Navigating Our Mental Health Problem
Wesley W. Austin
HCA 450A
Warner Pacific College
June 18, 2015 Abstract The object of this paper is to shed light on the seriousness of mental illness and it is statistically affecting the United States. The history of how the mentally ill have been treated in this country will be discussed, followed by how we got to our current situation with a lack of treatment and an epidemic of mentally ill homeless people as well as, how the police are trained, or not trained and what can be done to improve upon it, and how our military funding has failed our veterans. Then the paper will take a look at how stigma has shaped how the public views mental illness, and how it shaped the writers young life.
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Untreated mental health issues have many different outcomes, including homelessness, withdrawal from social activities and other people, and unfortunately suicide. Minorities are even more at risk as it is proven that they are becoming increasingly less likely to use mental health services when they are needed. Both Hispanics and African-American seek mental health treatment at half the rate of Caucasians in the United States, and Asians only seek treatment at about a third of the rate of Caucasians. African-Americans are also less likely to seek mental health care the more they are educated, while Caucasians see increased usage with higher education. Suicide rates have also climbed with minorities, with Hispanic girls in their teens having a 60 percent higher rate of suicide than their Caucasian counterparts. Culture and stigma about mental health are part of the problem. “A lot of immigrant families don’t feel comfortable turning to counseling services because there might not be someone there who will understood them and some of the unique cultural issues they face.” (PBS, Resources: Minorities and Mental Health, 2009). It is not only the severely mentally ill and minorities that are lacking in receiving the care they need, depression is huge
Constantly, the issue of mental illness is ignored. It can affect just about anyone, this includes those below the poverty line. The article, “Scaling Up Mental Health Care” mentions how one in ten people are suffering from mental illness at any time. Mental illnesses can keep individuals from obtaining or maintaining a job, which can keep them below the poverty line. David Shipler wrote the novel, The Working Poor: Invisible in America, but he is culpable for completely skipping over the topic of mental illness which is a topic that needs to be properly addressed as disorders such as depression and anxiety is not as easy to treat.
In order to eliminate these disparities in care, we must first document the extent of disparities, recognize factors and processes that cause these inequities in care, and apply this knowledge to develop and implement evidence-based interventions aimed at eliminating these trends in care. Mental health services and policies aimed at achieving this important objective must be informed by research because research can provides some best available evidences, produce valuable information about the pathways, documents specific trends in care, and explains why and how these inequities occur. For example, researchers suggest that a complex interplay of structural, economic, psychiatric, and cultural factors influence Latinos’access to mental health
The authors of this journal Alina Coman, a professor in social sciences and communication and Corina Sas, who has a PhD human computer interaction, believe that stigma of mental illness negatively impacts the people with mental illness leading them to avoid mental health services. This idea ties right in to what I will be discussing in my article. The avoidance of getting help from professionals is one of my reasons as to why stigma of mental health is worsening them. This stigma is making it harder for the mentally ill to seek treatment. Throughout the journal, they support their claim by presenting a novel strategy which is really useful because the they present scenarios and poems that express the emotional world mentally ill people face.
Hispanic women were the least likely to report symptoms…” (Gil, 1996, p. 151). This may be due to the vast difference in life experiences and circumstances faced by women of poverty. Thus, making them more susceptible to mental illnesses. “According to the U.S. 1994 Census, Hispanic women… are also less likely to be married and graduate from high school.
(2) Disparities between the health of persons with mental illness as compared with that of those without, or (3) disparities between populations with respect to mental health and the quality, accessibility, and outcomes of mental health care ( Safran, M. A., Mays Jr, R. A., Huang, L. N., et al.,2009). Elderly immigrants are among the nation’s most vulnerable minority groups due to their limited health literacy ( Cordaso, Asch, Franco, & Magione, 2009) and serious health disparities, with many experiencing significantly worse health outcomes as compared to other groups. The term elderly immigrants refers to individuals 65 years of age or older who were not born in the United States (Leach,
Mental health disorders remain continually disregarded in minority communities. Even more so, a few minority individuals report symptoms of mood disorders that are under-diagnosed as a result of cultural differences. (“Health Care Reform”, 2014.). This insufficiency in accurate mental health care diagnoses establishes a need to eradicate the differences in health care when it comes to treating minorities, as each group report different symptoms. Furthermore, these minority groups tend to be excluded from mainstream research as a result of lack of formal health care, including underreported visits to mental health facilities. Additionally, now there are more significant amounts of research,
Latino’s are one of the largest ethnic minority groups in the United States, in which one-third of the Latino population is under the age of 18 ( PEW Research Center, 2017). As research studies have determined, the prevalence of mental illness tends to increase during the adolescent years affecting one in four adolescents (Lawton & Gerdes, 2014). It is reported that 30% of youth in the United States experiences an episode of sadness once a month (Lorenzo et. al, 2016). The prevalence of mental illness among Latino youth is strongly associated with the exposure of high rates of culturally relevant stressors, such as discrimination, in which can increase the risk of a mental illness (e.g., depression, and anxiety).
