MURDER, POLITICS, AND THE END OF THE JAZZ AGE
by Michael Wolraich
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MURDER, POLITICS, AND THE END OF THE JAZZ AGE by Michael Wolraich Order today at Barnes & Noble / Amazon / Books-A-Million / Bookshop |
By Pam Belluck, New York Times, July 30, 2013
For some people with severe mental illness, life is a cycle of hospitalization, skipped medication, decline and then rehospitalization. They may deny they have psychiatric disorders, refuse treatment and cascade into out-of-control behavior that can be threatening to themselves or others.
Now, a study has found that a controversial program that orders these patients to receive treatment when they are not hospitalized has had positive results. Patients were much less likely to end up back in psychiatric hospitals and were arrested less often. Use of outpatient treatment significantly increased, as did refills of medication. Costs to the mental health system and Medicaid of caring for these patients dropped by half or more.
The study evaluated the program run by New York State, known as Kendra’s Law because it was enacted after Kendra Webdale was pushed to her death on the New York City subway tracks by a man with untreated schizophrenia in 1999. Forty-four other states have some form of Kendra’s Law, but New York’s is by far the most developed because the state has invested significant resources into paying for it, experts say.
From the start, Kendra’s Law has had staunch defenders and detractors. But the new analysis, led by researchers at Duke University and published in The American Journal of Psychiatry, joins a series of studies that suggest the program can be helpful for patients who, while they constitute only a small number of the people with mental illness, are some of the most difficult and expensive to care for [.....]
Comments
I think that if this sort of hospitalization existed now, many of these mass shootings wouldn't have occurred. Homelessness would also not exist like it does now. There are alot of social institutions that keep society from going to the wazoos and this is one of them.
Heh, see? I am not as extreme as I may have sounded. I am against SSRI antidepressants. I think they're dangerous. Maybe my anger about my own situation spilled over a bit.
by Orion on Tue, 07/30/2013 - 11:28am
Well, what about those in this program who are basically forced to take SSRI's when they'd rather not? We are after all talking about the same psychiatric treatment that we bemoan, and probably more bottom-of-the-barrel than the run-of-the-mill psychiatric practioners at that.
by artappraiser on Tue, 07/30/2013 - 12:42pm
I went to a publicly funded mental health clinic after my breakdown, arty. While I was there, I had an excellent doctor - who had been in the game for years and years. I literally went in at one point - asked for anti-seizure meds and Klonopin to treat anxiety and he talked me out of the latter, telling me I didn't need it and to just find off the anxiety with a walk since it wasn't really real. He actually looked a little disturbed that I asked for Klonopin at all - he said that it was way over marketted and was equivalent to a street drug.
He was extremely level headed, intelligent and could read between the lines. Juxtaposed with him, I still have access to a private doc who I know would give me anything - literally anything - if I had the right money.
I'm not so sure anymore about the idea you'll be getting "bottom of the barrell" just because it is state funded. That sort of thinking is the result of libertarians and profit motive folks. State institutions would be reliant on tax dollars and would probably end up being given the evil eye way more than these big corporations ever would.
SSRIs are antidepressants - they don't treat psychosis. I don't know anything about antipsychotics. So let's not blur those together. SSRIs are very bad medicine - doctors say they literally don't know how they work and they have all sorts of scary warnings like "homicidal ideation." I think that their existence is actually the result of deregulation - of making medicine way too much of a business instead of a service.
Mental health treatment has become a commercial thing and, thus, is more concerned with having more clients than more cures. This got worse in the 90s, I think, when we got rid of regulations of medication that had already been there. SSRIs like Zoloft, Effexor, etc. don't exist to treat serious mental illness - they exist as the equivalent of snake oil supplements to cure a case of the blues. If people are writing articles like what you have posted, we may bring those regulations back.
by Orion on Wed, 07/31/2013 - 9:10am
But then if wishes were horses, beggars would ride; pie in the sky theorizing, etc. Reality bites:
by artappraiser on Tue, 08/06/2013 - 1:09am