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“It’s Time to Stop Ignoring Mental Illness Law”

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(Jan. 14, 2013) “We are the families of Laura Wilcox and Scott Thorpe.” With that, the parents of a young woman shot and killed by a man with untreated schizophrenia and the brother of the shooter raised their voices in a Sacramento Bee op-ed this weekend advocating for wider use of "Laura's Law" - the assisted outpatient treatment law named for victim Laura Wilcox ("It’s time to stop ignoring mental illness law," Jan. 13).

mentalillnesstreatmentlawAnd they are not the only ones who were in print urging lawmakers to embrace court-ordered outpatient treatment as a means of reducing mental illness-related tragedy.In Connecticut - home to the Newtown shootings and one of only six states without an AOT law – an editorial in the Register Citizen presses legislators to “take up the assisted outpatient treatment legislation again this year for the good of the mentally ill who reject treatment and the public’s safety,” (“Time to change the laws on mental health,” Jan. 13). 

Meanwhile, in New Mexico - one of the other six states without AOT – Ron Gurley, an advocate for improved mental health care called for passage of an assisted outpatient treatment law and expansion of public psychiatric beds (“Steps needed to prevent the next tragedy,” Las Cruces Sun News, Jan. 13).

At the Treatment Advocacy Center we have been saying this for years. While no law can completely end tragedy, implemented correctly assisted outpatient treatment will save lives and reduce the consequences of untreated severe mental illness.

What the Wilcoxes and Thorpes wrote applies to every state where involuntary outpatient treatment is not being used to help people with severe mental illness: “(W)e are missing an opportunity to use a good law, save money and save lives." As long as AOT goes unused, individuals "will remain caught in a revolving door due to the failures in treating mental illness. Sadly, family members of both the victims and of the mentally ill will continue to suffer."

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USA Today on Fixing the Nation’s Mental Health System

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(Jan. 11, 2013) “From a classroom at Virginia Tech to a strip mall in Tucson to a movie theater in Colorado, a common thread runs through many of the nation's tragic mass murders: severe and untreated mental illness,” the USA Today editorial begins.

usatodayblog“Fixing problems with the nation's mental health system is a tall order,” “Fix broken mental health system” (Jan. 10) concludes. “Some require state action, some federal. But no response to Sandy Hook will be complete without them.”

We agree. To illustrate:

“In recent years, society has learned a lot about mass killers,” the editorial says. “All but one of the 62 worst mass killings in the past 30 years were carried out by males. The perpetrators have typically been young men who are psychopaths, or are suffering from suicidal depression or psychotic breaks.”

In the cases of Virginia Tech killer Seung-Hui Cho, Tucson killer Jared Loughner and accused Aurora killer James Holmes, “even strangers noticed something terribly wrong long before the killings. Yet none was receiving treatment at the time of their crimes.”

“How can that be?”

It can be, we know, because of five decades of failed mental health policies that have focused on making treatment for the most severe mental illnesses harder to get.

The Treatment Advocacy Center has proposed three public policies to address these failures and reduce the consequences of non-treatment of mental illness:

  • REFORM civil commitment laws that present barriers to treatment – and use them. 
  • STOP closing the public psychiatric hospitals that provide treatment to people with acute or chronic severe psychiatric disease and restore sufficient inpatient treatment facilities to treat them. 
  • STOP viewing mental illness as a state of freedom to be protected at all costs from involuntary treatment that would set individuals with mental illness on the road to recovery.

If you support these policies, here are three actions you can take:

  • IDENTIFY the deficiencies in your state so you know what your state needs to make treatment possible.
  • CALL OR WRITE your elected state leaders and demand that they take needed action.
  • URGE THE VICE PRESIDENT to include our common-sense policy proposals in his upcoming recommendations to President Obama.

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BREAKING: On Anniversary of Laura Wilcox's Death, Senator Yee Announces Bill to Implement Laura’s Law

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(Jan. 10, 2013) Today, on the 12 year anniversary of a mass shooting in Nevada County that resulted in a number of injuries and the death of three people including Laura Wilcox, Senator Leland Yee (D-San Francisco/San Mateo) announced legislation that will help counties implement Laura’s Law, a program that allows enforcement of assisted outpatient treatment (AOT) orders for some potentially dangerous mentally ill patients.

laurawilcoxSpecifically, Yee plans to remove unnecessary and cumbersome barriers to implementation of Laura’s Law, such as allowing counties to use existing mental health funds to implement the program as well as removing the requirement of a vote of the local county board of supervisors.

