Friday, April 24, 2009

Friday- Deinstitutionalization


http://www.helium.com/items/837637-assessing-the-affects-of-the-deinstitutionalization-movement


http://caselaw.lp.findlaw.com/scripts/getcase.pl?court=us&vol=527&invol=581#section1


The number of beds for mentally ill patients since 1950 has dropped considerably, why has this happened?

What is the importance of the Olmstead decision?

What role might the Olmstead decison have played in the artcile Apeksha brought to our attention on Monday?

25 comments:

Gitu K. said...

The articles didnt suprise me at all. It showed that our government isnt using our money for the issues that are important. The article that we read about the mother shooting there son, said that the mother was admitted into an asylum but was released. If they didn't release her, the tragic death of her and her son wouldn`t of happened. The number of beds decreased because the governement im guessing isnt getting enough funding.

Plus most families that have family members that have mental illness leave thm there because they dont have to worry about anything. Most patients like to stay in mental institution because they treated really good, they get a place to stay, food to eat, and get the attention that they need.

My mom works in Creedmoor, she used to tell me how the patients there get treated realy good. She also told me there arent enough rooms for all the patients, and that its gets really crowded. I wouldnt want someone with a history of mentall illness living next to me; imagine they did something, who would get blamed? My dad who is a social worker that helps elderly and mental health patients, I have seen the living conditions they live in, and its horriable! Most of them can even take care off themselves. Its a sad situtation to see. Most of them live in normal nieghborhood and most of the nieghbors don't seem to mind. I actually really find this topic really intersting since both my parents work in the mental field.

-Gitu K.

M. Frank said...

The number of beds for mentally ill patients has dropped since 1950 because the public and politicians have decided more and more over the years that they would like to allocate more funds toward other purposes. What I would like to know is where most of this money went, we would like to believe toward education, medicare and other critical needs.
Like the shooting incident that occurred in Florida, in many places, it has become the job of the mentally ill patient to spend more time caring for themself through social programs that make them work to be more independent.
I think that what should be done with these patients should be at the discrepancy of experts in the field of social work, who work with these people over many years.

ETHAN R. said...

To begin id like to point at that. No body is completely sane. When Mr.Brown told us about that kid with the seat and jacketissue, maybe that kid has a better view of things when it come to chairs. But thats not "normal" according to society today. I dont think anyone has authority to declare somebody crazy. I can understand if the person is a danger to society but if not then its in a way its wrong.As the sheet implicated, as less and less people are being put into a home for the insane. A great example are the bed counts.As time progresses bed count goes down. Less beds whuch means less people.

When is comes to the question of havng a Home built next to my house. I wouldn't have a problem with that, cuz after all they are stil human. Keeping somone at one of these homes will probably be better in terms of where to live. The parents of a mentally ill person would most likely want there kid to live with them, to help them through there problem. But another point was brought up during class. What happens to the person after the parents pass away.That il person in most cases can barely do things for themselves. Which is why today many people that are mentally ill are seen around.

a.potter said...

Losing more beds and patients in the mental hospitals are a bad idea. That means more mentally challenged people in the open world doing what they want to do and what they think is the right thing to do. They could easily get hurt or they can easily hurt others.

a.pervaiz said...

Decreasing the size of beds would just give the society more problems. The govt thinks that there isn't enough money for the mentally ill, and we just simply can not do anything for them. A mentally ill person can not do things by themselves, they need assistance on doing whatver they do. Bottom line is that they need help.

a.pervaiz

N. Budhu said...

I feel that we shouldn't put people who have mental illnesses in the same category. Every person is different and whether they need to be institutionalized or can re-enter society should be individualized. If it's something where they can be stabilized, they should be allowed to live on their own if that's what they want. However some people are a danger to themselves and others and should be kept in safe environments where they can receive the care they need.

Anonymous said...

What about One Flew Over the Cuckoo's Nest?

As Ethan said, "I dont think anyone has authority to declare somebody crazy."

n.demetrius said...

these patients have to start being looked at and monitored much more often, without medication, and with medication. I feel this would prevent things like shootings or innocents where the person has had a mentally ill history of some sort. We have to decrease people who think writing 63 journals and shooting their son is a sane thing to do.

n.demetrius said...

we have to decrease people without help that think writing 63 journals and shooting their son is a sane thing to do.

(meant that)

Sana A said...

People with mental illnesses cannot get help if they are not willing to recieve it. I think that removing people that are dangerous to the commmunity is important, but you can't force them to do it.

Matthew B. said...

This is a controversial topic because people may say leave the crazy people in the hospitals. But then the government will say that they don't have the finding to keep them open. On the other hand people may say to stop wasteing our tax monies on the people who say they're crazy just for shelter.
Many people will protest to having safe homes in there neighborhoods and when they do find out if there is one the people in the safe homes will feel ostracized
I don't think that people stay crazy forever there hgas to be a point when tey're stabailly better to enter into the real world.
The idea of group homes are a good idea to me for those who are well mannered.

