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Helpful hints about what to do in a crisis, and a Post editorial

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Happy Fourth of July!

A new Psychiatric Crisis Resource Kit that can help families if someone they love develops a mental disorder is scheduled to be unveiled this week in Chicago at the national convention of the National Alliance on Mental Illness. It’s been developed by the Treatment Advocacy Center.    

Of course, the first thing that comes to mind whenever someone mentions TAC  is its aggressive and relentless campaign to promote Assisted Outpatient Treatment laws. But whether you support AOT laws or oppose them really doesn’t matter. All of us with loved ones who have a mental disorder need to be prepared and from what I have seen so far, TAC has done a real service by putting together a mental health first aid kit.

When my son first became ill, I was completely at a loss about what to do. And based on the emails and letters that I receive weekly, other parents, families and friends find themselves in the same situation.

For instance, the kit recommends that families compile a list of telephone numbers for key people, agencies and organizations that should be contacted if there is an emergency. While that sounds like a no-brainer, how many of us have the telephone number of a mobile crisis team, a psychiatric case manager, or an Assertive Community Treatment (PACT or ACT team) handy? Do you know the emergency numbers for your community mental health provider? How about your local suicide hotline? Do you know if your community has a Crisis Intervention Team and, if so, how to contact it. What’s the number of a public defender who knows mental health laws? Or a private attorney? Is there a mental health court in your jurisdiction and, if  there is, do you know what sort of cases it will hear?

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Advocates, Fired Cop, Unnecessary Death and AOT Controversy

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When the 14 year-old old boy came home from school and found his mother on the floor badly beaten and unconscious, he decided to do something. He took a pistol from a drawer, marched into his mother’s bedroom where his drunken step-father had passed out on the bed, and fired point blank into the man’s skull killing him. Arrested and charged as an adult, the youth was taken to an adult  jail to await trial.

The boy had been there only three days when defense attorney Bryan Stevenson met him. He was so traumatized that he could not answer any of the lawyer’s questions. He’d been repeatedly sexually assaulted — so many times in that three day period in jail that he’d lost count of how many men had abused him. All the boy did for two hours was sob as Stevenson held him.  

This tragic story was one of several that Bryan Stevenson described in an impassioned speech that he gave last week during an Advanced Judiciary Academy conference at the University of Illinois in Champaign/Urbana. I’ve written about Bryan before on my blog. He’s an inspirational advocate.

Bryan and I were invited to speak to the Illinois judges about how wealth and poverty influence our criminal justice system. We’d been invited to lecture because of my book, CIRCUMSTANTIAL EVIDENCE: Death, Life and Justice in a Southern Town.  For those of you who might not have read it, CIRCUMSTANTIAL EVIDENCE  is a true story about the murder of a popular, white teenager in the Alabama town that inspired the novel, TO KILL A MOCKINGBIRD.  A poor, uneducated,  black man named Walter “Johnny D.” McMillian was convicted of the killing which happened inside a dry cleaners on a busy Saturday morning. McMillian was sentenced to death after two witnesses testified that they’d seen his truck parked outside the cleaners at the time of the murder and another witness claimed he actually see McMillian standing over the dead girl during a robbery.  It seemed as if McMillian had been caught red handed.

But after Stevenson began investigating the case, a different picture emerged. Both witnesses who’d claimed to have seen the truck recanted their stories. Both had received reward money in return for testifying. The eyewitness who swore that McMillian had murdered the girl was proven to be a liar. Even worse, Stevenson discovered that the prosecution had hidden crucial evidence that proved McMillian was innocent. During the murder, he had been at his home miles away helping host a fish fry. Two law enforcement officers had stopped there that day but had failed to come forward to substantiate his alibi. Put simply, McMillian had been framed.

Although Bryan proved McMillian was innocent, Alabama officials refused to free him. It took a 60 Minutes segment about the case to shame local and state officials into releasing an innocent black man from death row.

I spoke first at last week’s conference and described the murder and investigation. Bryan spoke after me about the case but quickly moved to such broader issues as the number of persons with mental illnesses now being incarcerated and his latest campaign to stop pre-teens and teenagers under age fifteen from being charged as adults when they commit crimes. Many of these children are sentenced to life in prison. His work as the executive director of the Equal Justice Initiative prompted the judges in the audience to do something that Judge Susan Hutchinson, who helped organize the academy, said she’d never witnessed  before.

They gave him a standing ovation.

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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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Death and Insanity, a Final View

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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.

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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