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Better but not well : mental health policy in the United States since 1950
The past half-century has been marked by major changes in the treatment of mental illness: important advances in understanding mental illnesses, increases in spending on mental health care and support of people with mental illnesses, and the availability of new medications that are easier for the patient to tolerate. Although these changes have made things better for those who have mental illness, they are not quite enough.
In Better But Not Well, Richard G. Frank and Sherry A. Glied examine the well-being of people with mental illness in the United States over the past fifty years, addressing issues such as economics, treatment, standards of living, rights, and stigma. Marshaling a range of new empirical evidence, they first argue that people with mental illness—severe and persistent disorders as well as less serious mental health conditions—are faring better today than in the past. Improvements have come about for unheralded and unexpected reasons. Rather than being a result of more effective mental health treatments, progress has come from the growth of private health insurance and of mainstream social programs—such as Medicaid, Supplemental Security Income, housing vouchers, and food stamps—and the development of new treatments that are easier for patients to tolerate and for physicians to manage.
The authors remind us that, despite the progress that has been made, this disadvantaged group remains worse off than most others in society. The \"mainstreaming\" of persons with mental illness has left a policy void, where governmental institutions responsible for meeting the needs of mental health patients lack resources and programmatic authority. To fill this void, Frank and Glied suggest that institutional resources be applied systematically and routinely to examine and address how federal and state programs affect the well-being of people with mental illness.
eBook
Healing : our path from mental illness to mental health
\"A bold, expert, and actionable map for the re-invention of America's broken mental health care system As director of the National Institute of Mental Health, Dr. Thomas Insel was giving a presentation when the father of a boy with schizophrenia yelled from the back of the room, \"Our house is on fire and you're telling me about the chemistry of the paint! What are you doing to put out the fire?\" Dr. Insel knew in his heart that the answer was not nearly enough. The gargantuan American mental health industry was not healing millions who were desperately in need. He left his position atop the mental health research world to investigate all that was broken-and what a better path to mental health might look like. In the United States, we have treatments that work, but our system fails at every stage to deliver care well. Even before COVID, mental illness was claiming a life every eleven minutes by suicide. Quality of care varies widely, and much of the field lacks accountability. We focus on drug therapies for symptom reduction rather than on plans for long-term recovery. Care is often unaffordable and unavailable, particularly for those who need it most and are homeless or incarcerated. Where was the justice for the millions of Americans suffering from mental illness? Who was helping their families? But Dr. Insel also found that we do have approaches that work, both in the U.S. and globally. Mental illnesses are medical problems, but he discovers that the cures for the crisis are not just medical, but social. This path to healing, built upon what he calls the three Ps (people, place, and purpose), is more straightforward than we might imagine. Dr. Insel offers a comprehensive plan for our failing system and for families trying to discern the way forward. The fruit of a lifetime of expertise and a global quest for answers, Healing is a hopeful, actionable account and achievable vision for us all in this time of mental health crisis\"-- Provided by publisher.
Book
Mental disability, violence, and future dangerousness
When horrific acts of violence take place, events such as massacres in Boston, Newtown, CT, and Aurora, CO, people want answers. Who would commit such a thoughtless act of violence? What in their backgrounds could make them so inhumane, cruel, and evil? Often, people assume immediately that the perpetrator must have a mental disorder, and in some cases that does prove to be the case. But the assumption that most people with mental disorders are violent, prone to act out, and a threat to others and themselves, is clearly erroneous. Mental Disability, Violence, and Future Dangerousness thoroughly documents and explains how and why persons with mental disabilities who are perceived to be a future danger to others, the community, or themselves have become the most stigmatized, abused, and mistreated group in America, and what should be done to correct the resulting injustices. Each year state and federal governments incarcerate, deny treatment to, and otherwise deprive hundreds of thousands of Americans with mental disabilities of their fundamental rights, liberties, and freedoms— including on occasion their lives—based on unreliable and misleading predictions that they are likely to be dangerous in the future. Yet, due to an exaggerated fear of violence in our society, almost no one seems concerned about these injustices, which exclusively affect Americans who have been impaired by mental disorders and the lack of treatment, especially after they have been abused as children or injured in combat. Instead, we appear to be oblivious to these injustices or comfortable in allowing them to become worse. Here, John Weston Parry carefully delineates the mishandling of persons with mental disabilities by the criminal and civil justice systems, and illustrates the ways in which we can identify and remedy those injustices.
eBook
Recovery's Edge
In 2003 the Bush Administration's New Freedom Commission asked
mental health service providers to begin promoting \"recovery\"
rather than churning out long-term, \"chronic\" mental health service
users. Recovery's Edge sends us to urban America to view
the inner workings of a mental health clinic run, in part, by
people who are themselves \"in recovery\" from mental illness. In
this provocative narrative, Neely Myers sweeps us up in her own
journey through three years of ethnographic research at this
unusual site, providing a nuanced account of different approaches
to mental health care. Recovery's Edge critically examines
the high bar we set for people in recovery through intimate stories
of people struggling to find meaningful work, satisfying
relationships, and independent living. This book is a recipient
of the Norman L. and Roselea J. Goldberg Prize from Vanderbilt
University Press for the best book in the area of medicine.
eBook
Preparing for the Psychological Consequences of Terrorism
The Oklahoma City bombing, intentional crashing of airliners on September 11,
2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware
of the impacts of terrorism. These events and continued threats of terrorism have
raised questions about the impact on the psychological health of the nation and
how well the public health infrastructure is able to meet the psychological needs
that will likely result. Preparing for the Psychological Consequences of Terrorism highlights
some of the critical issues in responding to the psychological needs that result
from terrorism and provides possible options for intervention. The committee offers
an example for a public health strategy that may serve as a base from which plans
to prevent and respond to the psychological consequences of a variety of terrorism
events can be formulated. The report includes recommendations for the training
and education of service providers, ensuring appropriate guidelines for the protection
of service providers, and developing public health surveillance for preevent,
event, and postevent factors related to psychological consequences.
eBook
Signature wounds : the untold story of the military's mental health crisis
\"[This book] explores the topic of mental illness in the military\"--Provided by publisher.
Book
Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S
Concerns about access to behavioral health care for military service members and their dependents living in geographically remote locations prompted research into how many in this population are remote and the effects of this distance on their use of behavioral health care. The authors conducted geospatial and longitudinal analyses to answer these questions and reviewed current policies and programs to determine barriers and possible solutions.
eBook