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By the 1960s many patients were moved from the hospitals to local facilities or mental health homes where they received personalised care by qualified psychiatric nurses. The number of institutionalised mentally ill patients fell from 560,000 in the 1950s to 130,000 by 1980. [6]
Seeing people as individuals with lives beyond their mental illness is imperative in making patients feel valued and respected. [20] In order to accept the patient as an individual, the psychiatric nurse must not be controlled by his or her own values, or by ideas, and pre-understanding of mental health patients. [21]
Based on evidence of variable quality, ICM is effective in helping many outcomes relevant to people with severe mental illness. Compared to standard care, ICM may reduce hospitalization and increase retention in care. It also globally improved people's functioning socially, but ICM's effect on mental state and quality of life remains unclear.
“We train mental health professionals to be terrified of all things,” she said. The job becomes about avoiding litigation and high-risk patients, not experimenting with new ways of treating the people who need it most. This helps explain why insurance companies have yet to embrace Motto’s methods.
As Dr. William Anthony, father of psychiatric rehabilitation, described, psychiatric nurses (RNMH, RMN, CPN), clinical psychologists (PsyD or PhD), clinical social workers (MSW or MSSW), mental health counselors (MA or MS), professional counselors, pharmacists, as well as many other professionals are often educated in "psychiatric fields" or conversely, educated in a generic community approach ...
Despite decades of effort, California is still far from creating an effective approach to treating severely mentally ill citizens, many of whom are homeless and desperately subsisting on our streets.
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