Mentally ill individuals in limbo: obstacles and opportunities for providing psychiatric services to corrections inmates with mental illness

2009 ◽  
Vol 27 (5) ◽  
pp. 811-831 ◽  
Author(s):  
Maureen C. Olley ◽  
Tonia L. Nicholls ◽  
Johann Brink
1996 ◽  
Vol 20 (1) ◽  
pp. 48-49
Author(s):  
Hugh Freeman

From a group meeting in one room at Friern Hospital, the annual conferences of TAPS (Team for the Assessment of Psychiatric Services) have grown after ten years to overflowing a large hall, with participants from many countries. Dr Rachel Jenkins of the Department of Health, in introducing the meeting, emphasised that mental illness now had a central place in national health targets. The reduction of suicide was a special objective, particularly as it is now estimated that one in six of the severely mentally ill eventually kill themselves. She pointed out that although this conference was focused on deinstitutionalisation, there had been very little research on why such major national differences in this process had occurred.


Author(s):  
James R. P. Ogloff

It has been shown that the prevalence of mental illness among those in the criminal justice system is significantly greater than that found in the general community. As presented in Chapter 11.4, for example, the per capita rate of psychotic illness in prisons is approximately 10 times greater than that found in the general community. Tragically, relatively few services exist that provide continuity of mental health care between gaols and the community. This produces a situation where individuals whose mental illness may have been identified and treated in gaol find themselves without services in the community. Typically, only when in crisis do they find their way into general psychiatric services either in community settings or in hospital. This situation has produced considerable stress on already taxed mental health services. Given the prevalence of offence histories among psychiatric patients, it is important for mental health professionals to be aware of the unique issues—and myths—that accompany patients with offence histories. At the outset it is important to emphasize that the duty of mental health services is to address mental health issues. That ought to be the focus of mental health services. As this chapter makes clear, though, for some patients, there is a relationship between the mental illness and offending and by addressing the mental illness, the risk of re-offending might well be reduced. Moreover, many of the ancillary issues that lead to relapse and destability in psychiatric patients also may lead to offending. Addressing these issues will both help provide long-term stability for patients and will help reduce their risk of offending. As a result, there is a need for general mental health services to acquire expertize to identify and manage patients with offending histories. This chapter will provide information about the relative risk of offending among psychiatric patients and the relationship (or lack thereof) of inpatient aggression and community-based violence and offending. A framework will be provided for assessing and treating patients with offending histories and issues using a typology of mentally ill offenders. The role of forensic mental health services in bolstering general psychiatric services, and in sometimes providing primary care for mentally ill offenders, will also be discussed.


2003 ◽  
Vol 11 (1) ◽  
pp. 79-86 ◽  
Author(s):  
Maureen Bell

Objective: To give an overview of the development of psychiatric services in South Australia from the 1870s to the 1970s, to describe some of the milestones in their progress, and to demonstrate that many of the guiding principles of contemporary services can be found to have their roots in this period. Conclusions: Psychiatric services in South Australia progressed in fits and starts, but not for want of commitment and concern by those responsible for the care of the mentally ill. While in broad outline the development of services followed the course taken in other states, it is clear that the individual efforts of staff of the hospitals and a number of members of the public played an important role in improving the conditions and treatment of those with a mental illness, and laying the foundations for the movement of psychiatric services from their early isolationist position into the general health arena.


1966 ◽  
Vol 11 (3) ◽  
pp. 228-241
Author(s):  
C. A. Roberts

An effort has been made to review the changes taking place in the administration of psychiatric services across Canada. There can be little doubt that the general recommendations of More for the Mind, Action for Mental Health and many other such reports are gaining increasing acceptance. It is indeed unfortunate that the federal government has not taken the lead in creating the necessary climate for more rapid implementation of the major recommendations of More for the Mind. The federal government could and should take the lead in seeing that all discrimination against the mentally ill and the services being provided for them are removed from all federal legislation. Such action would have an impact out of all proportion to the federal funds involved. It would surely give leadership to the provinces in their efforts to improve the administration of psychiatric services in Canada and would help to ensure to all Canadians the psychiatric services to which they should be entitled. There have been encouraging changes in administrative practices during recent years but no province has yet taken the major steps necessary to bring about a full integration, regionalization and decentralization of mental health services. While there have been improvements in the legislation in force in various provinces, these have been in the main in the direction of modifying existing legislation rather than the introduction of completely new concepts. It is difficult to recommend and seek major changes in the organization and administration of mental health services when the professional groups involved in the provision of such services do not seem to have fully clarified for themselves the major recommendations made during recent years. Psychiatrists and the other professional groups involved must clarify their responsibilities and roles in our society. Until this is done, it is difficult to believe that political and governmental authorities can accept responsibilities for many of the extensive changes which have been recommended. While recent developments have been encouraging it is also true that some of the major changes which appear to be desirable, particularly in relation to the provision of patient care are being impeded and delayed by many existing attitudes towards mental illness and the mentally ill. It would appear that much more will have to be done to change the attitudes of those responsible for major legislation and administration. There has not been time in this paper to deal with this matter in any detail, but it does seem apparent that the public at large and many community groups are ahead of the professions and governmental authorities in their attitude towards mental illness and in their desire to see improvements in the services provided. We must find ways of mobilizing this general public support and using it to bring about necessary changes. We along with our neighbours to the south are much concerned about the pockets of poverty which exist in our affluent society. Are we as concerned about the pockets in our society which produce delinquents, misfits and others who cannot function adequately? Have we noted the findings of Crestwood Heights and Sterling County? Are we as concerned as we should be about de-socialization and the repetitive patterns of anti-social, destructive behaviour in generation after generation? Do we really think we will solve the problems of our older people, of our adolescents, of the unemployed, by dealing with these on a materialistic basis? The answer is clearly negative—the universal old age pension of 1945 did not reduce the flow of older patients to mental hospitals, family allowances have not improved our child-rearing practices and the presently proposed Canada Pension Plan and other welfare programs will not be effective unless we concurrently find ways of ensuring for every Canadian a useful, satisfying place in our society as a contributing citizen. This and not the meeting of material needs is the real challenge of our modern society.


