Running head: MENTAL 1 MENTAL 2 Mental Medications History Irene Opuka C7459: M1A3 October, 21 2015 Position Paper This paper will present an overview of the history of mental illness and will include its impact on stigmatization and replacement by psychotherapy. It has been found that over the past 40 years the dominant paradigm for understanding severe mental illness has shifted from a psychosocial model that emphasized factors such as parental and intrapsychic influences to a current biopsychosocial model that emphasizes the interplay between biological and psychosocial factors (Drake, Goldman, Green, & Mueser, 2003). The history of care and treatment of mental illness presents as an endless journey between the mental hospital and living in the community. In reviewing articles it is intriguing to learn of the evolution from mental illness. In the 17th century mental illness was considered as an individual and not societal issue to be handled by the family. Next, came about treatment with minimal research such as the malaria therapy in the 20th century. Followed by the field becoming psychodynamic and analytical with synthesis of the first psychoactive drug, Thorazine in the 1950s. Then the discussion of patients’ rights (Civil Rights Movement) came about and has led to current progression to demanding the treatment of mental health in the least restrict setting for treatment. I have always had the assumption that when working with the mental needs of an individual, it takes a collaborative approach as it would with the physical needs. With the physical need, for example, if an individual had a swollen face and went to their general physician, who may refer them to an allergist for further examination and rule out. In this case the allergist who would communicate with the general physician of findings and probably follow-up. This cycle of communication typical continues with the stakeholders of the individual in care to include family members. My assumption was that, that is the same in mental health. However in reviewing the history of mental health, I was unaware that many nonmedical practitioners are not comfortable communicating with those prescribing medication. Another highlighting point of history is the notion of losing a client to the psychologist if referred to the psychologist for psychological testing. Literature reveals that in the 1980s, mental health clinicians and policy makers began to recognize the high rate and clinical consequences of comorbidities among persons with severe mental disorders. Treatment interventions that target symptoms and illness have gradually been extended to comorbid conditions, such as substance abuse and common associated medical problems. It is enlightening to know that collaborating learning experiences led to integrated treatment approaches in which mental illness, substance abuse, and medical problems were treated by the same usually through the work of multidisciplinary team of clinicia.