Just as a PS to Miguel's post, I don't want anyone to get the idea that only nations such as Russia and the Eastern European bloc use psychiatric diagnosis and treatment as a form of political repression. >From my experience as a hospital corpsman in the Navy, I can assure you that "trouble makers" were often sent to see the hospital psychiatrist and often was given a psychiatric diagnosis because they were trouble makers. It isn't uncommon for other areas of our government to do the same.
---- Original message ---- >Date: Sun, 19 Jun 2011 14:15:16 +0000 (UTC) >From: roig-rear...@comcast.net >Subject: Re: [tips] Money Changes Everything: Mental Health Treatment Edition >To: "Teaching in the Psychological Sciences (TIPS)" <tips@fsulist.frostburg.edu> > > > > We should keep in mind that certain countries, > particularly those within the former soviet > sphere use or have use psychiatric diagnosis and > treatment as a means of political repression. > > > > http://en.wikipedia.org/wiki/Political_abuse_of_psychiatry. > > > > http://schizophreniabulletin.oxfordjournals.org/content/36/1/33.full > > > > One wonders whether this fact account for the higher > number of beds per capita in some of these > countries? > > > > Miguel > > ----- Original Message ----- > From: "Jim Clark" <j.cl...@uwinnipeg.ca> > To: "Teaching in the Psychological Sciences (TIPS)" > <tips@fsulist.frostburg.edu> > Sent: Sunday, June 19, 2011 4:48:31 AM > Subject: Re: [tips] Money Changes Everything: Mental > Health Treatment Edition > > > > Hello again (last time today!) > > I went to WHO site for psychiatric beds per 10,000 > population and extracted Europe + Canada + USA into > SPSS. Below is ranking from high to low. USA falls > in the middle of the pack of these select countries, > 26 out of 42. Many other parts of the world have > far fewer beds than these generally more developed > countries. > country > psybeds10k rank > > Belgium > 22.1 1.000 > Canada > 19.3 2.000 > Netherlands > 18.7 3.000 > Latvia > 13.8 4.000 > Switzerland > 13.2 5.000 > France > 12.0 6.500 > Norway > 12.0 6.500 > Russian > Federation > 11.5 8.000 > Czech > Republic > 11.4 9.000 > Luxembourg > 10.5 10.000 > Estonia > 10.2 11.000 > Croatia > 10.1 12.000 > Finland > 10.0 13.500 > Lithuania > 10.0 13.500 > Hungary > 9.6 16.000 > Serbia and > Montenegro > 9.6 16.000 > Ukraine > 9.6 16.000 > Ireland > 9.4 18.000 > Slovakia > 9.0 19.000 > Greece > 8.7 20.000 > Slovenia > 8.5 21.000 > Bulgaria > 8.3 22.000 > The former Yugoslav Republic of > Macedonia 8.2 23.000 > Belarus > 8.0 24.000 > Poland > 7.8 25.000 > United States of > America 7.7 > 26.000 > Romania > 7.6 27.000 > Germany > 7.5 28.500 > Portugal > 7.5 28.500 > Azerbaijan > 7.1 30.500 > Denmark > 7.1 30.500 > Republic of > Moldova > 6.7 32.000 > Austria > 6.5 33.000 > Sweden > 6.0 34.000 > United Kingdom of Great Britain and Northern > Ireland 5.8 35.000 > Iceland > 5.0 36.000 > Armenia > 4.8 37.000 > Italy > 4.6 38.000 > Spain > 4.4 39.000 > Bosnia and > Herzegovina > 3.6 40.000 > Albania > 2.5 41.000 > Georgia > 2.1 42.000 > > Take care > Jim > > James M. Clark > Professor of Psychology > 204-786-9757 > 204-774-4134 Fax > j.cl...@uwinnipeg.ca > >>> "Jim Clark" j.cl...@uwinnipeg.ca> 19-Jun-11 > 10:30 AM >> > Hi > > I was surprised by the high number of beds for the > USA given all the concerns expressed about finding > beds for people with psychiatric problems. When I > went to the original source cited at the following > link (the WHO Atlas for 2005), I found quite > different values for number of psychiatric beds: 7.7 > per 10,000 for the USA versus 19.34 for Canada. Not > sure how source below came up with their figures > (which also seem to be wrong for at least some other > countries as well), unless it was some major error > converting per 10,000 to per 100,000. > > Assuming expenditure figures were correct below, > seems that money in USA goes to something besides > psychiatric hospital beds. > > Take care > Jim > > > James M. Clark > Professor of Psychology > 204-786-9757 > 204-774-4134 Fax > j.cl...@uwinnipeg.ca > > >>> "Jim Clark" j.cl...@uwinnipeg.ca> 19-Jun-11 7:19 > AM >> > Mike is correct to point out the more complete > presentation in the article itself. I was just > responding to the last comment emphasizing > disempowerment in his post. > > On the matter of "money changes everything," I was > curious about the state of mental health funding and > services in the USA since it is known that the USA > spends more per capita on health care than most > other developed countries and the article only > alluded to relative changes due to government > cutbacks. I was also struck by the fact that the > victim was very poorly paid by a company with a > contract for $43 million (if memory serves me > right). It would be interesting to know what > percentage of that $43 million went to non-service > costs. > > I found an interesting summary of relevant > statistics at > > http://www.mentalhealthresearch.ca/Publications/Documents/AMHB_Stat istics_pktbk07_eng.pdf > > The USA actual spends about an average percent of > total health care spending on mental health (7.5%, > p. 51) relative to the comparison countries. Canada > spends 5%, UK about 12%. But given larger base for > USA (i.e., larger health care expenditures), USA > would rank higher on per capita expenditures on > mental health. Not clear what an "ideal" figure > would be, and of course this includes both public > and private expenditures, which