C.Jones III said...

i dont know what to say with this one but , what i do know is that it would be a good idea to keep these hospitals open. Because the public arent ready to have someone who different from them walking among them. their already having trouble living with someone who a different color or race. i think it's wrong that when they lose money they automatically take from something thats helping people and not from things like the Mets stadium or the new building thats going to make our city look better. No they take the from the sick.

L. molina said...

I also agree that mentally ill people can't do things on their own. They need the help and guidance of someone in order to not loose control. I think that if they are put out to society they should have someone watching them and seeing how they adapt to the new environment. They just shouldn’t be left out and alone because you don’t know what they might be capable of. Everyone deserves to be treated equally whether you are mentally capable or mentally ill. So whether they are in mentally ill homes or out in society they should have somebody taking care of them giving them medicine and guiding them.

h.sugrim said...

Once again the Government has another issue they have to deal with. But i dont think this is a big issue, if there isnt anymore more beds then they should just send them home and tell the family what they should do to help that person. All you can do is hope that the family will try to help that person.

K. Singh said...

The is a very debatable topic because everyone has a different perspective on people who are crazy. What might seem crazy for some people might not seem crazy for others. But the question raising the issue of decreasing beds is very important. Since 1950 there has been a dramatic decrease in the beds in these hospitals. Sooner or later there might not be any beds left over at the rate its going. Not having enough beds are just going to make matters worse and really hurt the mentally ill because they need help and now the government is not providing it.

r. kaur said...

i disagree with what hemant said.if we send them home not only are they a threat to themselves, family but to society as well. the government never funds whats necessary in our everyday life. its become an issue that everyone at this point has gotten used to. if people like the mother in fl was treated right then we wouldn't have to see an outcome of two deaths. like ethan said no ones really sane so its hard to figure out what is wrong with who sometimes. if we have the right facilities we wouldnt have a problem.

A Vora said...

I have to disagree with Hemant only because not all families will accept there mentally ill family member. Okay so lets say ..there aren't enough beds so we let people go. We bring them to their homes. But what if their homes aren't there anymore. There family isn't there to support the hardships they go through. Than what ? Patients would be just roaming around, having no where to go. Without anyone to take care of them, it is harmful not only to them but the citizens of that neighborhood. That is why I think that these hospitals need to stay home. To keep secure patients and everyone else.

Anonymous said...

This issue should be addressed before half of the things we try to help out. The numbers show that there were many beds and now as the number drops you would think its getting lower because we don’t have as many mentally ill people but we do. They need help and there should be a place they can get that help.

-CMartinez

A. Hughey said...

Its really not fair to the citizens within the State of New York or any State at that note, as well as the perspective patients themselves. Yes we understand that some of these individuals dont want help but what about the ones who do? How exactly do we help them out and get them on the right track?

U. Cheema said...

The number of beds for mentally ill patients since 1950 has dropped considerably because of spending cuts in health care. When that happens deinstitutionalization is inevitable.

Recently, cuts in Medicare and Medicaid cause patients to have less access to medical equipment such as hospital beds.

Anything that happens to mentally ill patients is always based on the advice and decisions given by doctors, nurses, and social workers. If their adivce allows mentally ill patients to be placed in group homes, and be out in the community that should be it.

t alexander said...

The numbers of beds decreased because the less money giving to government. A mentally ill person can do anything like hurt themselves and others. I will be scared if who has mentally illness living next to my house. Who knows what they going to do so what l think is they should be at hospital like creedmore and get really good treatment.

J.Canales said...

Less beds equals more people without help. The government should help out the mentally ill. They are a threat to themselves and society. As the article prior to this showed us,even though you might think these people don't need help,they obviously do. We need to do something to help them,if not a hospital,then maybe some other place.

A. Rao said...

The mental patients that are the result of de-institutionalization should be sent to any family that can take care of them. If they are rejected, the patient can be sent to a group home. If the family cares, they would take the patient under their wing, to help heal them.
Just like an adoption case, a social worker should come visit the case and see if things are going fine. If something happens to the caretaker and they are not able to support their mentally ill family member, the patient should be re-evaluated to see if they are fit to live on their own. If not, the patient should be sent back to the hospital for further treatment.

Omar Francis said...

I don't think its right to lessen the amount of beds or close down mental hospistals for the simple reason that the poeple need them. To most that's where they call home and to others that's the only place they know. The goverment is just finding ways to save money due to the economic crisis that is at hand but shorten the amount of beds in wrong those people seek special attention and in need of special medicine.

Jray Vicencioz said...

Losing these beds just shows the mis-management of funds in the government. The Lobyists put stress on certain stuff and made cuts on things that matter in our society. Places where people who arent normal in society rules and regulations can be put and "fixed" is a important thing. Who knows one day what if That person they let loose goes crazy and kills someone. You never know it can always happen.