The Medical Model: Managing Mental Illness

As a whole, literature on the topic of mental illness in our country and specifically in our criminal justice system had a reoccurring theme. There are millions of individuals who suffer from mental illness but are improperly being handled through the criminal justice system. These individuals are deemed criminal just by their acts and their mental health state is not overly examine. Jails and prisons are being overcrowded. State prisons and jails are overpopulated anywhere from 15 to 32% (Spending Money in All the Wrong Places: Jails & Prisons).

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.

Given the number of incarcerated inmates who suffer from some form of mental illness, there are growing concerns and questions in the medical field about treatment of the mentally ill in the prison system. When a person with a mental illness commits a crime or break the law, they are immediately taken to jail or sent off to prison instead of being evaluated and placed in a hospital or other mental health facility. “I have always wondered if the number of mentally ill inmates increased since deinstitutionalization” Since prison main focus is on the crimes inmates are incarcerated; the actual treatment needed for the mentally ill is secondary. Mentally ill prisoners on the surface may appear to be just difficult inmates depending on the

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.

I believe so many are diagnosed with mental illness in the criminal justice system due to their repetitive actions of law breaking. In the beginning, these offenders are unaware a mental illness exists. So many offenders have pre-existing mental illnesses which are untreated; others may acquire a mental illness while incarcerated. This could be due to aging, or an occurrence which takes place in prison such as segregation. Separating humans from and isolating them from any population is

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.

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

Throughout the years, the United States criminal justice system has been constantly incarcerating individuals who endure from a severe mental illness. People who suffer from serious mental illness are doubtlessly to be discovered in prison. There is a significant amount of mentally ill offenders that are placed in the state and federal institutions. The mentally ill are overpopulating the prisons. The criminal justice system is a deficiency for those who can profit more from the help of mental health treatment center or psychiatric hospital by sending individuals to correctional facilities or prisons. Today’s jails and prisons are being labeled as the new mental health hospitals for the mentally ill offenders. Commonly in today’s society, it generally takes other individuals who are willing to educate and support the mentally ill person into becoming successful in life.

The Clinical specificity hypothesis states that “psycho-pathological profiles determine different types of psychosocial functioning and lead to particular interactions with the social environment, especially with health care services use” (Côté G, Lesage A, Chawky N, et al., 1997, as sited in Dumais, Côté, and Lesage, 2010, p. 173). The legal status of and individual and whether they end up in a correctional facility or health care facility will determine what type of treatment they will receive. This reasoning can directly relate to individuals who suffer from mental illness and their interactions to the criminal justice system.

Over the past thirty years, there has been a 500% increase in the U.S incarceration rate. (The Sentencing project, 2014) Advances in medicine, such as the discovery of psychoactive drugs, led to the deinstitutionalization of mentally ill patients from psychiatric hospitals. With a long record of horrific abuse,

Mental Illness in the Concrete Jungle Mental illness is a growing issue all across the world. The correctional facilities are constantly being bombarded with mentally ill inmates being assigned to their facilities. However there is a problem with this situation because the corrections system is not educated on how to handle these individuals. The mentally ill inmates are not able to get the right amount of care that is needed to help with their illness. Prison is a chaotic place where the mentally ill do not have adequate access to a stable living environment, medical treatment, and programs to help them cope with their illness.

Since the closure of the asylum’s doors, the prison compound has become the home to mentally ill offenders. They receive help by getting treated, but others, are abused further inside the prison’s walls. Each year, the number of inmates diagnosed increases, but also the ones who get arrested already mentally ill. The public shies away from them, but they also think they should be treated in a hospital, not in a prison. While there are many cases out there, that have either made a significant difference to their treatment, or just a little nudge to change, the numbers do not drop.

The biopsychosocial model describes the origin of psychological problems as a combination and interaction of biological factors, psychological processes. Specifically, the sociocultural model suggests that attention must be paid to the social and cultural factors (such as gender, religion, age, economic class) that form the context or background of mental illness. According to the diathesis-stress model genetically acquired biological characteristics and early experiences may create a diathesis or predisposition, for developing a disorder, but a certain amount of stress is required to trigger it – which may be attributed to an individual’s sociocultural context.

The more “humane” approach to correcting the offender is referred to as the rehabilitation model. In this particular ideology, the goal is to utilize treatment in an effort to restore the offender- who is often viewed as neglected, mentally unfit, underprivileged, etc. (Allen & Latessa, 2013) This of course does not necessarily eliminate the criminal behavior, yet it attempts to alter it. After 1890, the reformatory movement classified offenders as unfortunate people who are lacking adequate discipline, training, and education. (Allen & Latessa, 2013) Therefore, rather than being imprisoned, they should attend a mandatory educational penal institution. The educational doctrine attempted to prevent crime by providing an emphasis on vocational skills and teaching self discipline. In addition to the educational efforts, the medical model states

Our current mental health systems has many faults, but we are making progress identifying those afflicted with mental illness. More and more research is being done to help identify causes of these disorders. There have been advancements in new prescription medications and better treatment options too. Many mentally ill patients fall through the cracks - they end up homeless or in prison. We still have a long way to go because prisons can't be used as a form of treatment for the mentally ill.