Conclusion

2019 ◽  
pp. 309-314
Author(s):  
Martin Summers
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
African American ◽  
African Americans ◽  
Mentally Ill ◽  
Health It ◽  
Historical Scholarship ◽  
History Of ◽  
Orthodox View

The conclusion provides a summation of the book’s main arguments and offers suggestions for further research in the history of African American mental health. It reasserts the two central theses. First, Saint Elizabeths’ psychiatrists’ construction and reaffirmation of the white psyche as the norm produced a great deal of ambiguity regarding the nature of black insanity. This contributed to the prioritizing of the white sufferer of mental illness and the marginalization of mentally ill blacks. Second, African American patients and their communities exercised agency in their interactions with Saint Elizabeths, both to shape the therapeutic experience and to assert their status as citizens. This latter argument suggests that the orthodox view that African Americans have generally had an indifferent or antagonistic relationship to psychiatry needs to be rethought, which will require further historical scholarship, particularly with respect to African American activism within the realm of mental health care.

The History of Unreason

2021 ◽  
pp. 1-19
Author(s):  
Samuel Teague ◽  
Peter Robinson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Construction ◽  
Mentally Ill ◽  
Historical Narrative ◽  
Individual Responsibility ◽  
Socially Constructed ◽  
The Social ◽  
Health And Illness ◽  
History Of

This chapter reflects on the importance of the historical narrative of mental illness, arguing that Western countries have sought new ways to confine the mentally ill in the post-asylum era, namely through the effects of stigma and medicalization. The walls are invisible, when once they were physical. The chapter outlines how health and illness can be understood as socially constructed illustrating how mental health has been constructed uniquely across cultures and over time. To understand this process more fully, it is necessary to consider the history of madness, a story of numerous social flashpoints. The trajectories of two primary mental health narratives are charted in this chapter. The authors argue that these narratives have played, and continue to play, an important role in the social construction of mental illness. These narratives are “confinement” and “individual responsibility.” Drawing on the work of Michel Foucault and Roy Porter, the authors describe how Western culture has come to consider the mentally ill as a distinct, abnormal other.

scholarly journals Patterns of mental health care in a seaside lodging house

1993 ◽  
Vol 17 (2) ◽  
pp. 82-83
Author(s):  
John Barnes ◽  
Greg Wilkinson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
General Practitioner ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Mentally Ill ◽  
Local Sources

Much of the medical care of the long-term mentally ill falls to the general practitioner (Wilkinson et al, 1985) and, for example, a survey in Buckinghamshire showed that these patients consult their general practitioner (GP) twice as often as mental health services. Lodging house dwellers are known to show an increased prevalence of major mental illness and to suffer much secondary social handicap, presenting a challenge to helping services of all disciplines. For this reason we chose a lodging house in which to explore further the relationships between mental illness and residents' present contact with their GP, mental health services and other local sources of help.

Deinstitutionalization and The Homeless Mentally Ill

2020 ◽  
Vol 3 (01) ◽  
pp. 1-3
Author(s):  
Sarada Menon ◽  
Jayakumar Menon ◽  
P. Poornachandrika
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Special Needs ◽  
Serious Mental Illness ◽  
Mentally Ill ◽  
Critical Evaluation ◽  
Homeless Mentally Ill ◽  
Public Body ◽  
Oxford Dictionary

According to the Oxford dictionary “Institution” is an important public body, a home providing care for people with special needs and ‘institutionalise’ is placing such persons in a residential institution. In the context of the topic being discussed, institution is a home for persons with special needs and similarly institutionalisation is placing the persons with serious mental illness, whether acute, subacute or chronic. Deinstitutionalisation is increasingly being projected as the most needed reform in the mental health care by many experts in our country, but the implications of this merit’s critical evaluation.

scholarly journals Deinstitutionalization and The Homeless Mentally Ill

2020 ◽  
Vol 3 (01) ◽  
pp. 1-3
Author(s):  
Sarada Menon1 ◽  
Jayakumar Menon ◽  
P. Poornachandrika
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Special Needs ◽  
Serious Mental Illness ◽  
Mentally Ill ◽  
Critical Evaluation ◽  
Homeless Mentally Ill ◽  
Public Body ◽  
Oxford Dictionary

According to the Oxford dictionary “Institution” is an important public body, a home providing care for people with special needs and ‘institutionalise’ is placing such persons in a residential institution. In the context of the topic being discussed, institution is a home for persons with special needs and similarly institutionalisation is placing the persons with serious mental illness, whether acute, subacute or chronic. Deinstitutionalisation is increasingly being projected as the most needed reform in the mental health care by many experts in our country, but the implications of this merit’s critical evaluation.

scholarly journals Ethical Arguments for Providing Access to Mental Health Care through Longitudinal Relationships

