From a state-wide perspective, it seems the answer is no. In my local newspaper, there have been horrific stories lately about the neglect and abuse of patients who have the misfortune of being mentally ill. The stories I am about to cite are unfortunately not unique to any one state.
I read one headline in the newspaper where health care technicians at a state psychiatric hospital in Goldsboro, North Carolina, were charged in the beating of a male patient. In yet another story, a patient at another state mental facility actually died after sitting in a chair for 22 hours without food or attention while the hospital staff walked right by him, watched TV, and even played cards. I could not hold back my own tears of shock and absolute dismay that human beings could be treated this way - our most vulnerable population of the mentally ill.
In only 13% of cases, charges are filed for beatings, neglect, and even death. In other words, the system is getting away with this. It is true that the lowest paid and the least trained workers spend the most time with these patients. Yet even this seems hardly an excuse for what goes on.
What is the result of all this?
In my state, the result is the punishment of the mentally ill with a 7 percent cut for mental health service for the state's seriously mentally ill residents. Instead of an attempt to address these grave problems within the system, the reaction is to punish those who need help the most.
And instead of outrage, the public seems to turn its back to the problem or express their great displeasure at using tax money for the purpose of helping the mentally ill. I quite often read the editorial section of my local newspaper and I was disgusted by one man's sentiments that the mentally ill are "unworthy" of our time and money. I will just share a snippet of his comments:
"The state wants to know where it will get the money to fix our roads and bridges in the face of declining revenues from gasoline taxes. How about by getting out of the mental health care business and using that money for worthwhile purposes such as improving our infrastructure. If the state accepted this proposal, the mentally ill would be in the same boat as people suffering from all manner of illnesses. Why could the mentally ill complain about having to cope in the same way as a cancer patient?"
So there you have it. There is the opinion out there that the mentally ill are not worthy of care because they are not as sick as someone who has cancer. In this short editorial comment, this individual clearly reflects the stigma which still exists for those who suffer from any type of mental illness. And I say this needs to change.
Mental illness is still seen as a social or personal issue, and not as a health concern. People with mental retardation or developmental disabilities get at least two or three more dollars per person for their care than the mentally ill. The reason? Stigma. The mentally ill are clearly at the low end of the pool as far as receiving public compassion, adequate health care, and funding spent to assist them to become integrated into the community.
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First, we need to understand our own depression and be able to explain it coherently. What it is, why it is, it's possible causes, what we believe needs done, to even try to gain the understanding of others. Not easy.
As far as those in institutions, it is not always money which solves a problem but exposure, a daily accounting made for people employed in institutions. Not just by media, but government and these many private organizations in existence supposedly dedicated to helping the mentally ill.
We need to protect employment rights less and hold responsible those who give poor care. From the lowest to the highest; though how you quantify a psychologist is beyond me. Prosecution, dismissal, for gross neglect should be a given, not exception.
Oh, man, to even start a response to your questions would need more paragraphs. Others here, gifted, can say more in less space.
It certainly is not an easy topic to address. It hits home for me in a very personal way, though, because my mother suffers from schizophrenia. Every time I hear things like this in the news it breaks my heart.