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The link between homelessness and psychiatric hospitalization
Homelessness from a macro sociological perspective
Homelessness from a macro sociological perspective
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The idea of mental illnesses, diseases, and disorders may frighten some people, but there is more to the concept. Many rules and regulations have been changed or modified to care in mental institutions. The effects of removing mental patients from the care of specialists has been defined as deinstitutionalization. The concepts of deinstitutionalization include its definition, its effect on mental hospitals, its effect on community mental hospitals, and homeless populations. Deinstitutionalization can mean many things to many different people. To some it is the releasing or transferring of mentally impaired individuals. Cultures can differentiate what the term means also. According to Parlalis, "In spite of the best intentions, there are Since society has the potential to become one of the biggest obstacles known to man, mental patients are at a serious disadvantage. "For clients with serious mental illness, learning to live in a community setting poses challenges that are often difficult to overcome," (Kliewer et al. 40). Because of challenges like these, community mental hospitals must learn to adapt and discover innovative methods of psychological care for mental patients. Not only must they prioritize mental health care, they must also consider the community inhabitants. If not for the laws that allow sufficient homeland security, mental patients in such close proximity may not be such a worry. There are many factors to consider when it comes to releasing mental health patients into a community, but the releasing factors may soon change. Not only does deinstitutionalization affect the community facilities, it also affects the mental Deinstitutionalization has managed to have a dramatic effect on the homeless population. According to an article by Craig, "In the last decade there has been growing concern about the numbers of mentally ill homeless people on the streets in Britain. It is widely believed that this is a direct consequence of the closure of hospital asylums," (Craig 1). Due to lack of care and insufficient policies, mental illnesses have put a vast amount of individuals on the streets; thus, adding to the homeless population. The enlargement of the homeless population is also due to the closings of many mental institutions or hospital asylums. If this trend continues, the homeless population will vastly outweigh the upper, middle, and lower class, and the unbalancing will disrupt the
Pollack, Harold. "What Happened to U.S. Mental Health Care after Deinstitutionalization." Washingtonpost.com. N.p., 12 June 2013. Web. 13 Nov. 2013.
Imagine a man on the streets, who society has forgotten. This man emits the smell of garbage; he has not bathed in months. This man sits quietly mumbling to himself. To the outer world he is just one of the many homeless, but little does society know that this man has a mental illness as well. Homelessness and mental illness are linked. These two happenings have similar beginnings. Homelessness is influenced by drug and alcohol disuse, being homeless at a young age, money problems, and trauma symptoms. Mental illness is caused by many of the same things, but it can also happen at birth. The effects that each entity has on a person are comparable. Rehabilitation is a necessary process if a victim of homelessness and or mental illness wants to rejoin society. Homelessness and mental illness have similar, if not the same causes, effects, and rehabilitations.
As a result of the lack of regulation in state mental institutions, most patients were not just abused and harassed, but also did not experience the treatment they came to these places for. While the maltreatment of patients did end with the downsizing and closing of these institutions in the 1970’s, the mental health care system in America merely shifted from patients being locked up in mental institutions to patients being locked up in actual prisons. The funds that were supposed to be saved from closing these mental institutions was never really pumped back into treating the mentally ill community. As a result, many mentally ill people were rushed out of mental institutions and exposed back into the real world with no help where they ended up either homeless, dead, or in trouble with the law. Judges even today are still forced to sentence those in the latter category to prison since there are few better options for mentally ill individuals to receive the treatment they need. The fact that America, even today, has not found a proper answer to treat the mentally ill really speaks about the flaws in our
According to Szasz (2005), “In principle, the mental patient is considered competent (until proven [otherwise]). In practice, the client is regularly treated as if he were incompetent and the psychiatrist who asserts that he needs treatment is treated as if he were the patient’s guardian” (p.78). During the 1940’s patients who were mentally ill were considered “legally incompetent” when committed into a mental health facility. Relatives of the patients could release them by providing care in their homes for the client. Unfortunately, Szasz (2005) claims, that “the treatment of mental diseases is no more successful today than it was in the past” (p.78).
