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Started By
Message
re: Mental Health Crisis: US Mental Asylum numbers, 1955 v 2023.
Posted on 5/7/23 at 11:05 am to WildTchoupitoulas
Posted on 5/7/23 at 11:05 am to WildTchoupitoulas
quote:
Maybe the families of the mentally challenged should do more to help
My sister is bipolar, probably schizophrenic though never diagnosed, with a couple decades long taste for opioids, both street and legal. My mother just cannot give up on her. She has stolen from my mom repeatedly, even though my mom gives her everything. She has had 7 kids and raised 0. My mom has raised them all. The last couple were real doozies. Opioid babies with ODD and ADHD at levels you wouldn’t believe. All this has killed my mother, first in spirit but soon in body. My sister has no remorse. She isn’t capable of it, and she would do it all over again if given the chance.
Some people are absolutely poisonous, and for the good of us all, they need to be committed. This I know.
1
Posted on 5/7/23 at 11:07 am to Fun Bunch
There’s a lot I could write. Let’s just say I was a high ranking administrator in the Louisiana Office of Mental Health in the years just prior to Katrina and just post Katrina.
At the time, there were 5 state psychiatric hospitals and an under funded community mental health system of care. The inpatient facilities were old, dark and gloomy.
Over a two year period in the early 2000s we developed a comprehensive plan to sell the hundreds of acres of prime real estate those 5 hospitals sat on. With the estimated revenue we would have generated we would have had ample dollars to build 3, state of the art hospitals in Louisiana and have a large enough surplus to invest those dollars in a fund that would have annually paid for greatly enhanced community services designed to serve more people with a wide range of services. Those services included early intervention, crisis stabilization and increased traditional services. No addition state dollars would have been needed
We were putting the final wraps on the plan for presentation to the Legislature when we were hit with a 1-2 punch. Katrina side tracked us some but the killing blow came with the Jindal administration. Have you ever heard the political platform that “anything done by government can be done better by private industry”?
The Jindal admin. nixed the plan, leaving the private psychiatric hospitals to be the inpatient option in the state. Managed care came along. No private hospital is going to be approved for long term-residential care.
Jindal also closed all but 2 of the 5 hospitals and greatly changed the role of those facilities. instead of dedicating those funds that were received from closing those hospitals to mental health services those proceeds went to the general budget.
I can say with 100% confidence that Louisiana had a more advanced mental health system of care in 2005 than it does in 2023. The 2005 system of care had flaws and gaps in service that could have been addressed. In 2005, each of the 10 regions of the state had at least 5 full time outpatient clinics and additional part time clinics. A minimum of 60% -70% of those clinics have been closed.
At the time, there were 5 state psychiatric hospitals and an under funded community mental health system of care. The inpatient facilities were old, dark and gloomy.
Over a two year period in the early 2000s we developed a comprehensive plan to sell the hundreds of acres of prime real estate those 5 hospitals sat on. With the estimated revenue we would have generated we would have had ample dollars to build 3, state of the art hospitals in Louisiana and have a large enough surplus to invest those dollars in a fund that would have annually paid for greatly enhanced community services designed to serve more people with a wide range of services. Those services included early intervention, crisis stabilization and increased traditional services. No addition state dollars would have been needed
We were putting the final wraps on the plan for presentation to the Legislature when we were hit with a 1-2 punch. Katrina side tracked us some but the killing blow came with the Jindal administration. Have you ever heard the political platform that “anything done by government can be done better by private industry”?
The Jindal admin. nixed the plan, leaving the private psychiatric hospitals to be the inpatient option in the state. Managed care came along. No private hospital is going to be approved for long term-residential care.
Jindal also closed all but 2 of the 5 hospitals and greatly changed the role of those facilities. instead of dedicating those funds that were received from closing those hospitals to mental health services those proceeds went to the general budget.
I can say with 100% confidence that Louisiana had a more advanced mental health system of care in 2005 than it does in 2023. The 2005 system of care had flaws and gaps in service that could have been addressed. In 2005, each of the 10 regions of the state had at least 5 full time outpatient clinics and additional part time clinics. A minimum of 60% -70% of those clinics have been closed.
Posted on 5/7/23 at 11:11 am to USMCguy121
quote:
That they don't take.
Good point for some. I was saying the reason asylums are no longer a thing is because they fell out of favor when SSRIs and other drugs became readily available. Before that, people with a support system and a manageable condition were sent to asylums because their families couldn’t deal w their behaviors. Now medicines make it possible for people, who would otherwise been sent to asylum, to be part of society.
Now, the ones who don’t treat their mental illness or revel in it should be locked up.
Posted on 5/7/23 at 11:17 am to NorthTiger
If cities in general just kept homeless people out (and kept them out) or require them to find someone that would voluntarily take them in other than government institutions, I believe this could help with the crime rates in the cities. It has to start with the cities being willing to strictly monitor and police the streets, though. It seems there are not that many willing to do this.
Posted on 5/8/23 at 8:56 am to WildTchoupitoulas
quote:
It doesn't get more Big Government than when the state starts locking up citizens under the pretext of mental insanity.
