The Changes That Came About The Psychiatric Health Systems

During the 1700’s the jails were not only used to confine criminals, but they confined people with mental illness as well. People with mental illness were subjected to inhumane treatment, even when the individual was admitted

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). .

The Clinical Nurse Educator is on each floor to ensure that the nurses stay up to date and I are performing there can appropriately. For an example education was given for caring for patient with a chest tube because an incident during the night Chris brought to their attention. This consisted of a patient getting transferred to I see you and on the way down to I see you the chest tube was clamped and the atrium was placed on his bed. But clear information was given that the chest tubes are never clients and are always kept I pray and ask the level below the client's chest. Once this meeting was adjourned the clinical nurse educator in the unit supervisor listen to a recording each night nurse and their patients. This what's meant so the unit supervisor Clinical Nurse Educator we're informed of each client situation. Once that meeting was over the unit supervisor attended what you called a bad huddle and I was instructed to go with the clinical nurse educator around on the

In addition to the historical aspect, confusion about mental health is another reason leading to the perception of the mentally ill. The Surgeon General's Report on Mental Health, (1999), dispels any confusion by making detailed analogies and information. Mental health and mental illness are not opposites; they are like two points on a continuum. The value of mental health is

Around the 1970’s and 1980’s around the United States many mental hospitals were shut down. There were many reasons why they closed these Asylums was because money, and knowing that there was only about twenty county asylums were built around the country. The asylums also known as the Looney bin was established in Britain after passing in 1808 county asylum act. There were so many patients in these asylums around the world in 1955 about 558,239 severely mentally ill people in the United States were accounted for. Now in these times any mentally ill people don’t get help they just go straight to jail without proper diagnosis or treatment. People need to know these people need extreme care and treatment. Even regular people or considered the norm in today’s society eventually go crazy when they’re in prison too long. We have as much people that are mentally ill as regularly incarcerated. There is one prison in Houston Texas that does take care there mentally ill. We have about 2.2 million

In history, cyclical pattern of institutional reforms has established for public mental health policy. In the early 19th century, first cycle reform developed as asylum and moral treatment. In the early 20th century the second cycle introduced mental hygiene movement and in mid 20th century after WorId War II, community mental health movement initiated third cyclic reform to support and develop the community mental health center (CMHC). All of the reforms are ineffective to cure chronic mental ill conditions but successful with acute and mild mental disorders. A new reform recommended to supporting the mental health and social welfare services in a wide network to care the chronically mentally ill patients in noninstitutionalized settings.

During the 1800s, treating individuals with psychological issues was a problematic and disturbing issue. Society didn’t understand mental illness very well, so the mentally ill individuals were sent to asylums primarily to get them off the streets. Patients in asylums were usually subjected to conditions that today we would consider horrific and inhumane due to the lack of knowledge on mental illnesses.

The theory of ‘deinstitutionalization’ began arising with the theory of providing more freedom to the mentally ill and less spending on full time care facilities. The widespread use of drugs to control the mentally ill in the 1900s led to a mass release of patients and an emptying of asylums. Outpatient Psychiatric Clinics were established. Case Law in the United States began to be generated to provide the mentally ill with greater rights. Shelton v. Tucker 1960 provided that the mentally ill should receive care in the “least restrictive alternative”, which is a practice still utilized. O’Connor v. Donaldson 1975 ruled that non-dangerous mental patients have the right to be treated or discharged if they have been institutionalized against their will. This new approached permitted the mass exodus

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.

Other treatments involved teeth pulling, sleep deprivation, cutting holes into the person’s head. Medication was also used as a treatment for some patients. Many mental asylums closed down because people finally figured out what was really going on in the asylums. The government no longer wanted to give funding to this institutions or spending anything on reorganizing the system. The reason for this decline was the advancement in psychiatric treatment meant that a standard hospital was able to provide care to people that required immediate attention, and the drugs available meant that patients did not need twenty-four hour care (The History of the Asylum).

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 America, one in five adults has a mental health condition, a staggering statistic. Appreciatively, recovery is the goal in the mental health centers of 2017. Nevertheless, in the 1950s, patients were provided with inhumane treatments such as lobotomies. Ken Kesey’s novel, One Flew Over the Cuckoo’s Nest, provides an accurate portrayal of a psychiatric ward in the 1950s. The antagonist, Nurse Ratched, hopes her patients will not recover and manipulates them to gain authority. In contrast with the past, Nurses of the present day treat individuals with respect. Conduct towards mentally ill patients has changed since the 1950s in ways such as public attitude, medication, and

Through the course of time, mental illnesses have always been in existence due to varying factors and causes. However, as time has passed, the perceptions and available treatments for mental illnesses have also changed as new technology was developed. By looking at the treatments and perceptions of mental illnesses in the early 20th century, we can learn how to properly treat and diagnose not only mental disorders but also other conditions as well as show us the importance of review boards and controlled clinical trials.

The mentally ill were treated very inhumanly in the early insane asylums. Some of the

During my first day of clinical, I met with my clinical instructor and my classmates in the lobby around 2:15 p.m. The goal was to take a tour of the facility and get acquainted with the staff. The lobby was warm and inviting, with wood floors and comfortable furniture. It was also busy with clients being discharged or coming in for the initial intake. One client, in particular, was sitting behind me wearing handcuffs along with two police escorts. The client gave an impression of being stable while sitting there. It seemed as if he was coming from Baylor Hospital. Nurses from other facilities were there filling out paperwork and checking in their patients. Family members were also there picking up their loved ones. The clients were escorted by mental health technicians, to ensure the safety of the client. On many occasions, mental health technicians provide direct patient care under the supervision of a registered nurse. Their primary responsibilities include the provision of a safe and therapeutic milieu, crisis intervention and activities of daily living.