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Second Thoughts about Mental Health Budget Cuts

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(Jan. 29, 2013) States that slashed mental health spending during the recession are having second thoughts about the cuts after last year’s shooting rampages associated with mental illness, according to an Associated Press report by Thomas Beaumont (“After shootings, states rethink mental health cuts” Jan. 23).

budget_cutsBetween 2009 and 2011, cash-strapped states stripped more than $1.8 billion from their budgets for mental health services, two-thirds of which came from services for people with mental illness.

“In many states, lawmakers have begun to recognize that their cuts ‘may have gone too deep,’ said Shelley Chandler, executive director of the Iowa Alliance of Community Providers. "'People start talking when there is a crisis.’”

Now Jon Thompson, spokesman for the Republican Governors Association, says “many budget cutting governors are having second thoughts, including whether to reform mental health policies ‘to further invest in the safety of their citizens.’” States rethinking their mental health cuts include South Carolina, Pennsylvania, Utah and Kansas, according to the AP report.

“The sudden pause reflects anxiety from last year's shootings in a Colorado movie theater and a Connecticut elementary school,” Beaumont writes. “Although little is known about the mental health of either gunman, the attacks have shaken state legislatures that until recently didn't intend to consider more social spending. In some cases, gun-rights advocates are seeking mental health reforms as an alternative to more gun laws.”  

As legislators take a second look – while keeping an eye on their budgets – treatment advocates should be reminding them of the role assisted outpatient treatment (AOT) can play.

We have always said AOT is a cost-effective alternative to the consequences of non-treatment (homelessness, arrest, incarceration, hospitalization, violence, suicide and more). Now a new study has found that states can implement AOT without new funding if they already provide mental health services.

Share our new backgrounder on cost savings from AOT with legislators and local mental health officials whenever you advocate for AOT.     

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Treatment Advocacy Center In the News

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(Jan. 28, 2013) Reliance on and reference to the Treatment Advocacy Center as a source of expert information and data on mental illness treatment issues continued in January as the presidents task force on reducing gun violence met and state legislatures convening around the country began reassessing their civil commitment standards and other laws in the aftermath of December tragedies, including the shootings at Sandy Hook Elementary School in Connecticutin_the_news.

Below are some of the most recent:

If one of these stories provides an opportunity to share why mental illness treatment reform is important to you, please submit a letter to the editor, online comment or op-ed to advocate for improved treatment laws and more complete use of them in your community. You'll find advocacy tips here.

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The Next Battle for New York (and America)

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(Jan. 25, 2013) Last week, Governor Andrew Cuomo signed legislation to close gaps in Kendra’s Law. The improvements - developed and first recommended by the Treatment Advocacy Center in 2010 - should lead to wider use, fewer premature lapses in court orders and more consistent enforcement of New York's “assisted outpatient treatment” (AOT) law.

kl_signingWith that victory behind us, we are now addressing an even bigger failure of New York’s mental health system: the unavailability of court-ordered inpatient treatment for people in desperate need of hospital care. That is the focus of an op-ed piece by Treatment Advocacy Center Policy Director Brian Stettin in this week's Daily News. We also hope to make reforming the state's inpatient commitment law a priority of its legislature this session.  

The improvement in Kendra's Law is only one of many mental illness treatment law reforms we are working on as legislatures around the country convene for their 2013 sessions. In the wake of the Newtown tragedy, numerous states are taking a new look at their treatment laws and finding room for improvement.

YOU can help us achieve reforms!

  • DONATE – We do not accept funding from companies or entities involved in the sale, marketing or distribution of pharmaceutical products. That makes individual donations essential to our success. 
  • LEARN more about the issues – Follow us on Facebook and Twitter, read our daily blogs and/or the weekly news roundups, use our website to familiarize yourself with topics like the dire shortage of public hospital beds and the criminalization of mental illness.
  • BECOME an advocate – Help us shape and inform others by writing letters to the editor when mental illness issues are in your local news, sharing our Facebook posts, forwarding our news. You’ll find tools and tips for advocacy on our Get Involved page.

