Pete Earley

(8-24-20) D.J. Jaffe, an influential critic of our mental health care system and self-proclaimed advocate for Americans with serious mental illnesses, has died.

His mentor and close friend, Dr. E. Fuller Torrey announced D. J.’s death in an email this morning. The cause of death was leukemia, which D. J. had been fighting for more than 15 years. He passed away in his New York City home on August 23.

“Since 1998, when we first started making plans for what became the Treatment Advocacy Center,” Dr. Torrey wrote, “D. J. has been the single most effective advocate I have worked with and a close personal friend. His dedication to improving the treatment of people with serious mental illness, based on his experience with his sister-in-law has been extraordinary.”

D. J., who I also considered a good friend, was well-known for his outspokenness and relentlessness in pushing reforms that he believed were essential to improving care for those with mental illness.

His passion was unequalled.

In a tribute posted by TAC, its executive director, John Snook, recalled his first encounter with Jaffe some 20 years ago.

“We were testifying at a contentious hearing in New York’s City Hall. D.J. was in rare form. At the first challenge by the chair, D.J. was out of his seat, calling out the assembled council for their failures and their cowardice. Eventually, we were escorted out of the hearing by security.It remains, to this day, the only hearing I’ve ever been thrown out of.”

In an email, Ron Honberg, retired legal policy expert at the National Alliance on Mental Illness, wrote: “D.J. was one of a kind, firm and resolute in his advocacy passion and not afraid to be the skunk at the garden party, in fact he relished it.  He will be missed.”

Click to continue…

Bellingham, Washington police officers were disciplined by the department for driving a man with mental health issues from the Whatcom Transportation Authority (bus) station to a restaurant in the early hours of Sept. 19, 2019, intending to disrupt a group of off-duty officers in what they called a prank. Photo by Warren Sterling THE BELLINGHAM HERALD

(8-20-20) What could be funnier, four police officers agreed, then to use a severely mentally ill man to pull a prank on fellow officers who’d just finished their shift?

It seemed harmless enough. Their “pawn” was well-known to police having had 1,779 behavioral health contacts with law enforcement that generated a report between Jan. 1, 2019, through Aug. 4, 2020. He was frequently disrupted, yelling to himself, making those around him uncomfortable. One officer call him a “goof.”

Why not pick him up, drive him to a local restaurant, slip him $5 and send him inside to disrupt customers and the off-duty officers?

Although their pawn was disruptive, he thankfully wasn’t arrested or harmed, but news of this prank sparked community outrage in Bellingham, Washington, when it was revealed earlier this month and has caused the community to examine how it treats those with mental illness, according Karen Schilde, a board member of the Snohomish County chapter of the National Alliance on Mental Illness, who tipped me off in an email about the escapade.

Ever since George Floyd’s death, I’ve received emails and articles about persons with mental illnesses being abused by correctional officers and/or police officers. I believe and support the majority of our law enforcement officers who have empathy and do their jobs well. They protect us. But these reports about questionable actions by their peers are alarming.

In the last two months, I’ve posted four different blogs about alleged law enforcement abuse of individuals with mental illnesses.Click to continue…

Illustration Courtesy of TapIn to East Orange 

(8-19-20) A guess blog from one of my favorite advocates and a fellow author.

Millions of Stick Houses

by Mimi Feldman, author of He Came In With It: A Portrait of Motherhood and Madness

If we learn nothing else from this pandemic, we better learn to talk about mental health.

Yesterday I was on the phone with a customer service representative at Bank of America. The account I keep for my son, Nick, had received a $40 overdraft charge because his SSI payment hadn’t auto deposited in time for his rent check. Because of the pandemic. Because he is on disability. Because he couldn’t possibly hold a job. Because he has schizophrenia. Because.

The pandemic has hurled all of into an isolated, shut-away world not dissimilar to my son’s. The other day I asked my daughter, “So, who is the example of the perfect follower of social distancing rules who hasn’t changed his life one bit?” She didn’t miss a beat, “Nick!” And we both chuckled. Nick’s particular condition includes a sprinkling of OCD. “I doubt he’s touched a doorknob in ten years!” she exclaimed, and then we laughed. This may sound terrible to you, but believe me, gallows humor is all you’ve got sometimes with serious mental illness.

I was talking to a therapist recently who told me that schizophrenia is the black sheep of mental illness. I already knew that. It isn’t understandable like bipolar. It isn’t treatable like depression. It isn’t recognizable like anxiety. In a world of strangeness, it is the strangest of all. It renders its sufferers sick by attacking the very organ that would allow them to understand and seek treatment: the mind. It is a thought disorder. Think about that (ha. yes, think) and imagine someone you love becoming another person. Receding and transforming and returning in an unrecognizable form. There is a particular irony to this disease, it has a cruel joke quality.

I am very open about the situation. I decided a long time ago that I didn’t have the energy for the tap dancing that bowing to stigma requires. This wasn’t a bold or noble move on my part. It was the need for efficiency. The stress and maintenance of this circus requires everything I’ve got. Superfluous activity and emotions are discarded to make room for problem solving.

During this awful time of Covid-19, I look at my son and am struck once again by the paradox of schizophrenia. When the whole world is reeling from the drastic change in our reality, he wanders calmly through it all, un-phased. It’s not that he doesn’t understand, he just lives in his own immediate world. As we all are right now. And it is driving us crazy. Ah, the irony.

