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Who’s To Blame For This Death?

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The residents of Morrisville, Pa., got an intimate look this holiday season at our troubled mental health care system. Paulette Wilkie, a homeless woman with a long history of schizophrenia, was found dead from exposure. The 56 year-old woman’s   body was discovered last week behind Ben’s Deli, a sandwich shop that she frequented. 

Temperatures the night before had dropped into the mid 20s. But that was not cold enough to trigger the county’s emergency homeless plan. Temperatures must sink to 20 degrees or below for two consecutive days before teams can be dispatched to try to  persuade homeless persons to come indoors.

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NAMI and Drug Makers’ $$$

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As a Washington Post reporter, I was trained to “follow the money” so last year when the New York Times published a story about how the National Alliance on Mental Illness had received $23 million from drug makers between 2006 to 2008, I winced. The driving force behind the story was Iowa Republican Senator Charles E. Grassley who was using his congressional powers to investigate the drug industry’s influence on the practice of medicine. 
NAMI’s critics were quick to attack, arguing that NAMI was in the pocket of pharmaceutical companies and that is why it endorsed the so-called “medical model,” which blames severe mental illnesses on chemical imbalances in the brain; backs Assisted Outpatient Treatment, which enables judges to forcibly medicate selective persons who have a history of violence or of not taking medications that help them; and believes that mental disorders can strike children as well as adults.
Obviously, all of us who support NAMI would prefer to have more of an arm’s length relationship with drug makers.
But I don’t believe for a second that drug makers control NAMI and, if I did, I would resign from it.

Of Your Books, Which Is Your Favorite?

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Which book that you’ve written is your favorite?
It’s a question I get asked a lot. 
Answering it isn’t as easy as you might think. For an author, picking a favorite book is a little like asking a father if he loves one of his children more than the others. That’s an exaggeration, of course, but when you spend several years of your life consumed in writing a book, the finished manuscript becomes much more to its creator than ink, paper, or in today’s world, electronic text.

A Different View of Executing the ‘Insane’

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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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How do we define insanity?

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Kelsey Patterson spent much of the 1980s in-and-out of mental hospitals in Texas. No one questioned that he had a severe mental illness –paranoid schizophrenia – that often caused him to become violent. 
In 1980, he shot and seriously wounded a co-worker. Patterson believed his food was being poisoned by the man even though they’d only met that morning.
Three years later, Patterson wounded another man during a delusional assault.
In 1986, Patterson assaulted yet a third victim.
Finally, on September 25, 1992, just days after his brother had tried unsuccessfully to get him committed to a psychiatric facility, Patterson fatally shot a businessman and his secretary.
He then put his gun down, stripped to his socks, and paced, shouting incomprehensibly until the police arrived.
There was no doubt that Patterson had committed two murders.
There was no doubt that he had a severe mental illness and was delusional at the time of the murders.
Did that mean he couldn’t be held accountable for his actions because he was legally “insane?”

When do we release Andrea Yates and John Hinckley?

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An editorial published in The Wall Street Journal recently by D.J. Jaffe, one of the founders of the Treatment Advocacy Center (TAC), caught my interest. You can read the article here.

I write about TAC and assisted outpatient treatment laws, commonly called AOT laws, in my book.  Put simply, AOT laws require a person with a history of mental illness to take their medication regardless of whether or not they want to take it.   

D. J. Jaffe

Most states that have passed AOT laws have very stringent criteria about when a person can be ordered by a judge to take medication. First, there has to be evidence that medication actually helps control a person’s symptoms. In addition, the person also has to have a history of either going off their medication several times or of violence.

AOT laws, such as Kendra’s Law, in New York, have proven to be highly effective at helping persons who have chronic illnesses and often end up in our jails, prisons or are homeless.  

Of course, ordering a person to take medication when they don’t want to take it is controversial and if you want to start a heated discussion in mental health circles — just mention AOT.  Both sides feel passionately about the issue.

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