Search Results for: violence

FACE the NATION Missed the Issue but Rep. Tim Murphy Thankfully Didn’t

Rep Tim Murphy (R-PA)  appeared on FACE the NATION yesterday along with Michael Fitzpatrick, the executive director of the National Alliance on Mental Illness, to discuss violence and mental illness.

Although the host kept trying to focus the discussion on whether or not video games spark mass shootings, Rep. Murphy did an excellent job explaining that the real issue that we need to address is our broken mental health system. Murphy worked as a psychologist before being elected to represent his Pittsburgh district, and he showed his mastery of the subject by explaining in a few moments how de-institutionalization and a lack of adequate community services have caused the criminalization of persons with mental disorders.

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Debating Forced Treatment and Mental Illness

 

The New York Times has done an admirable job since the Sandy Hook shootings in keeping a spotlight on our mental health system. Here’s an exchange about mandated treatment — sparked by a Harvard psychiatrist — that is worth reading.

To the Editor:

Recent tragic events have linked mental illness and violence. Some people — I, for one — consider this link dangerously stigmatizing. People with mental illness are far more likely to be victims of violence than perpetrators. Moreover, psychiatrists have limited capacity to reliably predict violence. Nonetheless, these events increase pressure to identify people who might conceivably commit violent acts, and to mandate treatment with antipsychotic medications.

For a tiny minority of patients who have committed serious crimes, mandated treatment can be effective, particularly as an alternative to incarceration. But for most patients experiencing psychotic states, mandated treatment may create more problems than it solves.

For many medical conditions, better outcomes occur when patients share in treatment design and disease management. Imposed treatments tend to engender resistance and resentment. This is also true for psychiatric conditions.

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Listening To Those In The Trenches

 

My friend, Dr. Tracey Skale, the chief medical director at the Greater Cincinnati Behavioral Health Services, was  interviewed by a local television channel in Cincinnati about violence and mental health services. I’ve been traveling for several days and only now was able to watch the half-hour interview on NEWSMAKERS .  Dr. Skale made several key points:

1. While the majority of persons with mental illnesses are not dangerous, those with severe mental disorders who are untreated, are more likely to commit violent acts than the general population.

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FROM MY FILES: How Fair Is The Insanity Defense?

The preliminary hearing this week for James Eagan Holmes, the alleged shooter who murdered 12 and injured 58 during a July 20, 2012, rampage in an Aurora, Colorado movie theater, is once again raising questions about the insanity defense.
I suspect that the public often doesn’t understand a key point in insanity cases. The determining factor is not whether a person has a mental disorder or even the severity of his illness. It is whether his mental illness prevented him from being able to tell the difference between right and wrong.

Here’s my view on why that’s a poor standard.

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FROM MY FILES: Deja Vu Frustration, We Need A National MH Coalition

I published this blog — OUTPOURING OF FRUSTRATION, WHAT’S NEXT? — the first time on January 24th, 2011 and was struck when reading it this week by how little has changed. Although it has been two years, I could have taken the date off this blog and published it as if it were new. It was written after I appeared on CNN’s State of the Union news show. I was a guest with my friend, Fred Frese, because of the January 8th, 2011 murders in Tucson, Arizona.

This week, I have received several emails from frustrated readers who want to do something, but don’t know what to do. Reader Joseph Meyer offered this suggestion on my Facebook page:

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Mental Health Reforms Will Come: But Not From The Top

It’s the time of the year when news organizations broadcast and publish lists from 2012. The July movie shooting in Aurora, Colorado, that left twelve dead and 58 wounded, and the December killings at the Sandy Hook Elementary school that claimed the lives 20 children and six adults, are on every Top Ten 2012 Story List.

On NBC’s Meet the Press on Sunday, President Barack Obama promised to put his “full weight” behind legislation aimed at preventing gun violence. One of his top priorities, he said, will be pushing for increased background checks and bans on assault weapons and high-capacity bullet  magazines.

“It is not enough for us to say, `This is too hard so we’re not going to try,’” Obama said.

Sadly, there was little mention on the news show about the need for meaningful mental health reform. A cynic might conclude that the only change that seems in the works is further stigmatizing of persons with mental illness by targeting them in background checks.

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