Saturday, October 8, 2011

Proposal to correct the injustices of ... - Health & Fitness Blog

proposal for diseases institutional injustices and Addiction Patient Right

past 50 years we went from the institutionalization of people with mental illness, often in inhumane conditions for incarcerated with unprecedented and alarming rate ? to the entertainment out of reach for millions of Americans. These people are not all equal. They are a heterogeneous group.

>> A small subgroup is not like patients in state hospitals of the past, and their presence in our jails / prisons is one of the images and the most obvious concern related to our care systems failed. Availability of models of intensive care, including hospital care for certain is critical.

have>> Many other people with mental illness in our prisons is less disabling and access to community treatment and appropriate support, very good.

>> A third sub-group includes people with mental illness, the features associated with the glue and the rates of relapse have. These individuals would be better with a good treatment and supports that interventions tailored to their dynamic risk of arrest. belong to serving

As we try to meet the needs of these people and respect for legitimate public safety concerns of all members of the community are the conditions in these prisons, which are intended to detention and non-therapeutic, often described as much worse in public hospitals in the 1940s. Also, if people leave the justice involved in prison concurrent disorders, it derives repeatedly recycle through the criminal justice system just to the left. In addition, those involved in the justice system often requires additional stigma of criminal records will ensure access to basic needs in the community, to fight as housing, education and employment, even more difficult.

The ability effectively to implement and to reimburse providers of high quality treatment for the needs of specific treatment is essential to creating an effective system of community care for people, to experience severe mental disease. In the absence of what is now regarded as essential services for people living with mental illness in the community, people will continue to costly deep end services in hospitals, crisis centers, emergency services and judiciary will be forced.

The result is a recycling of individuals between prisons, detention centers, shelters, short-term hospitalization and homelessness ? with public health, public safety and the implications of the public administration are staggering. Now more than ever as we strive to care for our most vulnerable citizens, we must address this serious threat to public health and public security crisis. It is time to open and honest about the deplorable conditions that exist and take steps to address them. Here?s a solution in the form of a two-phase plan.

Phase 1:

>> Forensic Intensive Case Management
>> housing
>>
support by peer>> accessible and adequate /> These are the four services that we believe is minimally necessary to break the cycle of illness, arrest and incarceration and recidivism. We believe these services ? as described briefly below ? can be implemented quickly, cheaply and with positive results. However, these benefits can only be effective if the programs they organized and managed by people who understand and are willing to trauma as a risk factor for mental problems and criminal justice involvement of the Address. Trauma informed system, the specific functions of the trauma intervention can help transform public health and public safety and the lives of individuals.

Forensic Intensive Case Management (FICM) is designed for those involved to justice who have multiple and complex needs and functions of the services provided, when and where they are needed. FICM focused on providing services directly, making it cheaper than the ACT. For a model of mediation service, to be effective, communities must be linked to adequate and accessible services for individuals. What makes these services ?legal? is ?aware of criminal justice?, it means that providers understand the criminal justice system and the dilemmas of their participation to customers.

Housing for mental health patients is permanent, affordable housing linked to a wide range of support services, including treatment of mental disorders and substance abuse. The housing can significantly reduce the risk of relapse in prisons and centers detention and is less expensive on a daily basis as a prison or jail. Unfortunately, the affordable housing shortage in many communities and ex-offenders with drug offenses often have difficulty obtaining public housing assistance. housing for ex-offenders must balance the needs for supervision and provision of social services.

can expand the services of peer support, the continuum of services for people with mental disorders and addiction and can help them engage in treatment. Forensic Peer Specialists provide practical experience of multi-service systems and the possibility of one-on-one to fight for people to reclaim their lives relate. The practice of consumer-driven care ? such as the inclusion of mental health consumers in service design, delivery and evaluation shows ? is the heart of a

accessible and supports the products concerned. Continuity of care for people with mental disorders, their treatment is often disrupted when they become involved in the criminal justice system. You can not receive appropriate drugs in prison or in prison, or adequate follow-up upon return to the community. It is imperative that people with mental illness and concurrent substance use disorders with access to drugs right at the right dosage for their condition, how the individual and physician.

Phase 2:

are obviously of Phase 1 services necessary but not sufficient. Services that support the critical care system include several evidence-based practice for people with serious mental illness. These services can be more costly or difficult than the four mentioned above to implement, but we encourage States and communities to develop in the direction of codifying these services to get around politics, they supported the practical implementation and cost.

Phase 2 include:

>> The integrated dual diagnosis, and treatment of mental disorders addiction and offers simultaneously in the same setting

> get a job> supported, a practice based on evidence, found that people with mental illness, and maintain competitive employment hilft,

>> The Assertive Community Treatment (ACT) / Forensic Assertive Community Treatment (FACT), a model of service delivery in which the treatment is delivered by a team of professionals available with the services provided by one person must be as long as necessary, and

>> Cognitive Behavioral Targeted interventions are intended to insult to the specific risk factors, a number of interventions, both within the institutional framework and the framework for the research community with a program when it expanded community treatment.

This list of evidence-based practices and promising is illustrative and not exhaustive. It is clear, however, there is still much to do, avoid people with mental disorders and substance use disorders arrest and detention and return successfully to their communities after prison or jail can. We recognize that in periods difficult economic, new dollars may not be available. But even if new money does not always change for the systems, new ways of thinking are needed. to meet

For public health and public safety needs of our communities requires a collaborative campaign full time behavioral health and criminal justice. Neither can continue as before. The criminal justice system must make a reasonable offer of screening, assessment and individualization of responses to identified inmates and inmates with mental illness. The system of behavioral health specialist to refine the needs and evidence-based practices to provide the sense of responsibility not only to improve the quality lives of their clients, but interventions to factors associated with criminal recidivism in these clients and include the address associated more direct customers as partners in a recovery process that the community recognizes the concerns of public safety. ? br />
We need to move towards a day when people with mental illness and addiction, the effectiveness of community interventions they need and deserve, and prisons are no longer forced to serve as a primary treatment plant facto. We know what works to successfully meet the needs of people with mental illness and addiction in contact with the criminal justice system, we must now do what works. The time to act is now!

Source: http://prelco.net/mental-health/proposal-to-correct-the-injustices-of-institutional-mental-illness-and-substance-abuse-patients/

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