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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Common Sense, Huge Impact

One of the lessons  that I’ve learned visiting mental health programs in 46 states during the past four years is how often a small, common sense change in policy can have a huge impact on helping persons who are ill. 

I saw an example of this when I toured the Los Angeles City Jail, which many of you know has become the largest de facto public mental heath facility in our nation with an average population of 1,400 prisoners with mental disorders.

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Crisis Care Centers vs ERs

The first time Mike became psychotic, I drove him to a hospital emergency room. We didn’t know any psychiatrists and Mike needed immediate help. Taking him there turned out to be a mistake.

Emergency rooms are where everyone goes nowadays whenever they have any kind of health-related crisis, but many are poorly equipped to deal with psychiatric patients in the midst of  a mental break.  

Some patients are turned away, as Mike and I were, without getting help. Or a patient might be held down and given a shot of Haldol or another strong anti-psychotic  that will help stabilize him but also can turn him into a walking zombie for days.

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