Challenges and Issues of the State Mental Hospitals

Published: 2021-07-07
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The underlying presenting issue of the State Mental Hospitals is the shame of the States. In the past, the achievements of the State Mental Hospitals were minimal. Today the achievements have thrived, and it is globally recognized on the reduction of mental illness in the society. The services have always been criticized, and the objective of the closing down the facilities has regularly been discussed since the 18th century (Geller, 2016).

Specialized assessments that might be needed

In 1800s, the evaluation of mental issues was limited to psychiatric social problems. In the 2010s, the role has been extended to incorporate other settings in the particular cases of forensic patients, rehabilitation care, financial inappropriateness, and among others (Karling, 2012). Unlike in the past in todays context, the state hospitals integrate special assessment for the identified special cases.

Management issues on the unit

In 1800, the administration highly criticized the role of the state medical hospitals. The administrators were eager to close down the state hospitals (NASMHPD, 2015). The attitudes have not changed. However, the privation of the industry offers an alternative to the system. The administrator further encourages the state hospitals to partner with private organizations.

Treatment needs

The treatment needs have expanded as the state hospitals are required to offer management therapies to people who behavior is inappropriate in finance, social and other problems (Geller, 2016). In the past, the only recognized mental problem was associated with social issues.

Treatment responses

The treatment responses in 1800 were limited to offer only medications whose availability was limited (Geller, 2016). In todays context, the treatment response integrates the element of therapies, moral treatment, and the availability of therapy is more efficient than in the 1800s.

Treatment and Resource Dilemmas

The administrators are driven by the desire to close down the State medical health centers. The resource dilemma has been persistent since the 18th century (NASMHPD, 2015). However, despite the challenges, the facilities must guarantee that they are sufficiently resourced and reachable to the patients who are in need of the mental medical services.

Question 2

Revolution of the role of the State Psychiatric Hospital since 1800s

The role of the State Psychiatric Hospital has continued to evolve since 1800. In todays society, there is an increase in organized institutional psychiatry. The role of the state psychiatric hospitals was limited to only medical treatment, but the services have been expanded to integrate the moral treatment (Karling, 2012). The admission rate of the mentally impaired patients was limited as the disorder was associated curses. In todays society, the State Psychiatric Hospital plays a significant role in the facilitation of admission of the patients.

The current role in the Community mental health system

They act as the primary locus of care treatment of mental problems. The role of the State hospitals is shaped by the national forces and various local forces. The function of the facilities is structured to offer solutions to the social problems in the community. Furthermore, the responsibility is expanded to cover people who are deemed inappropriate for financial, behavioral and other reasons.

The challenges facing the facilities clinically, financially and administratively

The administrative problems that the psychiatric health hospitals are that there need to eliminate them by the government despite the role they play in the society. The fact that the government gives a little preference to the facilities implies that the financial allocation of funds is limited. Limitation of funds inhibits the achievement of the central objective. The spending rates of the state hospitals are high, and therefore, they are considered a fiscal burden on the government.



Geller, W. F. (2016). Health Affairs: the Changing Role of the State Psychiatric Hospital. University of Massachusetts Medical School in Worcester.

Karling, K. (2012). National Association of the State Mental Health Program Directors Research Institute. State Psychiatric Hospitals.

NASMHPD. (2015). State Psychiatric Hospitals. NASMHPD Research Institute.



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