Madness, Deinstitutionalization & Murder

The Federalist Society ^ | March 2012 | Clayton Cramer

[absalom01]

For those of us who came of age in the 1970s, one of the most shocking aspects of the last three decades was the rise of mass public shootings: people who went into public places and murdered complete strangers. Such crimes had taken place before, such as the Texas Tower murders by Charles Whitman in 1966,1 but their rarity meant that they were shocking.

Something changed in the 1980s: these senseless mass murders started to happen with increasing frequency. People were shocked when James Huberty killed twenty-one strangers in a McDonald’s in San Ysidro, California in 1984, and Patrick Purdy murdered five children in a Stockton, California schoolyard in 1989. Now, these crimes have become background noise, unless they involve an extraordinarily high body count (such as at Virginia Tech) or a prominent victim (such as Rep. Gabrielle Giffords). Why did these crimes go from extraordinarily rare to commonplace? For a while, it was fashionable to blame gun availability for this dramatic increase. But guns did not become more available before or during this change. Instead, federal law and many state laws became more restrictive on purchase and possession of firearms, sometimes in response to such crimes.2 Nor has the nature of the weapons available to Americans changed all that much. In 1965, Popular Science announced that Colt was selling the AR-15, a semiautomatic version of the M-16 for the civilian market.3 The Browning Hi-Power, a 9mm semiautomatic pistol with a thirteen-round magazine, was offered for sale in the United States starting in 1954,4 and advertised for civilians in both the U.S. and Canada at least as early as 1960.5 If gun availability does not explain the increase of mass public murders, what else might? At least half of these mass murderers (as well as many other murderers) have histories of mental illness. Many have already come to the attention of the criminal justice or mental health systems before they become headlines. In the early 1980s, there were about two million chronically mentally ill people in the United States, with 93 percent living outside mental hospitals. The largest diagnosis for the chronically mentally ill is schizophrenia, which afflicts about 1 percent of the population, or about 1.5 percent of adult Americans.6

...

In the 1960s, the United States embarked on an innovative approach to caring for its mentally ill: deinstitutionalization. The intentions were quite humane: move patients from long-term commitment in state mental hospitals into community-based mental health treatment. Contrary to popular perception, California Governor Ronald Reagan’s signing of the Lanterman-Petris-Short Act of 196712 was only one small part of a broad-based movement, starting in the late 1950s.13

...

There is no shortage of these tragedies that have one common element: a person whose exceedingly odd behavior, sometimes combined with minor criminal acts, would likely have led to confinement in a mental hospital in 1960. After deinstitutionalization, these people remained at large until they killed. The criminal justice system then took them out of circulation (if they did not commit suicide), but this was too late for their victims. There is a clear statistical relationship between deinstitutionalization and murder rates. Violent crime rates rose dramatically in the 1960s, most worrisomely in the murder rate.58

...

Deinstitutionalization of the mentally ill was one of the truly remarkable public policy decisions of the 1960s and 1970s, and yet its full impact is barely recognized by most of the public. Partly this was because the changes did not happen overnight, but took place state-by-state over two decades, with no single national event. While homelessness received enormous public attention in the early 1980s, the news media’s reluctance to acknowledge the role that deinstitutionalization played in this human tragedy meant that the public safety connection was generally invisible to the general public. The solution remains unclear, but recognizing the consequences of deinstitutionalization is the first step.

[Springfield Reformer]

Ping for reference, important and useful thoughts here, both in the article and the posts.

[old curmudgeon]

Perhaps you are the one who did not comprehend what you read.

His first paragraph, quoted below is totally false.

Mass murder is NOT on the rise at all.

His opening pp.:

“For those of us who came of age in the 1970s, one of the most shocking aspects of the last three decades was the rise of mass public shootings: people who went into public places and murdered complete strangers. Such crimes had taken place before, such as the Texas Tower murders by Charles Whitman in 1966,1 but their rarity meant that they were shocking.”

So I repeat: His basic premise on which his article is based is totally false.

[Valpal1]

Reading the first paragraph is not the same as reading the full article. He is quite clear that there was an upswing (starting in the 70’s) and then a down swing both of which can be related to the emptying of mental hospitals followed by a prison building spree, high numbers of incarcerated mentally ill and a resulting decrease.

Read the entire article.