The Community Mental Health Act Of 1963 (CMHA)

Improved Essays
The Community Mental Health Act of 1963 (CMHA) marked a forceful legislative response to the American public’s outcry for a rethinking of how to treat those suffering from mental illnesses. Championed by President John F. Kennedy as part of his “New Frontier” program that aimed to mitigate the effects of poverty and injustice in this country, the CMHA envisioned a large-scale transfer of mentally ill patients from psychiatric institutions to community mental health centers. The CMHA is also historically significant because it marked the federal government’s first direct intervention strategy in the realm of national healthcare, a strategy that has been more fully embraced in recent years (Gilmore, & Sillince, 2014).
Three related elements characterized the CMHA. First, institutionalized patients were brought closer to the community, a process called “deinstitutionalization” (Stroman, 2003). Second, patients were assisted as they reintegrated into the mainstream. The hope was that these individuals would realize their potential in a setting where interaction with fellow citizens was normal and harmonious, and where the deplorable conditions of traditional institutions posed no obstacle. Third, community health infrastructure was expanded to accommodate the sudden influx of patients and to increase the capacity of existing facilities to provide adequate care and treatment. (Yeager, Cutler, Svendsen, & Sills, 2013). Though there were pitfalls and administrative difficulties, the Act marked a major step forward in caring for the mentally ill.
…show more content…
Historical Context
Although the shortcomings of our nation’s system for caring for those with mental illnesses long predated his election in 1960, President Kennedy understood the problem in a way perhaps unlike any other American leader to that point in history. In 1941, President

Related Documents

  • Decent Essays

    Journal Activity 3.2: Mental Health Legislation in the NWT Similar to other jurisdictions across Canada, the Northwest Territories (NWT) has its own mental health legislation which describes how residents with mental health challenges can be supported. Among other things, the legislation determines how to care for individuals who may require voluntary or involuntary admission to a mental health facility. In the NWT, the mental health legislation has undergone recent public review. By October 2015, Bill 55: Mental Health Act (2015) passed its third reading in the legislature, but news sources stated that it would take approximately a year to come into effect (Thurton, 2015a).…

    • 881 Words
    • 4 Pages
    Decent Essays
  • Improved Essays

    In the article “On Being Sane in Insane Places”, author D.L. Rosenhan recounts an experiment he conducted to test the consistency of psychiatric diagnoses. In this study, eight individuals were given the task of calling a psychiatric hospital and alledging that he or she had been hearing voices lately, specifically voices that were the same sex as the patient. No other differences in symptoms or history were made, besides minor altercations that would not influence diagnoseses, such as where the individual was employed. In the end, all were admitted into the different hospitals they called. Once inside the hospital, the patient did not continue to pretend to hear voices or possess any symptoms at all.…

    • 864 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    States across the country began to shut down billions of mental institutions and clinics fifty years ago due to budget cuts. Dustin DeMoss, from huffingtonpost.com, has written about how the funds for mental health institutions shut down in the 1970s. “ At some point in the 1970s the decision was made to close state-run mental health institutions. Much of this was motivated by The Community Mental Health Act in 1963,” Dustin DeMoss stated in his article, “The Nightmare of Prison for Individuals With Mental Illness,” on his first paragraph. According to the author, the reason for mental health institutions were shut down was due to the influence by The Community Mental Health Act in 1963.…

    • 298 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The treatment of people with mental illnesses and handicaps has been a long lasting problem because of the misunderstandings of police, mental hospitals, and society. Many documentaries and movies have been made to show the lives lead in mental hospitals and institutions. News reports have talked about police shooting suspects who have been mentally ill. Most of these events could have been avoided if people could try and learn about mental illnesses, instead of hiding them away from the rest of the world. Just because they are physically or mentally different from the norm, society expects them to be maintained at an institution like dogs in a dog pound.…

    • 2391 Words
    • 10 Pages
    Improved Essays
  • Improved Essays

    During this time period, mental illness was still looked down upon. In 1970’s President Nixon impounded funds for the National Institute of Mental Health. The problem of mental illness was being brought to light as a result of the lack of services for mentally ill people. The lack of services made mental illness more noticeable and left many unstable people homeless, which got the attention of the media. Although media coverage was present, people weren’t concerned with mental illness and many families treated it as a private matter and didn’t share if they or a loved one were suffering.…

    • 805 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    After the school shooting in Florida, Trump sparks the decision of building or reopening mental institutions. The experts do not argue that having these institutions could have stopped the killings in Florida like Trump thinks, but they can make a difference in the mental health community. The mental health community is currently experiencing some hardship due to closed hospitals and not enough funding to the community mental health clinics. People with mental health disorders are not getting the proper care and treatment they need and are ending up in prisons. In these prisons, they are still not getting what they need plus so many inmates have disorders.…

