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!