Saturday, June 22, 2013

Florida Gun Law; Scapegoating Mental illness!



       Forrest Gump once said, "Stupid is as Stupid does", and since the tragedy in Newton Connecticut,  we have witnessed a cesspool of ignorance which has tossed around ridiculous proposals in a senseless game in deflecting culpability.  Lately, it has led to pinning the blame, not on a neglected and outdated mental health system, but on those afflicted themselves. With that, the stigma of mental illness, which many feel, myself included, is significantly worse than the disease itself, is now once again being magnified.  This twisted position will result in  vulnerable individuals  continuing to deteriorate from being unfairly labeled dangerous, and becoming social outcasts.  
     As an example of this mass stupidity, we need look only to Florida,  where a law is heading to the Governor's desk mandating that if anyone voluntarily seeks treatment for mental illness, those individuals will forfeit their rights to own a gun. On the surface, this would be something that would make mainstream society feel safe, keeping those guns out of the hands of the "crazies"! However, like many things, first glances can be misleading, and in this case, downright dangerous by having the opposite affect!
      The premise of this legislation, endorsed by a bipartisan commission and surprisingly, the National Rifle Association, is that mental illness is equated to violence. That belief, though widely held, is utterly false. Most people who are mentally ill are, decent hardworking people, whom many times feel a need to repent for their affliction. Now with this law, many will choose to forgo treatment at the threat of job losses and other limitations. Also, this action ignores that there are no clear lines to be drawn between normalcy and sickness, and even professionals struggle to make a proper diagnosis.
     To better illustrate the falsehoods between violence and mental illness, we can look at so-called "normal" people who commit heinous acts. We will not have to look far as right here in this area, there is an example of one doing just that. A Lorain Sheriffs correction officer William Dembie, is currently awaiting trial in the vicious murder of his wife Holly during a domestic dispute. He is alleged to have stabbed her numerous times and showing no mercy. At his arraignment, he can be seen on camera joking and smirking about what was taking place.
      Mr. Dembie was described to me by some of his acquaintances as a good guy, legitimate law enforcement officer,  and who never exhibited any signs of being violent or being mentally ill. However, immediately after the killing, none of the headlines in the local papers read, "Normal Guy Stabs Wife to Death!" Nor did it mention that guns were not involved  in this crime.
     Knowing that normal people do commit violent acts, we need to emphasize the damage that this law will cause. We use as an example, soldiers returning from their tours of duty and your local first responders.  
     A young man or woman comes back from serving in the armed forces, and suffers mental health issues, which is common. Their wait for needed treatment can be long and arduous, but eventually, they are finally treated for their post traumatic stress disorder. Keep in mind, many of these young individuals do aspire for a career in law enforcement. However, with this proposed law, and because they did seek treatment, they will be barred from owning or possessing a firearm, thus eliminating  their ability to pursue their career path.  That is unless a psychiatrist and a judge approve that they are cured and fit for duty. Once again, an added burden to having one of these afflictions.
     Right from the beginning there are significant problems that are being ignored. How many Psychiatrists are going to risk lawsuits by signing off that a person is cured of a disease that is only controllable, not curable? How many Judges even have the intellectual capacity to understand the dynamics of these disorders? These are direct questions with no clear answers.
     Now with that law in effect, this young man or woman returning from war, will forgo treatment, live a tortured life with the emotional demons they create, and feel a need to hide their condition in shame and fear.  Additionally, because of the cognitive altering power of these disorders, many will struggle in both their career paths and personal lives. Self-medication with drugs and/or alcohol will become more commonplace, and with it, an increased social cost to society in general,
      It is essential that I add what I have discovered. I know many police officers, and many have told me of their battles with these disorders. Many are seeking treatment and are outstanding law enforcement officers. The public does not need to fear them as they do and will continue to perform their duties in an exemplary fashion. It bears mentioning that many have developed their mental health conditions just from performing their duties; which is known as vicarious trauma.  
     In essence, what this legislation will create is an underground of people fearful of their careers being limited by this ill advised scheme. It will once again demonize the disease which is what many advocates have attempted, through awareness, to alleviate. Since more people will not seek treatment, the situation with the mentally ill will become even more unpredictable, and at times, volatile. An additional consequence, police officers who do need treatment, will  will now be on the road battling the symptoms of mental illness untreated, thus putting the public at further risk.
     In the aftermath of all the high profile killings in the last several years; Newton Connecticut, Aurora Colorado and Tucson Arizona,  hysteria replaces rational thinking. What ends up happening, and this plan is a prime example, is that exposure becomes the most critical element for our political leaders to exploit. We had many opportunities to put the mental health system in the spotlight and make many fundamental changes, but instead, we focus on the tools of the killings, not the causes. Now in Florida, with people beginning to live in fear at the potential negative life altering consequence of seeking treatment, many will hide their afflictions. This will result in more lives being lost, and more tragedies occurring.
     It is astonishing to realize that the words of the character Forrest Gump would become a metaphor for how we as a nation responded in a way we did after these senseless killings. During this time, no significant changes have occurred in modernizing the mental health system in this country, and none are being proposed. .
     Albert Einstein once said; "the definition of insanity is doing the same things over and over again, and expecting a different result", which is what we are doing. I just wonder how many more lives will be destroyed or lost before we make material changes that will benefit everyone. However, I am not holding my breath, nor should any other innocent person.    

