Brain images from people with schizophrenia. Photo by Flickr user http://www.cihr-irsc.gc.ca.
In the month since the shootings at Sandy Hook Elementary (which as far as we know, was not committed by someone with mental illness), I’ve been encouraged by how much of the conversation has been framed around mental health and the lack of services for those who need them. We saw that front-and-center with Liza Long’s powerful “I Am Adam Lanza’s Mother” post. We’ve seen it elsewhere, too. I want to call attention another such story today, because it makes great points about what’s missing and what society needs to do — not only to curb mass shootings, but also to help the many, many nonviolent people who struggle with mental illness daily but can’t get the help they need because it doesn’t exist or isn’t available to them.
Chantel Garrett wrote this piece about her brother, Max, who suffers from paranoid schizophrenia. In her article, she doesn’t just talk about how difficult it is for Max to stay afloat. She also offers concrete steps for repairing the system so that Max and others like him might hope for functional, fulfilling lives.
Mostly, I want to let Garrett do the talking here, because she does it well:
2) Change the law to more easily help an adult loved one get involuntary care when they desperately need it – before anyone gets hurt.
We must begin to fill the gaps in the mental health care system that could have potentially helped to prevent recent massacres at the hands of people in need of psychiatric intervention. Studies show that early intervention greatly improves the prospect for recovery. In my own experience with my brother, a first dose of anti-psychotics during a psychotic episode palpably reduces paranoia and hallucinations.
A few years ago, Max went off his medication, barricading himself in his apartment and warning his family to stay away. In an extremely psychotic state, he plastered the Web with terrifying words and images, predominantly aimed at the people who love him most. While punishing to read, as the time and severity of his symptoms wore on, his posts became our only proof that he was still alive – our only hope that he could still get help.
For two months, my parents and I campaigned the local police to knock down his door and get him to a hospital. My dad became a fixture at the police station. We sent the police chief Max’s blog and threatening emails. We explained his diagnosis, his years of involuntary hospital commitments and dire need for care before he did more permanent damage to his brain. His neighbors also called the police to complain. The police went to his house multiple times but said they didn’t have cause to forcefully enter. Their response was always the same. “We understand that he’s very sick, but what has he done? Call us when he’s done something and we’ll pick him up.”
Males with schizophrenia most often become symptomatic in their late teens to early 20s. From a legal standpoint, parents hands are often tied trying to get help for their sick child who is of legal age, with the current standard of “danger to oneself or others” far too hazardous.
The “dangerous” bar is too high to get someone with acute psychotic symptoms care when they need it most – and when they are the largest threat to themselves and, potentially, their family and community. Why should it not instead be a standard of gravely disabled – unable to care for oneself or for others? Surely, if the police could have somehow glimpsed at him and his apartment, they would have immediately seen that he was unable to care for himself.
We need to change the law, and create a mental health workforce working alongside officers and families to provide more proactive, onsite assessment of people who are credibly unable to care for themselves – before it gets to the point of “dangerous.”
Do you know someone who’s mentally ill and prone to violence when they’re in their darkest periods? If so, what do you think would help them the most?