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Unformatted text preview: Mental Health Things to Know & Think About: Things to know: What is the history of mental illness & how does it shape the current state of mental health treatment? What are the major categories of mental illness according to the DSM IV? What are the current populations in which severe mental illness is concentrated? What are the current treatment options & who uses them? What is the current mental health legislation? Things to think about: What are the actual differences between physical & mental illness? How are they treated differently? From a public health perspective, what changes need to be made? Common Mental Illnesses Axis I – Psychotic disorders – Affective disorders* Axis II – personality disorders – mental retardation
*Affective disorders can have psychotic features History Ancient times demonic possession Colonial times family matter 1792 Moral Era 1843 Dorothea Dix 20th century state mental institutions Deinstitutionalization – Psychotropic medication – Community Mental Health Centers Act of 1963 Homeless 1 in 6 of mentally ill are homeless (Folsom, Hawthorne & Lindamer, 2005) 30% of homeless are mentally ill Diverse group Barriers to tx Prison 16% of prison population suffers from severe mental illness Mental health courts – Very new – Criticisms Informal helping relationships
– – – – Friend Relative Clergy Lawyer People with mental health problems receive care: Nonspecialty mental health care providers Specialty mental health care providers Private services: expensive, shortterm Public services: State mental hospitals (inpatient) Community mental health centers (outpatient) Practice settings Community mental health centers Partial hospitalization or day tx Acute psychiatric hospitals Clubhouse model program Full service human service agencies – assessment, stabilization, & discharge – social connectedness & cohesion Intervention strategies Strengths perspective Insight counseling Group counseling Psychotropic medications Psychiatric rehabilitation Family involvement Current legislation President’s New Freedom Commission on Mental Health Pledged more money, but cut peripheral funding for Medicaid, NIH, SAMHSA, & the Mentally Ill Offender Crime Reduction Act, 2004 Mental Health Parity Act of 2008 ...
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- Spring '09