Preview

Disparities In Mental Health

Better Essays
Open Document
Open Document
1092 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Disparities In Mental Health
Mental Illness and Substance Abuse
Vulnerability and Healthcare Implications

Abstract
Those with mental and substance abuse illnesses have often been identified as vulnerable populations. The following essay discusses the physical, psychological, and social factors that predispose these individuals to vulnerability. In regards to health care, potential disparities are then identified based on the theoretical components of Aday’s framework regarding access, cost and quality of care.

Historically speaking, mental and substance abuse illnesses were considered “a social rather than a medical problem” (IOM, 2006, p. 59). These disorders were “viewed as manifestations of intellectual weakness or moral inferiority” (Institute of Medicine [IOM], 2006, p. 59). Such initial views have helped lay
…show more content…
Substance abuse and alcoholism potentially contribute to a number of life threatening illnesses including cirrhosis, liver cancer, pancreatitis, HIV, and hepatitis C. The role of altered perceptions and impaired judgment caused by these disorders are often unrecognized for their potential to increase risk of physical harm. However, these components have the greatest potential for impact on this population; accidents and violence were one of the largest contributors to alcohol related mortality (Cohen & Galea, 2011, p. 46).
“There is an unfortunate tendency in our culture to judge some vulnerable people as being at fault for their own vulnerability” (de Chesnay & Anderson, 2012, p. 4). Marginalization of those with mental and substance abuse problems often occurs through the presence of stigmatization. Social stigmatization develops from discriminatory societal views and the endorsement of the views against a population (Cohen & Galea, 2011, p. 94). Stigmatizations can have social and psychological impact on these

You May Also Find These Documents Helpful

  • Good Essays

    Trauma-informed care was one concept which agencies can implement into their practices, training, policies, and procedures to help minimize the effects of stigmas towards clients who are presenting with co-occurring mental health and substance use disorders with a presence of trauma. Harris and Fallout (2012) outline a trauma theory to help agencies create a trauma-informed practice which can help agencies provide client-centered substance use treatment. For substance use treatment, Harris and Fallout (2012) states that shaming, confrontation, intrusive monitoring, and demanding acquiescence to a higher authority are contraindicated for substance use treatment. Unfortunately, the contraindicated measures present in Darlene’s interaction with…

    • 849 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    SAMHSA Intervention Paper

    • 277 Words
    • 2 Pages

    Substance Abuse and Mental Illness are a common problem in America. An organization, SAMHSA, promotes and implements prevention and early intervention strategies to reduce the impact of mental and substance use disorders in America’s communities. Essentially, SAMHSA focuses on the prevention aspect of substance abuse and mental illness by steering people clear of drugs and promoting monitoring of mental illness as well as early treatment. Experts attest that an optimal mix of prevention interventions is required to address substance use issues in communities, because they are among the most difficult social problems to prevent or reduce( SAMHSA, 2016). Because it is easier to prevent these issues than to try to heal them SAMHSA work on public…

    • 277 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    According to my cultural values, any issue that occurred due to substance abuse is self-imposed. From my point of view, these problems occur as a result of weak personal traits and moral, rather than mental or physical illness. For this reason, being aware of Tom’s alcohol addiction, it might be difficult to feel sympathy (Happell,…

    • 267 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Even though most of the Sociological Model of Mental Illness is concerned with factors in the social structure such as: social class, age, race, and gender contribute to the rate of mental disorder, there has been a lot of research regarding the branding concerns of mental illness as a social status. The research is essentially motivated by the collection of concepts known as the labeling theory. Within the concepts, theoretical and experimental develops in the sociological understanding of dishonor connected with mental illness. Furthermore, the concepts shows how sociologists have contributed to our understanding of public conceptions of mental illness and public reactions to mental illness. There has been a lot of progress and prospects in research on the effects of stigma on people with mental illness.…

