Patients with mental problems often face challenges when seeking medical care and when relating to the public at large (Hammaker & Tomlinson, 2011). The treatment centers for the mentally ill individuals lack adequate resources to carry out adequate medication, rehabilitation, social support and counselling hence leads to decline in provision of healthcare assistance (Townsend, 2014). Rising demand for treatment, services from these centers also pose a challenge, as many victims are released before their recovery and later they get back to the same mental condition as before. Furthermore, the increase in pressure in the residential treatment centers leads to isolation of some patients while giving medical attention to those with acute mental sickness.
Behavior of these patients are at times very complex to relate and therefore pose a challenge in provision of service assistance to them hence they are occasionally placed in segregation as a means of security measures. It is therefore important for mental health staff to be equipped with necessary training in dealing with cases of mental illness and have adequate resources to tackle the same (Townsend, 2014). Safety and security of victims of mental illness is another concern in the correction centers. The mentally ill often feel insecure, as they frequently become the victims of violence and intimidation by correction personnel and their colleagues.
Medical and other personnel in the treatment centers have a duty to provide appropriate medical attention to the victims and the necessary security. This measure can help reduce cases of injuries, infighting among the mates, inability to follow orders and rules and suicides. There should also be appropriate crisis response in place to manage any unexpected concern in the centers (Hammaker & Tomlinson, 2011). Such interventions may include effective physical handling, pepper spray, restraints, and segregation. Additionally there should be a comprehensive discharge planning for individuals with mental illness to ensure they effectively transit back to their various communities. The transition is more effective if the communities also take responsibility of accepting these individuals from the treatment centers as part of them.
LEGAL CONCERNS IN MENTAL HEALTHCARE.
The legal issues concerning mental health include state laws and enacted Acts. Mental health parity and equal coverage laws require that there should not be discrimination in healthcare service plans and insurers when providing coverage for mental illness and other physical disorders and ailments (Hammaker & Tomlinson, 2011). Emergency Economic Stabilization Act (HR 1424) which was passed into law contains a provision named; Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act. It requires that health insurance plans should provide equal level of financial and treatment coverage for mental problems, serious mental ailments, substance abuse, or any combination of these and it does not dictate group plans to provide mental health coverage.
A different legal perspective is mandated offering law that requires an option of coverage for mental sickness which when accepted then will involve extra or higher premiums and offering equal benefits if any (Townsend, 2014). Public Welfare Title 45 of the Code of Federal Regulations, Section 164.512, provides limited circumstances regarding information disclosure not authorized by the patients and allows for reports of violence to law enforcement. Patients with mental illness should voluntarily be admitted into hospitals and have the same rights as any other patients. In other circumstances there may be a compulsory admission of patients in hospitals for treatments and may be detained if their mental disorders set their safety and health at danger (Hammaker & Tomlinson, 2011). Other legal issues involve is the availability of mental health tribunal that make decisions when a patient or his caretaker has applied for his discharge from the hospital. The tribunal in this case considers the balance of individual freedom of release with the protection of the public and the interest of the individual patient when they make the decisions to help in patient protection and solve issues of community concerns.
In summary, given the medical challenges involved in dealing with mental care and the rising cases of mental illness, it is important for the healthcare providers to deliver the services to the victims in line with the existing laws.( LeCroy, 2011). The present legal laws assist in maintaining due care and assistance to the patients .On the other hand, the society should also be accommodative to bring together and accept all its members irrespective of their medical conditions.
Hammaker, D. K., & Tomlinson, S. J. (2011). Health Care Management and the Law: Principles and Applications, 1st Edition.
LeCroy, C. W. (2011). Parenting Mentally Ill Children: Faith, Caring, Support, and Surviving the System. Greenwood Publishing Group, Incorporated.
Townsend, M. C. (2014). Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice.