Mental Health Care in the U.S. Justice System

The U.S. government has a long tradition of providing direct care services to many of its most vulnerable citizens through market-based solutions and subsidized private entities. The privatized welfare state has led to the continued displacement of some of our most disenfranchised groups in need of long-term care. Situated after the U.S. deinstitutionalization era, this is the first study to examine how immigrant Filipino women emerged as owners of de facto mental health care facilities that cater to the displaced, impoverished, severely mentally ill population. These immigrant women–owned businesses serve as welfare state replacements, overseeing the health and illness of these individuals by providing housing, custodial care, and medical services after the massive closure of state mental hospitals that occurred between 1955 and 1980. This study explains the onset of these businesses and the challenges that one immigrant group faces as owners, the meanings of care associated with their de facto mental health care enterprises, and the conditions under which they have operated for more than 40 years.

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Problems with access to adolescent mental health care can lead to dealings with the criminal justice system

Paediatrics & Child Health ◽

10.1093/pch/14.1.15 ◽

2009 ◽

Vol 14 (1) ◽

pp. 15-18 ◽

Cited By ~ 17

Author(s):

Stanley Kutcher ◽

Ainslie McDougall

Keyword(s):

Mental Health ◽

Health Care ◽

Criminal Justice ◽

Mental Health Care ◽

Criminal Justice System ◽

Justice System ◽

Adolescent Mental Health

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Workforce Planning for Embedded Mental Health Care in the U.S. Navy

Military Medicine ◽

10.1093/milmed/usaa195 ◽

2020 ◽

Vol 185 (11-12) ◽

pp. e1961-e1967

Author(s):

Jeffrey Millegan ◽

Robert Lippy ◽

Gabriel De La Rosa ◽

Michael Swayze ◽

Thomas Murray ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Linear Programming ◽

Mental Health Care ◽

Workforce Planning ◽

Care Staff ◽

Programming Algorithm ◽

Care Providers ◽

Staffing Levels ◽

The U.S

Abstract Introduction Embedding mental health providers directly into operational units provides opportunities for holistic individual and population focused mental health support. To effectively provide clinical mental health care to a large number of Sailors and Marines while supporting the larger command, it is crucial to arrive at an optimal number of mental health (MH) care staff. In response to an increasing demand for MH care by operational units distributed globally, the U.S. Navy (USN) critically analyzed the current MH staffing levels, estimated future demand for MH care providers, and evaluated several staffing options. The following article illustrates a case study of workforce planning for the USN’s embedded MH delivery model. Materials and methods Several existing data sources were used to calculate current number of MH care staff across all USN platforms and to estimate demand for MH care. An open source Linear Programming application was used to estimate staffing solutions that meet business requirements in the most efficient manner possible. Results Results suggested different conclusions for embedded mental health staffing across USN communities. Depending on existing staffing levels and the number of Sailors or Marines anticipated to require care, the Linear Programming algorithm estimated needed staffing levels to address demand. Conclusion The current project represents the first systematic workforce planning initiative designed to help staff the USN’s global demand for community focused MH care. The results of this project have identified areas where additional embedded mental health resources should be made available. By systematically documenting all services and capabilities and carefully examining the operational demands of each community, the current solution was able to identify precisely what type of MH resources should be allocated to a given community.

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“Evidence-Based” Knowledge, Psychotherapeutic Culture, and Managed Mental Health Care in the U.S.

The International Journal of Knowledge Culture and Change Management Annual Review ◽

10.18848/1447-9524/cgp/v04/49221 ◽

2005 ◽

Vol 4 (1) ◽

pp. 0-0

Author(s):

Sandra J. Tanenbaum

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Evidence Based ◽

The U.S

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Are Mental Disorders Brain Disorders?

Ethical Human Psychology and Psychiatry ◽

10.1891/1559-4343.17.3.185 ◽

2015 ◽

Vol 17 (3) ◽

pp. 185-201

Author(s):

Callie Joubert

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Disorders ◽

Mental Health Care ◽

Conceptual Analysis ◽

Mental Illnesses ◽

Brain Disorders ◽

Category Mistake ◽

Ethical Implications ◽

The U.S

The mission of the U.S. National Institute of Mental Health is to transform understanding and treatment of mental disorders. According to its former director, Dr. Thomas Insel, fundamental to its mission is the proposition that “mental illnesses are brain disorders.” The aim of this article is to examine this proposition and to argue that it does not make sense. As a scientific proposition, it is based on contentious empirical claims, and as a metaphysical proposition, it is consistent with those who claim that a person is a brain. A conceptual analysis is employed as a tool to show that it is a category mistake to ascribe psychological properties of a person to a brain. The article concludes with a brief indication of the ethical implications of Insel’s proposition for mental health care.

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