(12-2-16) A 62 year-old Virginia woman arrested for trespassing, who had schizophrenia, diabetes and was incontinent, was released three weeks after she was jailed thanks to cooperation between jail officials, a judge and local mental health officials.

Her release was cited by officials at the Hampton Roads Regional jail as an example of how the jail is taking steps to improve the way it treats inmates with mental illnesses, according to a story by Virginia Pilot Reporter Gary A. Harki. Last year, Jamycheal Mitchell  suffered a fatal heart attack in that same jail after literally starving for 101 days while reportedly under constant watch by correctional officers and a nurse. He’d been arrested for stealing $5.05 worth of snack food.

Had jail officials not cooperated with a judge and mental health workers, the 62 year-old woman would have spent four months waiting for trial, Linda Bryant, the jail’s assistant superintendent, was quoted telling Harki.

Okay, now read the first paragraph of this story again, 

The jail is citing this as an example of success because it was able to get a 62 year-old incontinent, mentally ill woman charged with misdemeanor trespassing released after spending ONLY THREE WEEKS in jail!

While I applaud the jail administration’s new attitude and spirit of collaboration, this is not a case that anyone should be celebrating and using as an example of exemplary service.

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(12-1-16) Here’s what several of the key players shepherding Rep. Tim Murphy’s Helping Families in Mental Health Crisis Act through Congress had to say last night after the legislation — now part of the $6.3 billion 21st Century Cures Act — was passed in the House. The Cures Act is expected to be voted on quickly in the Senate and then sent to the president for signing into law. Murphy’s act is the first major reform of the government’s mental health programs in decades.

Representative Tim Murphy  (R-Pa.): 

For the last four years since the time of the terrible tragedy at Sandy Hook Elementary followed by repeated other ones our nation has been awoken from a slumber of ignoring problems of mental illness in America. One that when we closed down our institutions decades ago we turned our eye to those who lie homeless in the street or we filled our prisons or our cemeteries or laid on a gurney in the emergency room or sent back to a family that felt helpless and hopeless.

We’ve changed the situation where now we are coming together on a bill that will save lives. This is a new era of healthcare, and the next generation of hope for Americans that really transcends boundaries.

To all the families who brought their stories out of the shadows that dared to share their sorrows their hopes and to share their dreams, today is a day of joy and today is only possible, I say to all those families, because they dared to step forward.

…We can look back on this moment in history and say today though we have much to do, and although we didn’t get everything we needed but we needed everything we did get. But this is a moment on this day forward to say that today we took action to save lives.

Senator John Cornyn (R-Tx.):

(Cornyn’s Mental Health and Safe Communities Act also was merged with Murphy’s bill into the 21st Century Cures Act. He has played a pivotal role as Senate Majority Whip getting the legislation voted on during the lame duck session.)

“I dare say there’s probably not a family in America that doesn’t have to deal with this in some way or another, either at work, people you go to church with, people who live next door. Some way or another, mental health problems are rampant.”

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(11-30-16) Rep. Tim Murphy’s Helping Families in Mental Health Crisis Act is poised to become a federal law.

By a 392-26 vote late Wednesday, the House passed the 21st Century Cures Act, a massive $6.3 billion health bill, that included Murphy’s legislation. The Senate is expected to approve the legislation shortly  before sending it to President Obama to sign before leaving office.

“This is a huge victory,” Andrew Sperling, NAMI’s director of advocacy, wrote in an email. “The entire enterprise could have easily collapsed given the election results.” 

D. J. Jaffe, who publishes the website Mental Illness Policy Org., and was active behind the scenes pushing the bill, called Murphy a “hero” and praised the Pittsburgh Republican and Sen. John Cornyn (R-Texas) for their tenacity. Both endorsed greater use of Assisted Outpatient Treatment, which is strongly supported by Jaffe.

“AOT was a great win in this legislation,” he said. “Now, the question is if the new assistant secretary (for mental health) will drain the swamp at SAMHSA (Substance Abuse and Mental Health Services Administration) and make that agency focus on the seriously mentally ill.” 

The Treatment Advocacy Center, which supports AOT legislation, was a vigorous champion of Murphy’s bill from its first draft.

Murphy began laying the groundwork for his bill in March 2013, three months after Adam Lanza’s 2012 attack on the Sandy Hook Elementary School that left 28 dead, including him. I was questioned at his first House session about problems my family faced trying to get help for my son. 

Murphy’s original bill faced strong opposition from Democrats and a slew of mental health organizations, including Mental Health America, who claimed it would eliminate and roll back hard-won civil rights protections. Some mental health groups scoffed at Murphy’s chances of getting any legislation passed. The  National Alliance on Mental Illness was the only major group that supported Murphy’s bill. (see correction at end of blog.) It wasn’t until after Murphy had collected more than a hundred co-sponsors that his critics became alarmed.

Supporters welcomed Murphy’s legislation, saying it was one of the first that recognized the problems that parents and families faced, rather than focusing primarily on the rights of individuals who were ill. Because much of what Murphy first proposed was nearly identical to reforms that Dr. E. Fuller Torrey had been pushing for years,  I once dubbed the bill “Torrey’s revenge” against SAMHSA and mental health lobbying groups that had widespread support in Congress.

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(11-29-16) Few topics are as hotly debated as Involuntary Commitment, which was the featured topic on the second hour of the Diane Rehm show today. The reason for the discussion was  COMMITTED: The Battle Over Involuntary Psychiatric Care, a new book by Drs. Dinah Miller and Annette Hanson. I was invited because I wrote the book’s foreword.

You can listen to the entire hour program here. 

After the program, Drs. Miller and Hanson spent a half hour answering comments on Facebook — and there were plenty of them and questions that I’ve included in this post.  You can also read more comments and an excerpt from the book here.

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(11-28-16)  Most of us have strong opinions about involuntary psychiatric treatment and tomorrow (TUESDAY 11-29) at 11 a.m., it will be the topic on Diane Rehm’s  popular NPR show.

I’ll be a guest along with Drs. Dinah Miller and Annette Hanson, co-authors of  COMMITTED: The Battle Over Involuntary Psychiatric Care.  

In keeping with NPR’s promise of hearing all sides, Diane will interview two individuals with mental illness; one who has been helped by involuntary commitment and one who was traumatized by it.   Please listen and join the discussion. Here is what the show has posted on its website about Tuesday’s hour long program:

Many mental health experts say forcing someone into psychiatric care against their will can be necessary to protect people dangerous to themselves and others. But in some certain cases it is illegal, and some see involuntary commitment as a violation of someone’s civil rights. A look at how patients can be both helped and traumatized by involuntary psychiatric care, and what the data indicates about its role in preventing violence, suicide and mass murder.

HELPING FAMILIES IN MENTAL HEALTH CRISIS ACT  TO BE VOTED ON THIS WEEK, REP. TIM MURPHY CLAIMS MAJOR VICTORY

Rep. Tim Murphy (R-PA.) announced late last Friday that a version of his Helping Families in Mental Health Crisis Act (HR 2646) and Rep. Fred Upton’s (R.-Mich.) 21st Century Cures Act (H.R. 6) have been merged into one package that will be voted on sometime this coming week, possibly as early as Tuesday. I wrote about this   commingling of bills ten days ago and will be posting an analysis of the bill after it is passed. Meanwhile….

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