3 Ways the American Mental Health System Has Fallen Apart
http://www.policymic.com/articles/30347/3-trends-that-have-crippled-our-nation-s-mental-health-systemHetali Lodaya inScience, Public Health
Ever since Dorthea Dixs clarion call for more attention to patients with mental illness, the United States has struggled to find the best way to serve a growing segment of our population about 26.2% of individuals over the age of 18 have a diagnosable mental disorder in a given year.
There have been great successes, like Trumans 1946 National Mental Health Act or the Americans with Disabilities Act, which finally put mental and physical illness on the same legal footing.
Three trends de-institutionalization, budget cuts, and the unique state of mental health in the military consistently plague our national mental health system.
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cbayer
(146,218 posts)Even Medicare doesn't cover psychiatric illness on par with other disorders and some insurance companies won't cover it at all.
fizzgig
(24,146 posts)i'm not familiar with the nuts and bolts, but it's my understanding that coverage for mental health and substance abuse is the be the same as 'physical' health.
cbayer
(146,218 posts)The biggest one is that there is no requirement that policies cover psych at all, so some plans just dropped it entirely or shipped it out to a separate company. However, Medicare did not do this and I think has finally achieved parity.
fizzgig
(24,146 posts)that hole needs to be plugged
HereSince1628
(36,063 posts)Many Americans don't accept that mental illness as something that is legitimately disease, but rather as weakness of character or even factious.
Another issue is the public's perception of division of labor constructed by the professions and enforced by training and licensing
Within that framework physicians and surgeons attend to the "real medical" problems
The not so serious and non-medical problems are handed off to chiropracters, pediatrists, optometrists and...psychological therapists.
That gets further complicated by social institutions such as town councils criminalizing 'disorderly' behaviors, and by belief systems that deny psychiatry as valid (Scientology being the most obvious, but not only example), and the pervasive culture of strength that sees mental illness as a character issue either as a weakness, a flaw, or both.
cbayer
(146,218 posts)It is very easy to marginalize those with psychiatric illness. No ribbons. No marches. No armbands.
Neoma
(10,039 posts)MAD Pride: http://en.m.wikipedia.org/wiki/Mad_Pride
fizzgig
(24,146 posts)funding for treatment needs to be increased across the board but, unfortunately, it is rarely a priority.
cbayer
(146,218 posts)professionals within the VA system to evaluate and treat these people.
A shameful national tragedy.