2021 ◽  
pp. 1-8
Author(s):  
Charlene Sathi ◽  
Lydia S. Dugdale
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mentally Ill ◽  
Health Clinics ◽  
Health Care Interventions ◽  
Community Health Clinics ◽  
History Of ◽  
Longitudinal Relationships ◽  
Medicine Community

A focus on access to mental health care is critical for beneficent and just care of individuals experiencing homelessness. The delivery of this care is strengthened through building longitudinal relationships between clinicians and persons experiencing homelessness—relationships that are best understood, perhaps, through the lens of attachment theory. In this paper, we look at the prevalence of mental illness among individuals experiencing homelessness and the history of deinstitutionalization of the mentally ill. We then evaluate how three modern-day interventions—street medicine, community health clinics, and supportive housing programs—play integral roles in providing mental health care and constructing a trusting relationship. We conclude with a call for increased funding to support the expansion of these essential mental health care interventions, especially in the aftermath of COVID-19.

Reducing Seclusion and Restraint in Mental Health Care: A European Challenge

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
T. Steinert
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mentally Ill ◽  
Physical Restraint ◽  
European Countries ◽  
Psychiatric Institutions ◽  
History Of ◽  
Degrading Treatment

The discussion on the use of coercive interventions such as seclusion and restraint accompanies the history of psychiatry from its beginning. It is the oldest and still topical issue of psychiatric institutions. Nowadays, the political growing together of Europe puts questions of common ethical standards on the agenda. The quality of psychiatric care and particularly the use of freedom-restricting coercive measures for mentally ill people are a challenge for modern civilized societies. There is a wide variety in the use of coercive interventions in different European countries in the past and the presence. An important supra-national institution dealing with the issue of coercive interventions in mental health care is the CPT (Committee for the Prevention of Inhumane or degrading Treatment or Punishment). Available data on the use of coercive interventions in different countries were found by literature review. The percentage of admissions exposed to seclusion or restraint varies from zero (Iceland) to 35% (Austria). The median duration of a coercive measure varies from 15 minutes (physical restraint, UK) to 16 days (seclusion, Netherlands). Recently, in several European countries (Finland, Germany, Netherlands, Norway, Switzerland, UK) initiatives have emerged to reduce seclusion and restraint. Obstacles for decreasing coercion in clinical psychiatry are discussed, suggestions for action are given.

scholarly journals Challenges in providing ethically competent health care to incarcerated older adults with mental illness: a qualitative study exploring mental health professionals’ perspectives in Canada

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kirubel Manyazewal Mussie ◽  
Félix Pageau ◽  
Helene Merkt ◽  
Tenzin Wangmo ◽  
Bernice Simone Elger
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mentally Ill ◽  
Older Persons ◽  
Care Needs ◽  
Competent Health Care

Abstract Background The population of incarcerated older adults is the fastest growing demographic in prisons. Older persons in custody have poorer health as compared with those in the community. The unmet and complex health care needs of incarcerated older adults with mental illness raise justice, safety, dignity and fairness in care as ethical concerns. As there exists research gap to better understand these concerns, the current study aimed at exploring the perspectives of mental health professionals on challenges in delivering ethically competent care to mentally ill incarcerated older adults in Canada. Methods Thirty-four semi-structured interviews were conducted between August 2017 and November 2018 with prison mental health professionals in Canada who were selected using purposive and convenience sampling techniques. The audio recorded interviews were transcribed verbatim and analysed inductively to generate themes. Results The results were distilled into three main categories and seven subcategories that related to ethical issues in the provision of health care for mentally ill incarcerated older adults. The main categories included imprisoned older persons with special care needs, lack of resources, and the peer-support program. Conclusions Results of this study showed that existing practices of care of mentally ill incarcerated older adults are characterised by challenges that increase their vulnerability to worse health conditions. It is imperative for local authorities, policy makers and representatives to prepare for and respond to the challenges that compromise ethically competent health care for, and healthy ageing of, mentally ill incarcerated older adults.

scholarly journals Trauma as a neglected etiological factor of mental disorders

Sociologija ◽  
2015 ◽  
Vol 57 (2) ◽  
pp. 286-299
Author(s):  
Aleksandar Dimitrijevic
Keyword(s):  
Mental Health ◽  
Health Care ◽  
General Population ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Biological Psychiatry ◽  
Health It ◽  
Attachment Trauma ◽  
Care Field ◽  
History Of

Throughout the history of mental health care field, trauma was prescribed different and frequently opposing roles. In psychoanalysis, the attitude toward trauma was ambiguous: it was considered a crucial factor, but at the same time its role could happen to be minimized. In biological psychiatry, it is seen as a dominant cause of some disorders and completely irrelevant for the others. In this paper, two issues are discussed: frequency of traumatic events in general population and among persons with mental disorders; and hypothesized intrapsychic mechanisms that lead to detrimental consequences of trauma on mental health. It is advocated that prevention of early, especially attachment, trauma should be the focus of our work in dealing with mental disorders.

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