The Never-Never Land of Mental Health Law: A Review of Legal Rights of Youth Committed by Their Parents to Psychiatric Facilities in California

I. HISTORICAL PERSPECTIVE AND REASONS FOR RISE IN PSYCHIATRIC HOSPITALIZATION

The minors who are most frequently inappropriately hospitalized are described as "trouble makers," status offenders, or beyond parental control.3 These children are classified by California Welfare and Institution section 601 (hereinafter § 601). Pursuant to this provision minors who violate truancy, curfew or runaway laws, or who are disobedient or unruly, may become wards of the court.4 When this happens, a minor is supervised by a juvenile probation officer either within the home or in an unlocked out-of-home placement facility. Prior to the enactment of § 601, these minors could be placed in a locked juvenile hall by their parents or the police. Both before and after the enactment of the § 601 system, parents with appropriate insurance or financial resources have been able to place their children in locked psychiatric hospitals. Recently, however, hospitalization has become a burgeoning practice.5 A number of possible

Read More!

Humiliation: the Trauma of Disrespect

Abstract

Humiliation, triggered by sensed insult, is hypothesized as a traumatic stimulus and the driving force of a goal-directed survival response that includes predictable emotional appraisals, and motivational or behavioral responses. Because these responses appear automatic and obligatory, they are most likely innately planted as a survival mechanism. Sensitive to developmental experience, these psychobiological responses can be intensified or modulated by social learning....

Read More!

Environmental Connections: A Deeper Look into Mental Illness

Mental illnesses produce some of the most challenging health problems faced by society, accounting for vast numbers of hospitalizations, disabilities resulting in billions in lost productivity, and sharply elevated risks for suicide. Scientists have long known that these potentially devastating conditions arise from combinations of genes and environmental factors. Genetic research has produced intriguing biological insights into mental illness, showing that particular gene variations predispose some individuals to conditions such as depression and schizophrenia.

Now, thanks to a growing union of epidemiology and molecular biology, the role of the environment in the etiology of mental illness has become more clear. Indeed, E. Fuller Torrey, president of the Treatment Advocacy Center, a nonprofit organization that promotes treatment advances in psychiatry, suggests that mental illnesses increasingly fall into the realm of environmental health. And from that platform, he says, new treatment advances could soon emerge.

“Some of the greatest advancements in twentieth-century...

Read More!

Unexpected Ways to Get Around Mental Blocks

Mental blocks are every professional’s worst nightmare, yet they inevitably pop up when you work on a big project. You start out bright-eyed and bushy-tailed, making a ton of progress, and then for some reason, you hit a psychological wall and can’t move forward. Or else you lose the motivation to continue.

Perhaps you are just so fixated on making every detail perfect that you become paralyzed with the fear of failure. Or maybe you have so much left to do that the task ahead seems too daunting to handle.

 These experiences are normal, so don't beat yourself up if you're stuck in a rut. Instead of trying to power through these complicated and often conflicting feelings, consider the following seven effective -- yet decidedly nonintuitive ways to surpass mental blocks.

1. Freewrite.

When you are feeling stuck, open up a new Word doc,

Read More!

Understanding The Impact Of Stigma On People With Mental Illness

Many people with serious mental illness are challenged doubly. On one hand, they struggle with the symptoms and disabilities that result from the disease. On the other, they are challenged by the stereotypes and prejudice that result from misconceptions about mental illness. As a result of both, people with mental illness are robbed of the opportunities that define a quality life: good jobs, safe housing, satisfactory health care, and affiliation with a diverse group of people. Although research has gone far to understand the impact of the disease, it has only recently begun to explain stigma in mental illness. Much work yet needs to be done to fully understand the breadth and scope of prejudice against people with mental illness. Fortunately, social psychologists and sociologists have been studying phenomena related to stigma in other minority groups for several decades. In this paper, we integrate research specific to...

Read More!

The Stigma Of Childhood Mental Disorders: A Conceptual Framework

Abstract

Objective

To describe the state of the literature on stigma associated with children’s mental disorders and highlight gaps in empirical work.

Method

We reviewed child mental illness stigma articles in (English only) peer-reviewed journals available through Medline and PsychInfo. We augmented these with adult-oriented stigma articles that focus on theory and measurement. 145 articles in PsychInfo and 77 articles in MEDLINE met search criteria. The review process involved identifying and appraising literature convergence on the definition of critical dimensions of stigma, antecedents, and outcomes reported in empirical studies.

