“We Need Modern Day Asylums!” – Dr. Ezekiel Emanuel’s Suggestion Shakes Things Up But Is It Realistic?

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Why do they have to say asylums? That is what makes people cringe.

Why not say modern long term care facilities?

It is true… some people need long term care. Some families can’t take care of others.

I know it’s just semantics… but asylum in this case is a dark word.

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I think this would especially help with the homeless disabled people.

  • But I agree with @SurprisedJ asylum is a very dark word.
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Quoting from the article:

Instead of trying to treat the severely mentally ill and indigent in prisons, we should construct new hospitals where the few people who need inpatient treatment and structured, institutional-based assistance can get it. “This was the original meaning of psychiatric ‘asylum’—a protected place where safety, sanctuary, and long-term care for the mentally ill would be provided,” the authors wrote. “It is time to build them—again.”

These would be state-of-the-art facilities with highly trained staff, Sisti told VICE—no lobotomies, no snake pits. He said the use of the word asylum was meant to hearken back to Quaker ideals, which he described as “to basically respect individuals with mental illness as human beings, as persons with dignity, and to give them the safety and time they need to recover their lives.”

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**Yeah-the word has negative connotations.
I`m sitting on the fence with this one. I read another article today about “supported living” which provides the same thing a hospital would, but on an outpatient basis.
This includes, housing, doctors, case help, etc…
e were alarmed by the basic premise of "Improving Long-term Psychiatric Care, Bring Back the Asylum,” as published in the Journal of the American Medical Association, which advocated for the return of what the modern behavioral health community hoped would remain buried in the past. Asylums in their best practice separated individuals from families and communities and supported the notion that people cannot recover from serious mental illness. Asylums in their worst practice created harmful and dangerous living conditions similar to prison camps. A return to asylums is actually contradictory to the current science and practice within the field and what we know is required to improve the health status of individuals, communities, and the City of Philadelphia.

The authors note that many people find themselves trapped in a cycle formed by incarceration, homelessness, and acute hospitalization. We disagree that homelessness is an unavoidable consequence for many struggling with a serious mental health disorder. People experience homelessness quite simply because of a lack of housing. When housing, along with appropriate support services, is made available to people experiencing serious mental illness, we know that homelessness is eliminated. For example, Philadelphia has created a unique partnership led by the office of the Deputy Mayor for Health and Opportunity that includes the Philadelphia Housing Authority, the Office of Supportive Housing, the Department of Behavioral Health/Intellectual disAbility Services (DBHIDS), and provider agencies that offer housing through vouchers for individuals with serious mental illnesses and substance use conditions. Since 2012, 792 individuals have moved into permanent supportive housing. Over 350 of them came from mental health residential programs, primarily congregate care settings, with the remainder being people who were experiencing long-term street homelessness. Approximately 94% of these individuals remain in their housing and are doing well living in the community.

Successes in our community-based approach extends to treatment for youth. In 2006, Philadelphia had 1,588 youth in residential treatment, seen as the only option available and appropriate to them. Since that time, however, DBHIDS has created strategic and significant community-based treatment opportunities, which have resulted in real cost savings to

Read more at http://www.philly.com/philly/blogs/public_health/Philadelphia-succeeds-without-asylums.html#ujoUOOLjPPDW1sSq.99

This has been my sons experience. If they were to have a facility with excellent care, fine. My son has needed this before-or maybe not. Im starting to think that it`s better to integrate a person into the community and still provide a village for them if they so choose.

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I agree, asylum is a dark word! In the uk it’s a struggle to get acute care, as mental health services have been cut majorly, there is the crisis/ home treatment team, but they can be pretty rubbish depending on the area. Long term facilities have long waiting lists unless you go through the prison system or are the worst of the worst. There isn’t enough here. But it’s elsewhere too, I think we should allow long term hospitals to be built and used. It would save a lot of people.

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