    • 243 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Mentally Ill In The 1800s

    • 690 Words
    • 3 Pages

    The discrimination of the mentally ill has been an issue since the 1800’s. Historically, the treatment of mentally ill persons was deplorable. They were often abused and isolated in mental hospitals, thus being treated as less human. Although the mentally ill no longer receive such treatment today, the stigma still remains in today’s society. The major stakeholders in this issue are as follows: medical professionals, educators and their administrators, and the employers and employees of mentally ill persons.…

    • 690 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Our social safety net is poor despite all we spend on health care; this means that despite initiatives to keep those who are most vulnerable to poverty from falling below poverty level, it is hard to do so (Rachlis, 2005). Mentally ill patients are discriminated against in the workplace because they are seen as independent or unreliable. This makes it more difficult to find a steady source of income and avoid falling into poverty levels. Institutionalization may treat some patients but when these facilities close down and the patients are put back into the environment that made them ill, it does no good. This illustrates the “revolving door syndrome” in…

    • 2044 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    The New Asylums Essay

    • 598 Words
    • 3 Pages

    After viewing “The New Asylums”, there are many systematic problems, societal shifts, and/or changes in policies that have contributed to “The New Asylums”. One of the main societal shifts that have contributed to the “The New Asylums” is the nation’s shut down of psychiatric centers. This led to the police department to handle the mentally ill that were left on the streets leading to many arrests. However, a prison’s function is not to treat mentally ill patients; their role in society is to provide safety and security to the community. Nonetheless, the prisons do provide many services and treatments to accommodate the mentally ill.…

    • 598 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    News reports highlighted Part 4, which describes assisted community treatment (Williams, 2015). Assisted community treatment gives patients the ability to leave a medical facility to live in a smaller community while undergoing treatment because the legislation expanded upon who could examine and assess patients (Magee, 2015). At the same time, should someone stop treatment, then the Part 4 states that the patient can be detain and transported to a treatment center by police (Magee, 2015). Reports also emphasize concerns about the way the new Mental Health Act fails to address NWT’s youth (Carmichael, 2015; Thurton, 2015a; Williams, 2015).…

    • 616 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Imagine living in a place where you were sent for avail with a disability and it turns out to be a nightmare. A nightmare where you are residing in poor conditions, abused by a corrupt staff, and undergo dangerous operations on without your permission. Albeit many of us would never experience this, it was a cold-hearted reality for the mentally ill. Not only were the mentally ill treated horrible in “institutions” back in the mid-1800s to mid-1900s but outside they were not treated any better. In this research paper I am going to look into the treatment of the mentally ill in the mid-1800s to the mid-1900s.…

    • 2073 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    America's Prison System

    • 1122 Words
    • 5 Pages

    “According to the Council of State Governments Justice Center, more than 300 cities and counties across the U.S. have established mental health or drug courts, in which the mentally ill and those with substance use disorders are sent to treatment rather than incarcerated” (Ollove). No matter how small the number, this has the potential to make a monumental difference- not just for the victims of this awry system, but for the country as a…

    • 1122 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    According to Jansson, the MHSA “did not provide centers with sufficient funds to implement the new services that it mandated” (2015, p. 322). Without the proper financial backing, the services were not successful and left the population suffering. As this policy was somewhat of an effort to continue the deinstitutionalization of mental health services, it was unable to fully assist the mentally ill that were discharged or diagnosed after the policy was passed. Laurence French states that “while the number of institutionalized mentally ill and mentally retarded people has decreased markedly in the 1970s and 1980s, jails and prisons have become overcrowded” (1987, p. 503). He further goes on to imply that the jails have become like mental health institutions, as they began to house the mentally-ill that were homeless (French,…

    • 675 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Treatment of Mentally Ill Offenders There is a major issue with the mental health treatment in our society. With much of America increasingly being diagnosed with a mental illness, it is still a much stigmatized disease. It is estimated that one out of every five Americans have been diagnosed with a mental disorder ranging from mild to severe. Yet, the extent of therapy and support programs available for the mentally ill is considerably insufficient. Deinstitutionalization ultimately had a negative impact on our society and was responsible in criminalizing the mentally ill.…

    • 1063 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Background Historically individuals have faced medical and social boundaries for accessing mental health services. Health insurance plans discriminated against people living with a mental illness by offering fewer benefits and more restrictions for mental health treatment than medical treatment. To account for the disparity in services, the Mental Health Parity Act of 1996 (MHPA) was enacted by Congress. The law represented progress in mental health policy, but it “did not address treatment limits, the restrictions on the types of facilities covered, differences in cost sharing, and the application of managed care techniques” (Health Affairs, 2014).…

    • 1691 Words
    • 7 Pages
    Improved Essays