Transcript Document

Mental Health and Mental Illness
Julie Riley
 First
referred to as “Madness”
 First thought it was caused by demonic
possession
 In Colonial Times, the “feeble-minded”
were the responsibility of family.
 Early 18th Century, Pinel started “Moral
Treatment.”
 US
Government became involved in the
care of the Mentally Ill in 1946 with
President Truman’s “Mental Health Act.”
 “The
Community Mental Health Centers
Act of 1963” under Kennedy focused on
prevention and community-based care.
 Anxiety
 Eating
 Mood
Disorders
Disorders
Disorders
• Depression
• Bipolar Disorder
 Substance
Related Disorders
 Functionally
 In
Impaired
need of extensive case management
and counseling services.
 Might be in and out of clinics
 Some referred through court systems and
some are living on the streets.
 Contact
with reality is significantly
impaired.
 Common symptoms include
hallucinations, delusions, and generally
bizarre and eccentric behavior.
 The
most common Psychotic Disorder is
schizophrenia.
 Disorders
of one’s mood and emotions.
 Depression
is a significant public health
issue in America.
 Bipolar
Depression (formerly called
manic depression).
Odd and Eccentric:
Paranoid Personality Disorder
Schizotypal personality behavior
Schizoid Personality Disorder
Dramatic and Emotional:
Antisocial Personality Disorder
Borderline Personality Disorder
Narcissistic Personality Disorder
Histrionic Personality Disorder
Anxious and Fearful:
Avoidant Personality Disorder
Dependent Personality Disorder
 Human
Service Agencies
 Military and Veteran Service Agencies
 Psychiatric in-patient or Day Treatment
 Police Departments
 Probation Departments
 County Prosecutor Offices
 Hospitals and nursing facilities
 Private Practices
 Community mental Health Centers
 Saleebey
and the Strengths Perspective
challenges practitioners to recognize:
• All clients have resources available to them
• All clients are members of a community and
deserve respect and dignity
• All clients are resilient by nature
• Al clients need to be in relationships with others
to self-actualize
• All clients have the right to their own perception
of the problem.
 Government
estimates that approximately 20 –
30% of the homeless population is suffering
from mental illness.
 Seriously mentally ill people are at a high risk
for homelessness.
 We
need more long term housing solutions!
 Did
the prisons replace the institutions?
 US Department of Justice estimates that
over a quarter of a million mentally ill
individuals are currently incarcerated.
 The National Alliance for the Mentally Ill
estimates that approximately 40% of the
mentally ill will come into contact with
the crimin
 Alternatives
to Incarceration:
• Ongoing court monitoring
• Specialized training for those working with the
mentally ill
• Voluntary outpatient or inpatient mental health
treatment in the most restrictive environment.
• Case management services
 Human
Service Professionals need to be
aware of their own biases
 Even subtle biases will surface in
counseling situations
 Different cultures have different
practices, customs and traditions.
 Mental
Health Parity Act of 1996
• Cannot limit health care for mental illnesses
• Many have found loopholes
• It is a first step toward recognizing mental illness
in need of insurance coverage.
Developed to identify and remove barriers
 Three
Obstacles to receiving effective
mental health care:
• The stigma attached to mental illness
• Unequal treatment and reimbursement
• An ineffective mental health care delivery
system
 Lobby
for increased funds
 Develop new programs to meet the
complex needs of the mentally ill
 Remain aware and involved in new
policies and legislation developed by the
New Administration!