Origins of this Facility: In Morris Plains New Jersey the “Greystone Parks Psychiatric Hospital” is located. This facility goes as far back as 1876 in which this facility was operated from an older building and under different circumstances. Never-the-less this facility became over crowed, housing 7000 consumers and employing 14 000 staff members. During this period, patients were free to walk around the facility and patients who were in the “backward wards” were more symptomatic.
Institutionalization in the 1800’s was Dorothea Dix was a mover and shaker, who together with a few others in her era was responsible for alleviating the plight of the mentally ill. In the 1800's she found them in jails, almshouses and underneath bridges. She then began her major lobby with legislators and authority figures across the land, to get hospitals built in what was then known as the "Moral Treatment Era. " Things did get better, with ups and downs, of course. She visited widely, in the Midwest state hospitals in Independence and Mt. Pleasant, Iowa and Winnebago in Wisconsin ca.
Shoreview VA Hospital is one of the VA facilities that solely serves the Miami-Dade County. This county is found in the lower eastern part of Florida, but the facility is found in Homestead, Florida. Nearby, is the Homestead Air Force Base, one of 21 Military bases in Florida (See Appendix A for a map). Demographics. Miami-Dade County, has an estimated population of 2.66 million people according to the U.S Census which makes it the most populous county in Florida.
That money had allowed hundreds of the city’s mentally ill to be transferred/moved and taken to a new hospital. “This allowed her to turn her attention to present a memorial to state legislature in New Jersey”. This made the New Jersey’s lawmakers approve of her proposal to make a new state hospital. That same year another hospital was built in
Background statement: Heritage Valley Medical Center has had a wonderful reputation for providing excellent health care services to their community. Initially, their community was 80% Caucasian, 40% African American, and 5% Hispanic. However, in the last 5 years, the population has changed to more minorities and the whites have moved out to the suburbs. This caused the Center’s occupancy rate to go down 40% because many of their traditional, more affluent, private-pay patients had left the neighborhood. To bring in revenue, they campaigned to bring in more Medicaid patients.
These hospitals set off an avalanche, causing new reforms all over the United States. This was phenomenal for the time period. Dix started out with only having one small victory, a stove placed in a room in a prison. This set off a series of new reforms that bettered the lives of the mentally ill and prisoners. In many states besides Massachusetts, hospitals were being set up to care for the insane in the United States.
In 1843, Dorothea Dix submitted one of her first memorials to the Massachusetts Legislature. Following her visit to East Cambridge Jail in 1841, the inadequacies in the treatment of the mentally ill Dix had witnessed were highlighted in this memorial; whilst there she saw how prostitutes, drunks and criminals were housed together in unsanitary, unfurnished and unheated quarters. During this period, the mentally ill were treated inhumanely and many believed there was no cure and that the mentally ill did not feel deprivation as “ordinary” people did. Nevertheless, due to the conditions Dix exposed herself to she was often criticised.
The conviction is continually deepened that hospitals are the only places where insane persons can be at once humanely and properly controlled (Dix 1843).” Values of doing right and advancing their country toward more humane ideals helped contribute to nationalism. Additionally, since women could finally be serious reformers, women all over the country felt more included, promoting pride in America as well as
Shocked to see prisoners devoid of medical and moral treatment in damp, cold quarters, Dix vowed to end the barbaric and revolting degradation. Very little of the population knew or cared about the mentally ill’s peril, and Dix’s crusade changed the way the mentally ill were received. Dix not only shed light on the nation’s most perplexing problem, she fearlessly shoved the issue squarely into the center of public policy, broadcasting the issue through her written account On Behalf of the Insane and Poor. Dix constructed 32 hospitals and 13 asylums throughout America and Europe (Reddi, 2005, para. 6). Most of these symbols of hope and progress are still standing today.
It was also during this time that Derry’s fingernails grew long and she scratched out her eyes. After that, she began to beat herself all over, especially her face where she knocked out all of her teeth. Her case became known when she was sent to Bartonville Asylum in Peoria, Illinois. The doctors there actually tried to take care of her. Her primary doctor there, Dr. George A. Zeller was the only person she would respond to.
People find it intriguing how mental health was poorly treated in the 1800’s. They were abandoned, until Eli Todd came along. For example, Eli Todd has innovated mental health with better tactics. He treated them with care and compassion. After his late sister passed, he vowed to do his best for anyone suffering mentally, leading him to build the retreat with $300k.
The change in terminology symbolizes the idea that mental health does not imply that the individual is a lunatic. Rather, the term “hospital” shows a transition and acceptance of mental illness as a health problem. Individuals struggle with a variety of problems and the goal of the facility is not to confine or isolate these problems, but to help those in need of medical
The legislature agreed to fund the Worcester State Lunatic Hospital’s need for expansion after many weeks of disagreement (Wheeler and McGuire). This became a major significance for starting up the reformation of mental asylums. Because she was in touch with the government and able to get the money to fund the expansion, it led to the beginning of many other hospitals being created to properly treat the mentally
In 2005, a family friend by the name of Randy Birdsong was a patient at Audie L. Murphy Memorial VA Hospital located in San Antonio, Texas. The Veteran Affairs (VA) medical staff was performing surgery on his abdomen. After the surgery, he was notified that there was insufficient space to accommodate his continued care. The V.A. advised him to keep his wound clean with a fresh roll of gauze, and sent him on his merry way. A few days later, Randy was back at the V.A. hospital with a noticeable infection taken place in his abdominal region.
Based on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,