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Deinstitutionalization as a policy for state hospitals began in the period of the civil rights movement when many groups were being incorporated into mainstream society. Three forces drove the movement of people with severe mental illness from hospitals into the community: the belief that mental hospitals were cruel and inhumane; the hope that new antipsychotic medications offered a cure; and the desire to save money
The failure of insurers and managed care organizations to reimburse providers of mental health services for the costs of care has led to a crisis in access to these services. Using the situation in Massachusetts as a case example, this paper explores the impact of this defunding. Unable to sustain continued losses, hospitals are closing psychiatric units, and outpatient services are contracting or closing altogether. The situation has been compounded by the withdrawal of many practitioners from managed care networks and cuts in public-sector mental health services. Unless purchasers demand effective coverage of mental health treatment, mental health services will likely continue to wither away.
The U.S. surgeon general’s report on mental health resulted in widespread attention to data from the National Comorbidity Survey, which indicated that only 20 percent of Americans with mental disorders—and fewer than half of people with severe mental disorders—receive any treatment for their conditions in a given year. 10 It is difficult to imagine the situation getting much worse than that. But barring effective intervention by those in a position to demand that things change, we are likely to witness an even more unpleasant reality for people with mental illness.
Published Online:1 Oct 2002
Now for the coup de grâce: with many states facing budget deficits in the current economic slowdown, mental health services and Medicaid—as well as other human service programs used by persons with chronic mental illness—are being targeted, as we speak, for additional cuts
originally posted by: drewlander
a reply to: DBCowboy
No. I do not want the government deciding who is crazy. Please consider an alternate solution.
originally posted by: Edumakated
Mental illness is also a huge driver of the homeless problem and why it will never be actually solved until society accepts that some people are just batsh*t crazy and need to be forcibly institutionalized. They cannot function in society.
originally posted by: bigfatfurrytexan
a reply to: Fools
I can feel this pain.
Something that won't help, but im obliged to tell you is that you would not be "the bad person" for distancing yourself from this. It hurts, its hard...but it may be the best way to protect yourself in the long run.