I don't necessarily totally disagree with what you are saying, and I am not calling for millions of people to be locked up on a whim.
But as Elon has pointed out, too many people were sent to asylums back then, and too few are now.
We have a mental health crisis and we have to do something. Some middle ground can be found.
This post was edited on 5/8/23 at 8:56 am
Posted on 5/8/23 at 9:03 am to Fun Bunch
Europe has 7 times as many mental health hospitalizations as the US, per capita. The US ranks near the bottom in the world for mental health admissions.
Posted on 5/8/23 at 9:04 am to Fun Bunch
Prison Population
1955 - 185,780
2021 - 636.300
Someone with more time can find different numbers, but man we have a fricked up society.
1955 - 185,780
2021 - 636.300
Someone with more time can find different numbers, but man we have a fricked up society.
Posted on 5/8/23 at 9:09 am to hojo
quote:
If cities in general just kept homeless people out
It would be draconian, but I support it. Make living on the streets illegal. Take them to facility where they can get treatment, training, medications, and for some...incarceration or extradition.
I don't know what the overall number is, but a while back they surveyed Seattle homeless and nearly 100% had drug addictions.
Their rights do not supercede the rights of property owners, business owners, etc. There is nothing positive about camps full of drug addicted, mentally ill, likely criminal (theft/violence) anywhere.
A caveat would be someone living on their own land as they see fit. Anything else should be considered trespassing. And if any activists try to establish an encampment, they should be held liable for sanitation, treatment, education, insurance, the works.
Posted on 5/8/23 at 9:11 am to SquaringCircles
I'm so sorry for your family, especially your mom. As a mother, I completely understand how she wouldn't want to give up on her daughter.
Prayers for you and your family.
Prayers for you and your family.
Posted on 5/8/23 at 10:53 am to TROLA
quote:
Maybe somewhere along the path of being arrested 44 times for essentially being crazy
Criminal trespass as a result of being ordered to leave a public place and then being in another public place and transit system fraud (jumping the turn-style or otherwise being past the turn style with no proof of paying) are not the kinds of crimes that would indicate a person was crazy...cheating public transportation is a way of life for many people....many who have the money just not the inclination to pay. Its easy to get trespassed...if the police want you gone (buskers have it happen often) they will trespass you....
Posted on 5/8/23 at 10:55 am to TROLA
quote:
Well we can’t keep doing nothing. This dude is dead because he’s crazy and the system refused to deal with him. The government consistently enables them by allowing crazy often addicted people to skate through the system
Somebodies gonna have to pay the bill...we aren't willing to pay for basic health care for those who cant or wont pay for it themselves...we snivel and whine like mashed kitties.
Posted on 5/8/23 at 11:04 am to AwgustaDawg
We use jails now instead of mental health institutions and wait until the crazy frickers commit a bunch of crimes...that way we can feel better about the abuses which would happen if we returned to the old system. It is also far easier to get approval for funding prisons than mental health programs...all you gotta do is paint it as a 'law and order" situation and folks will fall over themselves to write a check...call it mental health funding and folks will whine like a smashed kitty. The old system was corrupt as hell and abuse was rampant. When folks started asking why the abuses could not be stopped other folks came to the brilliant, and easily supported idea of simply not funding mental health facilities. The crazy frickers were still around so we just told the police to take care of it and now we toss them in jail and that is easy to find support for because no one wants to be seen as soft on crime.
We really should do the same thing with physical illness...folks can't or won't pay...we should just have the police round them up and toss them in jail. It would solve a heap of problems...they'd die, obviously ending their careers of being dead beats.
Face it, we really do not care if a person is physically or mentally ill as long as we do not have to pay anything, we do not have to see it and we do not have to know too much about it...when we do have to know about it we get uncomfortable....
We really should do the same thing with physical illness...folks can't or won't pay...we should just have the police round them up and toss them in jail. It would solve a heap of problems...they'd die, obviously ending their careers of being dead beats.
Face it, we really do not care if a person is physically or mentally ill as long as we do not have to pay anything, we do not have to see it and we do not have to know too much about it...when we do have to know about it we get uncomfortable....
Posted on 5/8/23 at 11:30 am to hojo
quote:
If cities in general just kept homeless people out (and kept them out) or require them to find someone that would voluntarily take them in other than government institutions, I believe this could help with the crime rates in the cities. It has to start with the cities being willing to strictly monitor and police the streets, though. It seems there are not that many willing to do this.
How would this work, logistically?
Police tell homeless person they can't stay there on the city park bench, move along.
A. Homeless person walks off to... somewhere else in the same city.
B. Homeless person leaves for an hour or two, returns to the park bench later that evening.
C. Homeless person stares silently and/or babbles incoherently, does not move.
Now what?
If the homeless person doesn't voluntarily comply -and they aren't known for compliance- police either arrest the homeless person (thereby putting them in a government institution), or the problem repeats ad infinitum.
If the homeless person finds a family member, private shelter, halfway house, etc to take them in, that lasts until they leave or get kicked out. Maybe 6 months, maybe 2 days, then back to square one.
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