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Mental Health Budget Cuts: "Rehabilitation is Cheaper than Incarceration--Dignity is Priceless
By Kate L McLaughlin
Several years ago on the streets of San Francisco, my husband Mark and I simultaneously experienced both sides of a controversial issue. Our son Michael, freshly released from a psychiatric hospital where he’d received treatment for Bipolar Disorder walked with us. Much improved but still struggling with anxiety, low-level mania, and paranoia, he began to unravel as the day grew long.
Knowing we needed to get Michael back to the hotel, we decided to grab an early dinner. Just outside the restaurant the three of us encountered a homeless man who clearly suffered from symptoms much like Michael’s. Propelled by some magnetic force, these two young men gravitated toward one another with aggressive posturing and angry words. Had Mark not been present to intervene and lead Michael away, violence would have ensued. Instead, however, we guided our son toward greater calm while the other fellow spiraled out of control, his loud rantings echoing through the street until someone eventually called the police. Two young men. Both ill. One, with support, walked away. The other, on the street and alone, went to jail.
As is too often the case, illness became crime; and unfortunately, budget cuts enacted last week by Governor Schwarzenegger will almost certainly result in an increase of similar cases. The now unfunded Integrated Services for Homeless Adults with Serious Mental Illness program supported over 4500 people. Through housing, medical treatment, job counseling, and perhaps most significant, a sense of belonging, this program returned dignity to an often disenfranchised group. What will happen to them now?
According to William Shryer, Clinical Director of Diablo Behavioral Healthcare and Program Director for DBH Neuroscience Seminars, even more will go to jail. “Our budget will decimate children’s and the homeless’ ability to access mental health services. What this will mean is that sicker individuals will end up in the Criminal Justice system and require more money to handle the situation. This is truly biting the nose to spite the face. The “5 P” principal, “Prior Planning Promotes Professional Performance” was not at work here.”
Many agree with Shryer. “It was a terrible blow,” said Nancy Peña, director of Santa Clara County Mental Health Administration. “We’ll be trying to figure out what we’re going to do as we go forward on this. These consumers have critical mental health needs and they’re going to need to be moved into some service.”
The mentally ill in Santa Clara County are fortunate to have an advocate dedicated to retaining services. Let’s hope every administrator in every county is equally intent on identifying funding sources and programs. It would be far too easy to shut the doors and ignore the profound consequences of that action. Local leaders must commit to a “best practices” philosophy as they search for ways to serve their constituents, and they must realize that this commitment will likely result in better care for the mentally ill as well as greater fiscal responsibility. Rusty Selix, executive director of the California Council of Community Mental Health Agencies, has said that the cost of incarceration can be six times higher than the cost of enrolling someone in a mental health program. Rehabilitation is much cheaper than incarceration.
Kate L. McLaughlin, mental health advocate, speaker, and author of “Mommy, I’m Still In Here”, is a member of the Depression and Bipolar Support Alliance, the National Alliance on Mental Illness, and the Juvenile Bipolar Research Foundation. Reach her at katelmclaughlin@gmail.com.
Comments
I can't believe that the Gov. of California would cut the budget on something so important to those who have nothing! As a man who can contribute so much to those in need why does he turn his back on the poor and defenseless? He took an oath to uphold the law and principles of the US. How American is it that you would refuse to help those who have nowhere to turn for mental help? It's not their fault that their ill. Does he not know that more than 24 million adult Americans suffer from a mood disorder? It knows no color, race, socioeconomic or gender group but unfortunately those without money, family, and insurance deserve no aid. At least, according to the Gov. of California. I hope those of you who voted for him and have a loved one who suffer from a mood disorder realize the kind of man you helped into office. What a shame that he does such a disservice to the people who need him most.
Posted by: Jessica at August 28, 2007 09:32 AM
both the GOP and DLC are working towards USA becominming INDIA #2 looka t all the actions and policy.
CLINTONS HAVING MEALS WITH BUSHES AGAIN IN SAN FRAN AND BEFORE GOVERNATOR CUT MHHE WAS SUPPOSEDLY THERE..TELLS A LOT TOO.!!!
unless therE is major CHANGE in this election we are a doomed peopel no middle calls adn many poor worker bees fro the corporations..
PLEASE VOTE OBAMA or watch hillary the GOP secret weapon help kill all the programs.and the disabled..
Fear and greed have worked so far.
esp fro let a few more die( quietly,please) Fro more ,more,more $ fro designer stuff CA..
unless ther is majopr change in this election we are a doomed people no middle class and many poor worker bees fro the corporations..
WRONG CHOICES AND this is what you will leave to your childern and grandchildren...
did you read article 1 of 4 fvets dying after come home. i ahve both va and county and cant get care and advocay for amy psyche and phsyical needs. that ARE funded. vets gave 10 of 12 woemns shtletr beds to men and hud sasy we dont care what they do withthe money..and you ahve too many medical conditons..
no wonder the world hates us and doesn't beleive we are good.
WE SUCK.
Posted by: deaddarlene at September 2, 2007 09:57 AM
Dear Kate,
I just came across your write while researching on "Rehabilitating the Mentally Sick" through the internet.
I felt touched and imagine what it is like for a mother to be meeting up with such challenge.
I was also impressed with your courage and your motherly love and care with which you tend to carry on with the whole situation and Mark"s protection and his companioship.
Part 2
I would want know if you can scale up your organization to sub-sahara especially Nigeria where we have so many children like that but they are mostly abandoned by their indigent parents to wander about along the streets without care and protection.
There have been cases where children like this were raped and other forms of sexual abuses.
I got know about all these because I work with a Local organization whose key thematic area is Orphans and Vulnerable Children [OVC ]and is based in Nigeria.
My Profile is as shown below;
NAME :Agatha Ngozi Agu
MARITAL STATUS: Single
AGE: 28 YEARS
NATIONALITY:Nigerian
DESIGNATION: Monitoring & Evaluation Officer
MOBILE NUMBER :+234-8057620475 ,+234-8030428870
I look forward to seeing your reply soonest.
Posted by: Agatha Ngozi Agu at September 11, 2007 06:19 AM
Dear Agatha,
In America many children and teens suffer the fate of those Nigerians you describe. I am certain that all of our efforts toward education and dissemination of information will combine to change this unfair and unnecessary reality. Disregarding stigma and shame, those of us who can speak up must do so.
Kate
Posted by: Kate McLaughlin at September 27, 2007 11:07 AM
Dear Kate,
My 29 yr son has been homeless for most of his adult life, since he left at 15. He has always been argumentative and rebellious, alternating with despair, depression and anxiety. He visits me for a week or so, once a year and it takes me a month to get over the visit. He berates and criticizes me for everything I say and do and blames me for everything that has happened bad in his life. I saw him do this to a girlfriend he really loved, until her father got her to leave. He says bizzarre and shocking things sometimes, such as that he raised himself since the age of 2, which couldn't be further from the truth. He calls every week and I send him a little money every week to help his survival, and buy his winter gear. He won't see a counselor and hates the medical and mental health professions. Now he has started saying he's psychic and insists people are thinking certain things about him, because the thought came into his mind and he didn't think it. I don't really know if he is mentally ill or just abusive and pushing all good out of his life, because he really does seem to lash out unbearably at anyone who tries to help or even befriend him. But I know his sweet heart, which I get to see for glimses here and there. More I see him writing in emotional pain and/or lashing out at others. As a mother of a mentally ill son, can you please share with me any bit of wisdom that comes to mind that might be able to help me to help my son? Thank you so much.
Posted by: Theresa Romero at December 25, 2007 04:12 PM
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