Where would you draw the line?

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An investigative report recently released by the Inspector General’s Office in the Virginia Behavioral Health and Developmental Services Department is causing a stir. Each year, the IG is required to make unannounced visits to state facilities that treat  persons with mental disorders and report his findings.   

The section of G. Douglas Bevelacqua’s report that is getting the most attention, especially from the National Alliance on Mental Illness Virginia Chapter  is the IG’s discovery that “streeting” is now a common practice in Virginia. “Streeting” is the term that hospitals use when someone, who should be admitted, is turned out onto the street because there are no beds available. (More on this in a future blog.)

It’s another discovery that Bevelacqua cites that I want to discuss here. 

In his report, Bevelacqua writes that a federal regulation is being so narrowly interpreted by Virginia Attorney General Kenneth T. Cuccinelli  that as many as ten percent of patients in state run facilities are being denied access to treatment that could help them recover. 

Patients are being denied “medically necessary interventions that would allow them to participate in their treatment.”  They are being “denied palliative care” and their rights to helpful treatment are being “restricted,” the IG claims.

Kenneth T. Cuccinelli is well-known in Virginia mental health circles. When he was running for office, he talked about his efforts as a state legislator to improve mental health services. I spoke to him about the need to reform Virginia’s mental health system and he was well versed in the problems that our state faces. He sees himself as a friend of persons with mental illnesses.

So why is the IG suggesting that Cuccinelli’s office and a federal rule – that was written to protect persons with mental illnesses from abuse –are actually causing great harm to patients in Virginia?

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What’s Really Insane? Our System.

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I want to call your attention to two recent events. I’d hoped to write about them sooner but traveling to give speeches, getting my new book  “put to bed” so that it can be published in January and launching a new book project caused me to fall behind.

The first is the ruling by San Diego based Judge Larry Alan Burns that Jared Lee Loughner, the twenty-two year old accused of killing six persons and wounding thirteen, including U.S. Representative Gabrielle Giffords, is so mentally disturbed that he cannot understand what is happening in a courtroom. This means he cannot be put on trial. 

Judge Burns decided to send Loughner, who has been diagnosed with schizophrenia,  to the U.S. Medical Facility for federal prisoners in Springfield, Missouri, where doctors will attempt to restore his competency. 

I’m afraid that many people mistakenly believe that the judge’s decision means that Loughner is going to be treated for his mental disorder. While he certainly may benefit from the medical attention that he will receive, it’s important to note that restoring competency and providing someone meaningful treatment are not the same.

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Another Earley Advocates!

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The featured speaker at the awards dinner at our local chapter of the National Alliance on Mental Illness was listed in the program under the name: EARLEY. But it was not me.

It was my son, the person whom many of you have come to know from my book:  Crazy: A Father’s Search Through America’s Mental Health Madness, by the name MIKE.  The NAMI meeting was the first time that he has ever spoken in public and he got a much  deserved standing ovation after he’d described his journey to recovery.

I am tremendously proud of him. Like so many others, our family has been through a roller coaster of events and emotions since 2001 when my son was first diagnosed with a severe mental illness. He’s been arrested and shot with a taser. There have been court hearings, four major breakdowns, repeated hospital stays, hours of therapy, angry words — so many angry words — even feelings of hopelessness and despair.

But for the past three years, he has been doing fantastic! He has been able to manage the symptoms of his illness. He is in RECOVERY and he is one of my heroes!

There are many reasons for his recovery, but he deserves the most credit. He has worked hard to get better. Fortunately, he had the expert guidance of a tremendous case manager. My son found a medication that helped him. And he had access to other crucial services that he needed!

I am blessed. I am telling you this to give you HOPE for your loved one. People do get better!  But why am I telling his story, when his own words can tell it better than me?

Here are excerpts from his speech. When you read them, you will understand why I am proud and fortunate to have such a wonderful son. I know many of you are struggling. Don’t give up. There were times when I didn’t think we would get where we are today.

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Remembering Those Who Died

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Memorial Day honors all Americans who died fighting to defend our country. Among them is my uncle, George “Buddy” Patterson, who died during World War Two at age nineteen. He is buried at the Gettysburg National Cemetery because my grandparents lived nearby in Pennsylvania. My parents adopted Buddy when he was a baby. He had been abused and abandoned by his birth parents. My grandmother spent months nursing him back to health. Like most men at the time, including my father,  Buddy volunteered after the attack on Pearl Harbor caused the U.S. to enter the war. Fortunately, my father was not injured, but Buddy did not survive his service in Europe.

 Another fallen soldier whom I will remember today is one of my high school classmates, Randy Lundy. He was one of the most popular students in my school and for a good reason. He was an outstanding athlete, excellent student and great teenager with a bright future. He was sent to Vietnam where he was killed by friendly fire. 

Two blocks from our house, a family has erected a three foot white cross on the front lawn of their home and encircled it with miniature flags. I do not know this family but the parents have attached a photograph of their young son on the cross and noted his rank and date of death in the Gulf.

Their “Buddy” has died too.

In 2000, President Bill Clinton passed a resolution calling for a national moment of remembrance on each Memorial Day to honor those who paid the ultimate sacrifice for our freedoms.

Join me in pausing at 3 p.m. today to remember those who have perished.

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Baton Rouge Selects CRAZY To Read

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I have exciting news! The City of Baton Rouge has chosen, CRAZY: A Father’s Search Through America’s Mental Health Madness, as its One Book, One Community  selection this summer.

In 2006, Baton Rouge joined more than 400 American cities that participate in this national reading program. In a letter informing me that CRAZY had been chosen,  Abby Hannie, a member of the Baton Rouge’s program  steering committee, explained:

The One Book, One Community initiative was formed to promote a common city-wide reading experience to increase intellectual and cultural dialogue among readers and to exchange ideas for the purpose of raising awareness and visibility with regard to a particular community issue.

The idea is to get everyone in a city to read and discuss the same book. Two of the most popular selections chosen since the first program was launched in 1998 in Seattle have been  To Kill A Mockingbird by Harper Lee and Ray Bradbury’s Fahrenheit 451.

That’s pretty heady company.

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Changing the world, one person at a time.

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What do a beauty pageant winner, a retired state probation officer, a former homeless man, and a grieving father have in common? 

Pete Earley talking with Nita Brown, NAMI President Arapahoe Douglas Counties

Those of you who read my blog regularly can easily guess the answer. All four have had their lives impacted by mental illnesses. But that is not why I am writing about them. I want to share their stories with you because of how they have chosen to react to the hurdles they’ve encountered.

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