Common Sense, Huge Impact

One of the lessons  that I’ve learned visiting mental health programs in 46 states during the past four years is how often a small, common sense change in policy can have a huge impact on helping persons who are ill. 

I saw an example of this when I toured the Los Angeles City Jail, which many of you know has become the largest de facto public mental heath facility in our nation with an average population of 1,400 prisoners with mental disorders.

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A Mother Who Lost Her Daughter But Is Saving Others One House At A Time

Today is Mother’s Day and I would like to tell you about an extraordinary mother who also is an amazing mental health advocate. Her name is Trudy Harsh and she lives in Fairfax, Virginia.

Trudy’s daughter, Laura, developed a brain tumor when she was eight years old. Doctors at Georgetown Hospital in Washington D.C. were able to remove it, but they warned Trudy that Laura would only live for six more years at best. 

As often happens to persons who undergo traumatic brain injuries or have parts of their brain removed, Laura awoke from her surgery a completely different person. She was not the bright, sensitive and loving child that Trudy had given birth to. The parts of her brain that controlled her emotions, especially anger, had been destroyed.

Crisis Care Centers vs ERs

The first time Mike became psychotic, I drove him to a hospital emergency room. We didn’t know any psychiatrists and Mike needed immediate help. Taking him there turned out to be a mistake.

Emergency rooms are where everyone goes nowadays whenever they have any kind of health-related crisis, but many are poorly equipped to deal with psychiatric patients in the midst of  a mental break.  

Some patients are turned away, as Mike and I were, without getting help. Or a patient might be held down and given a shot of Haldol or another strong anti-psychotic  that will help stabilize him but also can turn him into a walking zombie for days.

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Psychiatric Advance Directives Make Sense!

If you have read my book, this blog, or heard me speak, then you know that the first time my son, Mike, became psychotic, I raced him to a hospital emergency room seeking help. Mike was delusional, but he didn’t believe anything was wrong with him, and he was convinced that all “pills were poison” so he refused treatment. The emergency room doctor told me that he could not intervene until Mike became an “imminent danger” either to himself or others. That was the law. Mike had a right to be “crazy.”  Forty-eight hours later, Mike was arrested after he broke into an unoccupied house to take a bubble bath.
The second time Mike became psychotic, I waited until he became dangerous and what happened?
Our local mobile crisis team refused to come help me, the police were called, and Mike was shot with a Taser.
As a father, those two situations frustrated and enraged me.
What I didn’t know at the time was there was an alternative that could have helped Mike and possibly  prevented what had happened to us. 
It’s called a Psychiatric Advance Directive and this week, I received a wonderful email from my state National Alliance on Mental Illness chapter telling me about how PADs, as they are known, are becoming more common in my home state of Virginia.
A PAD is a legal document that is filled-out by a person with a mental illness while he/she is  well. (One of the biggest myths about persons with mental disorders is that they are always psychotic and, therefore, incapable of rational thought.)
PADs are generally divided into two sections.

Death and Insanity, a Final View

Much of the information for this blog was taken from an article in the Wall Street Journal which can be read by clicking on the highlighted newspaper link.
I have been writing this week about persons with mental illnesses who have committed murders and how our legal system, the victims, and society deal with these crimes.
This blog is the final one in this week’s series and I want to share it with you because it presents yet another perspective on death and insanity.
Like Wednesday’s blog, today’s is about someone whom I admire. Joe Bruce and I met when I was giving a speech in Maine. You might have seen him on television because his family’s case has received a lot of attention.
Joe and his wife, Amy, lived in Caratunk, a picturesque town of about 110 residents nestled in the state’s northern hills.  Joe is a rugged, friendly man, who worked as a senior technician for the Maine Department of Transportation before retiring several years ago. Amy, served as the town’s treasurer. Their son, William – known as Willy – is the oldest of three boys. The family lived in a 100-year-old farmhouse that sits near the banks of a winding, rock-strewn stream.
To outsiders, their lives may have seemed picturesque, but something was wrong with Willy.

A Different View of Executing the ‘Insane’

Nick and Amanda Wilcox’s daughter, Laura, was nineteen, beautiful and talented. She was a sophomore at Haverford College, a Quaker school in Pennsylvania, and in the midst of a campaign for the student body presidency when she came home for Christmas Break in 2000.

Laura had worked during the summer as a receptionist at the Behavior Health Department in her hometown of Nevada City, California, which lies between  Sacramento and Reno. When her boss called and asked if she could fill-in for a few days over the holiday season, she immediately agreed.

Her mother, Amanda, would describe her daughter to me this way when we first met last summer.

“Laura had extraordinary capabilities, kindness and spirit. She was an outstanding student, graduating as high school valedictorian and was attending a highly regarded college. She was extremely organized, disciplined and motivated; she had boundless energy. She lived life fully as she danced through her days, easily juggling academics, service work, clubs and student council, piano, ballet, and exercise. Laura touched and inspired everyone she met, she had a big circle of close friends; her teachers adored her. My daughter was beautiful, but her inner beauty was even greater. Her strong sense of compassion, respect, justice, and truth were beyond her years. All of that changed when she crossed paths with Scott Thorpe.”

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