...Kimberly Galloway HSM/210 Dr. Sandra M. Mancuso Deinstitutionalization is the process of state run mental health facilities being shut down in the attempt to allow people with serious mental illness to receive help from the community. "State mental hospital populations are reduced by discharging long-term residents, shortening hospital stays, and attempting to reduce the number of admissions" (Steadman, Monahan, Duffee, Hartstone, & Robbins 1984). While the intentions were good, the act itself has become "one of the most well-meaning but poorly planned social changes ever carried out in the United States" (Torrey, Kennard, Eslinger, Lamb, and Pavle 2010). This event has had a huge impact on the criminal justice system, causing jails and prisons to become the main healthcare provider for people with Serious Mental Illness in the United States. Deinstitutionalization has not worked as planned. The current figures indicate that at least 16% of inmates in prison have a serious mental illness (Torrey et al 2010). With the decrease in state run mental hospitals jails and prisons are now primary health care providers for the mentally ill. All the act of deinstitutionalization has done is shifted costs from hospitals into prisons where many people cannot get adequate treatment for their symptoms. The burden is now on the justice system, and the public, to care for these people. Healthcare in prison was constitutionally mandated by the Supreme Court in 1976 in the case of Estelle...
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...hsm210tutorials.com HSM 210 week 1 Check Point Deinstitutionalization of the Mentally Ill HSM 210 week 1 Discussion Question 1 & 2 HSM 210 week 2 Checkpoint Researching Human Services Agencies HSM 210 week 2 Assignment Contemporary Problems HSM 210 week 3 Discussion Question 1 & 2 HSM 210 week 4 Checkpoint Differentiating Between Public and Private Organizations HSM 210 week 4 Assignment Examining Government Regulations HSM 210 week 5 Exercise Critical Thinking Exercises HSM 210 week 5 Discussion Question 1 & 2 HSM 210 week 6 Assignment Prevention HSM 210 week 6 Checkpoint Determining levels of prevention HSM 210 week 7 Checkpoint Comparing Values HSM 210 week 7 Discussion Question 1 & 2 HSM 210 week 8 Assignment Characteristics and Skills HSM 210 week 8 Checkpoint Evaluating Communication Strategies HSM 210 week 9 Capstone DQ HSM 210 week 9 Final Substance Abuse and the Native American Population ******************************************************** HSM 210 week 1 CheckPoint Deinstitutionalization of the Mentally Ill FOR MORE CLASSES VISIT www.hsm210tutorials.com Check Point: Deinstitutionalization of the Mentally Ill One of the most significant historical events to impact the evolution of human service work was the deinstitutionalization of the mentally ill in the 1960s. Your text examines some positive and negative outcomes of deinstitutionalization. Resources: Ch. 3 (p. 144) of Human Services in...
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...The systematic process involved releasing patients from state institutions back to the community, while reducing and eliminating the number of intakes. The overarching goal of this process, then, was the eventual closure of the institutions. Drugs such as Thorazine, which were found to be effective at treating the symptoms of psychosis, were prescribed in large amounts to many patients, who were then released from hospital care. Clearly, this practice was a cause for ethical concern—much in the same way that patients, while under the care of state institutions, were treated unethically. For example, in a special edition of Rhode Island History which focused on the reputation of state institutions, namely the Dr. Joseph H. Ladd School, Duffy et al. (1981) reported that hospitals seemed to be stuck in a cycle of inhumane treatment, which residents were doomed to endure for decades until the eventual closure of these...
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...began to feel a lot of resentment; this and many other factors made them snap around 1840. The position of women had been inferior in the U.S. society of the 19th century and this was not a pleasant condition to be tolerated by the American women who believed that in forming and sustaining the norms and conventions of the family life and in maintaining the American social and economic structure women had contribution that should be equated with that of the men. These two sisters from South Carolina made history together: daring to speak before men and women. They also published one of the most powerful anti-slavery tracts of the antebellum era. They stretched the boundaries of women’s public role as the first women to testify before a state legislature on the question of African American rights. They national crusade combined antislavery but also racial discrimination throughout...
