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Our Crazy Treatment of the Mentally Ill
Townhall.com ^ | May 21, 2015 | Steve Chapman

Posted on 05/21/2015 2:47:17 PM PDT by Kaslin

A Bronx man died in police custody last week after police responded to a 911 call. An Iraq combat veteran in El Paso, Texas, serving a two-day DWI sentence died after being subdued by guards. A woman died after being Tasered by sheriff's deputies in a Fairfax, Va., cell.

What they had in common, besides expiring abruptly while in the hands of law enforcement officers, is mental illness. Denis Reyes was afflicted by bipolar disorder. James Brown reported being diagnosed with post-traumatic stress disorder. Natasha McKenna had a history of schizophrenia.

We used to warehouse the mentally ill in overcrowded, unsafe asylums -- "loony bins" -- where they often got crude or ineffectual treatment, if any, and endured violent abuse. But our civilization has moved past that primitive stage. Now we warehouse them in jails and prisons, where their conditions are often even worse.

It may seem odd that the new executive director of the Cook County Jail, Nneka Jones, is a clinical psychologist, not a career cop or corrections official. It makes more sense when you consider that nearly a quarter of the inmates have mental illnesses.

Sheriff Tom Dart refers to the facility as the nation's biggest mental institution. But he's got nothing on Illinois prisons, which house six times as many mentally ill inmates as the jail.

The numbers will only get bigger. One of the grim consequences of Illinois' fiscal insolvency is Gov. Bruce Rauner's proposal for a 15 percent cut in funding for the state's mental health agency -- which pays for treatment, housing and other services to help those with psychiatric disorders function in society.

Last month, Dart told The Chicago Tribune he sees this approach as a mistake: "It doesn't make sense to cut service that prevents people from coming into the criminal justice system, which is a very expensive system to come into."

Cost aside, it creates hazards for them as well as corrections officers. A new study by Human Rights Watch says, "Persons with schizophrenia may experience prison as a particularly frightening, threatening environment and as a consequence some behave dangerously toward themselves, staff, or other prisoners."

Many, it says, "refuse to follow orders because hallucinations and delusions have impaired their connection with reality." The mentally ill violate the rules far more often than other inmates, for obvious reasons, and efforts to control them often aggravate their insanity. Some, like the prisoners cited above, end up injured or dead.

Short-term budget needs sometimes take priority over long-term cost-effectiveness. But it's clear that governments need to improve their policies toward citizens who have lost their hold on sanity.

One reason so many of these people wind up incarcerated is the lack of other places to put them. A 2010 report by the Treatment Advocacy Center noted, "In 1955, there was one psychiatric bed for every 300 Americans. By 2005, there was just one psychiatric bed for every 3,000 Americans."

Another cause is a shortage of good outpatient care. The idea behind the "deinstitutionalization" of the 1950s and '60s was that the mentally ill could be helped more humanely while living and being treated in community settings. But many of those released from asylums never got the help they needed.

The results were disastrous, and not just for them. In his book "The Insanity Offense," psychiatrist E. Fuller Torrey notes that a study of 81 cities found "a direct correlation between the decrease in the number of public psychiatric beds and the subsequent increase in homelessness, arrest rates and crime rates among mentally ill individuals in those cities."

Sally Satel, a psychiatrist and scholar at the American Enterprise Institute, says one remedy is to expand mental health courts, diverting some criminal offenders to non-punitive programs involving medication, treatment and monitoring.

Another, she says, is for state and local governments to be more active in the use of mandatory outpatient treatment for mentally ill people who repeatedly end up in jail, emergency rooms or homeless because they can't care for themselves or make rational decisions.

Such measures will require funding. "We're not putting enough into the people who are the most sick," Satel told me. But there is no way for any of us to escape the social and fiscal costs of serious mental illness.

We're putting a lot into these people, but in all the wrong places -- jails, prisons and even morgues. Addressing mental illness differently would be a welcome symptom of sanity.


TOPICS: Culture/Society; Editorial; Government
KEYWORDS: healthcare; mentalillness; prisons
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1 posted on 05/21/2015 2:47:17 PM PDT by Kaslin
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To: Kaslin

You can’t help the mentally ill. Putting them in institutions and so forth decreases the number of homeless. The left will never stand for that, since they need to point at the homeless as “proof” of how bad conservative policies are.


2 posted on 05/21/2015 2:55:29 PM PDT by exDemMom (Current visual of the hole the US continues to dig itself into: http://www.usdebtclock.org/)
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To: Kaslin

The last bill that JFK signed was to empty the mental hospitals.

It took a few years for the actual emptying of the hospitals and the inability to commit someone to them, to start taking effect in America, but it eventually started showing up on our streets.


3 posted on 05/21/2015 2:58:49 PM PDT by ansel12
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To: Kaslin
I was watching the movie "Amadeus" recently and one of the open scenes features a priest walking through a mental hospital.

Even in Mozart's time, they had mental illness!