could mask > considerable inequities in spending. Hollywood > alone (Charlie Sheen?) must add considerably to USA > expenditures. In any case, the amount of money in > the "system" appears to be not out of line with > other countries, although perhaps there is room for > improvement in allocation. Given the difficulty of > modifying the health care system in the USA, I'm not > too optimistic about radical changes any time soon. > > Moreover, USA has more psychiatric beds (p. 31) than > comparison countries despite trend to transfer > services to communities. Not clear that everyone > would have equal access to these beds. > > With respect to mental health professionals, USA has > average per capita number of psychiatrists (p 33) > and psychologists (p 35) but markedly fewer > psychiatric nurses (p 37) and social workers (p > 39). Latter might perhaps be ideally expected to > provide the kinds of service involved in monitoring > and staffing group homes? > > So, money might indeed change everything, IF > properly distributed. > Take care > Jim > > James M. Clark > Professor of Psychology > 204-786-9757 > 204-774-4134 Fax > j.cl...@uwinnipeg.ca > >>> "Mike Palij" <m...@nyu.edu> 18-Jun-11 7:45 PM > >>> > On Fri, 17 Jun 2011 21:15:27 -0700, Jim Clark wrote: > >Hi > >I'm struck by the last sentence in Mike's quote > from the panel. Is it > >really the case that disempowerment is what leads > people (in general or > >just those with mental illness?) to be violent? > How is that any less an > >over-generalization and stigmatizing about poor > people than asserting > >that people with mental illness are likely to be > violent? > > I don't think that the article asserts that the > reduction/degradation/elimination > of publicly available sources (the rich can take > care of their own) is what > causes people with schizophrenia or other psychotic > disorder to be violent -- > the article points out that these "consumers" in > general are not violent and > it is only those consumers who have a substance > abuse problems that tend > to have a higher rate of violence. > > I think that the article is trying to point out that > if we are going to try > to integrate the people with mental illness into the > general population, > then a certain level of services needs to be > provided to make sure > that they stay on appropriate medication, continue > to learn how to > deal effectively with problems or stressors in > everyday life, and other > supports that they need in order to engage in > activities of daily living. > If these services cannot be provided because of > budgetary concerns, > should one be surprised that consumers might stop > taking their meds, > might start to self-medicate with alcohol or illicit > drugs, and might start > to engage in behaviors that may be socially > objectionable and possibly > self-destructive as well as harmful to others? If > the services are not > there to prevent this cascade of negative events, > isn't it clear that > the lack of services played a critical role in > allowing a series of bad > events to occur? > > But what do I know, I'm not a clinician and I > presume that a clinician > on TiPS can explain this situation better than I. > > -Mike Palij > New York University > m...@nyu.edu > > --- > You are currently subscribed to tips as: > j.cl...@uwinnipeg.ca. > To unsubscribe click here: > http://fsulist.frostburg.edu/u? id=13251.645f86b5cec4da0a56ffea7a891720c9&n=T&l=tips&o=11048 > or send a blank email to > leave-11048- 13251.645f86b5cec4da0a56ffea7a89172...@fsulist.frostburg.edu > > --- > > You are currently subscribed to tips as: > j.cl...@uwinnipeg.ca. > > To unsubscribe click here: > http://fsulist.frostburg.edu/u? id=13251.645f86b5cec4da0a56ffea7a891720c9&n=T&l=tips&o=11050 > > (It may be necessary to cut and paste the above URL > if the line is broken) > > or send a blank email to > leave-11050- 13251.645f86b5cec4da0a56ffea7a89172...@fsulist.frostburg.edu > > --- > > You are currently subscribed to tips as: > j.cl...@uwinnipeg.ca. > > To unsubscribe click here: > http://fsulist.frostburg.edu/u? id=13251.645f86b5cec4da0a56ffea7a891720c9&n=T&l=tips&o=11059 > > (It may be necessary to cut and paste the above URL > if the line is broken) > > or send a blank email to > leave-11059- 13251.645f86b5cec4da0a56ffea7a89172...@fsulist.frostburg.edu > > --- > > You are currently subscribed to tips as: > roig-rear...@comcast.net. > > To unsubscribe click here: > http://fsulist.frostburg.edu/u? id=13482.917fac06d4daae681dabfe964ca8c74e&n=T&l=tips&o=11060 > > (It may be necessary to cut and paste the above URL > if the line is broken) > > or send a blank email to > leave-11060- 13482.917fac06d4daae681dabfe964ca8c...@fsulist.frostburg.edu > > --- > > You are currently subscribed to tips as: > drb...@rcn.com. > > To unsubscribe click here: > http://fsulist.frostburg.edu/u? id=13185.d5346723901d967ccc167929e2ee94ad&n=T&l=tips&o=1106 2 > > (It may be necessary to cut and paste the above URL > if the line is broken) > > or send a blank email to > leave-11062- 13185.d5346723901d967ccc167929e2ee9...@fsulist.frostburg.edu . Robert W. Wildblood, PhD Adjunct Psychology Faculty Germanna Community College drb...@rcn.com --- You are currently subscribed to tips as: arch...@jab.org. To unsubscribe click here: http://fsulist.frostburg.edu/u?id=13090.68da6e6e5325aa33287ff385b70df5d5&n=T&l=tips&o=11066 or send a blank email to leave-11066-13090.68da6e6e5325aa33287ff385b70df...@fsulist.frostburg.edu
