The Problem Of Mental Illness

The deinstitutionalization of state mental hospitals has left many individuals untreated and in the community where there come under police scrutiny due to their odd behavior, that is a manifestation of their illness. Majority of mentally ill offenders have not committed a serious crime and are subjected to inappropriate arrest and incarceration (Soderstrom, 2008). This new policy has become quite a concern to the fact that the correctional environment has proven to show no positive results in the mental health of the offender during their time of incarceration or upon their release date and thereafter (Soderstrom, 2008).

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.

In the video, “The New Asylums”, it demonstrated how deinstitutionalization has left thousands of mentally ill patients in the hands of the prison system. As the mental health hospitals closed down, the police department and prison system has become responsible for the mentally ill people that are on the streets. There was a firm point made about the release of mentally ill patients- “When hundreds of thousands of mentally ill are released, they do not magically become healthy. They went to the streets, became homeless, and turned to a system that cannot say no.” The video also stated that today, there are nearly 500,000 mentally ill people being held in jails and prisons throughout the country. Furthermore, there was no safety net for those

With states closing many of its mental facilities in the communities, there were a lot of people in need of outpatient care who fell through the cracks of the system and ended up in prison. Prison is where many of them died from inadequate treatment. Prisons were suddenly receiving inmates with the following types of mental illnesses: Schizophrenia, bipolar, and deep depressions. These prisons just did not provide these inmates with any medication during their incarceration. Because the community based health services is lacking, and patients aren’t receiving sufficient outpatient care, it makes the effectiveness of deinstitutionalization a serious problem. Without the availability of 24/7 psychiatric services that are well structured, I believe that deinstitutionalization is what is accounting for the increase of the mentally ill inmates in the correctional facility.

Many years ago, mental illness was viewed as a demonic possession or a religious punishment. In the 18th century, the attitudes towards mental illness were negative and persistent. This negativity leads to the stigmatization and confinement of those who were mentally ill. The mentally ill were sent to mental hospitals that were unhealthy and dangerous. A push in the mid 1950s for deinstitutionalization began because of activists lobbying for change. Dorothea Dix was one of these activists that helped push for change. The change called for more community oriented care rather than asylum based care. The Community Mental Health Centers Act of 1963 closed state psychiatric hospitals throughout the United States. "Only individuals who posed an imminent danger to themselves or someone else could be committed to state psychiatric hospitals" (A Brief History of Mental Illness and the U.S. Mental Health Care System). Deinstitutionalization meant to improve quality of life and treatment for those who are mentally ill. This would hopefully result in the mentally ill receiving treatment so they could live more independently. The hope was that community mental health programs would provide this treatment but sadly there was not sufficient or ongoing funding to meet the growing demand for these programs. Budgets for mental hospitals were reduced but there was no increase for the community based programs. Many mentally ill individuals have been moved to nursing homes or other residential

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.

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

Deinstitutionalization is defined as the movement of severely mentally ill people out of large state institutions. In the 1950s, public hospitals housed well over 500,000 people. The reduction in the number of institutionalized people began in 1956. By 1980, the residential population in mental hospitals dropped by nearly three-quarters, an average of 154,000 individuals. This decrease is due to the process of closing public hospitals and transferring patients to community-based mental health services. Consequently, community services were implemented (Talbott 2004).

In early years of the last century, housing mentally individuals in local jails or prisons was seen as inhumane and a reform movement led by Dorothea Dix began. This led to the building of mental hospitals. It was once believed that mentally ill individuals deserved to be treated and not punished. However, deinstitutionalization happened which was the emptying of state mental hospitals due to overcrowding and deterioration as well as the introduction of effective anti-psychotic medications and increased funding for the establishment of mental health centers. By the early 1970’s, it was becoming evident that the emptying of the state mental hospitals turned many prisons throughout the U.S into institutions. Despite this clear evidence, deinstitutionalization continues even to this day. The mentally ill, left with few resources, largely turned to petty crime, ending up in prison because there were no other better alternatives.

In 1955, over 559,000 individuals resided in inpatient psychiatric hospitals. By 1995, however, the number had drastically diminished to 69,000, (National Health Policy Forum, 2000). This drastic reduction was largely due to the discovery of antipsychotic medications in the 1950s, and the deinstitutionalization movement of the 1960s, wherein several thousands of mentally ill individuals were released from psychiatric institutions to return to their communities for treatment. Mental health centers (MHCs) were conceptualized during deinstitutionalization to provide treatment to these newly-released mentally ill persons in their communities. Although efforts were well-intended, the MHCs failed to serve the

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

A quick look into this country’s prison system and you will find that 16% of the prison inmates are mentally ill and about 40% of the mentally ill have been detained. In the late 1800’s, the mentally ill were located in prisons and local jails. Dorothy Dix began a reform movement to care for the mentally ill in mental hospitals to receive treatment and medication. This continued on until the 1950’s, when deinstitutionalization began. Deinstitutionalization is the process in which a mentally ill individual is released from a hospital or asylum to be cared for and treated in their community. Sates closed mental hospitals because they began to acknowledge that they could save more money if they shut down these institutes to treat the mentally

Jails have been described as “de facto mental hospitals” because they have filled the void created when state psychiatric hospitals began closing in the early 1960s through a process known as deinstitutionalization. Supporters of deinstitutionalization thought the process would help individuals suffering from a mental illness live more self-reliantly while being treated by community mental health programs. However, the federal government did not provide the necessary funding to meet the mounting demand for these programs, leaving numerous untreated. Individuals with serious mental illnesses are often poor or homeless and are likely to have substance abuse problems. Therefore, when they are left untreated, they are more likely to commit minor crimes that have been the focus of law enforcement in recent years (H. Richard Lamb and Linda Weinberger).

In 1961 Thomas Szasz penned a book by the title The Myth of Mental Illness that would go on to cause quite the stir in the world of psychiatry. In the book, Szasz stated his belief that what most psychiatrists would label as mental illnesses are in fact not illnesses at all, but instead what he would go on to call “problems in living.” This article will take a critical approach at Szasz reasons for his belief in these “problems in living” including an objective outline of his argument, a discussion on the validity of the argument and its’ premises, and finally the strongest objections to the argument. Szasz is an important figure in modern psychiatry and his opinions are very divisive but certainly worth discussing.