Stress Management What Is a Mental Hospital? By Kendra Cherry Kendra Cherry Facebook Twitter Kendra Cherry, MS, is an author and educational consultant focused on helping students learn about psychology. Learn about our editorial process Updated on July 01, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print The Good Brigade / Getty Images Table of Contents View All Table of Contents What Is a Mental Hospital? History Types Reasons for Admission Impact Potential Pitfalls What Is a Mental Hospital? A mental hospital, also known as a psychiatric hospital, is a facility that provides specialized inpatient care for mental health conditions. Mental hospitals often provide care and treatment for people with serious mental health illnesses. According to the National Institute of Mental Health, a serious mental illness is a mental, emotional, or behavioral condition leading to substantial impairment in a person's ability to function in their daily life and activities. This may include major depressive disorder, schizophrenia, bipolar disorder, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD). History of Mental Hospitals The mental hospitals of today are markedly different from the facilities of the past. Previously, such facilities were referred to by names such as "lunatic asylum" or "insane asylum," which reflected the highly stigmatized attitudes toward mental illness at the time. The first institution for the mentally ill was Eastern State Hospital in Williamsburg, Virginia, established in 1768. The 1800s were a period of increasingly institutionalized care of the mentally ill. By the end of the century, every state in the U.S. had one or more mental hospitals. Mental hospitals in the U.S. have gone through major transformations since their introduction. The earliest facilities were primarily places to keep people with mental health symptoms out of sight and out of mind. This continued into the 20th century, with approximately 560,000 people living in mental hospitals by 1955. During the mid-1800s, reformers such as Dorthea Dix played an important role in advocating for a more humane approach to treating people with mental health problems. Rather than acting as a warehouse for the mentally ill, today's mental hospitals are focused on offering treatment and supportive care for people with psychiatric conditions. Types of Mental Hospitals The term ‘mental hospital’ is frequently used to describe either a psychiatric hospital or psychiatric ward. Psychiatric hospitals: This hospital focuses specifically on mental health treatment. These facilities are staffed by psychiatrists, other doctors, nurses, and other healthcare professionals. Psychiatric wards: A psych ward or behavioral health ward is a specialized unit in a general hospital that offers psychiatric services. There are other mental health facilities that offer less intensive or less acute psychiatric services and support. These include: Outpatient or day treatment hospitals: These hospitals offer medication management, therapy, and skills training on an outpatient basis. People stay at the facility for most or all of the day and return to their homes at night. They may be used to transition out of inpatient care, but some evidence suggests these facilities may often be effective when used in place of inpatient hospitalization in some cases. Residential treatment facilities: These facilities offer long-term mental health services. They are live-in health care centers that may be used to treat behavioral concerns, mental disorders, and substance use problems. An inpatient hospital is the highest level of care designed to treat the most severe symptoms. Residential treatment can provide medium-level care and often acts as a transition from an inpatient setting. Outpatient care is a less intensive level of care where people receive treatment as needed but still lead their personal and professional lives outside of treatment. The type of facility a person needs often depends on the level of care that they require. Reasons for Admission to a Mental Hospital Reasons a person may be admitted to a mental hospital include: Experiencing symptoms of psychosis Having symptoms of mania Having thoughts of suicide or suicidal urges Being unable to perform daily living tasks such as eating, bathing, or sleeping Experiencing thoughts of harming others Engaging in behaviors that put the self or others in danger Sometimes, an admission to a mental hospital occurs if there are significant changes to someone's medications or treatments that might be destabilizing and unsafe without having close supervision during this time. Mental hospital admission criteria can vary from one location to the next. Admission can occur voluntarily or involuntarily in some cases, depending on the individual's symptoms and the psychiatric evaluation made by a mental health professional. Admission may begin in the emergency room department of a general hospital. Emergency room practitioners may refer an individual to a mental health hospital for further evaluation and treatment if a person presents with serious mental health symptoms. In other cases, a person may voluntarily visit an admission or intake center at a mental hospital for an evaluation. If a mental health provider feels that the individual would benefit from inpatient admission, that person may sign a consent form to agree to be hospitalized. Sometimes people are admitted to mental hospitals on an involuntary basis. Involuntary admission may occur if: The individual poses a danger to themselves or others If they are unable to provide for their own basic needsThere is a risk of harm to their mental well-being if they do not receive care The length of time