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...Page 1 Deinstitutionalization Axia College of University of Phoenix Veronica Cole Human Services in the United States May 6, 2011 Page 2 Deinstitutionalization was signed into law the Community Mental Health Centers Acts by John F. Kennedy on October 31, 1963 when he established community health centers. It was meant so that the mentally ill could leave mental hospitals and move into a home that was run by the local states of where they were from. With the discovery of new medications it was easier for people to be deinstitutionalized and with the help of social workers and psychiatric rehabilitation; it helps patients gain their independence and freedom. The article that I chose was about a guy whose brother was diagnosed as a paranoid schizophrenia. It tells about all the trouble that he put his family through until they had him committed. They could only keep him for observation because of the Lanterman-Petris-Short Act that was first started in California in 1967. It was written with good intentions so that a person could not be locked up by someone else because, people were locked up for no reason by a family member. Because of this law a lot of mentally ill people are not being locked up that really need to be. These people are ending up homeless, in jail, and cemetery. It is harder now to have someone committed even though they may need to be. A judge can have someone committed for a short time for observation if they are considered a threat...
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...An Argument Toward the Reformation of Civil Commitment Alexander S. Earp SECTION I – Introduction The following paper contains an argument toward the reformation of the civil commitment system in the United States. In this context, civil commitment is in reference to those who are legally committed to inpatient care by a third party, it does not necessarily need to be against the will of the patient. Civil commitment, commonly referred to as involuntary commitment, has a stigmatic and controversial history, and is in need of refinement for the modern world. To support this thesis, this paper will be divided into several sections. Section II will discuss the history and development of the civil commitment system. Section III will discuss...
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...Traverse City State Hospital Known for its architecture is The Traverse City State Hospital. Built in 1885, in Northern Michigan, this breathtaking property now stands today “as mute witness to a therapeutic movement that once flourished in the United States”. The hospital’s original theme was "beauty is therapy." This mental institution was part of Michigan's mental health department, which had other institutions at places including Kalamazoo, Pontiac, Newberry, Northville, Caro, and other cities. The hospitals first superintendent, Dr. James Decker Munson, felt that if people were surrounded by beauty and tranquility, a lot of their mental problems would cease to exist. The use of straightjackets wasn’t even allowed. Also, as part of the “work is therapy” philosophy, the asylum provided opportunities for patients to gain a sense of purpose through farming, furniture construction, fruit canning, and other trades that kept the institution fully self-sufficient. The asylum also produced its own electricity and heat. Dr. James Decker Munson believed that mental asylums should be for the treatment of the patients, not just for storing the mentally ill. It was this belief that led the way for the natural environment of care he created for his patients, and originated the idea of therapeutic work for the mentally ill, who worked on the hospital farm. In 1881, the state chose Traverse City as the site for the Northern Michigan Asylum, where Dr. Munson was selected as...
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...her relatives, and a group. Frequently, treatment for mental illness greatest success is when psychotherapy is utilized as a part of grouping with medicines. For extreme emotional instabilities, medication dismisses the symptoms and psychotherapy offers people some assistance with coping with their ailment. Pretty much as there are no medications which can immediately cure mental illnesses, psychotherapy is not a one-time occurrence. The measure of time a man spends in psychotherapy can extend from a couple visits to a couple of years, contingent upon the nature of the ailment or issue. Overall, I believe the more serious the issue, the more protracted the psychotherapy should be. The historical backdrop of mental instability in the United States is a decent representation of the courses in which viewpoints in psychiatry and cultural understanding of dysfunctional behavior impact national policy and demeanors towards mental health. In place of institutionalized care, community based mental health care was created to incorporate a scope of treatment facilities, from community mental health centers and smaller managed residential homes to community based psychiatric groups. A mental illness can be characterized as a health condition which progressions a man's reasoning, emotions, or conduct; which causes the individual misery and difficulty in working. Likewise with numerous diseases, mental illness can be severe in certain circumstances and mild in others. People who have a mental...
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...Adrienne McIntosh Instructor: Stephanie J. Hawkins, Ph.D. HS5315: Professional & Scientific Ethics September 7, 2008 For this assignment, submit your Part 2: Analysis of Ethical Dilemma paper to your instructor, who will provide feedback. Papers should be submitted to the assignments section of the course and follow the required guidelines. In this second part of the project, provide an analysis of a hypothetical ethical dilemma that you have developed. Keep in mind that the hypothetical ethical dilemma you are analyzing should also be within the same work environment that you analyzed and submitted in Unit 5 for Part 1: Analysis of Work Environment. There are several substantial areas that you must consider in your analysis. The following questions will help you to begin your analysis of the ethical dilemma you have chosen. • What is the ethical dilemma and who are the individuals involved? Be sure to fully describe the dilemma and its context. • What are the main ethical concerns presented in the dilemma? What sources and references can you use to support your analysis? • How could you apply the theories and techniques of human service professions to a wide variety of ethical dilemmas? • What documentation would you provide for the Ethics committee if it were a real-life situation? What decision making process would you present to them upon review of this case? How would you define and relate...
