Mental illness is a prevalent issue in our country today. The Substance Abuse and Mental Health Services Administration estimated that 20-25% of our nations homeless suffer from mental illness (National Coalition for the Homeless, 2009). Many people with mental illness end up in prison without proper care and supportive housing (NAMI, 2011). Without proper care, people with severe mental illness cannot function as productive members of society (HCH Clinician’s Network, 2000). Proper housing, care, and professionals to guide them, the quality of life for people with severe mental illness is poor. In this paper, I will review and analyze three journal studies regarding policies about homelessness, and guardianship by public administrators for people with severe mental illness. Alvin Mushkatel, Subhrajit Guhathakurta, Jackie Thompson, Kathy Thomas, and Michael Franczak (2009) explored the quality of life of people who have serious mental illness, who where homeless within the metropolitan Phoenix area. In the experiment, two programs that were looked at were Supportive Housing (SL) and the Supervised Assisted Living (SIL) programs (Mushkatel, Guhathakurta, Thompson, Thomas, & Franczak, 2009). The study looked at different factors “such as neighborhood racial composition, incomes, housing tenure and concentrations of other subsidized housing” (Mushkatel, Guhathakurta, Thompson, Thomas, & Franczak, 2009, para. 1) and how it impacted the lives of people with severe mental illness. In 1997, “deinstitutionalization had resulted in 2.2 million severely mentally ill patients without supportive psychiatric services” (Mushkatel, Guhathakurta, Thompson, Thomas, & Franczak, 2009, para 3) and many people with serious mental illness became hom... ... middle of paper ... ... (2003). When the state takes over a life: The public guardian as pubic administrator. Public Administration Review, 63(4), 396-404. Retrieved October 17, 2011, from Research Library. (Document ID: 370511071). Thomas, A.R.. (1998). Ronald Reagan and the commitment of the mentally ill: Capital, interest groups, and the eclipse of social policy, Electronic Journal of Sociology, ISSN: 1198 3655. Retrieved from http://www.sociology.org/content/vol003.004/thomas.html U.S. Department of Health and Human Services. (1999). Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health. Retrieved from http://www.surgeongeneral.gov/library/mentalhealth/pdfs/front.pdf
Rock, M. (2001). Emerging issues with mentally ill offenders: Casues and social consequences. Administration and Policy in Mental Health., 165-180.
The fight for improved health care for those with mental illness has been an ongoing and important struggle for advocates in the United States who are aware of the difficulties faced by the mentally ill and those who take care of them. People unfortunate enough to be inflicted with the burden of having a severe mental illness experience dramatic changes in their behavior and go through psychotic episodes severe enough to the point where they are a burden to not only themselves but also to people in their society. Mental institutions are equipped to provide specialized treatment and rehabilitative services to severely mentally ill patients, with the help of these institutions the mentally ill are able to get the care needed for them to control their illness and be rehabilitated to the point where they can become a functional part of our society. Deinstitutionalization has led to the closing down and reduction of mental institutions, which means the thousands of patients who relied on these mental institutions have now been thrown out into society on their own without any support system to help them treat their mental illness. Years after the beginning of deinstitutionalization and after observing the numerous effects of deinstitutionalization it has become very obvious as to why our nation needs to be re-institutionalized.
Homelessness is a major public health problem throughout the United States due to increasing income disparities.1 About 650,000 people are homeless on any given day.2 Homelessness not only affects individuals, but families which include adults, children who may also experience mental illness, disabilities, or substance abuse.3 Homelessness is correlated with mental illness, substance abuse as well as loss of employment, poor health and, limited access to resources. While the state budget immediately considers fund housing initiatives to solve chronic homelessness it may not be the most efficient policy that this population needs. Housing does not provide necessary health services, may offer unequal aid to individuals and families, and may not be a priority for those individuals who are homeless. The state government should not fund housing policies for the homeless.
Parker, Laura. "The Right to Be Mentally Ill: Families Lobby to Force Care." USA TODAY. Feb. 12 2001: 1A+. SIRS Issues Researcher. Web. 11 Feb. 2014.