“While we should not draw direct correlations between mental illness and all acts of violence, both mental health treatment and reasonable gun control should be part of a comprehensive response to protect children and families,” said Yee. “It is imperative that we find ways to implement Laura’s Law throughout California.”

Laura's Law allows counties to assure that court-ordered treatment reaches people who are not complying with voluntary treatment programs, have a history of hospitalization, arrest or violent behavior and are potentially dangerous to themselves or others.

Many counties have failed to implement Laura's Law despite the fact that the policy has proven to result in less hospitalization, less homelessness, fewer arrests, less incarceration, increased collaboration between the mental health and justice systems, as well as a more efficient and effective cross-agency delivery system.

Wilcox, a 19-year-old high school valedictorian, was shot to death at a Nevada County mental health clinic in 2001 by a man suffering from paranoid schizophrenia who consistently refused treatment.

“Senator Yee's bill will make it easier for counties to implement Laura's Law and will get persons with severe mental illness engaged in needed treatment,” said Amanda Wilcox, Laura’s mother.

“It’s time we get serious about providing the benefits of Laura’s Law more fully in California,” said Randall Hagar of the California Psychiatric Association. “We can do a better job of protecting both patients and the public from the effects of untreated mental illness, among which are arrest, incarceration and hospitalizations that are often too late.”

Read the entire announcement on Senator Leland Yee's website.

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“Jail is No Place for the Mentally Ill”

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(Jan. 9, 2013) “It appears we have returned to the early 19th Century when mentally ill persons filled our jails and prisons.”

prisonSo writes Maria A. Brooks, corporate clinical coordinator for a firm that provides mental and other health services to inmates, in a Miami Herald op-ed.  “At least forty percent of individuals with serious mental illnesses have been in jail or prison at some point in their lives” (“Jail is no place for the mentally ill” Jan. 8).

Brooks writes that mentally ill detainees also “stay longer in the correctional system” because they find it difficult to follow jail and prison rules. 

“Some may say this is not worrisome because while housed in a correctional facility, the individual is receiving treatment and is kept off the streets,” wrote the official. "However, as any person working in a correctional facility will tell you, jails and prisons are not created to be mental hospitals.”

Our incarceration system was never built to handle people who are mentally ill, and Brooks addresses the role of treatment in finding a solution to the problem. “By ensuring access to treatment and recovery, individuals with mental illness will be more productive members of society and will not be overrepresented in our correctional systems.”

We wholeheartedly agree.

In few places is deinstitutionalization more evident than in our criminal justice system, where jails and prisons have replaced hospitals as the institutions housing the most psychiatric patients. Until we stop eliminating public psychiatric beds and start making treatment more available before individuals with severe mental illness become inmates, this will remain the case.

Read more about how America’s jails and prisons have become surrogate psychiatric hospitals for thousands of individuals with mental illness.

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"Dear Commissioner Rehmer: My Son Has a Serious Mental Illness ..."

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I am the parent of a 31-year-old son suffering from a serious and persistent mental illness who has been hospitalized 27 times in eight years.

rehmerI am stunned every time I read about people in a position to help our seriously mentally ill (SMI) by changing legislation to facilitate getting them the help they need who don't act because of the mistaken belief that we are infringing upon their civil rights.

This is NOT a civil rights issue, it's a medical issue.

Commissioner Rehmer, if your Mother were wandering the streets on a cold winter's night, lost because she was suffering from Alzheimer's, would you just leave her there because it would be a violation of her civil rights to get her into treatment? I think not!

My son, like up to 50 percent of those suffering from an SMI, lacks the capacity to know he is sick. I have had mental health professionals here in Maine, where I live, tell me that my son's right to be psychotic supersedes his right to treatment. So, I am supposed to believe that the fact that he doesn't know he is sick doesn't matter?

I'm supposed to believe that it's acceptable to let him wander the streets barefoot in the snow which, by the way, has happened many times here in Maine.

Only once, did the powers that be whom I had contacted each and every time this happened, see this as a reason to get him help, albeit against his will, because he could not recognize that he was ill.

Read the entire letter from Jeanne Mirisola, whose son has a serious mental illness, to Commissioner Patricia Rehmer, which was published in the CT Mirror.

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