Disparities in the Treatment of Medical Diseases in the Mentally Ill Patients who are diagnosed with a mental illness, particularly a serious mental illness, are at risk for disparities in treatment of other medical, non-psychiatric, conditions (Li, et al., 2011). Thornicroft, Rose, & Hassam (2007) stated that much of the general population has a certain ignorance regarding mental illness and tend to make judgments against those who have been diagnosed with mental illness. A social stigma has been placed on those individuals who have been diagnosed with a mental illness, particularly a serious mental illness, which has been defined as those that fall on the schizophrenia spectrum or some type of mood disorder classified as bipolar disorder or major depressive disorder (Mitchell, Malone, & Doebbeling, 2009). It is the opinion of this author that the carry over of this stigma has extended to health care and the way that mentally ill patients are treated in various clinical settings. Further, this author believes that those with a documented mental illness do not receive the same quality of care that those without a documented mental illness do. Mitchell, et al. (2009) report that mentally ill patients who enter a clinical setting with comorbidities such as diabetes, cardiovascular disease, or cancer are receiving lower quality of care than those who are mentally …show more content…
(2009), state that patients who are mentally ill also have some type of medical illness in over 50% of the cases. These patients are not receiving the same quality of care that those who are not mentally ill are receiving. Quality of health care is defined by the National Quality Measures Clearinghouse as, “the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (Lohr, as cited by Mitchell, et al., 2009, p. 491). Care of Cardiovascular Issues in the Mentally
Health Care Service Corporation. Serious Vs. Non-Serious Mental Illness. 10 August 2013. blueaccess. Web-site. 9 November 2013. .
Each year, 52 million Americans have some form of mental health problem and out of those patients 60% are members of a managed care group. (Madonna, 2000, ¶ 8) Managed mental health care’s successes and failures now bear directly on the mental wellbeing of 32 million particularly vulnerable Americans. Initially managed care was intended to be a “comprehensive approach to healthcare that included balancing cost, quality, utilization, and access.” (Madonna, 2000, ¶ 23) In theory, this is an optimal approach to the delivery of health care and it has proven somewhat successful in the area of physical health, but it has not provided the same success in the area of mental health. Mental health is still being treated as a separate and less important aspect of health care despite the fact that some mental health disorders, such as schizophrenia, have shown higher success rates than those of common medical procedure, such as angioplasty. (Etheredge, 2002, ¶ 6)
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.
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.
What are Health disparities? Health disparities are "preventable difference in the burden of disease, violence, injury or opportunities to meet optimal health experienced by socially disadvantaged populations". This population can be defined by elements such as race, gender, income, career and geographical location. Health disparities are biased and are related to the historical and uneven distribution of social, economic, political and environmental features. Some of this features include poverty, ecological risks, limited access to health care, educational discriminations and individual and behavioral factors. Some people believe that health disparities are ethically wrong because it demonstrates historical inequality. some ethical values of important in bioethics such as "Kantian ethics, contractarian ethics, and utilitarian ethics have provided theoretical justification" on why health disparities are ethically wrong. While most people believe in the unfairness of these approach to health care solutions, others sorely believe that this approach is beneficiary for those that can't afford proper care due to cost because of their financial limitation, geographical location, ethnicity/race or gender orientation. In this paper, I will expatiate on some disadvantages subsidized by this factors to the population in concern and will cite some of the difficulties faced by these populations due to their inadequate access to good or better health care.
Americans are paying more, but getting less for health insurance: Should quality healthcare be available to only those that have the money to purchase it? According to U.S. Department of Health and Human Services Agency for Healthcare Research and Quality there are some disparities in quality healthcare based on race and ethnicity.
In today’s society, the stigma around mental health has caused many people to fear seeking medical treatment for problems they are dealing with. With an abundance of hateful outlooks and stereotypical labels such as: crazy, psycho, and dangerous, it is clear that people with a mental illness have a genuine reason to avoid pursuing medical treatments. Along with mental health stigma, psychiatric facilities that patients with a mental health issue attend in order to receive treatment obtain an excessive amount of unfavorable stereotypes.
Culture plays a key role in the quality of healthcare or health insurance services offered to patients. Disparities are ethnic or racial differences in the quality of healthcare. Ethnic or racial minorities tend to receive poor quality healthcare services compared to the majority ethnic group.
This stereotype contributes to the stigma individuals’ face and encourages social exclusion and intolerance, especially in schizophrenia (Ray & Brooks Dollar, 2014). Ken sought out help and went to the emergency room because he recognized he was severely depressed. There, the doctor promised he would not be put in restraints, yet when he was taken to the hospital, he was placed in restraints because it was company policy (Steele & Berman, 2001). Due the stigma that individuals with mental illness are violent, Ken was not treated fairly (Stuart & Arboleda-Florez, 2012). Stuart and Arboleda-Florez (2012) are very credible authors to be writing on the effects of stigma in mental health. Both authors have experience in psychiatry, combatting stigma and mental health issues.
The World Health Organization defines being healthy as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” Unfortunately for races that are at disadvantages that definition has very little weight behind it. This issue or racism is not only apparent in health status, it is also obvious in health care and in current health care research for the treatment and cure of diseases. Therefore, current African Americans are not [FINISH THESIS]
In the perspective of healthcare, disparities denotes the substantial differences between populations or groups in relation to prevalence, incidence, mortality and morbidity rates. The prospective elucidation for health disparities ranges from dissimilarities in environmental and societal issues that impacts patients’ trust, likings, awareness or self-efficacy, to cultural variances between patients and providers, communication obstacles and possibly, discrimination. These factors can lead to differences in the quality of and access to health care and genetic factors as well deliberated in the circumstance of ethnic or racial disparities. Ethnic and racial minorities and individuals with disabilities are few of the numerous populations influenced by health disparities and this can be engrained in further features such as sexual orientation, gender individuality and discrimination.
There are many ways in which the mentally ill are degraded and shamed. Most commonly, people are stated to be “depressed” rather than someone who “has depression”. It is a common perception that mental illnesses are not a priority when it comes to Government spending just as it is forgotten that most mental health disorders can be treated and lead a normal life if treatment is successful. The effect of this makes a sufferer feels embarrassed and feel dehumanized. A common perception is that they should be feared or looked down upon for something they have not caused. People experience stigma as a barrier that can affect nearly every aspect of life—limiting opportunities for employment, housing and education, causing the loss of family ...
When I think of the United States and how we are doing as a country, I tend to think that we’re pretty good with all that we do. With all the military protection and technological advancements, the United States seems to be in optimal shape. But when it comes to the wellness of the people and healthcare, I always thought that we were lacking in that department. I decided to use China as the competitor to compare the health statuses and disparities that both these industrialized and well-developed countries differentiate in. In this essay, I will be comparing the life expectancy age, mortality rate under 5 years old, the economy with government aid, along with the obesity percentage of the population and with those that participate in physical activity.
Mental disorders are rapidly becoming more common with each new generation born in the world. Currently, nearly one in two people suffer from some form of depression, anxiety, or other mental health problem at some point in their lives (Editor). With so many people suffering from their mental illnesses, steps have been taken in order to get help needed for these people but progress has been slow. In the medical world, hospitals are treating those with physical problems with more care than those with mental problems. Prescription drugs can only do so much helping the mentally ill go through their daily lives and more should be done to help those who need more than medicine to cope with their illness. Mental health should be considered just as important as physical health because of how advanced physical healing is, how the public reacts to those with mental illness, and due to the consequences that could happen if the illness is not correctly helped.