Therapeutic Community Model

In an effort to transform the public mental health system, in 1963, President Kennedy proposed the Community Mental Health Act. It was the first among several federal initiatives to create a community mental health care system. Once the act was ratified, there was an intense deterioration in institutionalization, otherwise known as “deinstitutionalization”, and by 1980 there was a 75% declined of the inpatient population at many public psychiatric hospitals. In 2000, there was less than 10% of the public institutionalized just fifty years earlier. In 2009, there was even a more dramatic shift among children and adolescence whereby there was a 98% decline in

Bonney and Stickley (2008) note the theme of power is often raised by service users. If, as predicted by the DOH in 2003, services are to become increasingly individual focused, the system needs to place power with service users. There is increasing amounts of service user literature that places an emphasis on individuals defining their own journey of recovery (Unit 21, pg 66) rather than having it imposed on them by workers. Peter Beresford (Audio 4) notes that currently there are inequalities in mental health services with limited service user power but considerable professional power. Bonney and Stickley mention Martyn (2002, cited in Bonney and Stickley 2008) who proposes professionals should be present by service user invitation only. A less radical aim is that of a gradual transfer of responsibility in power from services to individuals during recovery. It is important such involvement confers genuine power to individuals, rather than being tokenistic (Jacobson 2004, cited in Bonney and Stickley 2008).

The purpose of this paper was for me to introduce myself to a day in the life of a Clinical Mental Health Counselor. Throughout my paper I will generate ideas to that prove I have an understanding of the field and the material. I will show that I understand the field in which I am studying and the issues that come along with occupation as a Mental Health Counselor. I will also apply and integrate source material and there be evidence in this paper that I can develop and organize my ideas in the form of notion and

Apart from medical technology and medications, the housing treatment has played a great role in improving the treatment of mental illness since the early 1990s. First and foremost, in the past the patients of mental illness were treated as prisoners by being isolated in hospitals or asylums but now they are treated as normal human beings with great care and respect. Secondly, in the past the patients stayed in the hospitals for long periods of time, whereas nowadays patients stay in their home community for most treatments. Only in severe cases, such as violent patients or those who cause harm to themselves may be required to stay in hospitals or more intense observation. Another form of housing treatment is community treatment in which the patients are treated in a friendly way while in

Furthermore, tremendous advances have been made in the understanding and treatment of mental illnesses in the recent decades. Nowadays, someone with a mental illness is treated with respect, just like every other person, because, in fact, everyone is equal. Society’s goals today are to treat and support the mentally ill individuals enough so they can live in

Within this unit I will be showing my past and learnt knowledge of the main forms of mental health problems according to the psychiatric classification system. I will be looking at the strengths, Limitations and alternative frameworks for understanding mental health. I will also demonstrate ways in which mental health problems can and do impact the individual and there social network.

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.

Attitudes toward the mentally ill started to change in the 60’s and 70’s from both the communities and professionals. The two began to recognize that the mentally ill had rights to live an independent life style like that of ordinary citizens. Before this, people with mental illness or developing disabilities had been institutionalized, giving strong medications, sedated and isolated from the rest of society. Living amongst the community, they receive their medication as well as interact with the general public. In addition, they also interact with security personnel and law enforcement officers, and all too frequently with unfortunate consequences. (Russell, 2012).

In the United States the Mental Health Care field is one of the most underserved areas of healthcare. The mental healthcare field faces many challenges to the proper treatment of patients from both a societal and professional standpoint. From a societal perspective a negative stereotype is associated with patients seeking psychiatric care. Patients seeking care are often labeled as defective or damaged. Add in the complication that most patients with mental illness appear to be normal, accepting that someone is ill without outward symptoms can also be difficult for a society to understand. From a professional perspective the challenges within the mental health care industry include personal prejudice, staffing issues, and problems with coordinating care. The combination of these factors has a direct negative impact on the willingness of individuals suffering from mental illness in seeking the care needed to treat the symptoms of mental illness.

I see [hear] examples of how that would go every single day” (Burau, 2006). I currently work in the Mental Health Unit at St. Helena Hospital, so I’ve seen the effects of this firsthand many times. Many of the patients don’t have any family or are estranged from their family because of their mental health issues. From what I’ve seen, that takes just as much of a toll on the patients as their struggle with mental health. Dealing with mental health patients can be strenuous and dangerous, just like working in any branch of emergency services. We do a lot of speaking with, calming and listening to patients, similar to what dispatchers do during 911 calls. In less than a year working in the Mental Health field I’ve dealt with many stressful situations, and had to learn to leave my work at work, another concept Burau speaks about. Working in these fields and dealing with the raw patient experiences can take a

The healing hands health rights campaign is an initiative by ANTaR which was launched in February 2004. The campaign itself is an effective way of promoting health as a fundamental human right issue, raising awareness of political will and promoting the need for a change in policy so that resources are allocated on the basis of indigenous health. The development of the campaign and the various tactics employed have enabled the issues of indigenous health rights to come to light as a serious matter amongst the general public, political parties, organisations, media etc. The campaign and the information kits readily available are a practical way of promoting the

Ohio is experiencing a drug epidemic alongside mass incarceration. The drug use does not stop once someone is incarcerated. The majority of the incarcerated are struggling with drug addiction. The incarcerated are becoming more creative with how they get drugs into prisons. A means to reduce this issue is the development of prison-based drug treatment.

In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in

In The Therapeutic School John Rice talks about what the therapeutic school is and how it came to be. In his article Rive talks about how there are four underlying course assumptions of therapeutic ethic. The first assumption is that “human nature is intrinsically benevolent, positive, and constructive.” By saying this Rice means that human nature is naturally good and positive. The second assumption that is made is that “cultural and societal repression of the self is the cause of virtually all forms of psychological sickness.” What he means by saying this is that through the socialization process we are being repressed from being our ‘true selves’. The third core assumption that Rice talks about is stated as “the psychological sickness born of repressions is, in the aggregate, the cause of a wide variety of public problems.” When talking about this Rice is talking about how since socialization causes us to repress our true self, which can lead people to develop psychological problems. The final assumption that is made is that “people must be set free from cultural and societal repression.” By this Rice is saying that if someone wants to be able to be their true self they need to be liberated from the control that their society and culture have on them.

The trend in psychiatric care is shifting from that of inpatient hospitalization to a focus of outpatient care within the community. Community mental health services include all those activities in the community connected with mental health other than the institutional or hospitalized setting. The community approach focuses on the total population of defined geographical area rather than individual patient. Emphasis is mainly on preventive services which include provision of a continuous, comprehensive system of services designed to meet all mental health related needs in the community. Mental health care is provided. through education, consultation, brief psychotherapy, crisis