Results

We found concurrence on three dimensions of stigma (negative stereotypes, devaluation and discrimination), two contexts of stigma (self, general public), and two targets of stigma (self/individual, family). Theory and empirics on institutional and self stigma in child populations were sparse. Literature reports few theoretic frameworks and conceptualizations of child mental illness stigma. One model of help-seeking (the FINIS) explicitly acknowledges...

Read More!

The Problem of People with Mental Illness

Problems associated with people with mental illness pose a significant challenge for modern policing. [1] This guide begins by describing the problem and reviewing factors that increase the challenges that police face in relation to the mentally ill. It then identifies a series of questions that might help you analyze your local policing problems associated with people with mental illness. Finally, it reviews responses to the problems and what we know about these from evaluative research and police practice.

Police officers frequently encounter people with mental illness approximately 5 percent of U.S. residents have a serious mental illness,§ and 10 to 15 percent of jailed people have severe mental illness. [2] An estimated 7 percent of police contacts in jurisdictions with 100,000 or more people involve the mentally ill.[3] A three-city study found that 92 percent of patrol officers had at least one encounter with a mentally ill person in crisis...

Read More!

A Brief Guide to Writing the Psychology Paper

The Challenges of Writing in Psychology

Psychology writing, like writing in the other sciences, is meant to inform the reader about a new idea, theory or experiment. Toward this end, academic psychologists emphasize the importance of clarity and brevity in writing while minimizing descriptive language and complex sentence structure. The best writers of psychology have the ability to make complex ideas understandable to people outside of their area of expertise. When you write a psychology paper, you are, above all, writing to convey factual knowledge that is supported by research. You are striving to be precise, and thus you should expect every word you write to be read literally. Psychology writing can be very dense, with many references to previous research. Writers of psychology almost never directly quote a source. Instead, they distill the essence of the idea or finding, and cite the appropriate source. In the...

Read More!

Mental Illness as a Barrier to Marriage Among Mothers With Out-of-Wedlock Births

Abstract: This study explores how mental illness shapes transitions to marriage among unwed mothers using augmented data from the Fragile Families and Child Wellbeing study. We estimate proportional hazard models to assess the effects of mental illness on the likelihood of marriage over a five year period following a non-marital birth. Diagnosed mental illness was obtained from the survey respondents' prenatal medical records. We find that mothers with mental illness were about two thirds as likely as mothers without mental illness to marry, even after controlling for demographic characteristics, and that human capital, relationship quality, partner selection, and substance abuse explain only a small proportion of the effect of mental illness on marriage

One third of births in the United States are to unmarried parents. The proportions are considerably higher than that for minority parents. While many unmarried mothers eventually marry (82 percent of whites, 62 percent of Hispanics, and 59 percent of...

Read More!

Preserving Mental Health During Unemployment

Our nation is facing unprecedented rates of unemployment as well as job insecurity and dissatisfaction. Recent figures put the national jobless rate at close to 10%, not including those who left the workforce or those staying in unsatisfying jobs. In a culture that values the work role and external signs of status, wealth and achievement above all else. it is not surprising that rates of anxiety and mental disorders are increasing and that more prescriptions for anti-anxiety and anti-depressant medications are being written every day.

Effects on Communities

Foreclosures affect the property values of surrounding homes and lack of money for home maintenance can lead to neglect. Public schools that rely on charitable contributions from parents for enrichment activities, aides, and additional study materials may be forced to offer less well-rounded educational programs and special needs services when parents can no longer afford these contributions. Parents who have...

Read More!

Do Workplace Physical Activity Interventions Improve Mental Health Outcomes?

Abstract

Background

Mental health is an important issue in the working population. Interventions to improve mental health have included physical activity.

Aims

To review evidence for the effectiveness of workplace physical activity interventions on mental health outcomes.

Methods

A literature search was conducted for studies published between 1990 and August 2013. Inclusion criteria were physical activity trials, working populations and mental health outcomes. Study quality was assessed using the Jadad scale.

Results

Of 3684 unique articles identified, 17 met all selection criteria, including 13 randomized controlled trials, 2 comparison trials and 2 controlled trials. Studies were grouped into two key intervention areas: physical activity and yoga exercise. Of eight high-quality trials, two provided strong evidence for a reduction in anxiety, one reported moderate evidence for an improvement in depression symptoms and one provided limited evidence on relieving stress. The remaining trials did not provide evidence on improved mental well-being.

Conclusions

Workplace...

Read More!

Anger Disorder (Part Two): Can Bitterness Become a Mental Disorder?

