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

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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Why Won’t You Take Your Medication?

“Why won’t you just take your medication? I take pills for my cholesterol every night and its no big deal?”

“Every psychiatrist we’ve seen has said you have a mental illness. Why won’t you accept it? Why would the doctors tell you that you’re sick, if it weren’t true?”

“Let’s look at when you were doing well and when you got into trouble. What was the difference? Medication. It was the difference. When you were on your meds, you were fine. And when you weren’t, you got into trouble. Can’t you see that?”

These quotes may sound familiar to you if you are a parent and have a a son or daughter with a severe mental illness. I’ve said everyone of them to my son, Mike.

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Adding Anosognosia to the DSM

As many of you know, I became an advocate for mental health reform because I could not get my son, Mike, help when he first became psychotic. I had rushed him to an emergency room only to be told that he was not sick enough. He was not considered an “imminent danger” either to himself or anyone else even though he was obviously delusional. Forty-eight hours later Mike was arrested after he broke into a house to take a bubble bath.
I was outraged and that experience caused me to begin campaigning for reforms in our current involuntary commitment laws. I think “dangerousness” is a horrible criteria. It is one reason why our jails and prisons are filled with persons whose only real crime is that they have a mental disorder. It stops loved ones from intervening before an ill person gets into trouble and it contributes to persons becoming homeless and dying on our streets.Click to continue…