The Issue Of Mental Health Care

Anyone with a mental illness knows that recovery is not a straight line. Thoughts don’t regain their rationality the second someone decides to become medication compliant, when an anorexic takes a bite of food, or even the day a depressed person decides to walk outside and see beyond their dreary perception of reality. I always wanted to get better, to be able to eat a slice of pizza without demolishing the box and punishing my throat, or to be able to not worry that the carnal impulses of mania would throw me out of the driver’s seat. However, I didn’t want to take the steps to seek help in time, then in the second semester of my sophomore year, I gave up. This led to me

The social problem I have chosen to write about is mental illness. This problem is important to talk about “because of the number of people it affects, the difficulty of defining and identifying mental disorders, and the ways in which mental illness is treated” (Kendall, 2013, p. 227). “About 57.7 million people, or one in four adults, in the United States suffer from a diagnosable mental disorder” (Kendall, 2013, p. 229). “Many of these illnesses begin in childhood or adolescence, with the most common problems being anxiety disorder, mood disorders, impulse-control disorders, and substance abuse disorders” (Kendall, 2013, p. 229). I chose this topic because I wanted to learn more about how mental illness is a social problem and I have been interested in learning more about mental illnesses and how to help people with mental disorders.

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.

Forget all the stereotypes of mental illness. It has no face. It has no particular victim. Mental illness can affect an individual from any background and the black community is no exception. African Americans sometimes experience even more severe forms of mental health conditions because of unmet needs and barriers to treatment. According to the Office of Minority Health, African Americans are 20 percent more likely to experience serious mental health problems than the general population. That’s why UGA third year Majenneh Sengbe is taking action as the co-founder of her upcoming organization Black Minds Daily.

Problem Statement: The World Health Association defines ‘good’ health as: “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” However, in the United States, access to care and funding for mental health care are grossly neglected and underfunded in comparison to other aspects of health care.

Senate (S.) 689 is the Mental Health Awareness and Improvement Act of 2013, which resanctions and increases critical behavioral health programs through superior federal education and healthcare programs related to awareness, early identification, and prevention of mental illness (The Library of Congress, 2013). United States Senators Tom Harkin (D-IA) and Lamar Alexander (R-TN) pioneered S. 689 on April 9, 2013 (The Library of Congress, 2013). There are 23 co-sponsors of the Mental Health Awareness and Improvement Act of 2013, including 14

Policy analysis of mental health care under the ACA as well as description of how mental health care/service are organized under the ACA from federal to local levels.

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.

Policies have an important role in regulating and shaping the values in a society. The issues related to mental health are not only considered as personal but also affecting the relationships with significant others. The stigma and discrimination faced by people with mental health can be traced to the lack of legislation and protection of rights (Rodriguez del Barrio et al., 2014). The policy makers in mental health have a challenging task to protect the rights of individuals as well as the public (Swigger & Heinmiller, 2014). Therefore, it is essential to analyse the current mental health policies. In Canada, provinces adopt their own Mental Health Acts (MHA) to implement mental health services. As of January 15, 2016, there are 13 mental health acts in Canada (Gray, Hastings, Love, & O’Reilly, 2016). The key elements, despite the differences in laws, are “(1) involuntary admission criteria, (2) the right to refuse treatment, and (3) who has the authority to authorize treatment” (Browne, 2010). The current act in Ontario is Mental Health Act, 1990.

When it comes to this program I did not find any information that stated it was developed based on empirical evidence. “Very little empirical data exist to help administrators select a particular staffing model for providing mental health services to inmates” (Hills, Siegfried, and Ickowitz, 2004, p. 37). This could have definitely hurt the program at Montford Psychiatric Hospital, but the staff seemed extremely professional, organized, skilled, and knowledgeable of what they were doing when assessing inmates mental health issues. Additionally, this program is also not based on theory because when a theory is created to change complicated issues, such as mental illness program or other health care programs it can be a daunting task. It is particularly troublesome when there is a lack of empirical evidence to support concepts that can lead towards success.

Just last year 1 in 5 Americans suffered from mental illness. Everyday Americans and people in other countries are suffering because of mental illness and they should be treated to matter the cost. Mental health has just as much effect on the body as does physical health. Which that comes to my essential question. Should health care companies cover mental health treatment? One side says yes because that would help millions of people with getting treatment because the cost is too extensive for them. But on one side of the claim some people say that the cost is too severe to cover everyone’s mental health treatment through insurance. Nevertheless, It is extremely essential that no matter the cost that people are being treated for their mental illnesses. Many people are suffering from unfair treatment from insurance companies with mental health issues to prove that I will talk about that people really do suffer, that mental health patients really do want help and lastly that it is legally deemed to be treated the same insurance wise.

Senator Creigh Deeds story is just one of many that end in tragedy because of a mental health system that has failed. While the major proportion of people living with mental illness are not violent, they can become a victim of violence. According to the latest statistics from the American Psychological Association one in five adults has a diagnosable mental disorder, one in twenty-four has a serious mental disorder (SMI), and people with mental illness are no more likely to be violent that people without mental illness (Association, American Psychiatric, 2016). Untreated mental health care is characteristic of the violent crimes that we see happening today. Some of the reasons behind these untreated individuals are the unmet needs of people not having a financial means to pay for services, lack of insurance, knowledge about how to access care, embarrassment about having the need for services, and those that needed care but experienced delays in accessing care (Jones et al., 2014).

On August 29, 2016, Presidential candidate Hillary Clinton released an impressive plan for addressing the issue of mental health care in the United States.1 This plan echoes numerous bipartisan bills that have been produced in Congress over the past several years and seems to be one of the few issues that both sides of the aisle can agree on.2 Earlier this year, a bill providing additional support to mental health care was passed in the House with a 422-22 vote,3 so it is now up to the Senate to pass its own reform. If lawmakers fail to send a bill to President Obama before leaves office, which is likely, the responsibility will fall on the next president to move forward. This sometimes-complicated checks and balances system between the legislative and executive branches, as well as the multitude of steps that must be taken to pass and enact new legislation, is essential to ensure a thorough vetting of the bill and its purpose while also playing an important role in the preservation of liberty.4 If this turns out to be Ms. Clinton, her stance on the subject is obvious. She and the lawmakers working on these issues already seem to agree on many important aspects; one of the biggest points of agreement being that treatment of mental and physical health should be given the same priority. Other aspects of Clinton’s plan focus on early diagnosis and intervention, federal support for suicide prevention, improved outcomes in the criminal justice

United States have definitely failed on the their responsibility to provide adequate spaces for people with mental health issues. No one should have to be denied treatment because the facility or the hospital they choose to go to doesn't have enough bed to serve patients that need care. People with severe mental illness can no be taken as a joke as some can harm themself or the people around them. We must take in account of the story of what happened to Virginia State Senator Deeds and his son. Just because Deeds want to help his son and get him treated Gus tried to kill his father but instead in the end took his own life. That could of been avoid if the hospital they went to earlier took Gus in when he need help.