 million adults and around 422,000 children live with a serious mental illness (State 2010). Without the proper treatment, suicide is the leading cause of death for a person battling an untreated mental illness (State 2010). With over thirteen billion dollars raised so far, MHSA has been the root of funding for mental health in California (Williams 2015). MHSA is still a work in progress. The act is nowhere near perfect, as a recent audit has shown, but it is certainly a step in the right direction.

In the United States the Mental Health Care field is one of the most underserved areas of healthcare. The mental healthcare field faces many challenges to the proper treatment of patients from both a societal and professional standpoint. From a societal perspective a negative stereotype is associated with patients seeking psychiatric care. Patients seeking care are often labeled as defective or damaged. Add in the complication that most patients with mental illness appear to be normal, accepting that someone is ill without outward symptoms can also be difficult for a society to understand. From a professional perspective the challenges within the mental health care industry include personal prejudice, staffing issues, and problems with coordinating care. The combination of these factors has a direct negative impact on the willingness of individuals suffering from mental illness in seeking the care needed to treat the symptoms of mental illness.

There are 5 components of the Mental Health Services Act. The first, community services and support is set up to focus on the community and their well being while providing their services to the mentally ill. The second, prevention and early intervention allow MHSA to give their service to people to promote wellness in a community, to foster health to those in need, and to prevent suffering from untreated mental illness. Innovation is the third component which bumps up the quality of service MHSA gives and can even provide service to people that don’t deserve the help.

“Despite many calls for change, mental health care continues to be separate from the rest of health care. Difficulties in accessing mental health care have become a “de facto” in the US. Although screening for mental illness in primary care has increased in recent years, subsequent treatment remains inadequate and referral for specialty treatment continues to suffer from long delays. In the National Comorbidity Study, only 21.7% of individuals with major depressive disorder received adequate treatment (Grembowski, 2002).”

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.

American history is littered with tails of reform and revolution. Earlier on in America’s young life, revolution included war, struggle for basic human rights and dignity as well as radical tactics taken by the public. As time went on Americans learned that revolution and reform could occur through the government systems that our forefathers had put in place. The battle for human rights has all but ended but the way in which Americans wage war is a different story altogether. Now American’s fight for better public healthcare, equal rights for homosexual individuals and couples, and stricter standards for social welfare programs.

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.

when people can live well in the presence or absence of mental health problems.” The National Institute for Mental Health in England (NIMHE) Guiding Statement -on Recovery states that “Recovery is not what services do to or for people. Recovery is what people experience themselves as they become empowered to manage their mental illness and/or substance misuse in a manner that allows them to achieve a meaningful and a positive sense of belonging in their community.” For many people, the thought of recovery is about taking control of their life despite having experienced problems in their mental health.

Mental health services ended up being far from reached by patients with primary psychiatric disorders. Mental health care means not only improving access but also improving clinical quality and ensuring cultural competence. It is the ability to treat and support programs to encounter individuals on personal terms and in methods that are customarily aware.

The term ‘Recovery’ carries many differing definitions both in the Medical and Mental Health domains. In medical terms, recovery is the act of regaining or returning to a normal or health state, being cured or experiencing no current symptoms (Mental Health Foundation UK, 2015).

Mental Health has been recognized, as the well-being at which individuals are able to cope with everyday stresses, and work productively while contributing back to their community. Mental Health America began in the early 1900’s by Clifford W. Beers, a former psychiatric patient who experienced mental/physical abuse during his stay in public and private institutions. It wasn’t until short after a reform group emerged, to stand against the abuse and ill-treatment at these institutions. In this paper, I will be discussing the history/background of Mental Health Services, and how quality, access, cost or other factors have changed (or how they haven’t). I also will be discussing the populations that benefit from this type of service and the significant issues, and or problems within the area that impact specific populations. Lastly, I will interpret national policy, legislation, attitudes, political climate, and how they impact or relate to the problems discussed, then I will address two current issues discussed along with clarifying each discussion.