
If a nine and six year old can understand ways to help individuals, why is it so hard for the government to grasp it. I think it is because a child thinks of one action at a time and government overwhelms itself to solve it all at once.
Deinstitutionalization was hail in its day as the greatest achievement of providing mental health individuals with equal rights. Has the achievement of this new found liberation improved individual treatment or allowed government a means to lower their costs to the mentally ill? What government has learned since the closing of many mental health institutions is that without community resources that provide services to track outpatient access, regular medication treatment and resources for involuntary commitments when an individual is unable to control ones behavioral, there will be failure.
The evolution of the governments requirement for health insurance plans to include mental health services on parity with other services should begin to show measurable outcomes in the coming years on whether such an act was sufficient. The next evolution in treatment will be to what degree does treatment have to be available equally.
I would suggest that the key to success will be providing families the ability to choose their clinical service providers whom are most convenient to their lives and met the service plan needs. Our choice as consumers goes a long way towards accepting the outcomes each of us may experience in regards to our choices. Life is not perfect and neither are human beings. If things do fail, blaming another persons for those directed for an individual does not solve the current problem. Therefore, a team approach which includes an individuals primary medical professional provides for ownership as a group.
Massachusetts recently was mandated to offer children mental health services in their community and not institutional care. How will a persons geographic location effect the outcome? Since children mental health services are being pushed to be more in the community I would suggest learning from the past of how adults are now service in the community.
One point of view can be found in the book “The Insanity Offense” by E. Fuller Torrey.