The Consumer/Recovery Movement and Involuntary
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Involuntary Civil Commitment of the Mentally Ill: a System in Need of Change
Volume 29 Issue 2 Article 2 1983 Involuntary Civil Commitment of the Mentally Ill: A System in Need of Change John E. B. Myers Follow this and additional works at: https://digitalcommons.law.villanova.edu/vlr Part of the Law and Psychology Commons Recommended Citation John E. Myers, Involuntary Civil Commitment of the Mentally Ill: A System in Need of Change, 29 Vill. L. Rev. 367 (1983). Available at: https://digitalcommons.law.villanova.edu/vlr/vol29/iss2/2 This Article is brought to you for free and open access by Villanova University Charles Widger School of Law Digital Repository. It has been accepted for inclusion in Villanova Law Review by an authorized editor of Villanova University Charles Widger School of Law Digital Repository. Myers: Involuntary Civil Commitment of the Mentally Ill: A System in Nee 1983-84] INVOLUNTARY CIVIL COMMITMENT OF THE MENTALLY ILL: A SYSTEM IN NEED OF CHANGE JOHN E. B. MYERSt Table of Contents Introduction .................................................. 368 I. THE RISE OF INSTITUTIONS ............................. 368 II. DEVELOPMENT OF INVOLUNTARY COMMITMENT LAW... 375 A. HistoricalDevelopment ..................... .......... 375 B. The Authority of the State to Impose Involuntay Commit- ment-The Parens Patriae Power ..................... 380 III. THE DEINSTITUTIONALIZATION MOVEMENT ............. 388 A. HistoricalDevelopment ................................ 388 B. The Contribution of the Courts to Deinstitutionah'zation.... 394 C. Treatment in the Least Restrictive Environment ........... 400 IV. FAILINGS OF THE DEINSTITUTIONALIZATION MOVEMENT ......................................................... 40 3 A. The "Community's" Failure to Provide Adequate Commu- nity-Based Treatment Resources ......................... 403 B. The Shortcomings of Denstitutionah'zationare Exacerbated by Restrictive Commitment Laws ........................ 409 V. ALTERNATIVES FOR CHANGE IN THE SYSTEM OF INVOL- UNTARY TREATMENT OF THE MENTALLY ILL .......... -
Deinstitutionalization: Its Impact on Community Mental Health Centers and the Seriously Mentally Ill Stephen P
Page 40 Deinstitutionalization: Its Impact on Community Mental Health Centers and the Seriously Mentally Ill Stephen P. Kliewer Melissa McNally Robyn L. Trippany Walden University Abstract Deinstitutionalization has had a significant impact on the mental health system, including the client, the agency, and the counselor. For clients with serious mental illness, learning to live in a community setting poses challenges that are often difficult to overcome. Community mental health agencies must respond to these specific needs, thus requiring a shift in how services are delivered and how mental health counselors need to be trained. The focus of this article is to explore the dynamics and challenges specific to deinstitution- alization, discuss implications for counselors, and identify solutions to respond to the identified challenges and resulting needs. State run psychiatric hospitals have traditionally been the primary component in the treatment of people with severe and persistent mental illness. For many years, individuals with severe mental illness (SMI) were kept out of the community setting. This isolation occurred for many reasons: a) the attitude of the public about people with mental illness, b) a belief that the mentally ill could only be helped in such settings, and c) a lack of resources at the community level (Patrick, Smith, Schleifer, Morris & McClennon, 2006). However, the institutional approach was not without its problems. A primary problem was the absence of hope and expecta- tion that patients would recover (Patrick, et al., 2006). In short, institutions seemed to become warehouses where mentally ill were kept for long periods of time with little expectation of improvement. -
Social Work 618 Systems of Recovery from Mental Illness in Adults
