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Chapter 1 - Balancing the Pendulum: Rethinking the Role of Institutionalization in the Treatment of Serious Mental Illness

from Part I - Introduction/Description of the Problem

Published online by Cambridge University Press:  19 October 2021

Katherine Warburton
Affiliation:
University of California, Davis
Stephen M. Stahl
Affiliation:
University of California, San Diego
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Summary

The history of serious mental illness (SMI) is grim, from a cultural as well as a treatment perspective. The conditions of individuals with psychotic disorders have swung, like a pendulum, from institutional neglect to community neglect and back again over the past several hundred years. At the core of treatment failure is a failure in mental health policy and funding, with the result usually framed as the degree of human institutionalization in jails, prisons and asylums. In the middle of the nineteenth century, institutions designed to deliver moral treatment were considered the humane answer to care properly for the SMI population. By the mid-twentieth century, those same, now overcrowded, institutions were blamed for the horrible conditions of mistreatment of individuals with SMI.

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Publisher: Cambridge University Press
Print publication year: 2021

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References

Dvoskin, JA, Knoll, JL, Silva, M. A brief history of the criminalization of mental illness. CNS Spectr. 2020; Mar 20: 113.Google Scholar
Scull, A. Madness in Civilization. London: Thames and Hudson Ltd; 2015.CrossRefGoogle Scholar
Shorter, E. A History of Psychiatry. New York: John Wiley & Sons, Inc; 1997.Google Scholar
Doughty, B, Warburton, K, Stahl, SM. A social history of psychotic illness. CNS Spectr. 2020; May 12: 1–9.Google Scholar
Penrose, IS. Mental disease and crime: outline of a comparative study of European statistics. Med Psych. XVIII: 115.Google Scholar
Torrey, EF, Kennard, AD, Eslinger, D, Lamb, R, Pavle, J. More mentally ill persons are in jails and prisons than hospitals: a survey of the states. Treatment Advocacy Center and National Sheriff’s Association; 2010. www.treatmentadvocacycenter.org/storage/documents/final_jails_v_hospitals_study.pdf (accessed June 2020).Google Scholar
Lamb, HR, Weinberger, LE. Persons with severe mental illness in jails and prisons: a review. Psychiatr Serv. 1998; 49(4): 483492.CrossRefGoogle ScholarPubMed
Sisti, DA, Segal, AG, Emanuel, EJ. Improving long-term psychiatric care: bring back the asylum. J Am Med Assoc. 2015; 313(3): 243244.CrossRefGoogle ScholarPubMed
Fazel, S, Seewald, K. Severe mental illness in 33,588 prisoners worldwide: systematic review and meta-regression analysis. Br J Psychiatry. 2012; 200: 364373.Google Scholar
Parks, J, Svendsen, D, Singer, P, Foti, ME. Morbidity and mortality in people with serious mental illness. National Association of State Mental Health Program Directors; October 2006. www.nasmhpd.org (accessed June 2020).Google Scholar
Druss, BG, Zhao, L, Von Esenwein, S, et al. Understanding excess mortality in persons with mental illness: 17-year follow up of a nationally representative US survey. Med Care. 2011; 49(6): 599604.CrossRefGoogle ScholarPubMed
Colton, CW, Manderscheid, RW. Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states. Prev Chronic Dis. 2006; 3(2): 114.Google ScholarPubMed
Delgado, D, Breth, A, Warburton, K, Stahl, SM. Economics of decriminalizing mental illness: when doing the right thing costs less. CNS Spectr. 2020; Jan 8: 15.Google Scholar
Torrey, EF. American Psychosis: How the Federal Government Destroyed the Mental Illness Treatment System. New York: Oxford University Press; 2013.Google Scholar
Jaffe, DJ. Insane Consequences. Amhurst, NY: Prometheus Books; 2017.Google Scholar
Powers, R. No One Cares About Crazy People. New York: Hachette Books; 2018.Google Scholar
Wik, A, Hollen, V, Fisher, W. Forensic patients in state psychiatric hospitals: 1999–2016. CNS Spectr, 2020; 25(2): 196206.Google Scholar

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