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
- Long Term Care Software Market: Global Industry Growth, COVID-19 Analysis, Research, Statistics and Forecast to 2025on November 16, 2020 at 6:07 pm
Term Care Software Market is valued at USD 1890.53 Million in 2018 and expected to reach USD 4431.16 Million by ...
- Carol Zuniga: Prioritize mental health as pandemic rages onon November 14, 2020 at 8:02 pm
The behavioral health community urges the state legislature to recognize that the public health impact of COVID-19 is just beginning. It is critical to focus additional efforts and resources to ...
- Prayers and grief counseling after Covid-19: Trying to promote healing in long-term careon November 13, 2020 at 4:40 am
With employees emotionally drained and residents suffering from loss, many nursing homes and assisted living centers are working with chaplains, social workers and mental health professionals to help ...
- Prayers and Grief Counseling After COVID: Trying to Aid Healing in Long-Term Careon November 13, 2020 at 4:05 am
With employees emotionally drained and residents suffering from loss, many nursing homes and assisted living centers are working with chaplains, social workers and mental health professionals to ...
- Covid stress taking a toll on children's mental health, CDC findson November 12, 2020 at 12:00 pm
The findings "highlight the importance of continued monitoring of children’s mental health throughout the pandemic." ...
- The Gift of Self-Care to Yourself and Otherson November 11, 2020 at 4:00 pm
Amidst the busyness of life, it can be hard to take time for yourself, let alone get the care you need. In this interview, Holly Oxhandler provides insight on the importance of self-care and the best ...
- The Impact of COVID-19 on Mental Health in Long-Term Care Settingson November 11, 2020 at 8:57 am
The COVID-19 pandemic has affected the mental health of residents in 2 fundamental ways; directly through infection, and indirectly, but more insidiously, through social isolation and other ...
- Pilot program will replace NYPD for mental health 911 calls in 2 neighborhoodson November 10, 2020 at 11:06 am
A new initiative in New York City will replace NYPD officers in two neighborhoods with health mental professionals for some 911 calls.
- One-fifth of Covid-19 patients get a psychiatric diagnosis within 90 days, study suggestson November 9, 2020 at 3:33 pm
People who have had Covid-19 may have an increased risk of being diagnosed with a psychiatric disorder such as anxiety or depression, according to a new study.
- The other pandemic: The mental health toll on long-term care workerson November 9, 2020 at 1:27 pm
Amy Ayers has barely had time to catch her breath since March when COVID-19 began to wreak havoc at the long-term care home where she works. Except for two weeks at home recovering from COVID-19, she ...
via Bing News