Social Work 618 Systems of Recovery From Mental Illness in Adults 3 Units Instructor: Marco Formigoni, LCSW Course Day: E-Mail: [email protected] Monday Office Hours: By appointment Course Location: VAC I. COURSE PREREQUISITES This advanced level practice course is only open to Mental Health Concentrations students who are working, in their current field placement, with adult clients who have been diagnosed with mental illnesses. II. CATALOGUE DESCRIPTION This advanced mental health practice course focuses on the multi-level impact of mental illness on adults and families. Evidence-based interventions promoting increased quality of life and stability are emphasized. III. COURSE DESCRIPTION This advanced-level elective course offers students the opportunity to learn about effective, leading -edge social work approaches to providing humane care for persons with mental illness, especially those clients with concomitant substance abuse, developmental disabilities and severe socioeconomic disadvantage who are commonly considered “difficult” to treat. The course offers students a comprehensive approach to social work practice with this population which includes outreach, clinical assessment; treatment planning that includes strengths orientation with client’s environment and collaboration with other systems, advocacy and program development as well as management. The contribution of discrimination and social inequalities to clients’ difficulties is considered throughout the course, including discrimination based on gender, race, ethnicity, socioeconomic status, sexual orientation, disability and diagnosis. Many different understandings related to the nature of the problem of severe mental illness are included and the required readings draw from various theoretical approaches to treatment, ranging from psychodynamic to ecological. The perspective of the course is client-centered in that the emphasis is on understanding the persons who have a severe mental illness, their strengths and the processes associated with acquiring care. -
Guardian's Authority to Involuntarily Hospitalize the Incompetent Ward JOHN L
Guardian's Authority to Involuntarily Hospitalize the Incompetent Ward JOHN L. SULLIVAN, J.D.,LL.M.* A Guardian may give any consents or approvals that may be necessary to enable the ward to receive medical or other professional care, counsel, treatment or service. Section 5-312(a) (3) Uniform Probate Code If Section 5-312(a) (3) is accepted as a composite or representative definition of a guardian of the person's state law statutory authority to deal with the care and custody of his incompetent ward in matters relating to medical management, any private hospital could admit, on the signature of the guardian, any so-called "lucid" incompetent. The limitation to a consideration of private hospital admission is made because it is almost universal practice for state or governmental hospitals to demand a civil commitment order before admitting an involuntary patient, whether declared incompetent or not. The so-called "lucid" incompetent is the adjudicated incompetent who still can be heard to protest the decisions made for him by his guardian. The labeling and attendant distinction of the "lucid" incompetent is useful in categorizing those cases where courts have been called upon to render judgments relating to radical medical procedures such as experimental psychosurgery 1 or kidney transplants2 or negative medical procedures such as a discontinuance of medical suppon systems. 3 In such cases it has readily been seen that the bare authority of a guardian under state statutes is not sufficient to authorize medical procedures or cessation of them. It has been agreed that specific coun authority is required, and probably that of a court exercising equity jurisdiction. -
What the Consumer Movement Says About Recovery
What the consumer movement says about recovery By Allan Pinches, Consumer Consultant in Mental Health, Bachelor of Arts in Community Development (VU) © Copyright 2004 - 2014 The rise of recovery-oriented systems of treatment and support in the mental health field is widely acknowledged as a major achievement for the consumer-movement. However, it was an achievement that was won with the help of a widely diverse range of supporters from many parts of the community with varying interests in mental health services. The partnerships which contributed to the development of the recovery paradigm in mental health services are still a vital resource in the field. Long and determined efforts by consumer advocates to highlight the need for sweeping reforms of the mental health system, on the grounds of human rights, poor quality of services, and