4.19.07 - Admitted to a hospital and released between 8-10...

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April 19, 2007 Four Phases of Service - Institutionalization - De-institutionalization - Community based care - Managed care Custodial Care - Large “back wards” - Patients were expected to be compliant - Very dependent on care and being told what to do - Warehouse type rooms with many beds Early Medications 1950’s - Thorzine - Lithium - Negative effects Parkinson’s type systems Thorzine shuffle (shakiness, shuffle around as they walk) Facial spasms (deform) Shift in Care for Mentally Ill - Started with medications in the 1950’s - Economic concern spurred change - Philosophical issues Were they being treated right? Given the right treatment? - Civil rights in the 60’s and 70’s - American Discrimination Act Jobs Xxxxxxx Xxxxxxx - Normalization Principle People have a right to be cared for in an environment that is as normal as possible. Idea came from Scandinavians - Silvia De-institutionalization Danger to self or others She had schizophrenia, hallucinations, heard voices
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Unformatted text preview: Admitted to a hospital and released between 8-10 times Criticism for de-institutionalization was that there wasn’t a good program in place for the patients being released. Sometimes she left on her own, if she voluntarily admitted herself, she could leave without consent after 72 hours. De-Institutionalization-Case Management Coordinating services for patients Help maintain patients, help them function Partial hospitalization IOP (Intensive Outpatient)-Many released patients ended up in the criminal justice system-Myths and misconceptions about mentally ill being violent caused problems in communities. Not in my back yard-Federal funding for mentally ill caused state programs with less money to downsize.-Parity Laws Must give equal care all sicknesses including mental-Medicaid (poor)/Medicare (elderly) Now cover mental disabilities-...
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4.19.07 - Admitted to a hospital and released between 8-10...

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