A YouTube Attack on SAMHSA

 You might recall that Republican Presidential Candidate Rick Perry made headlines last week when he couldn’t remember during a presidential candidate debate the third federal agency that he wanted to eliminate if he makes it to Washington D.C..

Quick on the punch, Dr. E. Fuller Torrey has come up with a suggestion: the  Substance Abuse and  Mental Health Administration. The lightening rod psychiatrist  has turned to YouTube to make his pitch.

Why does Dr. Torrey want to shut down SAMHSA?  I suspect that one reason is because  several mental health groups that vehemently oppose Assisted Outpatient Treatment  laws, such as Kendra’s Law in New York,  are funded by SAMHSA grants and programs.  Meanwhile, Dr. Torrey’s group, the Treatment Advocacy Center, doesn’t accept federal funds.

What’s your view on Dr. Torrey’s campaign to eliminate SAMHSA? Does SAMHSA fund programs in your community that are helpful to persons with mental illnesses? I’d love to hear from the grassroots on this issue.

 

Dr. E. Fuller Torrey: Sounding An Alarm or Being an Alarmist?

For the past several weeks, I have had an interesting and troubling email exchange with Dr. E. Fuller Torrey, perhaps the most controversial psychiatrist in America. He’s also one of the most influential.

Today, Dr. Torrey is best known for his campaign to get Assisted Outpatient Treatment laws passed. An example is Kendra’s law. There’s plenty on the Internet — pro and con — about AOT. 

It would be a mistake, however, to believe that Dr. Torrey’s impact has only been in promoting AOT legislation. He has been sounding alarm bells and criticizing our mental health system for decades.  Among other things, he has founded two organizations. The Stanley Medical Research Institute is a nonprofit organization that supports research looking for the causes and treatment of schizophrenia and bipolar disorder. According to its webpage, it has given away more than $300 million since 1989 for research, mostly outside the U.S. The second group is the Treatment Advocacy Center which describes it’s purpose as “eliminating barriers to the timely and effective treatment of severe mental illness.” TAC’s main focus is pushing for passage of AOT laws.

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What Is Critical To Recovery?

What’s the most important ingredient to recovery if you have a mental illness?

I’m beginning my week by flying into LaCrosse, Wisconsin, where I will speak tonight at Viterbo University.  As always, I will talk about my book, my son, and what happened to our family. I will explain how those terrible events led me to the Miami Dade County Detention Center where I followed persons with mental disorders through the criminal justice system.  I will talk about how our jails and prisons have become our new asylums, why this is wrong and how we need to turn our current system back into a community health issue rather than having it continue to be a criminal justice problem. 

But on this trip, I’ve also been asked to speak in the afternoon to a number of local leaders as part of an informal afternoon “conversation.” The goal of this talk, which is sponsored by the Mental Health Coalition, is to discuss what is happening in La Crosse and what it might do better. 

My role is to describe successful programs that I’ve seen visiting 46 states and three countries — Iceland, Brazil and Portugal — and touring more than a hundred different programs.

I am always happy to talk about programs that are making a difference and I don’t mind citing specific examples.

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Emails From Readers

Since the publication of my book, CRAZY: A Father’s Search Through America’s Mental Health Madness, I have received hundreds of emails from readers. Sadly, many are from parents desperately seeking advice about how they can get their son or daughter help. Others are from readers whose adult children are in jails and prisons because of untreated mental illnesses. A few are from parents whose children committed suicide. But there are others that make me hopeful — encouraging notes from dedicated mental health workers and success stories written by readers who have found a variety of methods to control their symptoms and enjoy life at its fullest.

Here is an email that I recently received that I want to share with you because it provides a viewpoint by a consumer that often is not heard.

“I am in my late 30s and officially diagnosed as mentally ill at age 13 after my first suicide attempt. I had long periods of depression and had my first manic episode at age 16. I was paranoid, hearing voices, unable to sleep or read. All I knew was that I was going crazy, but there were no words for it then or any real help.

I was kicked out of high school after missing 15 days of school while I was too manic or depressed to attend classes. No treatment or help from the school system were offered (despite being a straight A honors student with advanced placement classes and not a single discipline issue) and I was told by my single parent to “get a job.” I did just that and was quickly fired for crying all day at work.

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When do we release Andrea Yates and John Hinckley?

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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