ineffective or even harmful treatment methods, were joined by many campaigners in the community over decades – including, many conscientious nurses, social workers, family/ carers, clergy, some journalists, writers, opposition politicians, community workers and action groups, human rights lawyers, unions, academics, a few reformist psychiatrists, and others. This paper starts with an introduction about the role of the consumer movement in recovery-oriented mental health service delivery. Secondly, there is a Timeline of Recovery which traces a historical selection of key consumer related developments as the recovery model has taken shape between the 1960s and the present day. Thirdly the paper continues -
A Pervasive Mental Model of Addiction Recovery and Its Implications for Sustaining Change Erin Stringfellow Washington University in St
Washington University in St. Louis Washington University Open Scholarship Arts & Sciences Electronic Theses and Dissertations Arts & Sciences Spring 5-15-2019 “You Have to Want It”: A Pervasive Mental Model of Addiction Recovery and Its Implications for Sustaining Change Erin Stringfellow Washington University in St. Louis Follow this and additional works at: https://openscholarship.wustl.edu/art_sci_etds Part of the Psychiatric and Mental Health Commons Recommended Citation Stringfellow, Erin, "“You Have to Want It”: A Pervasive Mental Model of Addiction Recovery and Its Implications for Sustaining Change" (2019). Arts & Sciences Electronic Theses and Dissertations. 1760. https://openscholarship.wustl.edu/art_sci_etds/1760 This Dissertation is brought to you for free and open access by the Arts & Sciences at Washington University Open Scholarship. It has been accepted for inclusion in Arts & Sciences Electronic Theses and Dissertations by an authorized administrator of Washington University Open Scholarship. For more information, please contact [email protected]. WASHINGTON UNIVERSITY IN ST. LOUIS Brown School Dissertation Examination Committee: Renee M. Cunningham-Williams, Chair Patrick Fowler Sarah Gehlert Lee Hoffer Peter S. Hovmand Carrie Pettus-Davis Bradley Stoner “You Have to Want It”: A Pervasive Mental Model of Addiction Recovery and Its Implications for Sustaining Change by Erin J. Stringfellow A dissertation presented to The Graduate School of Washington University in partial fulfillment of the requirements for the -
Spiritual and Religious Issues in Psychotherapy with Schizophrenia: Cultural Implications and Implementation
Religions 2012, 3, 82–98; doi:10.3390/rel3010082 OPEN ACCESS religions ISSN 2077-1444 www.mdpi.com/journal/religions Review Spiritual and Religious Issues in Psychotherapy with Schizophrenia: Cultural Implications and Implementation Lauren Mizock *, Uma Chandrika Millner and Zlatka Russinova Center for Psychiatric Rehabilitation, 940 Commonwealth Avenue West, Boston, MA 02215, USA; E-Mails: [email protected] (U.C.M.); [email protected] (Z.R.) * Author to whom correspondence should be addressed; E-Mail: [email protected]; Tel.: +1-617-353-3549; Fax: +1-617-353-7700. Received: 18 February 2012; in revised form: 6 March 2012 / Accepted: 6 March 2012 / Published: 12 March 2012 Abstract: The topics of spirituality and psychotherapy have often been controversial in the literature on schizophrenia treatment. However, current research indicates many potential benefits of integrating issues of religion and spirituality into psychotherapy for individuals with schizophrenia. In this paper, implications are presented for incorporating spiritual and religious issues in psychotherapy for individuals with schizophrenia. A background on the integration of spirituality into the practice of psychotherapy is discussed. The literature on spiritually-oriented psychotherapy for schizophrenia is provided. Clinical implications are offered with specific attention to issues of religious delusions and cultural considerations. Lastly, steps for implementing spiritually-oriented psychotherapy for individuals with schizophrenia are delineated to assist providers in carrying out spiritually sensitive care. Keywords: religion; spirituality; schizophrenia; psychotherapy; culture; rehabilitation; recovery; religious delusions 1. Introduction The topics of spirituality and psychotherapy have often been controversial in the literature on schizophrenia treatment [1,2]. Some practitioners have argued that religion had no space in the Religions 2012, 3 83 psychotherapy setting given a need to be grounded in science. -