a person can be involuntarily committed and who can make a request to have somewhat committed against their will varies based on state laws. Can You Be Committed to a Mental Hospital Against Your Will? Impact of Mental Hospitals A mental hospital can play an essential role in comprehensive mental health treatment for individuals experiencing severe mental illness. One review found that inpatient and community rehabilitation mental health services decreased the need for inpatient psychiatric services over the long term. For many people, a stay in a mental hospital provides a period of stabilization and intensive care that allows them to regain a certain degree of functioning. While goals vary for each person and situation, treatment will often involve providing a safe environment, treating acute symptoms with medications and psychotherapy, and coordinating increased outpatient supports. Potential Pitfalls While mental hospitals can provide useful assistance to people experiencing serious mental health symptoms or severe psychological distress, they are not the right choice for every person or situation. Some potential downsides include: Cost Inpatient hospitalization is a considerable expense. Although insurance or governmental programs may pay for psychiatric hospitalization, for many people, the cost may serve as a barrier to treatment. Lack of Access In addition to the high cost of inpatient treatment, admission criteria may exclude some people who need mental assistance. As one review noted, this often leads to people becoming trapped in a cycle of emergency room presentation and incarceration. Consent The concept of involuntary psychiatric treatment has long been a polarizing topic. Some critics have also opposed the existence of any form of involuntary admission to a psychiatric facility. Post-Hospitalization Risks Transitioning to outpatient care can also be challenging, particularly if few treatment resources are available. One study found that the initial period after leaving a mental hospital is marked by an increased risk for suicide, particularly among people with significant depressive symptoms. Because of this increased risk, people need ongoing support from friends, family, inpatient healthcare providers, and outpatient practitioners. Follow-up visits in the individual's home, if feasible, may help reduce suicide risk following hospitalization. Other Options Can Be Effective While mental hospitals can provide important care, some critics have noted a lack of solid evidence to demonstrate that hospitalization is more effective than other treatment approaches. One study, for example, found that for certain outcome measures acute psychiatric day hospitals were as effective as inpatient mental hospitals. However, there is evidence that inpatient facilities can successfully help people with severe mental illness and effectively reduce the long-term costs of caring for those with such conditions. The average length of stay for inpatient psychiatric hospitalization in the United States is around 10 days, although lengths of stay can vary considerably. How to Admit Yourself to a Psychiatric Hospital 14 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Institute of Mental Health. Mental illness. The New York Times. The first insane asylum: To Virginia belongs the credit in this country. U.S. National Library of Medicine. Diseases of the mind: Highlights of American psychiatry through 1900. KQED. Did the emptying of mental hospitals contribute to homelessness? U.S. National Library of Medicine. Diseases of the mind: Highlights of American psychiatry through 1900. Marshall M, Crowther R, Sledge WH, Rathbone J, Soares-Weiser K. Day hospital versus admission for acute psychiatric disorders. Cochrane Database Syst Rev. 2011 Dec 7;2011(12):CD004026. doi:10.1002/14651858.CD004026.pub2 Saya A, Brugnoli C, Piazzi G, et al. Criteria, procedures, and future prospects of involuntary treatment in psychiatry around the world: A narrative review. Front Psychiatry. 2019;10:271. doi:10.3389/fpsyt.2019.00271 John Hopkins Public Health Preparedness Programs. Emergency detention of persons deemed a danger to themselves and others during public health emergencies. Dalton-Locke C, Marston L, McPherson P, Killaspy H. The effectiveness of mental health rehabilitation services: a systematic review and narrative synthesis. Front Psychiatry. 2021;11:607933. doi:10.3389/fpsyt.2020.607933 Clarke A, Glick ID. The crisis in psychiatric hospital care: changing the model to continuous, integrative behavioral health care. PS. 2020;71(2):165-169. doi:10.1176/appi.ps.201900259 Substance Abuse and Mental Health Services Administration. Civil commitment and the mental health care continuum: Historical trends and principles for law and practice. Olfson M, Wall M, Wang S, et al. Short-term suicide risk after psychiatric hospital discharge. JAMA Psychiatry. 2016;73(11):1119. doi:10.1001/jamapsychiatry.2016.2035 Madsen T, Egilsdottir E, Damgaard C, Erlangsen A, Nordentoft M. Assessment of suicide risks during the first week immediately after discharge from psychiatric inpatient facility. Front Psychiatry. 2021;0. doi:10.3389/fpsyt.2021.643303 Killaspy H, Marston L, Green N, Harrison I, Lean M, Holloway F, Craig T, Leavey G, Arbuthnott M, Koeser L, McCrone P, Omar RZ, King M. Clinical outcomes and costs for people with complex psychosis; a naturalistic prospective cohort study of mental health rehabilitation service users in England. BMC Psychiatry. 2016;16:95. doi:10.1186/s12888-016-0797-6 By Kendra Cherry Kendra Cherry, MS, is an author and educational consultant focused on helping students learn about psychology. 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