Please take a minute to read this very heartfelt, very important post written by one of our longtime readers. Our mental health system is indeed broken. Ilene is doing everything she can to help rectify that:
Bipartisan Support is Needed to Pass Important Reforms to our Broken Mental Health System
Many people are crying out for stronger gun laws to address the increasing gun violence. The shooting of former U.S. Representative Gabby Giffords, by a man in a state of psychosis, is often mentioned as a reason for these reforms. I urge those who support stronger gun laws to also support important reforms to our extremely dysfunctional mental healthcare system.
This is not an either/or situation. We need stronger gun control laws and a complete overhaul of our broken mental healthcare system, but I fear this is becoming a partisan issue. I am a flaming liberal, and I support the Helping Families in Mental Health Crisis Act (HR3717) which is sponsored by – gasp – a Republican.
HR3717, sponsored by Rep. Tim Murphy, contains a very comprehensive set of long needed reforms. The competing bill, the Strengthening Mental Health in our Communities Act (HR 4574), is sponsored by Democratic Rep. Ron Barber, who was shot alongside of Giffords. There are some overlaps, but HR4574 lacks several essential reforms contained in HR3717.
The Barber bill doesn’t reform the Health Insurance Portability and Accountability Act (HIPAA) which thwarts the efforts of family members to help their loved ones with serious mental illness and who lack insight (Anosognosia). It also doesn’t include the need for a nationwide set of Assisted Outpatient Treatment laws, which would help people with serious mental illness, who have cycled in and out of the ER and jails, get into much needed, sustained, outpatient treatment.
Finally, it fails to address the Medicaid Institutes for Mental Diseases (IMD) Exclusion, a discriminatory law which bans federal funds to IMDs, which provide the majority of services to people with a mental illness or drug addiction. This includes hospitals, rehabilitation facilities, and group housing that provide on-site services and supervision. The Murphy bill includes these needed reforms.
Many people share the misconception that everyone can seek help on their own, manage their own treatment, and live on their own with occasional support. This is unfortunately not possible for a minority (about 25%) of people with serious mental illness. My twin brother Paul had schizophrenia, was treatment resistant, had significant cognitive impairments, and was in that minority.
Paul was treated like a fully functioning adult when released from the state hospital, which led to a roller coaster ride to hell and back and his early death. The “Pauls of today” will continue to become incarcerated, homeless, and die young, and their families will continue to suffer, without the essential reforms in Rep. Murphy’s bill.
Mental Health advocacy groups are calling for efforts to resolve the differences between the two bills, and to create a version which can pass the U.S. House of Representatives. Without true bipartisan support, we could lose those essential reforms contained in the Murphy bill. Please do not let that happen.
Ilene Flannery Wells
Paul's Legacy Project www.paulslegacyproject.org
To learn more about Paul, please read the book about his life; Shot In The Head, a sister’s memoir, a brother’s struggle, by our sister Katherine Flannery Dering. www.shotintheheadbook.com