A mental health system is one that has perpetually plagued society and the one being focusing on will be alcoholism in the mental health. Approximately 64% of Americans drink. Many Americans are exposed to alcoholism in the family and of the over 15 million alcoholics in this country,500,000 are youth between the ages of nine and twelve. (National Institutes of Health [NIH] and NIAAA 2007).
Psychologist, clinical social workers,mental health therapists, and marriage and family therapists reveal that their potential for treatment error essentially revolves around the limited resources for behavioral health and the unpredictability of clients crisis. Most community healthcare systems are simply unable to accommodate everyone’s mental heath needs. Thus, the required prioritization of available resources inevitably leads to error when violent, homicidal or suicidal tendencies are missed. Alcoholism is a physical and psychological addiction to a psychoactive substance. It includes chronic health and behavioral disorders.
Fifty years ago, a person seeking help for a serious alcohol problem would have been treated for months in a psychiatric hospital diagnosed using the American Psychiatric Association Greybook. Today people with alcohol abuse disorder have a better chance of being identified and finding support and/or being required by the criminal justice system to undergo treatment. In order to determine which philosophy of alcoholism best fits with their own beliefs and practices, mental health provider’s must understand the fundamental tenets of behaviorism. How many people in today’s society have told themselves that they do not have a drinking problem?
They make up excuses for why they drink. Here is a list of five types of alcoholics that would help us see alcoholism in a new light; quoted extensively the five -dependent subtypes created by Dr. Moss and colleagues. Young Adult subtype: 31. 5% of U. S. alcoholics’ young adult drinkers, with relatively low rates of co-occurring substance abuse and other mental disorders, a low rate of family alcoholism, and who rarely seek any kind of help for their drinking. Young antisocial subtype: 21% of U. S. alcoholics. Tend to be in their mid-twenties, had early onset of regular drinking, and alcohol problems.
More than half come from families with alcoholism, and about half have a psychiatric diagnosis of antisocial personality disorder. Many have major depression, bipolar disorder, and anxiety problems. More than 75% smoke cigarettes and marijuana, and many also have cocaine and opiate addictions. More than one third of these alcoholics seek help for their drinking. Functional subtype: 19. 5% of U. S. alcoholics.
Typically middle-aged, well- educated, with stable jobs and families. About one third have a multiply generational family history of alcoholism, about one quarter have major depressive illness sometime in their lives, and nearly 50% are smokers. Intermediate familial subtype: 19% of U. S. alcoholics. Middle-aged, with about 50% from families with multiply-generational alcoholism. Almost half have had clinical depression, and 20% have had bipolar disorder.
Most of these individuals smoke cigarettes, and nearly one in five have had problems with cocaine and marijuana use. Only 25% ever seek treatment for their problem drinking. Chronic severe subtype: 9% of U. S. alcoholics. Composed mostly of middle-aged individuals who had early onset of drinking and alcohol problems, with high rates of antisocial personality disorder and criminality. Almost 80% come from families with multiply generational alcoholism.
They have the highest rates of other psychiatric disorders including depression, bipolar disorder, and anxiety disorders as well as high rates of smoking, and marijuana, cocaine, and opiate dependence. Two thirds of these alcoholics seek help for their drinking problems, making them the most prevalent type of alcoholic in treatment. (National Institutes of Health [NIH] and NIAAA 2007). So now everyone can see that drinking does have mental health risk. They tell themselves and others around them that they do not have a drinking problem.
But sometime it takes them to hit rock bottom before realizing that there is a problem and how it is affecting them, their families and their friends. Of course they try to make up excuses such as, I only had one beer or I have not been drinking and I am just tired but the outcome is usually not in their favor. Now they have to go in front of a judge to explain their actions, this could be a life saving action for them. The judge may or might order them to go to treatment like alcohol anonymous (AA), psychiatrist evaluation, and drug counseling and/or rehabilitation program.
They now have been faced to see the evil of drinking and the outcome of what could be. Now for mental health provider’s to understand their own philosophy of alcoholism, they must also know about the consequence to warn those that come to them for help. In the United States, each citizen’s rights are protected by federal and state laws. To protect patients, residents, and clients, there are additional laws focused on just those people’s legal rights. In every health care facility, the health care team protects these rights. Each team member carries out procedures in the correct way, following professional, legal standards of care.
The health team also behaves ethically. By following ethical standards, they obey guidelines of moral behavior, of doing the right thing when providing care for people. Special provision should be made for alcoholics bye making sure they do not harm themselves or others around them, making sure all their medical needs are met, and helping them receive the mental health care they need. The type of mental health care providers alcoholics could turn to for help could include the following psychiatrist, psychologist, clinical social worker, psychiatric or mental health nurse, licensed professional counselors, and marriage and family therapists.
They all have the best in mind for everyone even if they do not want to see it. If money is the issue for not seeking assistance there are many local and state run programs out there to help them deal with their problems for free. But they have to want the help and be willing to look for it. Mental health and substance abuse programs are funded by a combination of public spending (63%), third-party insurance (22%), individual out-of-pocket spending (13%), and other (2%). Among the public payers, the bulk of the funds comes from medicaid (44%), followed by other state and local agencies (37%), medicare (12%), and other federal programs (7%). (SAMSSA 2003)
So this shows us that there are many ways for the mental health to be funded and why the can help so many people with all their needs. Approximately 19 percent of adult population has a diagnosis of mental illness. Substance abuse of drugs and/or alcohol occurs in about 6 percent of the adult population. Dual diagnosis of both mental illness and substance abuse is responsible for the final 3 percent. This translates to 57. 7 million adults in any given year (pg 119-120).
The phenomenon of mental health has fostered much controversy, specifically regarding treatment vs. punishment. Today’s society we are faced with many difficult issues like alcohol and drug abuse, anxiety, stress, depression, and many more. There is now more patient’s and not enough places for them to go for treatment and this is causing more people to go to jail then get treatment. Also, more jails are now offering mental health care to their inmates. If inmates and others in the mental health care system are shown new approaches to live then things could start to change for them.
Alcoholism continues to be a very serious and complex national concern. What everyone should have learned is that mental health facilities need to focus on system redesign rather than individual chastisement. They have also learned the importance of building a culture of safety in which people are not afraid to identify mental health issues and learn from each others mistakes.
In this new culture of safety, there should be no retribution for reporting mental health issue or “near misses”. Healthcare professionals have been identified as essential participants in the team approach to alcoholism reduction and remain central to the varied efforts promoting resolution.
Through additional study of best practices, organizational guidelines and technical support strategies, our nation hopes to build a healthcare system that can offer the safest patient care possible. References National Institutes of Health (NIH) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA), U. S. Department of Health and Human SeAustin, Anne, and Victoria L. Wetle. “Scope of Mental Illness. ” The United States Health Care System: Combining Business, Health, and Delivery. Upper Saddle River, NJ: Pearson/Prentice Hall, 2008. 119-31. Print. service (USDHHS). Researchers Identify Alcoholism Subtypes.
Bethesda, MD: Government Printing Office, 2007. Available [->0]. Bernstein,Douglas A. , and Peggy Wright. Nash. “Psychological Disorders. ” Essentials of Psychology. Fourth ed. Boston: Houghton Mifflin, 1999. N. pag. Print. Alcoholism “Alcoholism Statistics. ” (January 2008). available [->1]. Substance abuse and Mental Health Services Administration (SAMHSA). Results from the 2005 National Survey on Drug Use and Health: National Findings. Rockville, MD: Office of Applied Studies, 2006. World Health Organization (WHO). “ Trends in Substance Use and Associated Health Problems. ” Trends in Substance Use.
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