Meanwhile, New Yorkers, please forward a link to the Daily News article to your state senator, assemblymember and Governor Cuomo. Be sure to identify yourself as a constituent and include your own personal story that illustrates why this reform is so important to you.

Please forward any replies you receive to us. It will help us identify potential allies in the New York legislature.

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"Mental Illness Is Treatable" - guest blog

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(Jan. 24, 2013) The tragic shooting last month in Newtown…the Aurora shooting…the shooting in Tucson…the Virginia Tech massacre…all involved mental illness. Nuts, crazy, mad, wacko – words I frequently hear used to describe the mentally ill. These people have a brain disorder, they are mentally ill, and like people with any other illness, they need medical treatment. Therein lies the problem.

mind_on_the_runYears ago when we deinstitutionalized, states passed laws making it illegal to force mentally ill adults to be treated or take their medications. Once you turn 18, you have a civil right to refuse treatment and remain mentally ill until you become suicidal or homicidal as determined by judges at commitment hearings.

I’m the mother of a bipolar son who took his life at age 40. His name was Scott. At age 27, without warning, Scotty was transformed into a different person. His became weird, maniacal, out-of-control, psychotic. He no longer required sleep. He became extremely religious…claimed that God had anointed him a prophet and commissioned him to write another book for the Bible. He developed a fixation for the President and made many attempts to get into the White House for what he thought were scheduled meetings with President Clinton. At times, he was in the Witness Protection Program along with other CIA and FBI operatives…federal agents were trying to assassinate him. He was serious and believed everything he was saying.

Following six weeks of involuntary commitment with forced meds, Scotty recovered and was able to resume his life. Treatment works. Mental illness is a lifelong illness with recurring episodes. There is currently no cure…but the good news is…mental illness is treatable. Medication compliance is the key to living with mental illness.

Scotty went on to have four additional bipolar manic episodes, each one more severe than the previous….Click here to continue reading this poignant commentary by -

Dottie Pacharis 

Author of Mind on the Run: A Bipolar Chronicle

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A Letter to Dr. Torrey – personally speaking

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(Jan. 18, 2013) I have schizoaffective disorder and am currently reading your book "Surviving Schizophrenia." On reading the chapter on "Onset, Course and Prognosis," I decided to summarize my own story as a means of abreaction for myself, and it occurred to me that you might like to know about my case and perhaps consider using it in your research. It is as shown below.
 
survivingschizophrenia"Andrew, although shy, had a fairly normal childhood and was raised as one of Jehovah’s Witnesses. Gifted musically, he could easily have pursued a career as a concert pianist but did not and taught music privately instead. Always with a spiritual perspective and still living at home, at age 22, he began to be troubled by demons, became very distressed by doubts as to his religious beliefs, experienced disturbances in sleeping and eating patterns and became very withdrawn and depressed.

“He responded well to initial antidepressant medication prescribed by his general practitioner, but a few years later it became evident that additional antipsychotic medication was required, and a diagnosis of schizoaffective disorder was made by a psychiatrist. His sexual indiscretion led to him being excommunicated by Jehovah’s Witnesses some years ago, and apart from some practical support from his parents, he remains in this condition and has few social outlets. As a full-time medical typist, he currently   finds little time and energy to maintain his home surroundings and continues to have some problems with spending sprees, both of which are related to his belief that changes in his work situation need to be made in order for him to become a happier person.

“Apart from some paranoia which he still experiences at work, he continues to be symptom-free as long as he stays on his medication, and additional alternative therapies (such as fish oil and zinc) have also assisted his physical, mental and spiritual wellbeing considerably. His experiences have matured him spiritually.
 
Andrew Lorenz
Bundaberg, Queensland, Australia

P.S. Did you know that the Australian concert pianist David Helfgott also has schizoaffective disorder?

Since its first publication in 1983, Surviving Schizophrenia has helped thousands understand this complex and often stigmatized illness. In clear, sympathetic language, this definitive book describes the nature, causes, symptoms, and history of schizophrenia, taking readers inside the minds of those living with the disease.

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