The hospital says “You're not sick enough,'" says Myrick, former president of the National Alliance on Mental Illness "I said, 'What do you mean I'm not sick enough? I'm trying not to get sick.” The hospital, yet again refuses and declines yet another patient with mental illness. If it was cancer, the hospital would accept the patient with wide arms and procedures to remove the tumor would begin. If it was a broken leg, the hospital would wheel out a stretcher and begin to asses the situation. However, the hospital refused to serve a person with mental illness. Why is this happening, in a hospital of all places?
"Mental health is a separate but unequal system," says Patrick Kennedy, a former rhode island congressmen, "We have a wasteland of people who have died and been disabled because of inadequate care." The discrimination has extended its arms everywhere, even insurance, hospitals, the workforce and the government.
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About half a century ago, congress created the medicaid law, which stated that states that funds must be used for physical conditions, but is not required to treat mental conditions. The conditions for treatment worsened in the 1970’s and 1980’s, Medicaid began paying for psychiatric hospitalizations for patients under 21. In the 1980s, it began paying for psychiatric hospitals with fewer than 16 beds. “People were operating under the belief that mental health was a black hole for money," says Ron Manderscheid, executive director of the National Association of County Behavioral Health & Disability Development
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.
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.
People with mental illness have always been discriminated against; to have an exclusion such as this go through Congress without being repealed is reprehensible. The IMD Exclusion provides the states with financial incentives to provide substandard care, or no care at all. It encourages states to shift costs by placing mentally ill patients anywhere but psychiatric hospitals (Davoli, 2003).
Individuals with a mental health illness tend to experience discrimination due to misinformation, assumptions and stereotyping. Many people in our society are not educated on the subject of mental illnesses and often have misconceptions about the conditions and what affects these pre conceived ideas can have on the individual suffering from the
The community-based mental health programs are not only inadequate in relation to numbers, but also underfunded (Unite for Sight.org, 2013). According to Martin (1995), we live in a society that is increasingly becoming conscious of an excessive tax burden. Tax burden, on the other hand, provides for the realization of just how deinstitutionalization is directly related to politics and public policy. The pubic in America who account for the electorate, have a significant say in how policy is affected. To this extent the assumption in relation to deinstitutionalization is that due to increased public outcry in regards to taxation, the both federal and state governments have over the years been forced to cut down spending on some items in the recurring budget in order to free up additional funds. According to Treatment Advocacy Center (2011), the federal government in 1965 surgically excluded the payment of Medicaid for patients institutionalized in state psychiatric and other mental disorders institutions. The goals of this action, according to Treatment Advocacy Center (2011) was to foster deinstitutionalization, and the wading of care costs to sates, viewing them as largely responsible for mental care.
Mental Health coverage prior to the Affordable Care Act was far to none. With about nearly one-third of currently covered individuals having no coverage for substance abuse disorder services and approximately 20% having no coverage for mental health services. Services such as outpatient therapy visits, impatient crisis intervention and stabilization were among many that were not offered. Since the Affordable Health Care Act has been passed more individuals are able to afford health insurance that were once uninsured. It has helped many individuals in being able to obtain medical services that were once inaccessible.
As discussed in class, little advancement has been made in the field of mental health care over the past two decades. Rates of mental illness continue to be high especially among certain subgroups, but progress has been stunted by stigma and social environmental issues. Mental health disparities, like many other health disparities, are embedded within a trend of socioeconomic differences (Miranda, McGuire, Williams, & Wang, 2008). Racial and class disparities exist among those afflicted
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 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.
FMRS supervisors rarely assign black clients to white employees because employees express discomfort. In order to meet the needs of the mentally ill population discrimination drives the mental health application process. While a professional black male, who knows the appropriate language receives an application, receives an application, however, a single black mother endures many trips to the mental health facility. Yet, it is rare for a single black mother to receive a petition during the first request and many mothers do not return. Does the dangerousness play a factor in the decision? No. Race and profession determines whether a psychologist accepts the application. Furthermore, a denial from the psychologists translates into a denial
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.
Diversity means to value and respect the differences and individuality of people. This means to embrace the differences between people and to treat a person’s race, culture, religious beliefs, age, sexual orientation, gender, physical and mental characteristics etc. with respect.
One of the biggest contributors for poor healthcare is the stigma against mental health. This stigma allows healthcare providers to view those with a mental illness as having low relevance, thus creating disinclination towards providing adequate resources and/or care. This negative stance, based on misinformation and prejudice creates those that have a mental illness to lose their self confidence. Because of this loss, people with mental illness decide not to contribute to their health or livelihood. In the past fifty years, many advances have been made in mental healthcare. However, with the attached stigma, many people choose to not seek out treatment.
The lack of treatment for mental illnesses — due partly from the stigma with which it is associated with — comes with a number of public issues: economically,
Lack of access to mental health care and treatment is one of the top ten reasons that many mental health conditions go untreated. Many private and group health insurance plans only include minimal mental health care coverage or do not incorporate mental health care coverage at all. Over half of adult citizens of the United States of America, who possess a mental illness, do not obtain mental health care treatment. According to the U.S. Department of Health and Human Services, one out of every five adults in America have endured their own mental health difficulty, and one out of every twenty-five American adults suffer from a severe mental illness, such as major depression, schizophrenia, or bipolar disorder. (Top 5 Barriers to Mental Healthcare Access, Social Solutions.com, 2017)