JAMA Viewpoint Characterizes Current Model for Treating Mentally Ill as “Ethically Unacceptable and Financially Costly”
As the United States population has doubled since 1955, the number of inpatient psychiatric beds in the United States has been cut by nearly 95 percent to just 45,000, a wholly inadequate equation when considering that there are currently 10 million U.S. residents with serious mental illness. A new viewpoint in JAMA,written by Dominic Sisti, PhD, Andrea Segal, MS, and Ezekiel Emanuel, MD, PhD, of the department of Medical Ethics and Health Policy in the Perelman School of Medicine at the University of Pennsylvania, looks at the evolution away from inpatient psychiatric beds, evaluates the current system for housing and treating the mentally ill, and then suggests a modern approach to institutionalized mental health care as a solution.
“For the past 60 years or more, social, political and economic forces coalesced to move severely mentally ill patients out of psychiatric hospitals,” write the authors. They say the civil rights movement propelled deinstitutionalization, reports of hospital abuse offended public consciousness, and new drugs gave patients independence. In addition, economics and federal policies accelerated the transformation because outpatient therapy and drug treatment were less expensive than inpatient care, and the federal legislation like the Community Mental Health Centers Act and Medicaid led to states closing or limiting the size of so-called institutions for mental diseases.
However, the authors write, “deinstitutionalization has really been transinstitutionalization.” Some patients with chronic psychiatric diseases were moved to nursing homes or hospitals. Others became homeless, utilizing hospital emergency departments for both care and housing. But “most disturbingly, U.S. jails and prisons have become the nation’s largest mental health care facilities. Half of all inmates have a mental illness or substance abuse disorder; 15 percent of state inmates are diagnosed with a psychotic disorder.” According to the authors, “this results in a vicious cycle whereby mentally ill patients move between crisis hospitalization, homelessness and incarceration.”
The Latest on: Long-Term Psychiatric Care
via Google News
The Latest on: Long-Term Psychiatric Care
- Children and teens face unequal mental health realitieson October 12, 2021 at 2:00 am
In the weeks after the start of the COVID-19 pandemic, at least 55% of children felt more “sad, depressed, or unhappy,” compared to 25% of adults, according to a new report out Monday from the Child ...
- WHO Director-General's opening remarks at the WHO Mental Health Forumon October 11, 2021 at 9:23 pm
It is my pleasure to welcome you to the 2021 WHO Mental Health Forum. Thank you all for joining us, and I would especially like to thank our Global Goodwill Ambassador for Mental Health, Cynthia ...
- UNC deals with mental health concerns in wake of student suicideson October 11, 2021 at 7:40 pm
University officials canceled all classes for Tuesday out of concern for mental health after two students died by suicide, and another attempted suicide.
- Australia launches world's first children's mental health and wellbeing strategyon October 11, 2021 at 6:01 pm
On Tuesday, the Australian Government became the first to launch a National Children’s Mental Health and Wellbeing Strategy in a move that marks a “fundamental, cultural shift” in approaches to ...
- Resilience reimagined: In Haiti, rising awareness of need for mental health serviceson October 11, 2021 at 6:25 am
Both popular writers and scholars have described the Haitian people during the last decade as resilient. Lately, however, many groups and experts have begun to balance the view of Haitian resilience ...
- Southeast Texas doctors say awareness for on-going mental health crisis needs to be raised both nationally and locallyon October 10, 2021 at 8:28 pm
Doctors said it is important to increase access to mental health care because many people are not seeking treatment early on.
- Scots with chronic health conditions to benefit from mental health funding booston October 9, 2021 at 9:55 pm
People with long-term health conditions are being given a share of a £2 million Mental Health Foundation scheme to support people worst hit by the coronavirus pandemic.
- World Mental Health Day: brain implant a possible alternative to long-term medicationon October 9, 2021 at 8:00 pm
Brain implants to treat depression are being hailed as a “major step forward” in mental health care by UAE psychiatrists. Surgeons hope implants could offer an alternative to long-term reliance on ...
- ‘We Have Folks Working 100-Hour Workweeks’: Minnesota’s Long-Term Care Facilities Reach Critically Low Staffingon October 8, 2021 at 4:39 pm
Healthcare experts are sharing a worrisome outlook on the viability of some long-term care facilities in Minnesota.
- Webinar: Care in a time of crisis: Improving long-term mental health with asynchronous careon October 6, 2021 at 1:48 pm
How can health systems address the rise in behavioral health cases, as clinician shortages and prohibitive costs plague the U.S.? Join us for a timely discussion on the mental health crisis and how ...
via Bing News