Social change and mental health
This presentation is the property of its rightful owner.
Sponsored Links
1 / 12

Social Change and Mental Health PowerPoint PPT Presentation

  • Uploaded on
  • Presentation posted in: General

Social Change and Mental Health. Chapter 1. Social Change and Mental Health Treatment. Depends on community’s views and fears See Table 1.1 Periods of social stability Less fear, more tolerance for diverse behavior Easier and safer for people with mental illness Periods of rapid change

Download Presentation

Social Change and Mental Health

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript

Social change and mental health

Social Change and Mental Health

Chapter 1

Social change and mental health treatment

Social Change and Mental Health Treatment

  • Depends on community’s views and fears

    • See Table 1.1

  • Periods of social stability

    • Less fear, more tolerance for diverse behavior

    • Easier and safer for people with mental illness

  • Periods of rapid change

    • Anxiety and fear towards mental illness

    • Often treated inhumanely

Moral treatment

Moral Treatment

  • Definition:

    • Moral, compassionate and pleasant environment

  • 18th century

    • Philippe Pinel: removed chains at Bicetre (France)

    • William Tuke: established The York Retreat (England)

  • 19th century

    • Quaker Friends Asylum: Kind towards patients

    • Care of the mentally ill became a public responsibility in the United States and Canada (Horace Mann’s plea)

Dorothea dix 1802 1887

Dorothea Dix1802-1887

  • Was responsible for mental health care system reform in the U.S., Canada and Great Britain

  • Introduced the idea of state hospitals

  • Twenty states established or enlarged state hospitals.

  • Appointed as Superintendent of Women Nurses during Civil War

Early institutional life its reality

Early Institutional Life: Its Reality

  • Major concern was management of a large number of people who were forced to live together.

  • Women could be institutionalized at whim of husband or father.

  • Men and women were often abused.

  • It eventually evolved into self-contained communities.

Clifford beers 1876 1943

Clifford Beers(1876-1943)

  • Wrote of his abusive experience in several mental hospitals - A Mind That Found Itself

  • Founded the National Committee for Mental Hygiene

  • Led committee’s efforts in the development of child guidance clinics, prison clinics and industrial mental health approaches.

Psychiatric nursing thought early views

Psychiatric Nursing Thought:Early Views

  • Traced to Florence Nightingale’s holistic view of patients

  • Need for specialized psychiatric-mental health nursing recognized during Moral Treatment Era

  • First training school for PMHN was The Boston City Hospital Training School for Nurses (1882) at McClean Hospital.

  • First training school organized by nurses for psychiatric training was Johns Hopkins’ Phipps Clinic

  • Nursing Mental Disease by Harriet Bailey in 1920: First psychiatric nursing text

Modern thinking evolution of scientific thought

Modern Thinking: Evolution of Scientific Thought

  • Psychosocial vs. biologic theory

  • Psychiatric pluralism (Adolf Meyer)

  • Freud and psychoanalytic theory

  • Integration of biological theories in psychosocial treatment

Government involvement in mental health care

Government Involvement in Mental Health Care

  • National Mental Health Act - 1946

    • National Mental Health Advisory Council, which established the National Institute of Mental Health (NIMH)

    • Provided grants to states for construction of clinics

  • Hill-Burton Act - 1946

    • Federal support for hospital construction

  • Community Mental Health Centers Construction Act - 1963

    • Funded community mental health centers

    • Led to deinstitutionalization

Continued evolution of psychiatric mental health nursing

Continued Evolution of Psychiatric-Mental Health Nursing

  • Development of master’s degree programs in psychiatric nursing

  • Interpersonal Relations in Nursing published in 1952.

  • Mainstreaming of psychiatric nursing into nursing education

Late 20 th century

Late 20th Century

  • Community Mental Health Movement

    • 1961 Action for Mental Health

    • 1963 Mental Retardation and CMHC Construction Act

  • Deinstitutionalization

    • Decrease in inpatient population

  • Sanctioning of Holistic Nursing Care

    • Two psychiatric nursing journals by 1963

    • First development of common standards: Statement on Psychiatric Nursing Practice

Contemporary issues

Contemporary Issues

  • Changing demographics

  • Age of managed care

  • National mental health objectives

    • Mental Health: A Report of the Surgeon General

    • Report of the Surgeon General’s Conference on Children’s Mental Health: A National Action Agenda

    • Healthy People 2010: National Health Promotion and Disease Prevention Objectives

  • Login