I have seen several threads on the plight of the mentally ill in our country. It is a sad situation that there are so many in need of help and care, but the healthcare system is woefully unable to manage this population.
Based on the excerpt below we can see that the drive was away from facilities and providers to care for them. Many mental health patients now reside in our prison systems. This cost is exorbitant not only in real dollars, but in productivity and quality of life lost.
I understand that the ACA has provisions for mental health coverage, however the problem is larger than just saying, "yes you can go to a provider now." Other factors to consider are facilities available, qualified providers etc. Where will the money and manpower come from to support a solution?
Following is an excerpt from Chapter One of:
Out of the Shadows: Confronting America's Mental Illness Crisis
by E. Fuller Torrey, M.D. (New York: John Wiley & Sons, 1997).
is the name given to the policy of moving severely mentally ill people out of large state institutions and then closing part or all of those institutions; it has been a major contributing factor to the mental illness crisis.
Deinstitutionalization began in 1955 with the widespread introduction of chlorpromazine, commonly known as Thorazine, the first effective antipsychotic medication, and received a major impetus 10 years later with the enactment of federal Medicaid and Medicare.
Deinstitutionalization has two parts: the moving of the severely mentally ill out of the state institutions, and the closing of part or all of those institutions. The former affects people who are already mentally ill. The latter affects those who become ill after the policy has gone into effect and for the indefinite future because hospital beds have been permanently eliminated.