Overcrowding In 1800s

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). .

Nurses faced great danger in hospitals because they were a breeding ground for disease. They were extremely over crowded, especially after a large battle, and because of these conditions, illnesses were spread very easily. Typhoid, malaria, and dysentery were the biggest diseases. Typhoid was the worst. One of the poorer facilities was named the “Hurly Burly House.” The patients here were enlisted men. Better quarters were reserved for sick and wounded officers. Most of the hospitals had bad ventilation, no provisions for bathing, and no dead house. Some of them had decaying wood and old carpets that were not removed. Kitchens and washrooms were described as “cold, damp, dirty, and full of vile odors from wounds.” The nurses quarters were not much better. Nurses would often work from 6am to 1am. These miserable accommodations combined with overworked and under qualified staff made hospital conditions adverse to patient welfare and therefore unsuitable for either dispensing or receiving treatment. The Sanitary Commission finally investigated and recommended

Firstly, access to medical care. Years ago medical care in the 19th century was not very good. The hospitals were very basic, many beds in a large room (ward) there were very rarely curtains around the beds for privacy because in those days clothes were short and extra material would be made into clothing. Also, they may not have been very clean, they were hygienic to work in but for people that were very ill they may of made that person more poorly. Clinics were similar; they had the basic bed to check patients on and the small amount of medicines. Not all the time did they have the correct suitable medication for patients. So some patients may have had to suffer for longer than what they should off because it was hard to get medication that was going to cure

Today, it seems almost incomprehensible that so many people with serious mental illnesses reside in prisons instead of receiving treatment. Over a century and a half ago, reform advocates like Dorothea Dix campaigned for prison reform, urging lawmakers to house the mentally ill in hospitals rather than in prisons. The efforts undertaken by Dix and other like-minded reformers were successful: from around 1870 to 1970, most of the United States’ mentally ill population was housed in hospitals rather than in prisons. Considering reformers made great strides in improving this situation over a century and a half ago. Granted, mental hospitals in the late 19th and early 20th century were often badly run and critically flawed, but rather than pushing for reform of these hospitals, many politicians lobbied for them to close their doors, switching instead to a community-based system for treating the mentally ill. Although deinstitutionalization was originally understood as a humane way to offer more suitable services to the mentally ill in community-based settings, some politicians seized upon it as a way to save money by shutting down institutions without providing any meaningful treatment alternatives. This callousness has created a one-way road to prison for massive numbers of impaired individuals and the inhumane warehousing of thousands of mentally ill people. Nevertheless, there are things that can be done to lower the rate mentally ill persons are being incarcerated. Such

In the book, Crazy, by Pete Earley, provides a detailed overview of the mental health system in the United States, as it presents a first hand narrative of Earley’s family journey through the system. The author’s major premise and arguments, in the book, is to highlight the history of mental health, navigation through the judicial system with mental illness, the bureaucracy and policies of hospitals, society views on human rights and client safety, and the impact on the individual, family, and community. The content suggests that human service workers and public health workers should extend their professional lens to advocate for change in the mental health system in the United States.

Children's HealthCare was one thing that could’ve helped Americans resolve and prevent a lot of sickness during this time. This is something the government have been wanting to do but many actions wasn’t taken until the early 1900’s. During the Progressive Era Infants and pregnant women were the most concern to medical workers due to the uncleanliness and shortage of medical services. Some would argue the Children’s HealthCare was going to cause America to go farther in debt and lose money. However, evidence shows it would help prevent the majority of germs spreading around and speed up the healing process of infections and diseases. People have been fighting for children's medicare since early 1900’s. In 1909 the federal government largely expanded its attention and role in promoting the welfare of America’s children and

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.

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.

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.

Racial restrictions on occupancy of residential property or sale started in the nineteenth century; but these deed restrictions and covenants turned out to be substantially more pervasive everywhere throughout the nation after the turn of the twentieth century, when the entire nation was urbanizing quickly and African Americans specifically were moving out from the South to the urban cities.

As influenza continued to spread, local officials urgently requested the Public Health Service to find more nurses and doctors. In October, Congress appropriated a million dollars for the Public Health Service. The money enabled the PHS to recruit and pay for additional doctors and nurses. The existing shortage of doctors and nurses, caused by the war, made it difficult for the PHS to locate and hire qualified practitioners. The virulence of the disease also meant that many nurses and doctors contracted influenza within days of being hired.Confronted with a shortage of hospital beds, many local officials ordered that community centers and local schools be transformed into emergency hospitals. In some areas, the lack of doctors meant that nursing and medical students were drafted to staff these makeshift hospitals.” -http://www.flu.gov/pandemic/history/1918/the_pandemic/influenza/index.html

Medical care was as scarce as clean water. Basic medical care was rudimentary. Describing the situations as “incredibly unhygienic” would be an understatement. War fatalities were the immediate effects of the Great War and the incredible spread of a disease was a later one. As a matter of fact, more people died from the Great Influenza Pandemic than from World War One (Tauenberger1).

Diseases accounted for a good deal of the hospital’s day-to-day work. Malaria was endemic and everyone had to take precaution. Infectious hepatitis was not uncommon, and all personnel had to receive immune globulin

Victorian London in Charles Dickens era was a city suffering under the weight of the masses of people that lived there. In Dickens' time, London was the largest city in the world, both due to its population increase and the urban sprawl caused by influx of so many people. There were nearly 4 million inhabitants of the 'Great City' at the height of the Victorian age. This number was an increase of nearly three million people over a period of approximately 30 years, there were many problems associated with such explosive growth, problems which were most recognizable during Charles Dickens lifetime.