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Deinstitutionalization of People with Mental Illness

   

Added on  2019-12-28

5 Pages1469 Words132 Views
MENTALHEALTHSERVICEDELIVERYANDPHILOSOPHYHASSIGNIFICANTLYCHANGEDSINCEPRE-DEINSTITUTIONAL1

Deinstitutionalization is a government policy that moved mental health patients out ofinsane asylums into federally funded community mental health centres. It began into existence inthe 1960s as a way to improve treatment of the mentally ill people; while at the same time it alsoleads to cutting government budgets (Kathol & Rollman, 2014). Deinstitutionalization has had asignificant impact on the mental health system and it includes the client, the agency and thecounsellor. Patients who have serious mental illness (who experience many challenges whileliving in community setting) often experience difficult issues. Thus, in this respect, communitymental health agencies are required to respond to such specific needs. This needs a shift in theservices so that better amenities could be delivered and at the same time, it generates therequirement of training for health care counsellors (Juhl, 2014). Patients having mental illnessare unsupported and they are also at high risk for self-harm, instead of being integrated into thecommunity. Apparently, it has been observed that individuals with serious mental illness arevictims of violent crime and as a result this develops different challenges in the policy ofDeinstitutionalization (A national framework for recovery-oriented mental health services.2013). From many studies, it has been observed that there is a relationship betweenDeinstitutionalization and homelessness; hence support could be acquired in the same area ofconcern for mentally ill people (Koh, Gracia & Alvarez, 2014). There has been various researchconducted that are related to various approaches which seems to be effective when working withpeople who have serious mental illness in the community setting. Out of such approaches, one ofthe most sacksful approaches is Assertive Community Treatment which includes a multi-disciplinary team who works with clients having the issues of mental illness. In addition to this,it has also initiated the movement of care into the community setting that results in a need formany professionals working in community levels to receive additional training (Panchev, 2016).This specifically includes skills and capabilities are required while working with serious mentalill population. The national framework for recovery oriented mental health service provides anew direction for the purpose of enhancing and improving mental health service delivery inAustralia (Storm & Edwards, 2013). The framework seems to be useful in supporting cultural and attitudinal change and at thesame time it also encourages fundamental review of skill mix within the workforce of mental2

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