Introduction Community treatment actions otherwise known as CTOs can be used to help many individuals with mental illness and their families. If an individual has been in the hospital under the Mental Health Act the person’s physician usually psychiatrist can arrange for community treatment order (Byrick & Renshaw, 2012). This is to help the patient comply with the doctor’s orders while not in the hospital. CTO is a doctor’s orders for a person to receive treatment as well as supervision while in the community. This is used as a care and treatment plan to help with the patients needs ranging from medications to appointments. The purpose of a CTO as stated by Byrick and Walker-Renshaw (2012) from the Mental Health Act: 33.1(3): “The purpose …show more content…
CTOs want to show that they are there to ensure that individuals receive proper treatment when they are not able to care for themselves (Alberta Government, 2014). One of the main benefits of CTOs is that it is used as an alternative to hospitals. The people who are receiving the treatment are able to live on their own while following their doctors care plan. The person also has members of the communities to help look after them to make sure they are making progress and causing no danger to themselves or others (Gibbs, Dawson, & Ansley, 2010). With being able to live in the community it can stop the stigma against mental illness as well as helps to include people within society. After being discharged from the hospital it gives the patient the chance to live without being restricted but still having to follow specific directions from doctors and …show more content…
They are able to have access to doctors and therapy as well as medication that is needed to help make their life more stable (Gibbs, Dawson, & Ansley, 2010). Mentally ill people who are apart of CTOs help to get their medication figured out to make sure they are able to be stable while living in the public CTOs help to form a sense of security for the person in treatment because they are able to help with their illness and improve their health. It also helps to show a sense of security for society because they realize that mentally ill people are getting help and not going to be bothering them (Vaughn et al, 2008). With the people who undergo community treatment orders are to follow the treatment and care plan for 6 months, which within this time doctor can renew it at any time if they feel the patient needs more time following their prescribed treatment. This 6-month period helps to get patients in the routine of following doctor’s orders for medication and treatment to help get them stable for when they no longer work with
Furthermore, a MCO many times considers mental health and substance abuse services as a carve-out from the standard surgical and medical aspects of a policy. An understanding of this carve-out between Summit Oaks and the MCO established as the point of contracting with the MCO would be highly beneficial both parties by eliminating policy unknowns.
Belluck’s New York Times article describes a study that ordered mentally ill patients to receive treatment instead of being hospitalized. The study found that the patients were less likely to be placed in psychiatric hospitals or arrested, and outpatient treatment and medication refills increased. This also proved economical, because the mental health system and Medicaid costs were reduced by at least fifty percent. This program doesn’t only apply to the patient to accept treatment, it also requires the mental health system to provide it, making the program more effective
The CPA is a care management process for people with mental health and social care needs, including managing associated risks. The CPA main elements are: Assessment, Care coordinator, Care planning, Review, Transfer and Discharge. The National Standard Framework for Mental Health introduced it to supply a framework for effective mental health care (DOH, 1999; DOH, 2008; Gamble, 2005). Under CPA, John may use an Advance statement to illustrate his personal preferences and what he would like to happen in regards to his personal and home life should they come to lack capacity. These are important mechanisms for safeguarding and promoting a patient’s interests and health. The CPA is grounded in values and principles that are central to personalisation brought about when in March 2008 ‘Refocusing the Care Programme Approach’ was issued. This updated guidance highl...
To establish why a working partnership between the service user and practitioner is needed it is important to note that there have been many changes in mental health services since the 18th century when service users were labelled ‘lunatics’, shackled and treatment included beatings and being put on public display (The Open University, 2010g, p.94). This no longer happens but current legislation still focuses on controlling risk instead of considering a holistic approach where the whole person is considered. This can result in the service user not being included in decisions about their care, not given treatment options and sometimes being detained without consent (The Open University, 2010h, p.111). May (in the Open University, 2004b) is a practitioner and ex-service user, he states that me...
