The Stigma Of Mental Institutions

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.

7. Lt Col Chris Karns, "Eliminating Stigma: A Leadership Responsibility," U.S. Air Force, 02 September 2014,

This graph in an article from the January 15, 2007 printing of the New York Times show the trend in institutionalization in prisons, mental hospitals, and the total number of incarcerated people. It shows a gradual increase of the overall total and those in mental institutions from 1928 until it levels off at a peak from 1940 to 1958. From 1958 the number in mental institutions and overall dramatically decrease while the number in prisons dramatically increase. At about 1970 the number in mental institutions and those in prisons cross so that the number in prisons are greater, rising quickly to almost equal the total number of incarcerated by 2000. This agrees with the book Crazy: A Father’s Search Through America’s Mental Health Madness’s claim that deinstitutionalization in the 1970s resulted in mental hospitals being emptied and jails taking their place as housing for the mentally ill. It is a reliable source because it is in the New York Times.

The disparity in treatment has been attempted to be remedied over the eras. Bills and Acts put into place in the 20th and 21st centuries have seeked to improve care and reduce stigma around those with mental illness. This began in 1942, when Harry Truman signed the National Mental Health Act, which requested the formation of a National Institute of Mental Health. Shortly after this, in 1949, the National Institute of Mental Health was established (“National Institute of Mental Health”). During the company’s 60 year lifespan they have focused on research about mental illness, educating the public, and improving the lives of the mentally ill by working to pass laws. One law that seeks to reduce the stigma of mental illness is the Mental Healths Service Act of California. "California 's Historic Effort To Reduce The Stigma Of Mental Illness: The Mental Health Services Act" from the American Journal Of Public Health illustrates how the Act will make improvements. Families and individuals who have experienced stigma had a big role in the process, specifically with developing a 10 year plan, the California Strategic Plan on Reducing Mental Health Stigma and Discrimination. One component of the Act discussed is the work plan developed by California Mental Health Services Authority, which has three components: stigma and discrimination reduction, student mental health, and suicide prevention. Organizations such as the NIMH have made efforts resulting in the evolution of mental

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

The conditions of psychiatric hospitals were poorly maintained yet again. From the late 1800s until the mid-1900s, the conditions of these institutions were hit or miss. Despite the rising population of those in need of mental health treatment, conditions were deteriorating across the board. This pushed in the deinstitutionalization movement (Nevid, Rathus, & Green, 2014). This was a push to remove patients from state-run hospitals into a more community-based treatment center. In most cases today, there are treatment plans in place depending upon the severity of the disorder an individual may be suffering from. It’s more about treating an individual with any variety of modern techniques or therapies and trying to reintegrate them into society rather than a lifelong stay in an institution. Deinstitutionalization didn’t work the way it was intended. After it was put into place there was a rise in the homeless population and different programs that were supposed to be put into place didn’t live up to

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.

Evaluation and treatment of the mentally ill population has developed from confinement of the mad during colonial times, into the biomedical balancing of neurological impairment seen in these modern times. There were eras of mental health reform, medicalization, and deinstitutionalization sandwiched in between (Nies & McEwen, 2011). Regardless of the stage of understanding and development, communities have not been completely successful in dealing with and treating persons who are mentally unwell. Fortunately, treatment has become more compassionate; social and professional attitudes have morphed into more humanistic and

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

One century prior, government mental institutions prevented harmful interactions between the mentally ill and the public through involuntary commitment and medication; deinstitutionalization—the closing down facilities and releasing of patients—moved many patients in need of care onto the streets, but we desperately need these facilities. Dr. Fuller E. Torrey, founder of the Treatment Advocacy Center, which works to eliminate barriers for mental illness treatment, concluded that “extensive research on the history of deinstitutionalization by various individuals and organizations have shown increase in jail population inversely related to the population of psychiatric institutions; as patients decreased, prisoners increase” ("The Release of

Mental health issues have been an ongoing hot topic in this country for over a century. Though many strides have been made to increase awareness and lessen the stigma, there continues to be a barrier to mental health care, especially for our nations’ youth and young adults. I will be discussing the history behind mental health care, current policies regarding it, how the presence of stigma reduces the likelihood that youth and young adults are receiving the adequate mental health care they require, how mental health awareness decreases these stigma, and how policy changes can lead to overall acceptance and mental health treatment of youth.