Click to continue…

“If somebody had a heart attack, we wouldn’t wait until 99 percent of their heart was dead — we would get them care at the beginning of the problem, not at the end of the problem.” –  Leslie Carpenter. 

(8-17-20) Few subjects are as controversial in mental health as involuntary civil commitment.

When should society intervene?

This Friday – August 21- at 2 p.m. EST, I will be discussing civil commitment laws with Leslie Carpenter, a leading mental health advocate who was instrumental in reforming Iowa’s civil commitment criteria. We’ll be joined during the interactive webcast by co-hosts  Janet Hays, director of Healing Minds NOLA, and Eric Smith, a national advocate with a serious mental illness.

You are invited to participate in the discussion electronically through two venues: Healing Minds NOLA or Eventbrite. There is no charge to participate.

If you have read my book, you are aware of what happened when I rushed my son, Kevin, to a local Fairfax, Va., hospital because he was delusional. Moments before, Kevin had asked me what I would do if someone I loved committed suicide and he’d told me that he was receiving secret messages through bumper stickers. After waiting four hours in a room away from everyone else, Kevin announced that there was nothing wrong with him and started to leave. I literally ran into the hallway and grabbed a doctor.

The doctor explained there was nothing he could do because Virginia’s civil commitment law required an individual to pose an “imminent danger.” Since we had been waiting peacefully for four hours, there was no immediate threat.

Kevin literally ran out of the hospital and forty-eight hours later was arrested after he broke into a stranger’s unoccupied house to take a bubble bath.

Click to continue…

(8-14-20) Partner for Mental Health, an affiliate of Mental Health America, has developed a 7 step program to reduce interactions between Americans with mental illnesses and the police and to reduce inappropriate incarceration. The group is urging city officials in Charlottesville, Virginia, to accept what it calls “a holistic reform” of the local criminal justice system.

These seven steps should be adopted by other communities.

“Policing does not exist as an independent entity in any community and complex health and social issues, such as mental illness, are often woven into the circumstances of a police response,”  Anna Mendez, Partner for Mental Health Executive Director, wrote in an email.  “In these cases, the police force’s ability to respond appropriately to members of the community with mental illness is directly related to the community’s commitment to support its members living with mental health challenges.” Mendez added that it was “not reasonable to expect a police officer to respond appropriately to a person with mental illness” when there are no community support services.

Amen!

Here are the seven steps that Partner for Mental Health asking Charlottesville City officials to adopt:

1. Workgroup. Establish a workgroup, as proposed by Myra Anderson, leader of Brave Souls on Fire, charged with “Reimagining Mental Health Crises Without Police Intervention” to guide the creation and implementation of a continuum of interventions to prevent the criminalization of mental illness in Charlottesville.
2. Non-police Urgent Response System. Establish a non-police urgent response system to resolve calls for service that are behavioral health related and non-violent with the express goal of helping all parties involved avoid both arrest and hospitalization.

Click to continue…

(A response to Prosecutor Stolle’s letter from Matthew’s mother has been added at the end of this blog.)

8-13-20) The prosecutor who sent Matthew Rushin to prison for causing a three-car, non-fatal accident is fighting back against complaints by Rushin’s parents and supporters that the young autistic black man was treated unfairly.

Virginia Beach Commonwealth Attorney Colin D. Stolle has told Virginia Governor Ralph Northam that pleas in social media and news accounts by Rushin’s supporters for a pardon are “so far removed from what actually took place” that the governor should ignore them.

“Numerous social media posts, and the pardon request itself, are filled with misinformation and inaccurate facts in an effort to gain some sort of clemency for Mr. Rushin,” Stolle stated in a letter dated July 9th, that was forwarded to me yesterday. He wrote his letter after more than a hundred Rushin’s supporters marched in protest of his imprisonment and Washington Post columnist Theresa Vargas publicized his plight.

On Monday, I posted a blog about Rushin and email interview with his parents under the headline “Autistic Black Man Sentenced To 50 Years in Prison For Non-Fatal Accident: Parents Outraged, Asking Va. Gov. To Pardon Him.”  It explained that Rushin had been sentenced to 50 years in prison, with all but ten years suspended if he didn’t get into trouble after he’d served his time, because a vehicle that he was driving crashed head-on into oncoming traffic on January 4, 2019, injuring four, two seriously. The police and prosecutor said Rushin was trying to kill himself and intentionally caused the crash, which is why he was initially charged with attempted murder and received an unusually long prison term for a non-fatal collision. (The state’s guidelines called for a maximum of 6 years and four months, but the sentencing judge ignored that recommendation and imposed the 50 year sentence.)

Demetrius and Lavern Rushin and supporters insist Rushin lost control of his car, say he wasn’t trying to end his life, and argue that the police officers who responded to the accident pressured him into making incriminating statements. His parents also have said that white defendants charged in more serious car accidents in Virginia Beach have been treated less harshly than their son.

Rushin was diagnosed with ADHD and Asperger’s Syndrome as a child and later experienced a traumatic brain injury that made him easy to manipulate, his parents noted.

In addition to his letter to Northam, Prosecutor Stolle delivered an internal affairs summary to the governor prepared by interim Virginia Beach Police Chief Anthony Zucaro, which found no fault by his officers or the prosecution.

At the heart of the dispute is whether Matthew Rushin was attempting to end his own life.

Click to continue…