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An urgent exposéf the mental health crisis in our courts, jails, and prisons America has made mental illness a crime. Jails in New York, Los Angeles, and Chicago each house more people with mental illnesses than any hospital. As many as half of all people in America's jails and prisons have a psychiatric disorder. One in four fatal police shootings involves a person with such disorders. In this revelatory book, journalist Alisa Roth goes deep inside the criminal justice system to show how and why it has become a warehouse where inmates are denied proper treatment, abused, and punished in ways that make them sicker. Through intimate stories of people in the system and those trying to fix it, Roth reveals the hidden forces behind this crisis and suggests how a fairer and more humane approach might look. Insane is a galvanizing wake-up call for criminal justice reformers and anyone concerned about the plight of our most vulnerable.
Understanding Mental Disorders: Your Guide to DSM-5® is a consumer guide for anyone who has been touched by mental illness. Most of us know someone who suffers from a mental illness. This book helps those who may be struggling with mental health problems, as well as those who want to help others achieve mental health and well-being. Based on the latest, fifth edition of the Diagnostic and Statistical Manual of Mental Disorders -- known as DSM-5® -- Understanding Mental Disorders provides valuable insight on what to expect from an illness and its treatment -- and will help readers recognize symptoms, know when to seek help, and get the right care. Featured disorders include depression, schizophrenia, ADHD, autism spectrum disorder, posttraumatic stress disorder, and bipolar disorder, among others. The common language for diagnosing mental illness used in DSM-5® for mental health professionals has been adapted into clear, concise descriptions of disorders for nonexperts. In addition to specific symptoms for each disorder, readers will find: Risk factors and warning signs Related disorders Ways to cope Tips to promote mental health Personal stories Key points about the disorders and treatment options A special chapter dedicated to treatment essentials and ways to get help Helpful resources that include a glossary, list of medications and support groups
THE MENTALLY ILL IN AMERICA A HISTORY OF THEIR CARE AND TREATMENT FROM COLONIAL TIMES By ALBERT DEUTSCH WITH AN INTRODUCTION BY WILLIAM A. WHITE, M. D., D. Sc., LL. D. Late Superintendent, St. Elizabeths Hospital, Washington, D. C. Professor of Psychiatry, George Washington University 1946 COLUMBIA UNIVERSITY PRESS NEW YORK Third Printing, 194, Columbia University Press, Ne w York FOREIGN AGENT OXFORD UNIVERSITY PRESS, Humphrey Milford, Amen House, London, E. G. 4, England, AND B. I. Building, Nicol Road, Bombay, India First and second printings, 1937, 1938 Double day, Do ran Company, Inc. COPYRIGHT, 1937 BY THE AMERICAN FOUNDATION FOR MENTAL HYGIENE, INC. ALL RIGHTS RESERVED CONTENTS PAGE INTRODUCTION by William A. White, M. D. ix AUTHORS FOREWORD xv CHAPTER I. PROPHETS, DEMONS AND WITCHES . . II. COLONIAL AMERICA THE OLD WORLD HERITAGE 24 III. COLONIAL PROVISIONS FOR THE MENTALLY ILL PUNISHMENT, REPRESSION AND INDIFFERENCE . ., . 39 IV. RATIONAL HUMANITARIANISM THE BEGIN NINGS OF REFORM .... - 55 V. BENJAMIN RUSH THE FATHER OF AMERI CAN PSYCHIATRY 72 VI. THE RISE OF MORAL TREATMENT . 88 VII. RETROGRESSION OVER THE HILL TO THE POORHOUSE 114 VIII. THE CULT OF CURABILITY AND THE RISE OF STATE INSTITUTIONS . . . 132 IX. DOROTHEA LYNDE Dix MILITANT CRU SADER . 158 X. MID-CENTURY PSYCHIATRISTS .... 186 XL CONFLICT OF THEORIES RESTRAINT OR NON-RESTRAINT 213 XII. THE TREND TOWARD STATE CARE . . . 229 XIII. STATE CARE EXODUS FROM THE POORHOUSE 246 XIV. PSYCHIATRY EMERGES FROM ISOLATION . 272 XV. THE MENTAL HYGIENE MOVEMENT AND ITS FOUNDER 300 vi CONTENTS CHAPTER PAGE XVI. HISTORICAL BACKGROUNDS OF MENTAL DEFECT . . . . . 331 XVII. CHANGING CONCEPTS IN MENTAL DEFECT 353 XVIII. INSANITY AND THECRIMINAL LAW . . 386 XIX. OUR COMMITMENT LAWS 417 XX. MODERN TRENDS IN INSTITUTIONAL CARE AND TREATMENT 440 XXI. TOWARDS MENTAL HYGIENE .... 463 BIBLIOGRAPHY 497 INDEX . 5 5 ILLUSTRATIONS PlNEL AT THE SALPETRIERE Frontispiece FACING PAGE EIGHTEENTH-CENTURY HOSPITALS FOR THE MENTALLY ILL IN AMERICA . 