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...of Phoenix HCS/531 Mental Health care in the United States has evolved from a period where people with mental illnesses were considered to be possessed and shunned from society, to lobotomies, and community-based care. The stigma associated with mental illness and the limited public awareness that mental illnesses are treatable deters individuals from seeking care for mental illnesses. In the early 19th Century, many states built asylums which were housing units for individuals with mental illness. They were subjected to poor living and treatment conditions such as bloodletting and purging (Novella, 2010).With increased knowledge and education about mental illnesses, effective treatments are available. Various changes have occurred in the mental health field like societal attitudes, support, and service delivery which has made it more likely for those with mental illnesses to seek treatment. There has been significant progress in improving access to mental health services. In the early 1990s, there was a move toward deinstitutionalizing mental health patients. Patients institutionalized in state-run psychiatric facilities were moved and cared for in community settings versus the asylums (Knapp et al. 2011). The belief here was that if mental health patients were treated in the least restrictive environments...
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...Vulnerable Populations Vulnerable Populations All communities contain a mentally ill population. Their behavior is considered to be inappropriate and abnormal. Every society has cultivated solutions in which to treat the mentally ill in order to prevent disruption of the strong civil function. Normal behavior varies through generations and societies. When deciding if a person is mentally ill, the generation and culture must be taken into consideration. Approximately 26 percent of the U.S. population suffers from mental illness, with six percent of that percentage suffering from such debilitating mental afflictions that their ability to function is limited. The History of Mental Illness In ancient times, mental illness was thought to be madness caused by demonic possession. Skulls of the “mad” were drilled to allow the demon to escape. During the middle ages, mental illness was believed to be the result of witchcraft and demonic control. The tormented were treated as criminals and subject to torturous acts. They were often tied up and thrown into bitterly cold waters. If the person floated, they were considered to be a witch and were murdered in an inhumane and heinous manner. If the suspected sunk, they were found not guilty of witchcraft. The freezing water was accepted as a cure for “madness.” By the mid 1700’s, mental illness was considered an issue for the afflicted’s family. As the American colonies grew, the mentally ill began to negatively impact the society...
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...According to the McKinney-Vento Act of 1987, a homeless person is defined as any person who lacks housing. This includes individuals whose primary residence during the night is a supervised public or private facility that provides temporary accommodations or an individual who is a resident in transitional housing. This means an individual who lacks fixed, regular, and adequate nighttime residence, and an individual who has a primary nighttime residence that is either a supervised shelter that provides temporary accommodation, an institution that provides temporary residence for those that should be institutionalized, or a private or public place not intended for regular sleeping accommodations. (McKinney-Vento Act, Wikipedia) The United States Conference of Mayors has indicated that the major cause...
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...If a society is to be judged how it treats its most disadvantaged members, then the United States is in a very lowly state. In the United States we incarcerate over 356,000 individuals diagnosed with mental illnesses a year. This is a ten fold the number of people receiving treatment in psychiatric hospitals, around 35,000 (Frances). Leaving us with the question when did suffering from a mental illness become a crime worthy of incarceration? The question no longer remains as to if the system is broken, as indicated by recent report from the Treatment Advocacy Center and the National Sheriffs’ Association, which surveyed sheriffs and prison administrators, which concluded on three main points. Mental illness among prison populations are growing...
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...Benefit is an example of a. a successful public policy initiative. b. the undue influence of corporate America on the legislative process. c. a program, that despite good intentions, ultimately deepened the problem of homelessness. d. a prudent legislative compromise. 4. At the end of the article, Rubin recommends that: a. the government should stop intervening in housing and health care. b. the government should guarantee housing for everyone, thereby ending homelessness. c. the government should pass new legislation, free from corporate influence, that addresses the root causes of homelessness. d. all homeless people should receive Social Security and Medicare benefits. True or False 5. In the United States, the majority of homeless men and women suffer from a mental illness....
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...accessibility features. Supporters ultimately want to require that all new homes be at least partly accessible to people with mobility impairments.http://en.wikipedia.org/wiki/Visitability | Accessibility | Accessibility is a general term used to describe the degree to which a product, device, service, or environment is available to as many people as possible.http://en.wikipedia.org/wiki/Accessibility | Disability | Disability is an umbrella term, covering impairments, activity limitations, and participation restrictions.http://en.wikipedia.org/wiki/Disability | Inclusion | Inclusion in education is an approach to educating students with special educational needs.http://en.wikipedia.org/wiki/Inclusion_(education) | Deinstitutionalization | Deinstitutionalization is the process of replacing long-stay psychiatric hospitals with less isolated...
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