Mental healthcare has a long and murky past in the United States. In the early 1900s, patients could live in institutions for many years. The treatments and conditions were, at times, inhumane. Legislation in the 1980s and 1990s created programs to protect this vulnerable population from abuse and discrimination. In the last 20 years, mental health advocacy groups and legislators have made gains in bringing attention to the disparity between physical and mental health programs. However, diagnosis and treatment of mental illnesses continues to be less than optimal. Mental health disparities continue to exist in all areas of the world.
The homeless- found on city park benches, street corners, and subway grates. Where did all of these people come from? One third, to one half of the homeless suffer from a mental illness. A lot is said about the homeless-mentally ill, but what their plight says about us may be more significant. We still have not found a place for those who are both poor and insane. Once there was a place for them; the asylum fulfilled the basic needs of thousands for decades, but now these institutions lay empty and in ruin. Has the hope to heal the mentally ill also been abandoned? Is there once again a need for the asylum? The disbandment of the asylum was the first step in ending segregation for those with mental illness, but we have yet to accomplish integration.
Until the middle of the last century, public mental health in the United States had been the responsibility, for the most part, of individual states, who chose to deal with their most profoundly mentally-ill by housing them safely and with almost total asylum in large state mental hospitals. Free of the stresses we all face in our lives, the mentally-ill faced much better prospects for peaceful lives and even recovery than they would in their conditions in ordinary society. In the hospitals, doctors were always accessible for help, patients were assured food and care, and they could be monitored to insure they never became a danger to themselves or others. Our nation’s state hospital system was a stable, efficient way to help improve the lives of our mentally disabled.
The Center for Disease Control and Prevention [CDC] used the U.S. Department of Health and Human Services’ definition of mental illness as “health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning” (2011). Our community is exposed to a large number of individuals with mental illness. Among those individuals are the widespread homeless populations. The United States Department of Housing and Urban Development reported “twenty-five percent of the sheltered homeless report a severe mental illness (as cited in Allender, Rector and Warner 2014 p. 907).” This author found the target population to be predominantly Caucasian, Non-Hispanic, single males of thirty-one years of age and older. In reviewing the research, this author found that multiple health disparities happen in conjunction with mental health and homelessness. This includes cardiac and respiratory issues and HIV/AIDs. Without the proper healthcare services, the homeless mental health population remains vulnerable.
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.
Doll, Helen, Fazel, Seena, Geddes, John, and Khosla, Vivek. (2008). “The Prevalence of Mental Disorders Homeless in Western Countries: Review and meta-regression.” PLoS Med 5(12): e225
Rosenfield, S., (1988). Homelessness and rehospitalization: The importance of housing for the chronic mentally ill. Journal of Community Psychology, 19(1). 60-69.
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,
Continuing budget cuts on mental health care create negative and detrimental impacts on society due to increased improper care for mentally ill, public violence, and overcrowding in jails and emergency rooms. Origins, of mental health as people know it today, began in 1908. The movement initiated was known as “mental hygiene”, which was defined as referring to all things preserving mental health, including maintaining harmonious relation with others, and to participate in constructive changes in one’s social and physical environment (Bertolote 1). As a result of the current spending cuts approaching mental health care, proper treatment has declined drastically. The expanse of improper care to mentally ill peoples has elevated harmful threats of heightened public violence to society.
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...
Since the beginning of deinstitutionalization in the mid twentieth century, there has been a significant need for community mental health care, which was recognized after long term institutional care was considered ineffective. One concept that arose during the community mental health movement was case management. An important goal of the community mental health movement was to create full time mental health centers throughout the United States, and case management was to provide outpatient care to those who suffered from severe mental illness. Case management is still widely recognized today, and continues to be effective in providing care to clients who suffer from mental illness. Case management is a fundamental solution to the advocacy, recruitment, treatment, and care of both the disadvantaged and mentally disabled individuals.