    • 1445 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    Life style patterns and behaviors affect our health along with economic and social structure. According to our text (Williams / Torrens 2010, alcohol, tobacco and illicit drug use create a snow ball of problems that affect our health. Excessive alcohol use creates cirrhosis of the liver, if alcohol is consumed while driving or prior to driving it causes vehicular accidents and work related injuries if consumed prior to or during work. Last week I spoke with a 20 year old male who stated his anger escalates after he consumes alcohol. He also stated his father was killed at a night club by someone that consumed excessive alcohol. These actions affect our society because they can create an increase in violent crimes and an increase in homicide and violence incidence. Cigarette use is another behavior that is associated with numerous illness, including cardiovascular disease, lung cancer, and oral cancer. Government intervention has reduced consumption and reduced illnesses associated with the use of tobacco and piper smoking.…

    • 936 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Dsm-5 Research Paper

    • 773 Words
    • 4 Pages

    After decades of discussion and argument surrounding the origin and nature of substance abuse, it has finally gained acceptance by the psychiatric community as a mental disorder. The DSM-5 refers to 10 categories within the diagnosis of substance use disorder (SUD), acknowledging that each “[class is] not fully distinct” (481). In other words, while each drug class mentioned in the manual features unique qualities, those qualities may overlap. Mental illness and substance abuse are also engaged in the dance of blended borders. An article published in the International Journal of Mental Health gives evidence of their study across a group of 325 individuals with SUD. From this interaction, 38% of these individuals also suffer a co-occurring disorder (COD). Citing discrepancies among the categories, the data points to a higher instance of heroin use in participants who were in the SUD group, choosing this over stimulants versus the COD group who exhibited a preference for methamphetamine and cocaine over opioids (Shield et al. 798). The DSM-5 concurs, showing in “Table 1 Diagnoses associated with substance class” that stimulants are likely to be associated with eight of nine diagnoses with onset during intoxication or withdrawal and includes statistics showing that opioid use is associated with only five of these same disorders (482). Van Wormer and Davis expound on the problem of defining the difference between SUD and COD by citing author Denning who says, “some clinicians in the substance abuse treatment field note that it is rare to uncover a normal, well-adjusted, average person hiding under a serious addiction because the addiction in and of itself takes a heavy psychological and emotional toll” (155). They go on to explain that each scenario, like each disorder, is uniquely…

    • 773 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Scheid, Teresa and Allan Horwitz. "Mental Health Systems and Policy." Handbook for the Study of Mental Health. New York: Cambridge University Press. 1999.…

    • 2151 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Continuum Of Care Essay

    • 707 Words
    • 3 Pages

    1. Mental health and addictions are both rooted in a complex and variable combination of biology, genetics, and life experience — particularly exposure to stress and trauma. Effective clinical approaches used to treat mental health problems and addictions, need to have strong emphasis on the continuum of care — an integrated and unified method of treatment. This should include mental health and addiction services, personnel, and service levels that address and support the needs of individual clientele in treatment within this continuum. To be effective, treatment for concurrent disorders must address the client’s substance abuse, mental state as well as associated medical and negative lifestyle impacts as a result of their CD.…

    • 707 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Vulnerable Populations

    • 1293 Words
    • 6 Pages

    A large variety of disparities exists, those such as access to education, treatment on alcoholism, drug abuse, homelessness, physical and mental abuse, adult elderly care, sex education, mental illness, AIDs and a variety of other issues have been brought to the forefront in vulnerable populations. The numerous barriers that face many of these people range from poverty, indigence, lack of insurance, money, or even transportation issues like getting to and from appropriate facilities. Even the lack of appropriate facilities or even skilled and knowledgeable medical professionals to educate and treat their problems adds to the disparities.…

