Fairfax County Photo

(10-25-21) This recent email made me ask two questions. Why wasn’t something done to help this young man before he was arrested? What can be done now to keep him from attacking his mother and further ruining his life? 

Dear Pete,

I find myself in a desperate situation.

My son is 28 with schizoaffective disorder. He did fairly well with his illness for many years while consistently on medication but spiraled downward in the last year and a half due to going off medication. He is currently in the Fairfax County Adult Detention Center for breaking a protective order against me.

After four attempts to have him hospitalized (two were successful but too brief), I finally had to get a protective order. Between late April and July he was trying to kill me. He kept trying to break into my house with knives and axes.

He was clearly suffering from voices or delusions telling him he had to do that. He no longer realizes that he is ill.

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Iowa hospital established in 1873 has gone through many phases.

(10-13-21) I’ve always been frustrated by the never ending argument about which is better: community care or longer term care in state hospitals before discharge. What we need are accessible services that are appropriate to each individual’s need, whether that be in a community setting or more intensive hospital care.  Here’s an email that I received this week.

Dear Pete,

Two days ago, we had our first ‘on campus’ outside visit with our son at the Mental Health Institute in Independence, one of two state hospitals that we have in Iowa. He was excited, because it meant that we could bring him food and eat with him outdoors.  It was a two hour timeframe, so he also wanted to take us on a walk to show us around.  The residents go for walks on a pretty regular basis when the weather is good.

I’m writing because I recently had a chat with a candidate running for state office, and she said something that indicated she thought our Mental Health Institutes are terrible places. (I imagine this came from a significant amount of messaging from our prior Governor, Terry Branstad, prior to closing two of these facilities in 2015, in which he talked about them being old, run-down and providing substandard care. In addition, for quite some time, there has been a lot of discussion about how everyone is much better served, “in the community.”  It is not surprising that this candidate had a poor opinion of the MHI’s.)

I spoke with her to inform her differently, and that our son is currently receiving the best treatment that he has received since he first became sick in 2008, in a state hospital.  (One of only 2 remaining state hospitals here in Iowa – where we only have 64 beds for adults and 32 for children, so our ranking by the Treatment Advocacy Center is 51^st, dead last in the country.)

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(10-4-21) Does the public believe a defendant judged by a court to be criminally insane can ever recover?

A federal judge recently ruled that John Hinckley Jr., who tried to assassinate President Ronald Reagan four decades ago, can be freed from all remaining restrictions next June if he continues to follow the court’s rules and remains mentally stable.

I clearly remember March 30, 1981 when Hinckley wounded Reagan, police officer Thomas Delahanty, and Secret Service agent Tim McCarthy. He also critically wounded Press Secretary James Brady, who was permanently disabled in the shooting and died from his injuries 33 years later. I was a young reporter at The Washington Post and assigned to write a story about the .22 caliber handgun and ammunition that Hinckley used.

Public furor over his Not Guilty By Reason Of Insanity prompted calls to rewrite the standards used for such pleas, and news that Hinckley now will be released after forty years, ignited another fierce debate.

Judge Paul L. Friedman said Hinckley, now 66, has displayed no symptoms of active mental illness, no violent behavior and no interest in weapons since 1983.

“If he hadn’t tried to kill the president, he would have been unconditionally released a long, long, long time ago,” the judge said. “But everybody is comfortable now after all of the studies, all of the analysis and all of the interviews and all of the experience with Mr. Hinckley.”

One individual who is not “comfortable,” is President Reagan’s daughter, Patti Davis, who wrote an OP in The Washington Post opposing Hinckley’s freedom. She strongly criticizing Hinckley’s attorney, Barry Levine, who she wrote: “worked the system from the beginning and, finding a judge who was sympathetic to them, made this day inevitable.”

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(10-1-21) Exciting and Important News!

A news service that focuses entirely on mental health went online this week. It’s called MindSite News: Shining A Light On Mental Health.

Its first cover story, The Lockdown Inside the Lockdown, exposes how COVID and isolation are further traumatizing young people who are incarcerated.

MindSite News is the brain child of Rob Waters, the news service’s founding editor, and Dr. Thomas Insel, the former director of the National Institute of Mental Health, who was instrumental in getting it launched. The news services’s ambitious goal is best explained by its mission statement:

“MindSite News is a new nonprofit, nonpartisan digital journalism organization dedicated to reporting on mental health in America, exposing rampant policy failures and spotlighting efforts to solve them. We seek to create and sustain a sense of national urgency about the workings and failings of the U.S. mental health system and to impact that system through our reporting, making it more equitable, effective, transparent and humane in its care for individuals and families struggling with mental illness.”

MindSite News posts stories about mental illness under six categories: Investigations, Peer Hub, Essays and Interviews, Arts and Culture, Solutions Lab, and Policy Tracker.

Under Peer Hub, you’ll find a story about a Vietnamese therapist who is using his own experiences as a refugee to help Afghans arriving in our country. If you click on Solutions Lab, you’ll find a story that asks if having a guarantee income would reduce mental illnesses in America. There’s also a profile: Plagued in her youth by anxiety and panic attacks, a California educator now works to curb student suicide. Under Policy Tracker you’ll find a story about the coming 9-8-8 Crisis Hotline that supposedly will greatly improve local services.

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(9-24-21) A frustrated Virginia sheriff’s deputy recently threatened to arrest employees at a state mental hospital because they balked at admitting an individual who was in the midst of a mental health crisis. The deputy had arrived without first having the patient cleared by a medical doctor for transport and without any medical records, including whether the patient had been tested for COVID.

The deputy’s action is an example of the latest sad twist in Virginia’s ongoing mental health crisis.

With private hospitals turning away patients and state mental hospitals lacking capacity, law enforcement officers are stuck dealing with patients who have no place to go.

This is wrong, but so far the state’s leaders have failed to find a way to resolve a lack of psychiatric services and hospital beds.Click to continue…