4 posted on 05/21/2015 3:02:26 PM PDT by SamAdams76
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To: Kaslin

It's worse than just crazy people living in cardboard boxes and dying in police custody. Liberals have the rest of us living in cages so bat**** crazies can roam free.

5 posted on 05/21/2015 3:05:27 PM PDT by Sooth2222 ("In a democracy people get the leaders they deserve." - Joseph de Maistre, 1753-1821)
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To: Kaslin
Submit or die, submit and die.

Mentally ill lives matter.

6 posted on 05/21/2015 3:05:36 PM PDT by rawcatslyentist (Genesis 1:29 And God said, Behold, I have given you every herb bearing seed,)
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To: Sooth2222

The Asian looks normal compared to those three. Bat-**** crazy comes to mind. Loughner and Holmes look comic book crazy, and Lanza looks retarded.


7 posted on 05/21/2015 3:12:52 PM PDT by EEGator
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To: SamAdams76

I watched that two weeks ago. Salieri was an ass.


8 posted on 05/21/2015 3:13:56 PM PDT by EEGator
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To: rawcatslyentist
In any private sector non union business, employees are subject to discipline for screwing up. Repeatedly screwing up results in getting fired.

But not in law enforcement. There is no accountability. If any punishment is doled out the taxpayer is on the hook while the screwups get off scot free.

When the agents of the government are involved in the death of a person some discipline is required. Just like the private sector employees deal with. If a car I worked on had a wheel fall off, I would be fired. And rightly so.

9 posted on 05/21/2015 3:20:28 PM PDT by SpeakerToAnimals (I hope to earn a name in battle)
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To: Kaslin

We should reopen many of the old mental hospitals - and be careful liberals don’t fill them with the conservatives who they consider mentally ill, a la the Soviet Union labelling political dissidents as insane to avoid any pretense of trials and civil rights.


10 posted on 05/21/2015 3:22:52 PM PDT by tbw2
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To: Sooth2222; Kaslin; SamAdams76
In all likelihood, all 4 of the killers in the photo posted by Sooth were/are demonically possessed. In many mental illness cases (but not all) demonic possession is present. However, we live in a society that no longer acknowledges evil, Satan, or his demons. This is just how Satan wanted it. I have seen, face to face, demonic possession.
11 posted on 05/21/2015 3:26:09 PM PDT by SkyPilot ("I am the way and the truth and the life. No one comes to the Father except through me." John 14:6)
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To: Kaslin
Our Crazy Treatment of the Mentally Ill

I thought this article was going to be about how we keep electing them to political office.

12 posted on 05/21/2015 3:30:45 PM PDT by Maceman
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To: SkyPilot

It sure seems like it


13 posted on 05/21/2015 3:31:48 PM PDT by Kaslin (He needed the ignorant to reelect him, and he got them. Now we all have to pay the consequenses)
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To: EEGator
Salieri was an ass.

So was Mozart.

14 posted on 05/21/2015 3:32:19 PM PDT by Maceman
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To: Maceman

A different kind though. Salieri was a bitter manipulative jerk, Mozart was a drunk nutjob. I enjoyed the movie though.


15 posted on 05/21/2015 3:41:36 PM PDT by EEGator
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To: exDemMom
I have a son with Schizoaffective disorder (my other son is an AF pilot). As a result, my wife and I have been involved with NAMI for many years. My son is doing extremely well these days because he has a supportive, understanding EDUCATED family, and is engaged in the right kind of therapy and prescribed medications that are effective.

I am a teacher, as well as the State Program Director for NAMI's Family-to-Family 12-week family education course. It's an evidence-based program aimed at helping families understand their loved ones illness, learn how to get resources, and provides tools like problem solving and communication skills so they can more effectively help their loved one.

Having personally taught this course many times (currently teaching my 16th course) I have seen first-hand that people living with Mental Illness can very often be helped without the need to institutionalize them provided the family is educated about the illness and has access to the resources needed.

16 posted on 05/21/2015 3:56:12 PM PDT by JaguarXKE (1973: Reporters investigate All the President's Men. 2013: Reporters ARE all the President's men d)
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To: Maceman
Let the horses think. They have larger heads


17 posted on 05/21/2015 4:15:13 PM PDT by Kaslin (He needed the ignorant to reelect him, and he got them. Now we all have to pay the consequenses)
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To: EEGator; Maceman

You’re both ridiculous


18 posted on 05/21/2015 4:21:05 PM PDT by Kaslin (He needed the ignorant to reelect him, and he got them. Now we all have to pay the consequenses)
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To: JaguarXKE

BTTT


19 posted on 05/21/2015 4:22:16 PM PDT by Kaslin (He needed the ignorant to reelect him, and he got them. Now we all have to pay the consequenses)
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To: exDemMom
You can’t help the mentally ill. Putting them in institutions and so forth decreases the number of homeless. The left will never stand for that, since they need to point at the homeless as “proof” of how bad conservative policies are.

Oh wow, you just absolutely nailed this absolutely obscene political reality to the wall. Well said.

20 posted on 05/21/2015 4:28:05 PM PDT by Talisker (One who commands, must obey.)
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