We have a tendency of shadowing out individuals who have been diagnosed with a mental illness. Despite our human nature of caring, we place those individuals in prisons or understaffed psychiatric facilities, leaving them to be the burden of others. People with mental illness may not be able to hold employment and may not have that family support. This public perception (stigma) “limits opportunities for individuals with mental illnesses and often prevents them from seeking appropriate help”. (Jeglic, 2015) How is it that the public perception is so strong when most people do not have expertise within the field of abnormal psychology?This perception is influenced by the media. “Information presented in the media can be
The United States is a frontrunner in global topics such as women’s rights and environmental issues. However, when discussing mental illness the United States chooses to look at the subject in a mindset that is stuck in the 1950’s using the “don’t ask don’t tell” policy. The federal government has only begun to recently talk about mental illness and its effects in the media. Yet, when they do this they choose to cover topics such as ‘gun rights’ with mental illness, while the real topic of conversation is the future treatment for those with mental illness, and how the United States plans on eliminating the stigma that surrounds mental health.
The lack of treatment for mental illnesses — due partly from the stigma with which it is associated with — comes with a number of public issues: economically,
While stigma may not necessarily be a cause of a person’s mental disorder, it can certainly contribute to the complication and perpetuation of their illness. The effect of stigma goes well beyond just the patient and provides a commentary on society’s overall level of intolerance of those who are considered different from the majority. By recognizing the level of stigma that exists, perhaps we can alter that behavior and gravitate towards a more productive attitude towards mental illness.
Over the years, mental health researchers have become increasingly interested in conducting research pertaining to the utilization rates and the provision of efficacious services to ethnically and racially diverse populations (Sue & Sue, 1990). Furthermore, research has concluded that certain populations may utilize mental health services more than others. In particular, individuals from underrepresented and minority populations are less likely to utilize mental health services than other populations due to issues such as cultural mistrust, low socioeconomic status, religious orientations, and perceived stigmas and negative attitudes toward utilizing services (Thurston & Phares, 2008). Because of these challenges, research has suggested that a "service gap” develops. Thus, many individuals may be in need of services, yet refuse to seek help. This in turn may lead to many issues among diverse populations in regards to seeking mental health services (Cramer, 2009).
With so many diseases and medical conditions to take care of, mental health often takes last place on the list of priorities. Dementia, depression, post-traumatic stress and other disorders affect every country alike. While developing countries need to develop access to mental healthcare, developed nations will need to improve their current facilities. Most westernized nations are experiencing a gradual aging of their population. As the populations aid, mental health will need more mental health professionals in place to handle their care.
During a mental health event the First Lady, Michelle Obama said, “At the root of this dilemma is the way we view mental health in this country. [...] Whether an illness affects your heart, your leg or your brain, it’s still an illness, and there should be no distinction.” This shows that mental illness stigma in society is based on mental illness being perceived more negatively than other physical illness when it should actually be seen as the same. Stigma around mental illness has had very immense adverse effects on the willingness of undiagnosed suffers to not seek treatment when they need it. As a result of this one in five people with a mental illness will not get the treatment they need which has the effect of high suicide rates among the untreated sufferers. In an effort to reduce stigma around mental illness, so that more undiagnosed sufferers seek treatment, schools should devote more time to increasing awareness of mental illness and its effects.
Mental health and its stigma are an important issue plaguing today’s society. Many do not understand or acknowledge the severity of mental illness. The stigma against mental