The plight of the chronically mentally ill is discussed in this document. Chronic mental illness is defined as producing major impairments in functioning for an extended period of time. It is noted the chronically mentally ill are expected to negotiate a bureaucratic maze to receive help. The history of treatment of the mentally ill is traced from…

Mental health services for children and adolescents from the states' perspective is the topic of this document. The introduction provides statistics on mental health service needs and utilization in this population, while highlighting underserved needs. The history of mental health services provision and funding is traced from isolated state…

Involuntary commitment laws, once seen as reform, now questioned as roadblocks to needed treatment, are discussed. The ineffectiveness of state's commitment laws, lack of community resources for treating the mentally ill, and homelessness among the mentally ill are discussed in the introduction. The history of the right of a state to commit…

At the request of Senator William Roth, Jr., the General Accounting Office (GAO) reviewed Medicare and Medicaid fraud investigations that agency inspectors general referred to the Department of Justice for prosecution to identify characteristics of alleged fraud against the government and to determine actions taken against those caught defrauding…

In light of reduced or eliminated federal funding, this report discusses mental health services provisions. The history of mental health service funding is presented. Funding responsibility is traced from communities, to states, to private health insurance, to federal assistance, to community provision with state and federal funds, and finally to…

The increasing presence of the mentally ill among the nation's homeless is the topic of this report. The problems presented by deinstitutionalization are discussed, including: (1) the homeless mentally ill as a disruptive element of society; (2) mentally ill persons who shuttle between the hospital and the community; (3) young chronic patients who…

The problem of mentally ill offenders is discussed in this report. Mentally ill offenders are described as generally not violent, with their behavior resulting in charges such as shoplifting, vagrancy, and trespassing. Factors increasing the number of mentally ill offenders are discussed, including the inability of families and communities to…

This booklet attempts to provide important background information on programming and financing systems for children with emotional disturbances to enable legislators to make educated decisions regarding child mental health in their states. The booklet is in a question-and-answer format. The first two questions define emotional disturbance and…

Housing is a critical component of community care for people with long-term mental illness. Without a place to live, the best mental health treatment and the most sophisticated rehabilitation services cannot be effective. The first phase of the deinstitutionalization movement, releasing large numbers of patients from the state hospitals and…

This paper discusses the effects of President Reagan's budget cuts on federally supported human service programs in New York. Various programs are analyzed to determine their vulnerability to budget reductions. It is suggested that employment, nutrition and health programs are most likely to be cut while education, adoption assistance, senior…

The homeless mentally ill, numbering approximately 300,000 persons, are a group neglected and forgotten by society. While deinstitutionalization promised a bright future, the necessary, long-term support to implement deinstitutionalization never materialized. Government policies have helped produce problems that encourage recidivism and…

Many mentally ill children, especially those who are seriously disturbed, are not receiving the mental health care they need. Although the federal government offers financing to the states for child and adolescent mental health programming, the primary responsibility for financing mental health services has been assumed by state governments. At…