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We Need To Get Serious about Treating Mental Health Disorders

There was a big shift in the way that the mentally ill were treated, starting in the 60s and 70s. There was an acknowledgment (correct) that mental disease and disturbing and destructive behavior was not due to some traumatic incident that someone had as a child, and that sitting on a couch and talking to a psychiatrist would bring a cure (not to discount the effects that trauma and abuse as a child does contribute to, or exacerbate an underlying condition), but that just as physical disease is a result of genes, and chemical imbalances, so too is mental disease.

THAT gave governments, bureaucrats, politicians, etc. an excuse to close down mental health hospitals, throw some pills at the patients and put them on the street (we must also remember that many of those hospitals were hell holes and staff were often sick or evil themselves.

NOW we have former and potential mental patients on the street, using the gutter as a toilet, and living in cardboard boxes, until they get picked up and locked up, put back on their meds, and put back on the mean streets. This model is NOT working, and those are the ones who are more or less harmless.

WHEN we get into the kinds of mentally ill people such as Michael as the Anarchist mom described ( see at http://anarchistsoccermom.blogspot.com/2012/12/thinking-unthinkable.htm). Meds are not going to do it — they need an institution in which they can be treated, watched over, and kept from hurting themselves or others. In the outside world, they will never be able to cope and every time they drop their meds, dangers to them and others are very real.

PARENTS also have to realize when their child is that sick, that they need and should be in an institution. We all want instant gratification, and too many parents today demand from society a warm and fuzzy approach to every situation, whether it is in the best interests of the ill person or not.

SOCIETY needs to put mental health into the same category as physical health, and spend the necessary funds to care for those ill individuals, and establish institutions in which they can be "humanely" treated and live as near normal a life as possible.

HOWEVER seeing as how outraged so many folks get at the idea of even treating sick children and the elderly for physical ailments which they cannot afford treatment for, I do not hold out any hope for adding on the expense of treating the mentally ill. Our society is not prepared to be that altruistic  — or even practical.

North Shore Newbie

7:27 am on Tuesday, December 18, 2012

There's another part of this discussion you're leaving out: you're assuming that people who are mentally ill WANT help (and of course I'm talking about adults here). Many people (and I'm speaking from experience) refuse to admit they're sick and voluntarily stop taking their medication. . And if, for some reason they DO get admitted into a mental health facility, due to HIPA laws, family is excluded from the treatment. This means that they can exercise their right to leave. As long as they have some semblence of a functional life, they can continue their behavior and are free to take or not take their meds and continue their irrational behavior as long as they are not dangerous. And, as we've seen from these latest mass shootings, none of those shooters did anything dangerous enough to raise a red flag and have them committed.

Yes, understanding mental health issues is the answer. But laws need to change such that some rights are restricted, and I'm afraid that's farther than most people are willing to go.

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The Donny Show

8:07 am on Tuesday, December 18, 2012

Good luck restricting someone's rights. Make someone register to vote before the day of the election? No way! That is against ALL their constitutional rights.

Decide someone cannot function to society's liking? Sure, why not take their rights!

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North Shore Newbie

1:07 pm on Tuesday, December 18, 2012

People should be able to register on the same day they vote...as long as they have I.D. :)

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FreeThought Troy

1:19 pm on Tuesday, December 18, 2012

Don't quite know what same day registration has to do with treating mental health...

http://gab.wi.gov/elections-voting/voters/registration-voting
You do need valid photo ID to same day register

'THE REGISTRATION CANNOT BE PROCESSED UNTIL THE ELECTOR PROVIDES THIS INFORMATION.

If the voter has a current, valid Wisconsin driver license but does not know the number and did not bring it to the polling place, poll workers must allow the voter to vote by provisional ballot. (Note: the voter CANNOT use the last 4 digits of their Social Security Number if he or she has been issued a Wisconsin driver’s license). The provisional ballot will not be counted until the voter either:

a) brings his or her driver license number to his or her polling place before the polls close at 8:00 pm on Election Day; or

b) transmits (via fax, email, telephone call or personal visit) his or her driver license number to the municipal clerk before 4:00 pm on the Friday after the Election."

Can we continue?

Keith Schmitz

7:48 am on Tuesday, December 18, 2012

And we need to stop using prisons as mental health facilities.

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GearHead

9:26 am on Tuesday, December 18, 2012

Keith, we HAD lots of mental health facilities that closed, thanks to the efforts of the ACLU and like-minded politicians who placed the rights of crazed dangerous "patients" over the rights of the rest of us and our safety. Apparently, they thought it was worth the price. It was (is) utterly predictable that crazy folks would do crazy (and unfortunately sometimes deplorable) things.

