Context:
Mental illness has been a prevailing issue within the United States. According to data collected by National Alliance on Mental Illness (NAMI) in 2017, approximately 20% of adults in the United States (roughly 43.8 million individuals) will experience mental illness in a given year. The United States has a complex history with regards to how to treat mental illnesses. State-funded and operated mental institutions or “asylums” gained popularity in the 19th century after being influenced heavily by European ideals on mental illness treatment. Institutions were used as long-term care facilities although many lacked the resources (provisions, space, and staff) to adequately care for the patients. Their popularity grew rapidly as many sought refuge for family members within their walls. Many were also selfishly seeking reprieve from the responsibilities of caring for family members who needed more assistance. Since the institutions emerged across the United States, there have been several attempts at reform. The first came in the 1950s and was focused on providing proper care to patients with diagnosed mental illnesses. Treatments for mental illness were finally backed by research. The second wave of reform came to remove patients who had been deemed “mentally ill” but were actually intellectually disabled. Reforms to provide education to both children and adults with developmental disabilities followed soon after.
Problem:
It may seem that with the declining prevalence of the “asylum” and the reforms that have taken place that the United States has been progressing forward. However, one reform that has still not taken place is a reform to separate mental illness from physical illness. Some symptoms of physical illness can manifest in a way that would make it appear that the person afflicted had a mental illness. On a case-by-case basis, there has been the discovery that the mental illness a person was diagnosed with was in actuality a physical illness, however there have been no large scale reforms in this area of need.
Response:
In the 1800s, my great-great grandfather was reported by a neighbor for “speaking nonsensically” and having “delusions that included he was the President of the United States and that others had malicious intents towards him”. He was taken away from his family and placed in a mental institution where by all accounts he was treated like any other patient. He was allowed half an hour of “air-time” which meant for thirty minutes he could sit outside on a covered porch. Otherwise, his daily routine consisted of sitting in a “common” room, taking a concoction of medicine (mostly tranquilizers), and sleeping. My great-great grandmother was left to care for the children alone and from what I’ve been told, they never visited him within the asylum. Eventually, my great-great grandfather became so physically ill that the institution did not know how to care for him. They transported him to a local hospital where it was discovered that he had advanced kidney failure. One of the symptoms of kidney failure is delirium. While he was in the institution, he wasn’t ever treated for the underlying physical condition. Instead, he was subdued with tranquilizers and left to die. I wish that I could say that my great-great-grandfather’s plight was just an oversight, but constantly people who have a physical illness are being diagnosed with mental illnesses and therefore do not receive the treatment they desperately need. In my final project, I will be using the story of my great-great grandfather as the catalyst to research the magnitude of this problem and the need for another reform. I will be interviewing my grandmother for the family perspective and interviewing various professionals in the mental health field.