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The findings also paralleled the author's life experiences as a sibling of a chronically mentally ill person.
The article finds that through multiple contacts with police as victim, alleged offender and ‘mentally ill’ person, the police events records build a narrative of Jane as an ‘abnormal’ body who is reduced to a drain on police and public health resources, a dishonest and nuisance offender and an attention seeker.
Clinicians should try to determine whether chronic mentally ill women have histories of abuse and to develop interventions to meet their special needs.
Mentally ill women also become involved in disproportionate serious rule breaking, including assaultive acts, leading to inappropriate placement in segregation cells, where their difficulties are apt to become exacerbated.
Findings suggest formerly homeless mentally ill women need (and want) autonomy, protection from further victimization, and assistance in restoring status and devalued identity.
Such an approach may be used by clinicians to avoid well-documented tendencies in the psychotherapeutic professions toward mother-blaming and maternal scapegoating, and to formulate effective ways to support women and their families in caring for a mentally ill offspring.
She believes mentally ill individuals need to be educated about their illnesses and require appropriate supportive psychotherapy, pharmacotherapy, access to support groups, and structured activities, such as working, attending school, and training for a job.
The analysis further suggested that factors such as sociopathy, substance abuse, psychosis with paranoid features, and a history of criminal activities distinguish these offenders from the benign mentally ill.
She considers it essential that the state mental hospital be seen not as a facility of last resort but as one of many agencies that meet the varied needs of the chronic mentally ill.