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By the end of this section, you will be able to:
  • Explain how people with psychological disorders have been treated throughout the ages
  • Discuss deinstitutionalization
  • Discuss the ways in which mental health services are delivered today
  • Distinguish between voluntary and involuntary treatment

Before we explore the various approaches to therapy used today, let’s begin our study of therapy by looking at how many people experience mental illness and how many receive treatment. According to the U.S. Department of Health and Human Services (2013), 19% of U.S. adults experienced mental illness in 2012. For teens (ages 13–18), the rate is similar to that of adults, and for children ages 8–15, current estimates suggest that 13% experience mental illness in a given year (National Institute of Mental Health [NIMH], n.d.-a)

With many different treatment options available, approximately how many people receive mental health treatment per year? According to the Substance Abuse and Mental Health Services Administration (SAMHSA), in 2008, 13.4% of adults received treatment for a mental health issue (NIMH, n.d.-b). These percentages, shown in [link] , reflect the number of adults who received care in inpatient and outpatient settings and/or used prescription medication for psychological disorders.

A bar graph is titled “U.S. Adult Mental Health Treatment, 2004–2008.” Below this title the source is given: “National Institute of Mental Health, n.d.-b” The x axis is labeled “Year,” and the y axis is labeled “Percent of adults.” In the years 2004, 2005 and 2006, the percentage of adults who received treatment hovered at 13 percent or just below. For the years 2007 and 2008, the percentage rose slightly closer to 14 percent.
The percentage of adults who received mental health treatment in 2004–2008 is shown. Adults seeking treatment increased slightly from 2004 to 2008.

Children and adolescents also receive mental health services. The Centers for Disease Control and Prevention's National Health and Nutrition Examination Survey (NHANES) found that approximately half (50.6%) of children with mental disorders had received treatment for their disorder within the past year (NIMH, n.d.-c). However, there were some differences between treatment rates by category of disorder ( [link] ). For example, children with anxiety disorders were least likely to have received treatment in the past year, while children with ADHD or a conduct disorder were more likely to receive treatment. Can you think of some possible reasons for these differences in receiving treatment?

A bar graph is titled “U.S. Child Mental Health Treatment (Ages 8–15).” Below this title the source is given: “National Institute of Mental Health, n.d.-c” The x axis is labeled “Type of disorder,” and the y axis is labeled “Percent with disorder.” For children diagnosed with “Anxiety disorders,” around 32 percent receive treatment. For “Mood disorder,” around 42 percent receive treatment. For “Conduct disorder,” around 46 percent receive treatment. For “ADHD,” around 48 percent receive treatment. For “Any disorder,” around 50 percent receive treatment.
About one-third to one-half of U.S. adolescents (ages 8–15) with mental disorders receive treatment, with behavior-related disorders more likely to be treated.

Considering the many forms of treatment for mental health disorders available today, how did these forms of treatment emerge? Let’s take a look at the history of mental health treatment from the past (with some questionable approaches in light of modern understanding of mental illness) to where we are today.

Treatment in the past

For much of history, the mentally ill have been treated very poorly. It was believed that mental illness was caused by demonic possession, witchcraft, or an angry god (Szasz, 1960). For example, in medieval times, abnormal behaviors were viewed as a sign that a person was possessed by demons. If someone was considered to be possessed, there were several forms of treatment to release spirits from the individual. The most common treatment was exorcism, often conducted by priests or other religious figures: Incantations and prayers were said over the person’s body, and she may have been given some medicinal drinks. Another form of treatment for extreme cases of mental illness was trephining: A small hole was made in the afflicted individual’s skull to release spirits from the body. Most people treated in this manner died. In addition to exorcism and trephining, other practices involved execution or imprisonment of people with psychological disorders. Still others were left to be homeless beggars. Generally speaking, most people who exhibited strange behaviors were greatly misunderstood and treated cruelly. The prevailing theory of psychopathology in earlier history was the idea that mental illness was the result of demonic possession by either an evil spirit or an evil god because early beliefs incorrectly attributed all unexplainable phenomena to deities deemed either good or evil.

