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My Brother's Madness From a Macro Prospective
Transcript of My Brother's Madness From a Macro Prospective
•Voluntary Specialized treatment based on specific mental illnesses
Support after treatment
Changes in how treatment is funded
Patients’ Rights Developed for numerous reasons by President Eisenhower
Two key initiatives:
Develop treatment for chronically mentally ill patients
Develop Community Mental Health Clinics
State Hospitals were heavily relied on to provide care for the mentally ill and persons with disabilities.
There was no federal or state regulation inside the hospitals, which led to unmonitored care and poor conditions.
Development of the Mental Health Movement There are also certain regulations and policies a school can put into play to help the student
1. Having team meetings to keep everyone on the same page is often required. These meetings include: The principal, the parent, the mainstream teachers, the special education teachers, school social workers, guidance counselor, mental health provider, medical professionals and the student.
2. Many school officials suggest that the teacher explains what schizophrenia is to the entire class; this helps the other students understand and accept the student who has been diagnosed. This ultimately leads to the student feeling a sense of acceptance and is more likely to interact with classmates, as well as making the environment comfortable for everyone.
3. The school can request the student be tested to determine strengths and the easiest way to teach the child.
4. One on One aide may be provided for the student to help him or her throughout the day.
-There are many success stories of people diagnosis with Schizophrenia completing college. The key to their success is having accommodations and knowledgeable staff at the university. Specific classroom seating charts. It can be beneficial to the class and the student if he or she has a seat by the door; Having a seat by the door open the opportunity for the student to easily get up without disrupting the entire class and leave when he or she feels they need a break.
Have a note taker; this makes it easier for the student to stay caught up in class even if he or she is unable to be in the classroom for an extended period of time.
Flexibly in assignments and exams for the student. This often times includes extensions on assignments and exams. Once the student is declared legally disabled, he or she quilafies for different resources and services. By law the school must provide the student with these services.
Individual Education Plan (IEP). An IEP is an official document explaining the student’s needs and learning plan.
An IEP includes (but is not limited to) the following: short term goals for the student, progress reports, transition information, attendance and participation, and the student’s long term self-goals. -In 1986 the government developed an act called Individuals with Disabilities Education Act (IDEA).
-This act helps students with different disabilities receive services in school to help improve their education. Students who have been diagnosed with Schizophrenia fall under this act as well.
-IDEA is a law that puts the student’s needs into the spotlight and individualizes the student’s learning plan.
-This act helps students to be placed in special education classes, receive one on one aid and gives the student the right to an IEP (Individualized Education Plan).
-In order to receive these services the student must go through extensive testing. The test highlights the student’s mental status as well as their educational status. Public schools do not necessarily address Schizophrenia as its own diagnosis. Many rights and serves that these students receive are under Acts that were designed for students with learning disabilities. There is no strong distinguishing between mental illness and learning disabilities.
It is stated that one in four students suffer from mental illness.
Nearly five million young children have been diagnosis with some sort of mental illness.
College students can be diagnosed with a mental illness during their college years, and tend to not show symptoms of the illness afterwards. It is believed that stress brings out the symptoms in these students.
There are many success stories of people diagnosis with Schizophrenia completing college. The key to their success is having accommodations and knowledgeable staff at the university. Myth #1: Psychiatric disorders are not true medical illnesses like heart disease and diabetes. People who have mental illness are just “crazy”.
Fact: Brain disorders, like heart disease and diabetes are legitimate medical illnesses. Research shows there are genetic and biological causes for psychiatric disorders, and they can be treated effectively. The Facts Pharmaceutical Industry First generation vs. second generation drugs Side effects:
drowsiness, dizziness, weight gain, diabetes, extrapyramidal symptoms (Frankenburg, 2012) -“Medication is not a cure for schizophrenia. Rather it works by reducing the psychotic symptoms of schizophrenia such as hallucinations, delusions, paranoia, and disordered thinking” (Smith & Segal, 2012) Social Security Disability (SSD) is granted for people who have worked and contributed to the social security system. After one year this is referred to as Medicare funding.
Supplemental Security Income (SSI) is granted based on financial need for low-income persons. An individual is eligible for SSI if he or she does not have a work history and is therefore ineligible for SSD, or if the individual’s SSD funding isn’t sufficient for complete care. SSI is considered Medicaid funding. The ADA and Advocacy M
S MADNESS Four of the 10 leading causes of disability worldwide are mental disorders.