The Cuckoo's Nest: an Examination of the National Commission Report on Psychosurgery Steven C
Hofstra Law Review Volume 6 | Issue 4 Article 3 1978 Return to the Cuckoo's Nest: An Examination of the National Commission Report on Psychosurgery Steven C. Spronz Follow this and additional works at: http://scholarlycommons.law.hofstra.edu/hlr Recommended Citation Spronz, Steven C. (1978) "Return to the Cuckoo's Nest: An Examination of the National Commission Report on Psychosurgery," Hofstra Law Review: Vol. 6: Iss. 4, Article 3. Available at: http://scholarlycommons.law.hofstra.edu/hlr/vol6/iss4/3 This document is brought to you for free and open access by Scholarly Commons at Hofstra Law. It has been accepted for inclusion in Hofstra Law Review by an authorized administrator of Scholarly Commons at Hofstra Law. For more information, please contact [email protected]. Spronz: Return to the Cuckoo's Nest: An Examination of the National Commi NOTES RETURN TO THE CUCKOO'S NEST: AN EXAMINATION OF THE NATIONAL COMMISSION REPORT ON PSYCHOSURGERY One Flew Over the Cuckoo's Nest' describes the use of psychosurgery to rid MacMurphy, an inmate-patient who chal- lenged the authority of his "keepers" in a psychiatric institution, of his allegedly violent tendencies. The operation transformed him into a human vegetable. His friend, the "Chief," another patient at the hospital, recognized that MacMurphy's life was now without meaning and mercifully suffocated him. The author's indictment of abuses in mental institutions was published in 1962, when the practice of psychosurgery was waning in the United States. 2 Cuckoo's Nest should belong to a bygone era, one replaced by an age in which more humane treatments are administered. -
Abolishing the Concept of Mental Illness
ABOLISHING THE CONCEPT OF MENTAL ILLNESS In Abolishing the Concept of Mental Illness: Rethinking the Nature of Our Woes, Richard Hallam takes aim at the very concept of mental illness, and explores new ways of thinking about and responding to psychological distress. Though the concept of mental illness has infiltrated everyday language, academic research, and public policy-making, there is very little evidence that woes are caused by somatic dysfunction. This timely book rebuts arguments put forward to defend the illness myth and traces historical sources of the mind/body debate. The author presents a balanced overview of the past utility and current disadvantages of employing a medical illness metaphor against the backdrop of current UK clinical practice. Insightful and easy to read, Abolishing the Concept of Mental Illness will appeal to all professionals and academics working in clinical psychology, as well as psychotherapists and other mental health practitioners. Richard Hallam worked as a clinical psychologist, researcher, and lecturer until 2006, mainly in the National Health Service and at University College London and the University of East London. Since then he has worked independently as a writer, researcher, and therapist. ABOLISHING THE CONCEPT OF MENTAL ILLNESS Rethinking the Nature of Our Woes Richard Hallam First published 2018 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2018 Richard Hallam The right of Richard Hallam to be identified as author of this work has been asserted by him in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. -
Chapter 8 – Civil Commitments
GENERAL DISTRICT COURT MANUAL CIVIL COMMITMENTS Page 8-1 Chapter 8 – Civil Commitments Civil Commitments include involuntary admissions of mentally ill/intellectual disability and medical emergency temporary detention. Civil mental illness/intellectual disability proceedings and medical emergency consent proceedings may be heard by a judge of the general district or juvenile and domestic relations district court or a special justice appointed by the chief judge of the applicable judicial circuit. Va. Code § 37.2-803. The involuntary mental commitment process begins when a petition is filed, and alleges a person is mentally ill and in need of hospitalization. For proceedings in this chapter, whenever the term “mental illness” appears, it shall include substance abuse. Va. Code § 37.2-800. The process may begin with a referral to the localities’ Community Service Board, or