Mental Health Case Study

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Individuals diagnosed with a mental illness have been a vulnerable population through history. Historical figures such as Dorothea Dix and John F Kennedy advocated for change and reform within the programs for mental health. There has been significant changes to policies for this population throughout history. One policy, Kendra’s Law, is for court ordered treatment for individuals with a severe and persistent mental illness. Until the 1820s, families took care of their relatives who had a mental illness. Things started to change once towns became large and industrialization was taking place. Facilities such as jails and almshouses were soon developed. Hospitals specifically for mental illness were also developed, but not for treatment. The hospitals mostly provided the very basic essentials of life, and not much more. Soon after, “moral treatments” began. It was believed that people could be cured of their mental health problems by being removed from their environment that was believed to be the cause of their illness. They focused on altering their behavior to conform to social norms (Lightner, 1996). These treatments did not prove to be effective and soon the hospitals became overcrowded. In the 1800s, Dorothea Dix was an advocate for the mental health population. She traveled across the United States visiting people who were in jails, poorhouses, as well as barns and was horrified by the conditions in which these people lived. (Smark, 2008). Dix documented all of the conditions she saw throughout her research. She then presented this information to legislators and advocated for the reform and moral treatment of these individuals. She was successful in helping to obtain funding for over one hundred state hospitals. In the e... ... middle of paper ... ...t that the language within Kendra’s Law does not mention an individual’s right to refuse treatment in it at all. Campbell also demonstrates how the language in the bill can be ambiguous with terms such as “unlikely to survive safely”. The use of these terms make an assessment of a person’s abilities incredibly subjective. The subjectivity as well as the already present stigma towards anyone with a mental health diagnoses can easily pose as a threat to those who do not have violent histories being forced into an AOT program. The mental health field has a long history of institutionalization, poor conditions, stigma, and involuntary treatment. Through advocacy, there have been many changes and progress to the systems put in place. However, the reduction of stigma as well as reevaluating current policies in place would help to progress the mental health field further.

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