btn-library

Blog

Does SAMHSA Deny the Existence of Severe Mental Illness?

Print

(May 22, 2013) The Substance Abuse and Mental Health Administration (SAMSHA) ignores people with the most severe mental illnesses and instead funds advocacy programs that encourage severely ill people to stop taking physician-prescribed medications, Treatment Advocacy Center Founder Dr. E. Fuller Torrey told a House subcommittee hearing examining SAMHSA’s role in delivering services to the severely mentally ill.

dr.torrey_samshaIn hard-hitting testimony addressing the failures of the federal agency, Dr. Torrey said, “SAMHSA should be promoting treatment programs which have been proven to decrease violent behavior in individuals with severe mental illnesses” like assisted outpatient treatment. AOT has been shown to be highly effective in reducing hospitalizations, incarcerations and episodes of violence.

Instead, “SAMSHA’s three-year plan includes no mention whatsoever of these effective treatment programs. Ignoring such programs is bad enough, but it gets worse. SAMHSA actually funds many programs which lobby to block the implementation of these effective programs in the states.”

The House subcommittee on Oversight and Investigations took sworn testimony as part of an ongoing examination of mental health programs and resources “with the aim of ensuring that Federal dollars devoted to mental health are reaching those individuals with serious mental illness (SMI) and helping them to obtain the most effective care.”

Among other topics, witnesses and subcommittee members examined SAMHSA’s use of taxpayer dollars to fund protection & advocacy (P&A) lawyers who lobby against treatment law reforms and conferences that promote anti-psychiatry viewpoints. Under questioning, SAMHSA Administrator Pamela S. Hyde testified that the agency charged with reducing the impact of substance abuse and mental illness on America’s communities counts only one psychiatrist in its workforce of 600 people.

Read Dr. Torrey's full testimony.

Tomorrow: Parent Joe Bruce’s devastating testimony.

To comment, visit our Facebook page.
Visit our blog archive to read all our recent posts

 

"Clinicians Ignore This Reality at Their Own Risk"

Print

(May 21, 2013) For a community mental illness treatment strategy to meet the needs the full spectrum of individuals with mental health challenges, it needs to address the needs both of those who are well enough to seek help and those who are not. Clinicians ignore this reality at their own risk.

psych_servicesThat’s the message Treatment Advocacy Center board member, Jeffrey Geller, MD, delivered in a recent letter to the editor, "The Need for Appropriate Use of Involuntary Commitment" published in Psychiatric Services, a publication of the American Psychiatric Association (May 2013).

“(I)if psychiatrists don’t figure out how to appropriately use involuntary services, others will tell us what we must do,” wrote Geller. “We need to be at the table both to design effective involuntary interventions—those that we can actually use—in the hospital and in the community and to expand intensive community services. These can be complementary. They must be.”

We agree. In a comprehensive approach to community mental health, involuntary treatment is the last-resort intervention reserved for those so ill they cannot begin recovery without assistance. Neither civil commitment nor intensive community services alone will meet the needs of the entire population struggling with mental illness.  

Geller wrote in response to a report about emergency psychiatric intervention in Virginia, which was published in the February issue of the magazine.

To comment, visit our Facebook page.
Visit our blog archive to read all our recent posts

 

What Happens When the Mental Health System Fails?

Print

(May 20, 2013) Whenever Charlene McNally Fears went off her lithium, the caring mother and grandmother turned into a different – and dangerous – person. And, when she did, it was up to the police to respond.

law_enforcementThe event that occurred the last time Fears and law enforcement collided sets the theme for reporter Matthew Spina’s gripping exploration of how “police have become the front line in dealing with the mentally ill,” (“Mental health system has failed the severely ill,” The Buffalo News, May 18).

Treatment Advocacy Center board member and head of the New York State Association of Police Chiefs Michael Biasotti sums up the situation in the story: “What used to be dealt with by the medical community years ago is now dumped on criminal justice. And it’s just caused a nightmare.”

The criminal justice system is not an adequate replacement for comprehensive psychiatric care. We need to ensure people get treatment before an emergency occurs.

New York already strengthened its assisted outpatient treatment (AOT) law this year. A bill is still pending to improve its inpatient commitment law. S. 4377 would make it easier to provide mandatory hospital treatment for people who are unable to meet their basic survival needs. It would also make clear that a person cannot be released from a psychiatric hospital until he or she is deemed capable of complying with treatment in the community.

