Improving Long-term Psychiatric Care

Implementing Level of Care Criteria for Supported Housing in One Urban County

“…Housing has long been recognized as critical to people who are seriously mentally ill. [1][2][3][4] In Michigan, housing support emphasizes small group homes which may only provide room and food (paid by the individual) or additional personal care and community support (i.e., supported care) paid by the mental health system. These housing options are supplemented by large group homes offering integrated medical and psychiatric care.…”

“Improving Long-Term Psychiatric Care: Bring Back the Asylum”: Implications for Ethnic Minority Individuals

“…In an article published in The Journal of the American Medical Association (JAMA), three ethicists proposed the return of the mental health asylum system, thus the reintroduction of institutionalization in the United States (Sisti, Segal, & Emanuel, 2015). Despite arguments against such a change over the years these authors contend that a return to the asylum system would be a more humane way than the current system of providing support and treatment for individuals diagnosed with serious mental illness who otherwise are likely to be a danger to themselves or others.…”

“…In the United States, individuals diagnosed with severe mental illness could number more than 10 million (Sisti et al, 2015). This includes individuals who are psychotic and unable to take care of themselves, deemed to lack insight, and believed to be a danger to themselves or others (Sisti et al, 2015).…”

“…In the United States, individuals diagnosed with severe mental illness could number more than 10 million (Sisti et al, 2015). This includes individuals who are psychotic and unable to take care of themselves, deemed to lack insight, and believed to be a danger to themselves or others (Sisti et al, 2015). It is true that a large number of individuals diagnosed with severe mental illness are incarcerated in the prison system; in fact, recent U.S. statistics puts this number at approximately 350,000 (Lamb & Weinberger, 2014).…”

A house is not a home: The great residential divide in autism care

“…Many of those who left psychiatric hospitals swelled the ranks of the homeless (Fazel et al, 2008) and incarcerated (Fazel et al, 2016). These problems have caused some researchers to call for a return to more institutionalized forms of care, hoping for a more humane asylum than those in our past (Sisti et al, 2015).…”