may be initiated at the magistrate’s office. Some clerk’s offices will only receive paperwork after the proceedings and hearings are over, while in some offices the judges themselves may hold the hearing. These are the procedures for filing and indexing under each circumstance. Transportation of a person who is the subject of an emergency custody order, temporary detention order, and a person under an involuntary commitment order may be provided by a family member or friend, representative of the Community Services Board (CSB), or other alternative transportation provided with staff trained to provide transportation is a safe manner. No person who provides alternative transportation pursuant to these sections shall be liable to the person being transported for any civil damages for ordinary negligence in acts or omissions that result from providing such alternative transportation. -
This Is the Title of My Thesis
A DISCOURSE ANALYSIS OF TALK ABOUT SERVICE USERS IN EARLY INTERVENTION IN PSYCHOSIS TEAMS Ellen Duff Submitted in accordance with the requirements for the degree of Doctor of Clinical Psychology (D. Clin. Psychol.) The University of Leeds Academic Unit of Psychiatry and Behavioural Sciences School of Medicine October 2013 The candidate confirms that the work submitted is her own and that appropriate credit has been given where reference has been made to the work of others. This copy has been supplied on the understanding that it is copyright material and that no quotation from the thesis may be published without proper acknowledgement. © 2013 The University of Leeds and Ellen Duff The right of Ellen Duff to be identified as Author of this work has been asserted by her in accordance with the Copyright, Designs and Patents Act, 1988. 2 Acknowledgements Biggest thanks go to the EIP staff who agreed to participate in this study – to have your words recorded and analyzed was doubtless a daunting prospect and I thank you for trusting me through this process. My supervisors, Carol, Anjula and Alex - I thank you for unswerving support, faith and optimism ... and to Carol in particular for coffee, biscuits and chats about cats. My family and friends have also been a constant source of support and given me what I needed just when I needed it – a motivational talk from Justine when I doubted myself, a stint of cat-sitting from Jane when I needed a holiday, a welcome home from my parents when I lacked the energy to take care of myself. -
Spiritual Perspectives, Spiritual Care, and Recovery-Oriented Practice in Psychiatric Mental Health Nurses" (2018)
University of Texas at Tyler Scholar Works at UT Tyler Nursing Theses and Dissertations School of Nursing Spring 4-27-2018 Spiritual Perspectives, Spiritual Care, and Recovery- Oriented Practice in Psychiatric Mental Health Nurses Melissa Neathery University of Texas at Tyler Follow this and additional works at: https://scholarworks.uttyler.edu/nursing_grad Part of the Psychiatric and Mental Health Nursing Commons Recommended Citation Neathery, Melissa, "Spiritual Perspectives, Spiritual Care, and Recovery-Oriented Practice in Psychiatric Mental Health Nurses" (2018). Nursing Theses and Dissertations. Paper 82. http://hdl.handle.net/10950/846 This Dissertation is brought to you for free and open access by the School of Nursing at Scholar Works at UT Tyler. It has been accepted for inclusion in Nursing Theses and Dissertations by an authorized administrator of Scholar Works at UT Tyler. For more information, please contact [email protected]. SPIRITUAL PERSPECTIVES, SPIRITUAL CARE, AND RECOVERY-ORIENTED PRACTICE IN PSYCHIATRIC MENTAL HEALTH NURSES by MELISSA NEATHERY A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy School of Nursing Susan Yarbrough, PhD., R.N., Committee Chair College of Nursing and Health Sciences The University of Texas at Tyler April 9, 2018 The University of Texas at Tyler, Tyler, Texas This is to certify that the Doctoral Dissertation of MELISSA NEATHERY has been approved for the dissertation requirement on April 9, 2018 for the Doctor of Philosophy in Nursing degree Approvals: ____________________________________ Dissertation Chair: Susan Yarbrough, Ph.D. ____________________________________ Member: Zhaomin, He, Ph.D. ____________________________________ Member: Belinda Deal, Ph.D. ____________________________________ Member: Elizabeth Johnston Taylor, Ph.D.