68 BENJAMIN RUSH 76 DOROTHEA LYNDE Dix 160 THE ORIGINAL THIRTEEN ... 192 OLD METHODS OF RESTRAINT AND A MOD ERN SUBSTITUTE . . 224 CLIFFORD W. BEERS 304 HYDROTIIKRAPY, OLD AND NEW 448 INTRODUCTION TT IS with deep satisfaction that I introduce this important book to the reading public. If the lessons it teaches are understood and taken to heart by its readers, society will be the authors debtor. Mr. Deutschs book, the preparation of which has been made possible by the American Foundation for Mental Hygiene, might be described in a very few words by saying that it traces the evolution of a cultural pattern as repre sented by the way in which people through the years have thought and felt about the so-called insane. It is an exceed ingly illuminating presentation and because of the dramatic material with which it deals, it may well prove to be a spear head for the penetration of important social facts and the understanding of social processes which, presented with less appealing or less startling illustration, might fail to attract attention. It is altogether fitting that in the presentation of this extraordinary and important story of mans struggles with himself, the illustrations should be taken more particularly from their American setting. In this way the whole matter is brought home to us who live in this country and we see what has actually been taking place, more especially since earlycolonial days, and we can feel that we ourselves are a part of the whole story and that the victories that have been won and the ground that has been gained are assets of which we can avail ourselves. It is always an illuminating pro cedure to trace the path along which we have come, to be come acquainted with the historical forces that are driving us, and their directions, because after all we have to conquer, not by opposing these forces, but by conforming to them. Mr...
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
The author "reveals how we have failed our mentally ill and offers a viable, provocative blueprint for change."--Jacket.
Contributors to this volume present and discuss new data which suggest that major mental disorder substantially increases the risk of violent crime. These findings come at a crucial time, since those who suffer from mental disorders are increasingly living in the community, rather than in institutions. The book describes the magnitude and complexity of the problem and offers hope that humane, effective intervention can prevent violent crime being committed by the seriously mentally disordered.
Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.
In 1963, President John F. Kennedy delivered an historic speech on mental illness and retardation. He described sweeping new programs to replace "the shabby treatment of the many millions of the mentally disabled in custodial institutions" with treatment in community mental health centers. This movement, later referred to as "deinstitutionalization," continues to impact mental health care. Though he never publicly acknowledged it, the program was a tribute to Kennedy's sister Rosemary, who was born mildly retarded and developed a schizophrenia-like illness. Terrified she'd become pregnant, Joseph Kennedy arranged for his daughter to receive a lobotomy, which was a disaster and left her severely retarded. Fifty years after Kennedy's speech, E. Fuller Torrey's book provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public. Torrey examines the Kennedys' involvement in the policy, the role of major players, the responsibility of the state versus the federal government in caring for the mentally ill, the political maneuverings required to pass the legislation, and how closing institutions resulted not in better care - as was the aim - but in underfunded programs, neglect, and higher rates of community violence. Many now wonder why public mental illness services are so ineffective. At least one-third of the homeless are seriously mentally ill, jails and prisons are grossly overcrowded, largely because the seriously mentally ill constitute 20 percent of prisoners, and public facilities are overrun by untreated individuals. As Torrey argues, it is imperative to understand how we got here in order to move forward towards providing better care for the most vulnerable.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.