This creates the problem of a patient who is no longer psychotic, needing to remain in a hospital because the legal committee will not release him/her. The question whether the hospital is the proper place for that patient and if public safety is an actual concern is at hand. This then raises issues on how to treat a mentally ill individual who has committed a crime after recovering from their psychotic state, to ensure they will not relapse and become a danger to society. In various countries, there is no legal substitute for prevention. In the article, Mentally Ill People Who Commit Crimes: Punishment or Treatment, the author Dr. Melamed proposes the question, "If the individual is no longer ill, but still dangerous, should he or she remain in the hospital or be transferred to a nonmedical incarceration facility?" While some believe treatment is a better alternative, society is unable to bear the costs of treatment/ rehabilitation which means the individual will be transferred to an incarceration facility. In Connecticut, annually, the average cost for an inmate is $33,000 while the average cost for a mental hospital is $500,000. However, psychiatrist cost more than the average prison guards, the additional $467, 000 does not out way the cost for continued treatment in an outpatient facility
The United States has the highest incarceration rate in the world and of that over sixty percent of jail inmates reported having a mental health issue and 316,000 of them are severely mentally ill (Raphael & Stoll, 2013). Correctional facilities in the United States have become the primary mental health institutions today (Adams & Ferrandino, 2008). This imprisonment of the mentally ill in the United States has increased the incarceration rate and has left those individuals medically untreated and emotionally unstable while in jail and after being released. Better housing facilities, medical treatment and psychiatric counseling can be helpful in alleviating their illness as well as upon their release. This paper will explore the increasing incarceration rate of the mentally ill in the jails and prisons of the United States, the lack of medical services available to the mentally ill, the roles of the police, the correctional officers and the community and the revolving door phenomenon (Soderstrom, 2007). It will also review some of the existing and present policies that have been ineffective and present new policies that can be effective with the proper resources and training. The main objective of this paper is to illustrate that the criminalization of the mentally ill has become a public health problem and that our policy should focus more on rehabilitation rather than punishment.
Those with mental illness would live in the community with an array of services and be able to be free from the constraints of confinement. In the early 1960’s the United States began an initiative to reduce and close publicly-operated mental hospitals. This became known as deinstitutionalization. The goal of deinstitutionalization was to allow people suffering from mental illness to live more independently in the community with treatments provided through community health programs. Unfortunately, the federal government did not provide sufficient ongoing funding for the programs to meet the growing demand. States reduced their budgets for mental hospitals but failed to increase funding for on-going community-based mental health programs. As a result of deinstitutionalization hundreds of thousands of mentally ill people were released into the community without the proper resources they needed for their treatment. (Harcourt,
States obtain many services that fall under mental health care, and that treat the mentally ill population. These range from acute and long-term hospital treatment, to supportive housing. Other effective services utilized include crisis intervention teams, case management, Assertive Community Treatment programs, clinic services, and access to psychiatric medications (Honberg at al. 6). These services support the growing population of people living in the...
The community care for mentally ill people was one of the biggest improvements in the development of the NHS. During the Victorian Era the quantity of mentally ill people was alarming; charities, churches and philanthropists were the financial support for people with mental disorders during that period.
Introduction The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experience in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goals for each.
It provides an affordable home and allows people to live in a better quality of life. Another element that’s makes a program successful is offering other services such as supportive services and health services for mental illness (Guerrero, Henwood, & Wenzel, 2014
The largest function of the Housing First program is to ensure that people with mental illness have somewhere to stay on a permanent basis. This will help the government to take better care of their health since they can easily be accessed. The program helps deal with the senior demographic in the country and helps ensure that medical care can be provided in the comfort of a home. In most cases, service participants that are suppo...
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
In any particular year, about 26.2 percent of adults in the United States have a detectable mental illness (“The Numbers”). Unfortunately, not enough hospital beds and places to stay are available for all of those people who need hospital care, so hospitals must move people out to make room for new patients. The space for mentally ill patients has always been low, but it has dramatically dropped in the past few decades. A movement involving deinstitutionalization occurred in 1965, and was advanced by society’s worries about civil liberties of patients. Courts then decided to regulate the amount of patie...
Primarily, the plan focuses on a significant increase in the NHS funds that will be dedicated to mental health treatments. This monetary upsurge will subsidize many improvements enabling the mentally ill to utilize the twenty-four-hour mental health liaison team (NHS, 2017). Additionally, two-hundred-thousand more people will receive therapy from the fifteen-hundred new primary therapists, and nine-thousand more new mothers and mothers-to-be will be helped by the twenty additional “specialist mental health teams” by 2018/19 (NHS, 2017). While there are many specific developments to made, the NHS’s overall goal is to “drive towards an equal response to mental and physical health” (NHS,