Rosenfield, S., (1988). Homelessness and rehospitalization: The importance of housing for the chronic mentally ill. Journal of Community Psychology, 19(1). 60-69.
Gulcur, Leyla, Padgett, Deborah K., and Tsemberis, Sam. (2006). “Housing First Services for People Who Are Homeless with Co-Occurring Serious Mental Illness and Substance Abuse.” Research on Social Work Practice, Vol 16 No. 1.
Harrison, Erica. "Homelessness Among the Seriously Mentally Ill: What We Can Do to Help." Clarityhumanservices.com. N.p., 5 Mar. 2013. Web. 13 Nov. 2013.
States obtain many services that fall under mental health care, and that treat the mentally ill population. These range from acute and long-term hospital treatment, to supportive housing. Other effective services utilized include crisis intervention teams, case management, Assertive Community Treatment programs, clinic services, and access to psychiatric medications (Honberg at al. 6). These services support the growing population of people living in the...
It is nearly impossible to walk between any two points in New Haven without being affected in some small way by our city’s homeless problem. On seeing these people, in many cases, it becomes clear that they suffer from some mental disability that, unaided, will obviously impede their living a normal life. In fact, according to the Report of the Federal Task Force on Homelessness and Severe Mental Illness, one in every three homeless people suffers from a severe mental illness, most of which are treatable. In a country that devotes so many resources to various welfare programs for nearly every group, how can this problem persist? The answer to this question lies in a major national policy shift, deinstitutionalization, which occurred progressively between 1960 and 1980. Though deinstitutionalization addressed a necessary problem, in practice, it only worsens the problems facing the mentally disabled and society at large. What prevailing social ideas and changes brought an end to our nation’s established system of state psychiatric hospitals? What is the logic behind our new and inefficient system of community centered outpatient mental health?
“During the 1970’s and 1980’s mental hospitals had a fiscal crisis and thousands of people with schizophrenia and other mental illnesses who had been institutionalized for years had been released by the courts. These individuals no longer met the standard for forcible incarceration because they were not dangerous or in need of supervisory treatment any longer. As a result a large amount of people with mental illnesses or were socially fragile were let go from hospitals lacking psychiatric and social work follow up, and many stopped taking their medications” (Shapiro & Wizner, 2011, p.2-3). In 2002, New York City along with New York’s mental health and parole supervision agencies based a nonprofit organization called Project Renewal. This program assisted ex-offenders that had ment...
In the book Crazy in America: The Hidden Tragedy of our Criminalized Mentally Ill, Mary Beth Pfeiffer argues that the government has failed America's mentally ill population. She shows how, after the closing and downsizing of many mental hospitals, there have not been sufficient programs to take care of the mentally ill and help them live normal lives. Instead, these people often relapse and end up in jail, where their psychotic outbursts are punished harshly, exacerbating their illnesses. The author presents six anecdotes of mentally ill people suffering due to stays in prison or encounters with the police. In each case, she first gives a background on the person's life, then tells the story of how he or she first began getting into legal trouble, and then describes the events leading up to the incident and the incident itself. Finally, she
In 1955, over 559,000 individuals resided in inpatient psychiatric hospitals. By 1995, however, the number had drastically diminished to 69,000, (National Health Policy Forum, 2000). This drastic reduction was largely due to the discovery of antipsychotic medications in the 1950s, and the deinstitutionalization movement of the 1960s, wherein several thousands of mentally ill individuals were released from psychiatric institutions to return to their communities for treatment. Mental health centers (MHCs) were conceptualized during deinstitutionalization to provide treatment to these newly-released mentally ill persons in their communities. Although efforts were well-intended, the MHCs failed to serve the neediest subset of individuals. Instead, they served those who had minor psychiatric diagnoses and needed little treatment. As a result, the United States experienced an increase in the number of homeless individuals, most of whom still exhibited psychotic symptoms. Involuntary Outpatient Commitment (IOC) was created to serve those “forgotten” mentally ill individuals without placing them back in institutions. Ideally, IOC will increase community tenure for the severely mentally ill, decrease the likelihood of decompensation, and provide the necessary treatment by means less restrictive than hospitalization, (Borum et al., 1999).
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.
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.
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,