The Revolution in Psychiatric Care

Tim Dupell
3 min readMay 4


People with psychological disorders were inadequately treated for a long time. Many treatments were inhumane and ineffective, from exorcisms of those thought to be possessed by demons to the confinement of patients in asylums.

However, a revolution is occurring. Today, we are beginning to comprehend the significance of mental health and how businesses can promote employee well-being.

The interdisciplinary discipline of biological psychiatry investigates the biological causes of mental disorders. It includes neuroscience, biochemistry, genetics, and physiology research.

Despite this transition, the DSM is still used in most diagnostic situations. Nonetheless, the research has paved the way for novel mental health treatment approaches. Consequently, the number of positions in this discipline is anticipated to increase.

Asylums were the first institutions created specifically to house individuals with mental illness. In these dungeon-like institutions, patients were shackled to their cots and held in chambers without windows.

A French physician named Philippe Pinel advocated more humane treatment of these patients in the 1700s. He recommended that they be unchained and conversed with.

Psychiatrists began incorporating more biological research into their diagnosis and treatment in the 1980s. This action was motivated by a desire to enhance the credibility of psychiatry.

As reformers such as Dorothea Dix advocated for improved facilities, mental health treatment revolutionized in the mid-1800s. Together with Richard Bucke, Charles Clarke, and Clifford Beers, she advocated for a more compassionate approach to mental health treatment.

Deinstitutionalization is the sociopolitical and economic replacement of long-term psychiatric hospitals with community-based alternatives. It is more than a hospital census reduction and less than the resuscitation of an institution or particular assistive resources; it is the evolution of institutions and services to meet new social demands in an evolving historical context.

The belief that state psychiatric hospitals were inhumane, the hope that novel antipsychotic medications could offer a cure, and the desire to save money all contributed to the development of deinstitutionalization. However, the process has failed on all three fronts:

  • Many people with severe mental illness continue to live in impoverished communities.
  • The new medications have not improved the function of many patients.
  • The closure of institutions has led to an overburdened community service system.

Psychiatric medicines, also known as psychotropic drugs, can alleviate the symptoms of mental health disorders such as depression and schizophrenia. They are not, however, a panacea for mental illness and carry the danger of side effects.

Pharmacological approaches have revolutionized the diagnosis and treatment of many significant psychiatric disorders in contemporary clinical psychiatry. They have profoundly impacted psychiatric education, research, clinical practice, institutions and care delivery systems.

Community-based care, also known as community mental health (CMH), is the predominant treatment paradigm for nonsevere mental illness in the United States. It involves multidisciplinary teams of psychiatric nurses, social workers, and case managers providing care in the community.

Community-based care has many advantages, including its accessibility for individuals with jobs and families and its ability to promote recovery and self-advocacy. However, obstacles persist. The dearth of resources, particularly in rural areas where distance frequently functions as a barrier to treatment, is a significant issue.

An increasing number of employers provide on-site care for their employees. This is an excellent method for enhancing employee health and saving time.

Modern worksite health centres provide comprehensive primary care services, unlike earlier models primarily focused on illness and injury care. In addition, they offer wellness coaching, behavioural and mental health support, and physical therapy.

Physicians, nurse practitioners, and other health advocates may staff the on-site clinic. Employers have the option of employing providers directly or utilizing a third-party provider.



Tim Dupell

Tim Dupell has devoted his professional life to providing mental health professionals with the benefit of his knowledge, connections, and enthusiasm.