If law enforcement is going to be retired from the front lines of mental health in New York or anywhere, good treatment laws – and the legislation like S. 4377 that creates them – are essential.

To comment, visit our Facebook page.
Visit our blog archive to read all our recent posts

 

Happily Ever After, Almost – personally speaking

Print

(May 17, 2013) I have two boys, both are adults and both suffer from severe mental illness. But one has accepted treatment and turned his life around while my other son has refused treatment and continues to live on the streets.

the_good_sonMy youngest son is in his forties and finally accepts treatment. He is now on highly effective medication, receives therapy and is no longer homeless. I worked for 10 years to get him the help he needed.

Those ten years were the most difficult of my life. I wasn't able to sleep through the night and each time I woke all I could think of was my son and what I needed to do to get him the treatment he needed. He was in his own world. He was incoherent, paranoid and unable to sleep through the night and walked aimlessly through his childhood neighborhood. He lived on the streets.

Finally, after years of phone calls and attempts to get my son into treatment, he was taken to the psychiatric hospital where he was diagnosed and given medication. At this time my son was in denial about his illness and didn't want treatment nor did he want anything to do with me. I was the enemy who wanted him locked up, as far as he was concerned. He spent three years in a facility, following which we worked with social services to find him a place to live.

He has been living there over three years now and we have rebuilt our relationship, thanks to the medication and treatment he is receiving. He regularly visits me and we speak by phone frequently - he is no longer suffering. He is happy again and I have my son back. Thanks to treatment, he's a helpful and compassionate human being with a positive outlook on life.

But we are not a complete family yet. My oldest son is nearly fifty years old and also suffers from severe mental illness. Like his younger brother, he also does not believe he is sick. But unlike his younger brother, he has never been treated or diagnosed and is now homeless after living on the fringes of society for most of his adult life.

While I've contacted crisis and mental health agencies in the town he is in, they cannot provide me with information. It's so difficult, when you feel your hands are tied due laws preventing family members from obtaining information about adult children. I pray for him and hope he will someday get treatment and we will once again be a complete family.

My children have suffered immensely because of the way our system abandons people with severe mental illness. I want to live country where that treats everyone with dignity and laws don’t prevent people from getting the help they need.

We all suffer, when just one person is suffering.

Barbara Williams is the mother of two men with severe mental illness.

 

To comment, visit our Facebook page.
Visit our blog archive to read all our recent posts

 

California Misses Opportunity to Provide Treatment for Seriously Ill

Print

(May 16, 2013) A storm is brewing over the most effective way to implement California’s Laura’s Law so that services reach those who need them most. We recently celebrated legislative efforts to amend the life-saving mental illness treatment law, but these legislative strides were halted by California Senate President Pro Tem Darrell Steinberg.

steinberg

While we consider it progress that the Senate Pro Tem eliminated funding hurdles by clarifying that money from the Mental Health Services Act can be used to implement the law, this does not mean services will reach people with the most severe mental illnesses who need them the most.

The Sacramento Bee published today three letters that demonstrate how passionately people feel that Steinberg’s amendments gut the core of the law, which makes treatment possible for people who are too sick to realize they are ill.

“Steinberg's plan will eliminate the funding hurdle but misses the opportunity to make treatment more accessible to the sickest and most vulnerable Californians by removing other barriers to implementing Laura's Law” (“Steinberg’s mental health care plan doesn’t go far enough”).

“His new proposals are for voluntary services and do not help the seriously ill who are too psychotic to know they are ill. To help people living under lice-infected clothing, who are eating out of dumpsters, screaming they are the Messiah requires implementing Laura’s Law” (“Steinberg would make caring harder for seriously mentally ill”).

“[I]deological arguments keep getting in his way. That is the is the battle between those who believe acceptance of mental health treatment must always be through a person's free will decision and those who recognize psychosis robs some people with mental illness of the ability to realize they are ill and need treatment” (“Steinberg should let counties pick mental health priorities”).

We commend Steinberg on his plan to make it easier to fund assisted outpatient treatment (AOT), but he is missing an opportunity remove other barriers that would make treatment more accessible for the sickest and most vulnerable Californians.

To comment, visit our Facebook page.
Visit our blog archive to read all our recent posts

 
  • «
  •  Start 
  •  Prev 
  •  1 
  •  2 
  •  3 
  •  4 
  •  5 
  •  6 
  •  7 
  •  8 
  •  9 
  •  10 
  •  Next 
  •  End 
  • »
Page 1 of 86

Visit Your State