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Treatment of Mental Health: Institutionalism versus Community Care
Sandra L Pauwels
Saint Leo University

Treatment of Mental Health: Institutionalism versus Community Care
For many centuries people with mental illness have been shunned and avoided as if they had the plague. Many view the mentally ill as frightening and horrifying individuals. Our treatment of them has often reflected current or prevailing public sentiment of them. In 400 B.C., Hippocrates viewed people with mental illness as having a physiology of “dis-ease”, or, rather, an illness (Randy MacLowry, 1999-2002). Hippocrates’ position was definitely not the popular opinion. The opinion held by the general population was that mental illness was a punishment for displeasing the Gods.
From the beginning in the Middle Ages, locking our mentally ill individuals away from society was common. Because we feared the mentally ill, they were considered to be outcasts of society. Some were even executed as witches in the early days of our country. (Micah Steele, 2009). It was believed that the mentally ill were possessed by demons or witches. The mentally ill were shunned, banished, or locked away because they were feared. Because people believed that mental illness could be “caught” from those who were afflicted.
In the 1980’s focus shifted from long term facilities that locked up the mentally ill to community mental health centers. It was hoped that treating individuals within the community would help people understand that mental illness was not something to be feared. There are only a small number of mental facilities holding patients long term today. For the most part, individuals with mental illness receive treatment within the community. What needs to be examined is whether they are receiving the treatment that they need both in institutional settings if need be and within the community when

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