    • 1293 Words
    • 6 Pages
    Better Essays
  • Satisfactory Essays

    Disparities In Health

    • 327 Words
    • 2 Pages

    The healthcare system definitely has different demographics when it comes to race, age, socioeconomics, etc. Because the population is constantly changing, the health care resources are affected daily. With the aging population, there is room for advancement because with age comes certain illnesses and there is a much-needed percentage of care that is needed but not provided. Although, it is a dramatic difference in health among racial and ethnic groups as well. Each race has had its own life expectancy. “For example, compared to a baby born with a mother, a baby born to a black mother is more than twice likely, and an infant born to an American Indian or Alaska Native mother almost ½ times as likely, to die before reaching its first birthday”(DeVoe, Wallace & Fryer, 2009, p. 74). Also, a matter in health is the socioeconomic factors which include income and education. A person income can influence his or her ability to get the best care as needed. Where they live and go to school could determine their overall health status. People in poverty are most likely to have exposure to malnutrition or even extreme weather conditions. It has been found that poor health statuses are common in blacks and Hispanics than those who are white. The underlying issue for racial and ethnic groups is disparities in both access to and the quality of care that each race receives because of their financial situations (DeVoe, Wallace & Fryer, 2009). One should also consider the culture and religious differences in health care. In some cultures, male physicians will not see female patients. Then there are the cultures that do not take medicine or even visit doctor offices or hospitals because they believe that traditional medicines have harmful…

    • 327 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Alcohol and violent behavior are intrinsically linked to domestic violence, sexual assaults, homicides, anti-social…

    • 507 Words
    • 3 Pages
    Satisfactory Essays
  • Best Essays

    As discussed in class, little advancement has been made in the field of mental health care over the past two decades. Rates of mental illness continue to be high especially among certain subgroups, but progress has been stunted by stigma and social environmental issues. Mental health disparities, like many other health disparities, are embedded within a trend of socioeconomic differences (Miranda, McGuire, Williams, & Wang, 2008). Racial and class disparities exist among those afflicted by mental health issues whereas minorities and lower income individuals have higher rates (Miranda et al., 2008). Therefore, in this paper I will discuss the adverse effects of social and environmental factors on the mental health of African Americans and mental health service utilization among this population. I posit that individual convictions amplify the more obvious institutional and economical barriers to access.…

    • 2514 Words
    • 11 Pages
    Best Essays
  • Good Essays

    Women are frequently victims of trauma or other circumstances that place them at high risk for developing a substance use disorder. These situations include childhood sexual assault, domestic violence, poverty, and homelessness. However, many of the programs that offer services to trauma victims exclude those with a substance use disorder. (Goldberg, 1995). When attempting to access substance use treatment, many women find that the structure of the programs is not conducive to their needs as either women or mothers. First, most treatment programs were designed for and use techniques that are appropriate for men but do not necessarily meet the needs of women (Goldberg, 1995). Second, there has been a movement to criminalize substance use during pregnancy. For this reason, women are less likely to seek treatment. Women who are mothers are especially vulnerable to the consequences of stigma related to substance use disorders. Mothers who use substances live in fear that they will be labeled an unfit mother. This label can carry great consequences such as removal of children from the home and criminal charges. This stigma is likely a barrier to accessing substance use treatment (Stringer and Baker,…

    • 1341 Words
    • 6 Pages
    Good Essays
  • Powerful Essays

    Access to Mental Health

    • 4550 Words
    • 12 Pages

    Mental health services ended up being far from reached by patients with primary psychiatric disorders. Mental health care means not only improving access but also improving clinical quality and ensuring cultural competence. It is the ability to treat and support programs to encounter individuals on personal terms and in methods that are customarily aware.…

    • 4550 Words
    • 12 Pages
    Powerful Essays
  • Good Essays

    Mental health plays a role in everyone’s lives if they know it or not. Record of mental illness dates back as early as 3500 BC in ancient Mesopotamia as evidenced by the discovery of trephined skulls. Along with Mesopotamia, the ancient civilizations of Egypt, Greece, Rome, and India attributed the will of the gods or demonic possession to why individuals would act outside of the norms of society, when the root of the problem had less supernatural reasons, and was actually caused by mental illness. Hippocrates was the first to introduce the concept of disturbed physiology as the basis for all illnesses. (Lyons) This placed mental illness on the same level as other medical disorders from the belief that the mentally ill are genuinely suffering,…

    • 1166 Words
    • 5 Pages
    Good Essays

Related Topics