Increase Access to Quality Mental Health, Not Restrict Our Rights…

good-cartoon-mi3
Ignorance and Stigmatization of Mental Illness

Several years ago it was bullying, this year it is gun control; all precipitated by horrific incidences that ruined the lives of many and will continue to do so until we identify the underlying problems. Both intimidation  and gun violence are intimately related. There is a huge elephant sitting in the room yet we continue to ignore him by  applying  knee-jerk remedies to adaptive problems.   The tragedy in Newtown is not an isolated incident of senseless violence nor did this man develop these thoughts overnight. Sadly, this type of violence is preventable, preventable if detetected early.   Violence is symptomatic of much deeper issues, which we have not begun to discuss.

As usual we have the right answer to the wrong question. The question and the elephant in the room are: how  do we increase  access to elephant in the sitting room graphicquality mental  health care?   How do we  become better at screening and   effective treatment for those at increased risk for mental illness?   Early education and  schools are  good places to start.   Improving health literacy on the provider side would also be helpful.

People who commit these mass shootings are deranged.     I agree deranged, insane people should not have guns.  But how do you identify a deranged person?    And I haven’t heard many make a distinction   between the two:  insanity  versus mental illness?  They are two different animals and both are not as easy to diagnosis in our  crazy society.

Mental illness is a huge category that is often a waste basket diagnosis for many medical providers .  Who  will make the decision that someone with a history of “mental illness” should have her rights restricted?    I am a physician and I would not trust physicians  alone including mental health specialists to make that decision. Why?  Because women and people of color are disproportionately given that diagnosis compared to white men,  evidence based research confirms it (please see links below).   I see the potential for abuse!

 In essence,  this law would  take away the rights of those least likely to commit the crimes for which the laws were instituted.  Does that make sense?  We are so focused on solving the problem,  we have forgotten this is an adaptive problem where technical fixes by themselves do not work.   There may be a temporary decrease in fatality but it will not be long-lasting.

See links for more info:   .http://www.who.int/mental_health/prevention/genderwomen/en/, http://www.cdc.gov/omhd/amh/factsheets/mental.htm.

{Tips or Paranoia:  Our mental health delivery system stinks!  A diagnosis of mental illness frees physicians and other providers who come in contact with those patients from taking their symptoms seriously!

***Warning: You will be mentally ill  once you enter that system unless you are health literate. I  treated enough women who I naïvely referred for help because of depression only to have them  return  zombies.    In the ER, it was not unusual for patients with intentional drug overdoses evaluated by mental health  to return for the same problem the following week with their recently filled empty pill bottles each having multiple refills and the potential to kill…that is the revolving door our mental health care system.

We need increased  access to quality mental health for everyone where recovery instead of control of symptoms is the goal.}

******

Guns do not start violence! Guns facilitate, making violence more lethal.  Gun control legislation requiring universal background checks is a no brainer.  Why are we even debating it?    I was excited at the   public’s recognition of the role of mental illness in violence.  But disappointed  politicians choose to  scapegoat those with  mental illness.   Violence is not only about guns and mental illness it is also reflective of our culture.     Violence is an adaptive problem where all eyes should be on mental health care, law enforcement, and educational systems.

In the case of Newtown, there must have been missed RED FLAGS!    These red flags are  clues used to detect early signs/symptoms of mental illness or  severe symptomatic stress.  Once we (society)  suspect someone is at risk we need some system to manage or help these people.  Currently, we have no such system except law enforcement!  The mental health system is a  broken revolving door.

The side effects of medications used for mental disease or other diseases
Complexity of mental health

My take/questions on Newtown:

Was this man under the care of a mental health provider or any medical provider? If not why? If so, what kind of treatment was he receiving? How closely was he monitored? And most importantly, was he  on medications?

{ Tip or Paranoia:  Just a word about Medications. They are double-edged swords, they help people but they also harm people. Unlike guns, MEDICATIONS can initiate crazy thoughts and VIOLENCE, irrespective of mental illness.}

This man was deranged, not just  “mentally  ill.”   Red Flags were missed.    By increasing access to quality mental health care and improving health literacy among physicians and patients,   in addition to other  remedies that impact safety and improve mental health, we can prevent these tragedies by improving our  detection and treatment of  red flags.  Of course, there are other approaches, all of which involve multi-disciplinary collaboration of some of the various stakeholders already mentioned.

******

Let’s listen and use common sense,  making sure we don’t create  even  larger problems for a group already stigmatized.   More information in the above areas would shed light  and prevent many of  these types of tragedies.   It is  not only  the failure of our Mental Health Delivery System and other systems such as Law Enforcement , Education  but also our insatiable appetite for all forms of violence in the media.   Violence is intertwined with our culture; making it an adaptive problem requiring behavioral and cultural changes. Failure-to-Listen-in-red

Taking away access to guns from people with Mental Illness is unfair,  is Failure to Listen and unconstitutional! 

It will increase mental illness by stigmatizing it further.

Restricting access to guns for those who are “mentally ill” will disproportionately affect women and people of color leaving white men the only owners of guns. Aren’t they the most common perpetrators of tragedies like Newtown?

Such a law will not target the perpetrators but it will harm innocent people by limiting their rights and stigmatizing them.

Increase ACCESS TO QUALITY MENTAL HEALTH BEFORE mental illness takes root.   That is smart policy!

Increase ACCESS TO QUALITY MENTAL HEALTH; not Decrease the RIGHTS of the mentally ILL!

Technical fixes will not solve adaptive problems.

For more information on mental health  and getting involved:

http://www.nami.org/

Author: Angela Grant

I am a first generation Jamaican immigrant whose experiences and accomplishments were made possible by the courage, sacrifices and the heroic acts of many whose bodies have rotted away in unmarked graves. Those are my heroes. Their sacrifices and death paved the way for my children and I. Failure to Listen is a token of my eternal gratitude. Failure to Listen is a tribute those generations of unmarked graves occupied by people of all races whose ultimate sacrifice of life opened the door for me and others, THANK YOU. Failure to Listen https://failuretolisten.wordpress.com/ uses cultural lenses to appreciate and understand the relationships between current events and our values, beliefs and attitudes. Culture is everything without it we are nothing. Failure to Listen will take you on a journey to recognize the beauty of our differences as the seeds to creativity, innovation and resolving disparities. By sharing my personal and professional experiences, I hope to do justice to the perspectives of those who are rarely heard or listened to. This site is not to incite anger but rather to provoke thought. It is my hope that Failure to Listen will work to foster intergroup dialogues and motivate readers to step outside the box and get to know ALL PEOPLE. In the spirit of Martin Luther King, let's join hands and remember his famous speech about a dream... A small group of thoughtful people could change the world. Indeed, it's the only thing that ever has. -Margaret Mead

2 thoughts on “Increase Access to Quality Mental Health, Not Restrict Our Rights…”

  1. Hi Jeff, Thank you for your comments, they are very persceptive. As you said, It is amazing that people have difficulty viewing mental illness just like any other medical disorders, such as diabetes or high blood pressure. I think if they did, we would approach many problems differently.
    -Angela

    Like

  2. I agree that access to quality mental health care is lacking and sorely needed for all Americans. There is no stigma attached to treating the heart or the kidneys but it seems hard for some people to admit that the brain and the chemical systems it regulates can become dysfunctional. A lot of good information and insights here.

    Like

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