2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient


2017 ◽  
Author(s):  
Brett Gregory Mercier ◽  
Azim Shariff ◽  
Adam Norris

Objective: We test whether prejudice can influence lay attributions of mental illness to perpetrators of violence. Specifically, we examine whether people with negative attitudes towards Muslims perceive Muslim mass shooters as less mentally ill than non-Muslim shooters. Method: Study 1 compares attributions of mental illness to Muslim and non-Muslim perpetrators of recent mass shootings. Studies 2 and 3 experimentally test whether a mass shooter described in a news article is seen as less mentally ill when described as being a Muslim, compared to when described as a Christian (Study 2) and to when religion is not mentioned (Study 3). Study 4 tests whether a Muslim shooter is seen as less mentally ill than a Christian shooter, even when both shooters have symptoms of mental illness. Results: In all studies, Muslim shooters were seen as less mentally ill than non-Muslim shooters, but only by those with negative views towards Muslims. Conclusion: Those with anti-Muslim prejudices perceive Muslim mass shooters as less mentally ill, likely to maintain culpability and fit narratives about terrorism. This may reinforce anti-Muslim attitudes by leading those with anti-Muslim prejudice to overestimate the amount of violence inspired by groups like ISIS relative to extremist groups from other ideologies.


2021 ◽  
pp. 002076402199006
Author(s):  
Sailaxmi - Gandhi ◽  
Sangeetha Jayaraman ◽  
Thanapal Sivakumar ◽  
Annie P John ◽  
Anoop Joseph ◽  
...  

Background: Clientele’s attitude toward Persons with Mental Illness (PwMI) changes over a period of time. The aim of this study was to explore and understand how and whether perception about PwMI changes when they are seen working like persons without mental illness among those availing services of ROSes café at NIMHANS, Bengaluru. Methods: The descriptive research design was adopted with purposive sampling. Community Attitude toward Mentally Ill (CAMI) a self -administered questionnaire of was administered to measure the clientele attitude towards staff with mental illness in ROSes Café (Recovery Oriented Services). A total of 256 subjects availing services from the ROSes café recruited in the study. Chi-square and Mann–Whitney U test was computed to see the association and differences on selected variables. Results: The present study results showed that subjects had a positive attitude seen in health care professionals in the domains of benevolence (BE) (28.68 ± 3.00) and community mental health ideology (CMHI) (31.53 ± 3.19), whereas non-health care professionals had showed negative attitude in the domain of authoritarianism (AU) (30.54 ± 3.42) and social restrictiveness (SR) (30.18 ± 3.05). Education, employment, marital, income, and working status were significantly associated with CAMI domains. Conclusion: PwMI also can work like people without mental illness when the opportunities are provided. The community needs to regard mental illness in the same manner as chronic physical illness diabetes mellitus and allow PwMI to live a life of dignity by creating and offering opportunities to earn livelihood which would help them recover with their illnesses.


1996 ◽  
Vol 2 (4) ◽  
pp. 158-165 ◽  
Author(s):  
P. Timms

People with mental illness have always been marginalised and economically disadvantaged. Warner (1987) has shown that this is particularly true in times of high unemployment. Poor inner-city areas have excessive rates of severe mental illness, usually without the health, housing and social service provisions necessary to deal with them (Faris & Dunham, 1959). The majority of those who suffer major mental illness live in impoverished circumstances somewhere along the continuum of poverty. Homelessness, however defined, is the extreme and most marginalised end of this continuum, and it is here that we find disproportionate numbers of the mentally ill.


Sign in / Sign up

Export Citation Format

Share Document