Questions & Answers

what is true experiment and quasi experiment
Agunwiche Reply
In a true experiment, participants are randomly assigned to either the treatment or the control group, in a quasi-experiment they are not assigned randomly in.
Lyric
if I'm thinking about it the way you're asking. I haven't been on here in awhile lol
Lyric
what is general intelligence?
kiya Reply
there is no exact definition for intelligence. but some argues that it's organization of mental ability and how we use this ability in any particular situation..
gokul
what is application of humanistic theory of classroom
Afreen Reply
The humanistic learning theory developed further and harnesses the idea that if students are upset, sad, or distressed, they're less likely to be able to focus on learning. This encourages teachers to create a classroom
Dhwani
state the brief history of psychology
James
The history of psychology as a scholarly study of the mind and behavior dates back to the Ancient Greeks. ... Psychology as a self-conscious field of experimental study began in 1879, in Leipzig Germany, when Wilhelm Wundt founded the first laboratory dedicated exclusively to psychological research
Dhwani
can anyone explain sleep and it's stages?
Shachi Reply
yes
Dhwani
please let me know
Shachi
sleep works in three hour stages. falling asleep rem, waking back up. do you have a spicific question?
Nathaniel
When thinking about getting the sleep you need, it’s normal to focus on how many hours of sleep you get. While sleep duration is undoubtedly important, it’s not the only part of the equation. It’s also critical to think about sleep quality and whether the time spent sleeping is actually restorative
Dhwani
sleep studies have proven that how you aproach your sleep sycle is important. people will constantly concern thwmselves with how much sleep instead of the quality of sleep they are getting. it is better to get 3 houts of sleepless rest then it is to get 6 of strained sleep
Nathaniel
I mean stages of sleep
Shachi
and it's explaination
Shachi
thanks all😊
Shachi
How brain power can be used to control physical things?
Ali Reply
can anyone explain sleep and it's stages?
Shachi
what is the role of psychology in the development of therapies for disorders of a circadian rhythm?
wazir Reply
what is the role of psychology in the development of therapies for disorders of circadian rhythm?
wazir
To study Abnormal Psychology means, to study mainly the nature of
Baddo Reply
abnormal psychology? can you explain please?
la
abnormal, this branch of psychology typically deals with behavior in a clinical context.
pakki
yo
Baddo
To study Abnormal Psychology means, to study mainly the nature of 1). Conscious Mind 2). Unconscious Mind 3). Subconscious Mind 4). Normal Mind
pakki
yo
Kylee
abnormal psychology- is the scientific study of Psychological disorders and their treatments
utkarsh
Utkarsh Verma can you help me pass out my exams? tomorrom
Baddo
10 - 11 MCQ test can you all or some help? the only subject I'm weak in is psychology
Baddo
which branch of psychology is the test on?
pakki
How Abnormal Behavior is Defined While it may seem that the definition of “abnormal” indicates a behavior that is considered outside of the human norm, it is actually a much slipperier slope. Therefore, abnormal psychology takes on the task of scientifically studying and classifying human behaviors
Anye
Yo
Monica
What is the role of psychology in the development of therapies for circadian rhythm disorders?
wazir
please I wish to find out how difficult/easy it is, for someone with a bachelor degree in philosophy to continue with masters and doctoral in psychology, specifically, I-O psychology.
Anye
do the individuals know that they are being researched on? and why does anyone speak up regarding the matter? is it "don't ask, don't tell" policy?
Stepphun Reply
examine any 5 perceptual principals of organization
kundai Reply
closure, pragnanz, proximity, continuity, similarity, inclusiveness
Shachi
Is it possible for a child to be schizophrenic?
Esther Reply
yes. early onset of schizophrenia starts at 13 to 18. very rare but possible.
Kristel
Good question
Mulder
It's uncommon for children to be diagnosed with schizophrenia.
pakki
what is the role of psychology in the development of therapies for circadian rhythm disorders?
wazir
is there a difference between age and romantic attachment style?
Alysha Reply
I don't think so. Well, not always. Certain things should be timeless.
Know
I'm 48 & he's 26 ...so we shall see?
Tanya
in my opinion if you both are comfortable with each other then definitely age is nothing but a number but then also there will be little difference in the cognition due to age
utkarsh
yes Utkarsh.I agree with you.We call it as generation gap. But there can be exceptions also...
Shailaja
yes generation gap can affect the relationship but this totally depends on the couple that how they settle up with each other
utkarsh
that is true, balance is needed. I spent a long time with an older man and I was more his child than his partner. power struggles are hard in relationships with generational gaps
Ashley
I think all it all depends on your comfort or braveness and attitude toward life, then age is just numbers.
Sujeet
new perspective n ones mindset towards life plays an important role... if the change is for gud.. go-ahead
Smitha
Yes romantic attachment styles change with age if that's what you are asking. here is where you can read more about it ***google.com/amp/s/qz.com/1206940/attachment-style-changes-with-age/amp/
krish
can empirical research be performed on people being diagnosed or people who have borderline personality disorder?
Stepphun Reply
yes it can
Angela
***pubmed.ncbi.nlm.nih.gov/3711874/
Angela
thank you for the feedback
Stepphun
👍
Angela
yes?
Stepphun
discuss the three models of positional coding in working memory citing examples.Please help me with points to this question
jane Reply
can you clear me up a doubt that for to become a psychriatist what process are needed
Mimi Reply
What are the vocational choices for women in pakistan also discuss its aims and objectives.
Malik Reply

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Source:  OpenStax, Psychology. OpenStax CNX. Feb 03, 2015 Download for free at https://legacy.cnx.org/content/col11629/1.5
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