There is no “us” vs. “them”
An estimated 46 percent of American adults experience some type of diagnosable mental illness or substance-abuse disorder during their lifetime, according to the National Comorbidity Survey Replication, one of the nation's most reliable surveys of mental-health disorders.
One in three seek treatment….WHY? Views on Mental Illness “When people find it necessary or beneficial to perceive the fundamental similarities they are with stigmatized people rather than the differences, we will see the beginnings of a real elimination of stigma”. (Coleman, 1986) Where does the stigma come from? Culture creates it, even deems what is considered “ill” in the first place
Attitudes and practices of mental health system
“I have this concept in my mind: it’s called recovery from treatment. Treatment is the most stigmatizing thing there is”
“The greater involvement in the system, the greater the stigma”
Anonymous survey respondents (freedomcenter.org)
Virginia tech shooter
Psycho, Silence of the Lambs, Fatal Attraction
Can be technically accurate yet misleading, over reporting negative stories about people with mental illness, for instance, or leaving out important data The Mythology of Mental Illness According to the President of the National Alliance for Research on Schizophrenia and Depression (NARSAD) , “Misconceptions about mental illness contribute to the stigma, which leads many people to be ashamed and prevents them from seeking help. Dispelling these myths is a powerful step toward eradicating the stigma and allaying the fears surrounding brain disorders.” Survey Says Myth #2: Schizophrenia means split personality, and there is no way to control it.
Fact: Schizophrenia is often confused with multiple personality disorder. Actually, it is a brain disorder that robs people of their ability to think clearly and logically. The estimated 2.5 million Americans with schizophrenia have symptoms ranging from social withdrawal to hallucinations and delusions. Medication and other treatment methods have helped many of these individuals to lead fulfilling, productive lives. Myth #3: People with a severe mental illness, such as schizophrenia are usually dangerous and violent.
Fact: People with schizophrenia are not usually violent. In fact, most violent crimes are not committed by people with schizophrenia. However, some symptoms are associated with violence, such as delusions of persecution. Lack of understanding by family, friends, colleagues or others you know
Discrimination at work or school
Difficulty finding housing
Difficulty finding work (that you enjoy)
Bullying, physical violence or harassment
Health insurance that doesn't adequately cover your mental illness
The belief that you will never be able to succeed at certain challenges or that you can't improve your situation Effects of stigmatization Prescription Pad: The Easy Fix Logan’s story
Our go-to route as a society What can we do? Educate yourself and don’t perpetuate the stereotypes
World Psychiatric Association
“Open the Doors” Macro Psychiatric Hospital Policy-Pre 1960 Action for Mental Health Changes in Treatment Community Mental Health Clinics Alternative to State Psychiatric Hospitals
Multi-dimensional treatment plans
Addressing various needs of communities and patients Admission into Care Patients’ Rights Civil
Confidentiality “Sandoz and Lilly say that their drugs aren’t effective. The drug of choice in patients with refractory schizophrenia is…Clozapine” (Pines, 2007). Clozapine “In 42 states, a court can order a person with mental illness to participate in outpatient treatment that includes prescription medications” (Brichford, 2009)
“Initially, I was forced into treatment, mandated by a judge to medication compliance. Therefore, whenever I refused to take my medication a group of staff would barge into my room, pin me down to the bed while the nurse administered a shot. We followed this routine for a few days till I gave in and took the pills they gave me” (Smith, 2011) 16 billion dollar industry (Boodman, 2012)
90 percent of market with new generation antipsychotics (Boodman, 2012)
169% increase in adult drug use between 2001 and 2010 (Boodman, 2012) Mental Illness in Schools Policy: IDEA Services IDEA offers Common Accommodations Regulations and School Policies The American Disabilities Act (1990) Four Titles:
State and Local Government Activities
Telecommunications Relay Services
Who is covered under the ADA?
"Major life activity" PAIMI and Advocacy Protection and Advocacy for Individuals with Mental Illness (PAIMI)
federal program used to assist people with mental illnesses with advocacy services.
Advocacy on a Macro level
Occupy Wall Street
Martin Luther King
Elizabeth Kady Stanton