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Lyle Ruble

4:16 pm on Tuesday, December 18, 2012

@GearHead....Most of the mental health facilities weren't shut down because of the ACLU but for fiscal reasons. Your hero Ronald Reagan began the process in California when he was governor and placed the mentally ill in with the criminal populations or they were turned loose on the streets. Group homes were supposed to be the answer, but no one wanted a group home in their community. So don't go spouting something you know nothing about.

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GearHead

4:44 pm on Tuesday, December 18, 2012

Spouting, Lyle? Only to hear you sputtering. Reagan (along with 49 other governers) released the mentally ill into the streets because his hand was forced by the Supreme Court, thanks to advocacy by the likes of the ACLU. Their rights were recognized, to their own detriment. Those who committed crimes ended up in prison, and many of the rest ended up homeless being unable to cope. Another victory for liberalism!

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Lyle Ruble

5:44 pm on Tuesday, December 18, 2012

@GearHead....I'm going back to the early 1970s and I was working with the mentally ill in California. Those that were judged to be violent or potentially violent were moved over to Vacaville from the state mental hospitals. It was a means to save money and not for the benefit of the patients. It was to be a temporary but became permanent.

Those that were evaluated as suitable for release to group homes, etc, were put out on the streets for management by the local mental health facilities. Those facilities were underfunded and under staffed leaving too many just to slip through the cracks. Reagan is the one I am most familiar with, but I know it occurred all over. Mental health services have been shoved to the bottom of the priority list and have been under funded for decades. Look what Scott Walker did to Milwaukee Mental health, he destroyed the program and it no longer exists. He thought you could privatize the services, but for the most dangerous there is no place to go.

Let's look at clinical staff, it requires 8 to 12 years of education and experience before becoming qualified to provide services. This includes psychiatrists, psychologists, clinical social workers and clinical nurses. These professions are not attracting enough people due to the arduous journey to licensure and the horrid low compensation paid. You want to change things, put your money where your mouth is.

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Random Blog Commenter

10:50 am on Wednesday, December 19, 2012

Mr. Rubie,

The 1970s deinstitutionalization of the mentally ill was a joint effort by those advocating for the rights of those suffering from mental illness and those seeking to close some very expensive and aging institutions in order to save money. It is not the single fault of a particular political ideology or politician but, rather, a reflection for both good and and bad of a changing society.

Sunrocket

8:28 am on Tuesday, December 18, 2012

Please don't discount medication. Many take time to work and dosages need to be adjusted. Many do have side effects that will pass with time, but it takes time. Unfortunately trying to talk someone in to allowing that time to pass is tricky. Medication are not always a cure all but can't help part the clouds while other treatments are being used. Many mental disorders are chemical imbalances so medications replace what is not naturally present. Education for people that do not have or understand mental disorders is also key as it has led to ignorance regarding this sickness. Perhaps it should be required in school along with sex education and also include parents as I believe many parents to not want to acknowledge that their children may be depressed.

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N. Peske

12:51 pm on Wednesday, December 19, 2012

I wouldn't discount medication, but alas, some of these "wonder" drugs actually cause violent impulses in some individuals. We don't have a system in which people who are having medications adjusted can be kept in a safe facility while their brain chemistry is changing--and we do lose people because of this. 72 hr. lockups when it can take weeks for a medication to show effective or not doesn't make any sense.

Dave Koven

9:06 am on Tuesday, December 18, 2012

It all comes down to behavior. One can be mentally ill and completely inoffensive to people around them. We have laws on the books regarding disturbing the peace or inappropriate public behavior. A large percentage of people arrested under these laws don't think they are doing anything wrong, they may even feel they were only "joking" around. It depends on what people are willing to put up with. One person's "nudity is natural" philosophy is another's "lewd and shocking" behavior. Perhaps we have to expand these "disturbing the peace" laws to include "hearing voices", talking to yourself, or anything else disturbing to people? Like suspected DUI's, these people would be briefly detained to be evaluated to see if they are dangerous, if this can be done. People flying on airplanes are subjected to this routinely. Yes, it is a pain, but is it better to be safe than sorry? This will cost money. Perhaps the police need a "flying squad" of roving, trained psychology paraprofessionals to make quick diagnoses for the purpose of public safety/anxiety? I don't know. This is a tough one. It looks like personal rights might have to be re-examined if we want more safety.

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The Donny Show

9:13 am on Tuesday, December 18, 2012

Again. This is the classic argument of take everyone's rights away to protect ME, but NEVER take my rights away.

We need a safer place to live. No one disagrees. We cannot do it by restricting rights or having counsels of people decide what others ought to do.

Steve ®

9:35 am on Tuesday, December 18, 2012

Liberals need to start admitting we can not stop all crazy nut jobs in the world from doing crazy nut job things.

