Mental Illness: A Case Study

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). .

Asylums The mental disabled were brought here to be treated. Treatment supposedly helped the patients but it seemed to do the opposite. Life in the Asylums The staff in the asylums was very limited during the 1930s.

In the video, “The New Asylums”, it demonstrated how deinstitutionalization has left thousands of mentally ill patients in the hands of the prison system. As the mental health hospitals closed down, the police department and prison system has become responsible for the mentally ill people that are on the streets. There was a firm point made about the release of mentally ill patients- “When hundreds of thousands of mentally ill are released, they do not magically become healthy. They went to the streets, became homeless, and turned to a system that cannot say no.” The video also stated that today, there are nearly 500,000 mentally ill people being held in jails and prisons throughout the country. Furthermore, there was no safety net for those

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.

This graph in an article from the January 15, 2007 printing of the New York Times show the trend in institutionalization in prisons, mental hospitals, and the total number of incarcerated people. It shows a gradual increase of the overall total and those in mental institutions from 1928 until it levels off at a peak from 1940 to 1958. From 1958 the number in mental institutions and overall dramatically decrease while the number in prisons dramatically increase. At about 1970 the number in mental institutions and those in prisons cross so that the number in prisons are greater, rising quickly to almost equal the total number of incarcerated by 2000. This agrees with the book Crazy: A Father’s Search Through America’s Mental Health Madness’s claim that deinstitutionalization in the 1970s resulted in mental hospitals being emptied and jails taking their place as housing for the mentally ill. It is a reliable source because it is in the New York Times.

Overall, Conditions in asylums today are drastically different than asylums in the 1800s due to the better understanding of mental illnesses. As time goes on and technology advances, society will continue to advance in it’s knowledge of mental

brain, or sending patients to institutions, doctor prescribed pills to try and treat mental conditions. In addition mental health patients were no longer being institutionalized due to the poor conditions in mental institutions (History of Mental Illness”)

Asylums of the 20th century were deplorable places created for insane people because of the ignorance of the medical community about helping or treating the mentally ill, the way the asylums were use to get the insane out of the way, and the sheer fact that the hospitals felt the need to withhold the information about what was going on inside the institutions from the public. Some Americans today may believe that in the last few decades we had treated our patients suffering with mental illness with dignity and respect. However, the conditions in which many of them lived and the treatment they received were worse than that of animals. Treatments of these patients were so inhumane that, in Athens, Ohio, an asylum nicknamed the Ridges, a female patient named Margaret Schilling disappeared from one of the active wards. Schilling went missing on December 1, 1978, and on January 12, 1979, her body was found on an abandoned top floor of ward N. 20. The ward had been used for sick, infectious patients, and had been abandoned for years. When searching for Schilling, employees had forgotten to search in ward N. 20. Eventually, when Schilling was found, a maintenance man discovered her body lying on the floor in front of a window. Her body had been laying there for several weeks unattended. According to Carolyn M. Zimmerman, Ünige A. Laskay, and Glen P. Jackson, her body was left laying for so long that it had begun to rot and had left a stain that can still be seen today. This

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.

Before the 19th century in the American society, criminals were executed, whipped, and held in dark cells with little food and water. The insane wandered around asylums or were kept in tiny cells and were not treated properly. In incarcerations prisoners were worked without stopping and treated inhumanly. Reformers wanted to establish an official institution for the insane and the criminals that was humane. They believed that reform and rehabilitation was possible in a controlled environment. As part of the humanitarian reforms sweeping through America, asylums and prisons were created for criminals and the mentally ill. The importance of human perfectibility led some reformers to care for the physically and mentally ill. Many people lead this movement, including Dorothea Dix. She traveled the country visiting a large amount of asylums and prisons. Through Dix’s work and others’ the treatment of patients improved vastly.

The other half of the problem comes in the form of people calling for a reform in the way asylums were ran. They were underfunded, overcrowded, and in a state of disrepair. People thought that State ran hospitals were cruel and inhumane and these activists succeeded in freeing patients from these hospitals. However this did not result in small well funded programs where people got they care they needed, this instead lead to a lack of funding for teatment of any kind. This is how an epidemic of mentally ill people have ended up living on the streets

Although the 19th century expansion of asylums in Europe and The United States was a movement initially based on moral principles, it led to significant negative implications for individuals, who were institutionalized as asylums became overcrowded, lacking hygiene, neglectful of patients and an overall place for poor living conditions (Wright, 1997). The rise in in-patient population in the early 19th century and patients’ inabilities to reintegrate into the community as a result of institutionalization have often been explained in terms of the mental health system and developments in psychology at the time. Sociologists on the other hand, have argued that these institutions have caused people to remain institutionalized. A compelling

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

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.

Overcrowding was a huge issue in the insane asylums. In 1900 based on the authority of the Lunacy Commissioners report, it was stated that there was one “registered lunatic per every three hundred people.” (Chapman 164). Danvers State Hospital was built in 1878 to house 500 patients. This institution had over 2300 patients at its peak in the 1940s (Taylor). The over population of insane asylums began to deteriorate them and make them some of the most horrible places that existed. The conditions in these institutions were barely livable. The workers were also mean to the patients and did many awful things to them. There were too many patients and not enough nurses and doctors. This made the nurses work harder and put a lot more stress on them (“Pennhurst State”). In the 1950s, the Trans Allegheny Lunatic Asylum was occupied by over 2500 people. However, it was built to occupy only 250 people. The conditions were so filthy that occupants began to get sick and die. Some people were euthanized during this time