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.
The United States criminal justice system has been continuously increasing incarceration among individuals who suffer from a sever mental illness. As of 2007 individuals with severe mental illness were over twice as likely to be found in prisons than in society (National Commission of Correctional Health Care, 2002, as cited in Litschge &Vaughn, 2009). The offenses that lead to their commitment in a criminal facility, in the majority of cases, derive from symptoms of their mental illness instead of deviant behavior. Our criminal justice system is failing those who would benefit more from the care of a psychiatric rehabilitation facility or psychiatric hospital by placing them in correctional facilities or prisons.
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...
...t of a movement for social rights. It was an idea proposed for the sake of allowing the mentally ill to be able to have more rights, just as every other socially neglected group would fight for theirs. Unfortunately, many mental patients have suffered and many others have been negatively affected or challenged simply because several things have not been taken into account for or more carefully thought out before proposing deinstitutionalization. Deinstitutionalization has created problems and challenges not only for the mental health system and communities, but major inconveniences and unfortunate events for mentally ill patients. Although it does sound rather harsh, there is good reason to argue that mentally ill patients would be better off in a more protected, careful, maintained environment than to have to face living in the real-world with a severe condition.
n Milos Forman’s movie One flew over the Cuckoo’s Nest demonstrates the inhumane mistreatment of patients within a psych ward. Nurse Ratched, a very controlling and power-hungry nurse has demoted all her patients to sheepish submissive beings. Randle McMurphy shows up and creates chaos in Nurse Ratched’s order. This causes Ratched to resort to the only solution she sees feasible, abuse and eventually lobotomization. As the film portrays, the mentally ill weren’t receiving proper treatment until mental illness was taken seriously by doctors and deinstitutionalization occurred. Unlike McMurphy’s treatment, deinstitutionalization in the 1960s impacted mental illness treatment positively and created a more societal acceptance of people with mental illness.
For centuries, institutions for mentally ill people were the most common way to treat those with mental disabilities. However, they were not safe or sanitary. Critics argued that hospitals harmed their patients rather than helped them, and mental illness was unjust if a person had not proven dangerous to others. In 1955, the first antipsychotic medication was introduced and made it possible for people to be medicated for severe mental illnesses. Shortly after, John F. Kennedy made a law that declared people could not be hospitalized against their will unless they were a threat to others. After the implementation of this law, mental patients were “deinstitutionalized”, which, according to the Encyclopedia of Psychology, is the process of transferring patients with mental disorders or developmental disabilities from long-term institutions, which isolate the patient, to more integrated community-based mental health services. Today, more than 1.8 million of the 4.8 million people with severe mental disorders
The impetus for change to improve the healthcare services provided to individuals suffering from mental illness came about because the deinstitutionalization efforts begun in the 1970s were failing to properly assist this population (McLaughlin & McLauglin, 2008). McLauglin and McLauglin (2008) explain North Carolina’s four regional mental health hospitals were acting as independent entities and not working to provide better coordinated services to its’ local community mental health centers. They reveal local community mental health centers were not receiving the resources necessary to run effective rehabilitation programs for their patients (McLaughlin & McLauglin, 2008). Similar situ...
Most of the idea of deinstitutionalized movement was because of the patient’s rights. Being out of the institutions gave the individuals more freedom, they didn’t always see the same four walls or the same people every day. In 2005 many severely mental ill individuals did not receive any psychiatric treatment. About half of the many that are severely mentally ill were homeless.
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.
Beginning in the 1920’s, several social forces led to a shift in the treatment of mental illness and those living with it, the effects of which can still be seen today (Nasrallah, 2008). A push towards community-based care was believed to be the solution to the expensive and overcrowded mental institutions (Accordino, Porter, & Morse, 2001). Deinstitutionalization, led to the release of thousands of people living with serious mental illness (SMI) from asylums, into community-based outpatient clinics (Accordino, Porter, & Morse, 2001; Nasrallah, 2008). However, while the warehousing of those with SMI, in deplorable conditions,