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FreeThought Troy

10:18 am on Tuesday, December 18, 2012

... and Conservatives need to start admitting doing nothing will not change protect us from the next national tragedy.

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Steve ®

1:16 pm on Tuesday, December 18, 2012

We already have a HUGE government that can not pay for itself. More government is not the answer here. You're barking up the wrong tree, once again letting your emotion take control and using a tragedy for your own personal political gain.

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FreeThought Troy

1:27 pm on Tuesday, December 18, 2012

http://www.nycrimecommission.org/initiative1-shootings.php

It's not emotion. It's fact. The only reason to do nothing is political. It's time to wake up. That is reality at the door.

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Bren

4:45 pm on Tuesday, December 18, 2012

This moderate independent will assert that the tone of the dialogue needs to change in a positive direction. People who are ill are citizens too and need our care. They are not moochers/people who want free stuff. As long as we continue to be insensitive community citizens, the problems will continue.

Young Conservative

10:20 am on Tuesday, December 18, 2012

Only folks doing nothing are your kind. We conservatives are fully armed with CC, you 'all are the wannabe victims.

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FreeThought Troy

10:25 am on Tuesday, December 18, 2012

CC??? "... your kind" ???

Do you know how you sound, Young?

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Mike Itzenhuiser

10:37 am on Tuesday, December 18, 2012

@FTT

I'm 47 and I carry concealed every day for nut jobs. Do you have a problem with that?

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FreeThought Troy

11:15 am on Tuesday, December 18, 2012

I am uncomfortable with no military or police carrying serious tools that can do serious harm. We no longer live in the Wild wild west. We don't live in a post apocolyptic world. Red Dawn is just a movie. More bullets flying around bother me. It does. It's not a personal thing. But it makes me uncomfortable.

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CowDung

11:26 am on Tuesday, December 18, 2012

Most every other state has allowed concealed carry for years without experiencing 'more bullets flying around'.

For all anyone knows, we could indeed be living in a post apocolyptic world come December 22nd...

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North Shore Newbie

1:05 pm on Tuesday, December 18, 2012

FTF, you seem to be implying that more guns automatically means a more dangerous society but that's simply not the case. Take Northern Wisconsin, for example. There are more guns in homes in rural areas than in the city of Milwaukee, yet Milwaukee has 20 times the number of murders. It's who has the guns, not the fact that guns exist. I'm more worried about the wrong person being armed and me being unable to defend myself. There's a reason most shooting rampages happen at schools, churches and malls and not at police stations.

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FreeThought Troy

11:21 am on Tuesday, December 18, 2012

YC - I am ok with that.

It's better than what you are trying to be... which, for the record, I think is a whole lot of bluster and zero actual machismo that you claim to be. I think you make it all up to compensate for your sorry existence.

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Young Conservative

11:24 am on Tuesday, December 18, 2012

Its okay Troy, I am used to sticking up for the wimps and sissys on the playground. Its how my parents raised me.

Steve ®

1:22 pm on Tuesday, December 18, 2012

Abortion kills what, 1,000,000+ children a year in this country? And you want to change the constitution over a few that got shot? I suck at math but that one number seems a lot bigger than the second.

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Bren

4:51 pm on Tuesday, December 18, 2012

Not an issue of "changing" the Constitution but in reviewing the 2nd Amendment as it is actually written. The NRA has parsed a few selected words and pervertied the intent of the 2nd Amendment for too long and too many people have died as a result. Time for some common sense.

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Young Conservative

7:13 pm on Tuesday, December 18, 2012

The National Guard cannot possibly be interpreted as the whole constitutional militia encompassed by the Second Amendment; if for no other reason, the fact that guardsmen are prohibited by law from keeping their own military arms. Instead, these firearms are owned and annually inventoried by the Federal government, and are kept in armories under lock and key.

The Second Amendment was meant to accomplish two distinct goals.... First, it was meant to guarantee the individual's right to have arms for self-defense and self-preservation.... These privately owned arms were meant to serve a larger purpose as well...and it is the coupling of these two objectives that has caused the most confusion. The customary American militia necessitated an armed public...the militia …the body of the people.… The argument that today's National Guardsmen, members of a select militia, would constitute the only persons entitled to keep and bear arms has no historical foundation.

Bren is a part of the many low information ignorant Obama voters who have never read of the origins of the Bill of Rights.

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Steve ®

7:22 pm on Tuesday, December 18, 2012

The supreme court says you are dead wrong Bren. But glad to know you support murdering 1 million children per year.