To fellow PT blogger, literary professor Christopher Lane--and the American PsychiatricAssociation's DSM-V Task Force-- I say, yes, you bet, as to whether bitterness can become problematical enough in some cases to warrant being deemed a mental disorder. Emphatically yes.

Bitterness, which I define as a chronic and pervasive state of smoldering resentment, is one of the most destructive and toxic of human emotions. Bitterness is a kind of morbid characterological hostility toward someone, something or toward life itself, resulting from the consistent repression of anger, rage or resentment regarding how one really has or perceives to have been treated. Bitterness is a prolonged, resentful feeling of disempowered and devalued victimization. Embitterment, like resentment and hostility, results from the long-term mismanagement of annoyance, irritation, frustration, anger or rage. Philosopher Friedrich Nietzsche noted that "nothing consumes a man more quickly than the emotion of resentment."

Most mental disorders stem either directly from--or secondarily generate--anger, rage, ...

Read More!

Human Rights Group: Mexican Mental Hospitals Performing Lobotomies Without Consent

Ten years ago a human rights group released a scathing, ground-breaking report on abusive, decrepit conditions in Mexican institutions for the mentally and physically disabled, moving the country to promise change and to take the lead in writing international agreements to protect the disabled.

But in a new report released Tuesday, the group, Disability Rights International, working with a Mexican human rights organization, said a yearlong investigation revealed “atrocious and abusive conditions” that included lobotomies performed without consent, children missing from orphanages, widespread filth and squalor and a lack of medical care.

At one institution here in the capital, which a reporter visited with investigators from the groups, men walked around half-naked, feces littered a yard, bed sheets were missing, the smell of urine permeated a day room, bathroom faucets malfunctioned and patients lay sprawled on several patches of grass....

Read More!

Discharged From A Mental Health Admission Ward: Is It Safe To Go Home? A Review On The Negative Outcomes Of Psychiatric Hospitalization

Abstract

Before psychiatry emerged as a medical discipline, hospitalizing individuals with mental disorders was more of a social stigmatizing act than a therapeutic act. After the birth of the mental health disciplines, psychiatric hospitalization was legitimized and has proven to be indispensable, preventing suicides and helping individuals in need. However, despite more than a century passing since this legitimization occurred, psychiatric hospitalization remains a controversial issue. There is the question of possible negative outcomes after a psychiatric admission ceases to take its protective effect, and even of whether the psychiatric admission itself is related to a negative setback after discharge. This review aims to summarize some of the most important negative outcomes after discharge from a psychiatric institution. These experiences were organized into two groups: those after a brief psychiatric hospitalization, and those after a long-stay admission. The author further suggests possible ways to minimize these..

Read More!

Injunction Sought to Bar DSHS from Using Jail Settings for Mental Health Competency Services

Plaintiffs in the class action lawsuit A.B/Trueblood v. DSHS filed a motion last night in U.S. District Court seeking a Temporary Restraining Order (TRO). The TRO would prevent the Department of Social and Health Services (DSHS) from violating the Court’s order requiring DSHS to ensure that competency restoration treatment is provided in a therapeutic environment similar to what is found at state psychiatric hospitals. Instead of creating a plan to increase capacity at the state psychiatric hospitals, DSHS developed a competency restoration program in a Yakima jail wholly unsuitable for treating people with mental illness.

“The use of jails to treat people with mental illness is inhumane, and a plain violation of the Court’s order. It is an unsafe practice that is further evidence of this State’s continued disregard of its legal obligations,” said La Rond Baker, ACLU-WA Staff Attorney.

The underlying lawsuit was filed in 2014 on behalf of people with mental...

Read More!

Deprivation, Discrimination, Human Rights Violation, And Mental Health Of The Deprived

INTRODUCTION

Human behavior is conceived of as an outcome of genetic and biochemical characteristics, past learning experiences, motivational states, psycho-social antecedents, and the cultural context in which it unfolds[1] Culture plays a complex role in the natural history and psycho-social development of human behavior[2] comprising of customs, beliefs, values, knowledge, and skills.[3] Social norms, the shared rules that specify appropriate and inappropriate behaviors;[4] mores, that people consider vital to their well-being and to their most cherished values,[5] and sanctions, the socially imposed rewards and punishments that compel people to comply with norms,[6] constitute important ingredients of a culture. Orlandi et al. (1992),[2] define culture as shared values, beliefs, norms, traditions, customs, art, history, folklore, and institutions of a group of people. A society which is a cohesive group of people shares all the ingredients of the culture among its members...

Read More!