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Early history of mental illness
History of insane asylums thesis
History of insane asylums thesis
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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 Living in the community, they tend to experience more freedom and can live more normal lives. They also have more activities during the day, which is great for those deinstitutionalized patients who have benefited from their relocation. Unfortunately, there are many other patients who are often homeless, isolated, and victimized. Critics point out that many patients that have been moved from psychiatric hospitals to nursing or residential homes are not always staffed or fully equipped to meet the needs of the mentally ill. Many mentally ill who were released from institutions were re-institutionalized in jails or prisons. Only one in three of these patient’s report receiving treatment while in jail. Another problem the mentally ill face is discrimination. The community at large is often afraid of people with mental illnesses and think that they are
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
In the book Crazy in America by Mary Beth Pfeiffer, she illustrated examples of what people with mental illness endure every day in their encounters with the criminal justice system. Shayne Eggen, Peter Nadir, Alan Houseman and Joseph Maldonado are amongst those thousands or more people who are view as suspected when in reality they are psychotic who should be receiving medical assistance instead, of been thrown into prison. Their stories also show how our society has failed to provide some of its most vulnerable citizens and has allowed them to be treated as a criminals. All of these people shared a common similarity which is their experience they went through due to their illness.
In the 1800’s people with mental illnesses were frowned upon and weren't treated like human beings. Mental illnesses were claimed to be “demonic possessions” people with mental illnesses were thrown into jail cells, chained to their beds,used for entertainment and even killed. Some were even slaves, they were starved and forced to work in cold or extremely hot weather with chains on their feet. Until 1851, the first state mental hospital was built and there was only one physician on staff responsible for the medical, moral and physical treatment of each inmate. Who had said "Violent hands shall never be laid on a patient, under any provocation.
Forcing someone to take medication or be hospitalized against their will seems contrary to an individual’s right to refuse medical treatment, however, the issue becomes complicated when it involves individuals suffering from a mental illness. What should be done when a person has lost their grasp on reality, or if they are at a risk of harming themselves or others? Would that justify denying individuals the right to refuse treatment and issuing involuntary treatment? Numerous books and articles have been written which debates this issue and presents the recommendations of assorted experts.
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).
As the stigma against the mentally ill grew, societies across the world began to remove them from the community. Insane asylums became the primary source of treatment for those with severe mental illnesses. While the intention was to alleviate the burden on society, these institutions were ramped with cruelty and mistreatment of those with mental illness. The cruelty endured by the mentally ill spanned well over a century and most of western society. Asylums locked up individual in overcrowded unsanitary condition. These individuals were often used as test subject without consent for some of the cruelest treatments of mental illness.
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.
Wouldn’t it be completely irrational to sentence every mentally ill individual to jail purely because they suffered from a mental illness? Often, mentally ill people behave in an eccentric manner and allure the attention of police officers who do not differentiate the mentally ill from mentally stable people and immediately charge them with misdemeanors. There are approximately 300,000 inmates, with the number increasing every year, which suffer from a mental illness and do not receive proper treatment. Jails are not adequately equipped to care for mentally ill inmates, which can lead to an escalation of an inmate’s illness. Society has failed to provide enough social resources for citizens suffering from psychiatric illnesses in its community, transferring mentally unstable individuals between mental institutions and jails, when in fact adequate aid such as providing proper medication, rehabilitation opportunities, and more psychiatric hospitals in communities is a necessity to reconstitute these individuals.
Prior to taking this course, I generally believed that people were rightly in prison due to their actions. Now, I have become aware of the discrepancies and flaws within the Criminal Justice system. One of the biggest discrepancies aside from the imprisonment rate between black and white men, is mental illness. Something I wished we covered more in class. The conversation about mental illness is one that we are just recently beginning to have. For quite a while, mental illness was not something people talked about publicly. This conversation has a shorter history in American prisons. Throughout the semester I have read articles regarding the Criminal Justice system and mental illness in the United States. Below I will attempt to describe how the Criminal Justice system fails when they are encountered by people with mental illnesses.
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.
In the nineteenth century the United States had established hospitals to house and care for the chronically ill and mentally ill. Several individual states assumed responsibility for mental hospitals in the 1980’s. At the beginning of the twentieth-century mental health treatments proved to have limited efficacy. Many of these patients received custodial care in state hospitals. New psychiatric medications were developed and introduced into state mental hospitals in 1955 as a result of the National Institutes of Mental Health (NIMH).The medicines that were developed brought new hope and addressed some of the symptoms of mental disorder. In 1963, President John F. Kennedy enacted the Community Mental Health Centers Act. This accelerated deinstitutionalization.
Two hundred years ago, Pennsylvania revolutionized the mental health care movement. Benjamin Rush, a Philadelphia doctor made a suggestion to his fellow colleagues about individuals suffering from mental disorders. Instead of treating individuals with mental disorders as a sign of demon possession or confused soul, treat their disorder as an illness. In the late 1800's, another Philadelphia doctor caught wind of Rush's idea to treat mental illness. Thomas Kirkbride believed the insane, as they were called in nineteeth century, deserved humane treatment. After this realization, the asylum movement took place in Pennsylvania. Individuals suffering from mental disorders were taken out of their inhumane circumstances an...
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.
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.
In the year “1752 the quakers in Philadelphia were the first in America to make an organized effort to care for the mentally ill” this effort of the quakers founded the idea of opening an actual institution for the mentally ill(Diseases of the Mind: Highlight). In 1856 the Pennsylvania Hospital for the Insane opened up. Before this the mentally ill were treated inhumane. In late 1600s Europe, the mentally ill were shackled to the walls of dungeons. They weren’t properly cared for, they weren’t given enough food, and were quite often left nude. Mentally ill people weren’t being treated properly. It wasn’t until the 1800s that patients were put in proper facilities, but even then the treatments that these people were forced through were ghastly.