Sunrocket

1:32 pm on Tuesday, December 18, 2012

You guys are really straying off the subject, which is part of the problem. I have also read the word "crazy" several times here and a phrase "One can be mentally ill and completely inoffensive to people around them." What you are not getting is that both of these are really ignorant statements and a bigger part of the problem. While this column is in part of what happened in Connecticut last week and I am in no way justifying what that young man did but what you need to understand is people with mental illness do not always know what they are doing. He did not wake up perfectly sane and decide to kill his mother and a bunch of kids. His wiring was screwed up and not by anything he did. He was born that way as is someone with diabetes or asthma. Calling them crazy is to a person with this disease is just as bad as using the "N" word with an african american. It does not help the problem. Please open your eyes and your minds that this just makes the problem of mental disorders that much harder to understand. Please get informed about it and maybe there can be some solutions.

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Bren

4:47 pm on Tuesday, December 18, 2012

Yes, you are absolutely right.

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Luke

6:00 pm on Tuesday, December 18, 2012

@Sun

Good point. I've been trying to make the point elsewhere that many people that our culture considers mentally ill are simply people that experience distress in our modern cultural environment. Alternately, those same people may flourish in an environment that would cause us distress. It is a modern development (a historical anomaly) that boys over the age of 8 do not know with almost absolute certainty what they will do for the rest of their life and how they will fit into society. For most of human history, the 20 year old male had already been hunting or working in the field for 12 years, submerged in a community that knew everything about everyone that was part of that community.

My point is that our modern environment may be just as bad for some people as solitary confinement would be for the average person.

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Sunrocket

6:35 pm on Tuesday, December 18, 2012

Those are some really good points Luke, I hadn't thought about how our modern society doesn't really fit what our ancestors had to deal with. Their resources were limited and options few but they knew their roles in society. Technology is not always a good thing. Expectations are so high yet not everyone is suited to some of the rigors of life. I hate to pin things on parents but when a naturally fragile person is pushed to be something they are not naturally suited to be, that can cause problems. Couple that with coddling and over protecting of todays youth can lead to some not being able to handle things that were within normal expectations even 50 years ago.

David Tatarowicz

10:24 am on Wednesday, December 19, 2012

Some of the comments above really strayed off topic, but many were very thoughtful and reasoned.

I have long been intrigued by now we as humans with our evolution so quickly into the first the Industrial Age and now into the Information Age are able to cope with modern life.

A person just a few hundred years ago who was threatened (as perceived by the brain on a base level) would respond with fight or flight. So that predator rushing towards him or her would trigger automatic physical responses, that would help them to cope with the situation.

In the present we have all kinds of stimuli around us that triggers physical changes for fight or flight --- that cannot be utilized.

A person standing on a curb watching a vehicle bearing down upon them at 40 miles an hour --- how does our brain and body react? It would be logical to think that the image transmitted to the brain would trigger many changes within our bodies, and our reflexes would be fired up and ready to go --- but go where?

Reasoning ultimately identifies that car as not being a threat -- it is on the street, we are on the curb --- it will probably not hit us...........

Considering the hundreds of times per day that we are subjected to such stimuli --- how do those incidents affect our long term mental state -- Anxiety, Depression, Aggression ............

Self medication, alcohol and tobacco was the treatment of choice before prozac and xanax ..... but those, and these do not work for all.

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Random Blog Commenter

10:57 am on Wednesday, December 19, 2012

Thanks for the thoughtful blog post. While some folks will never play well with others, this post does far more to promote a reasonable and rational conversation on a vital issue than that of Mr. Patzfahl and his wanting to simply arrest people who buy guns.

Mental health issues and adjusting to constant bombardment of external stimuli are vital issues that if properly addressed can do more to address many of our social ills and will eliminate more tragedies than knee-jerk legislation. However, it will take hard work and we as a society don't always want to do that.

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N. Peske

12:55 pm on Wednesday, December 19, 2012

There are many modalities that can quiet an overactive fight-or-flight response, and we should be teaching simple techniques to our kids. A kindergartener can learn how to do mindfulness meditation, for example. Of course, someone who is mentally ill has a whole host of other problems going on but I do have to wonder if regular practices for reducing anxiety and depression were a part of American culture, we might see less stress and anxiety overall. And, perhaps, we might also see fewer irrational, limbic-brain driven responses to perceived danger, such as keeping heavy weaponry in the home when someone in the the household has mental health issues.

vocal local 1

6:07 pm on Wednesday, December 19, 2012

Be careful with your suggestions Peske. Obviously were going to see some new gun control laws coming. How many homes will not be allowed to have guns if all homes that house persons on mental health drugs, commitments including commitments for alcohol are banned from having guns in them? Lets go a step further and include all homes with incidents of domestic violence and what happens when it's the home of a cop? Kiss your Conceal Carry and gun collections Good Bye.

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