Wednesday, May 29, 2013

In the Spotlight; Lorain Police



 Saving lives one at a time!
     For those of us old enough to remember, in the old movies and sitcoms, a scene would play out that would provoke laughter from the audience. When a character in the show would begin to act in a strange way, an ambulance would soon arrive, with two men in white coats carrying a straight-jacket. It was at this time that they would take the poor soul to a happy place, also known as a mental hospital. These spectacles brought a vast deal of amusement for those watching while at the same time, exploiting a dangerous situation. Those types of settings played out many times in old shows.
     Additionally, as a child, I recall my father driving by one of those mental hospitals between Turney and Warner roads in Cleveland. It was named “The Northern Ohio Lunatic Asylum” but was affectionately known as “Turney Tech”. This facility, long since torn down, is now the site of condominiums.
     All of that is from a bygone era; we no longer have those health care workers arriving to help people who are emotionally sick. They are now replaced by men and women carrying guns and handcuffs and called police officers. This transition from law enforcement officers to mental health workers did not go smoothly. There were high incidents of police brutality allegations, numerous, violent confrontations between these two groups, which included fatal shootings.  For a long time,  the mentally ill feared the police and the police did not relish the encounters with someone in crises. Nor were the police properly trained to understand mental illness, and  they lacked the proper insight in how to de-escalate someone in crisis.
     Times have changed, as a new, innovated form of training introduced called Crisis Intervention Team training (CIT). This program developed in Memphis Tennessee in the late 1980’s, stresses de-escalation, rather than standoffish encounters, and more importantly, humanizes those afflicted.
     Sergeant Robert Brown, a twenty year veteran of the Lorain City Police department, was one of the first officers in Lorain County to become part of the CIT program. In those years, he has seen it all, hostage situations, suicide attempts, families in dangerous situations and even the occasional success story. He can stand as an authority on the positive attributes of this program and as a role model of this police department.
     In recent years, he has witnessed an ever increasing reliance on law enforcement to help someone in a psychotic mindset, and to get them to a safe environment for treatment. In 2012, this department received approximately 500 direct calls for assistance with someone in a mental health crisis. This represents a 5 % increase over the number in 2011.
     An added burden that Sergeant Brown pointed out is that many times the officers do not realize that they are entering a crisis situation. Often, the calls may first appear as a domestic situation, or truancy, or one of many other categories. People calling in do not always say it is a potential suicide, or that their loved one is mentally ill and off their medication. It is only when the police are on the scene do they determine that they are facing a mental health situation. This sergeant recalls one time answering a call, and when the suspect answered the door, he was wielding an axe. Fortunately, he was able to subdue the man with a taser, and no one was injured.   
     At first, Sergeant Brown was skeptical about the benefits of CIT. Charlie Neff, the Director of the board of mental health remembers that doubt well back in 2001. “Sergeant Brown was not initially convinced that CIT would be all that helpful, but once he started through the training, he quickly realized the programs benefit for the officers and for the individuals they encounter.”  Now he and this entire department are strong supporters of this programs benefit. He also indicated that these techniques has been valuable in hostage negotiations.  
     One added problem exists, and that is the economic makeup of Lorain which brings additional challenges and roadblocks. Financial deficiency is a “double edged” sword with regards to the people in need of treatment. Poverty is both the result of mental illness, and it also acts as a trigger for the disease. The city of Lorain carries a poverty rate of over 17%, with is nearly doubled the national average of 9%. This in itself creates a higher demand for police intervention on many fronts.
     For many years, the police were identified as collateral contacts with the mentally ill, but it is impressive that this department accepts that they are now the primary ones to intervene. Unlike hospitals, like Mercy Hospital, they cannot answer a call with the dispatcher telling the callers that they are diverting psych cases and will not answer their pleas for help. It must be added that this department has done an admirable job despite these added burdens.
     In an interview  last August, Sergeant Brown  was asked what is the largest roadblock his department faces as mental health workers? Without hesitation, he answered the absence of treatment, namely, beds for those in need. He went on to explain that, in the past, the city had two hospitals, but with the closing of St. Joseph’s, Mercy Hospital is the only option available. It must be pointed out that this facility has just over thirty beds available for mental health and drug dependent patients combined. This represents far less than what is urgently needed. He, like many people in the mental health sector are frustrated with the “treat them and street them” disposition of the medical community.
     If there is one thing that he is grateful for, is that, in Lorain County, they have the NORD center to help with long-term treatment. The center, funded mostly through the Lorain County Board of Mental Health  by two property tax levies the citizens of Lorain County have passed, is a safety net for people in dire need and has been utilized by the local police. This center helps to offset, in a small way, the 13% decline in mental health treatment beds statewide over the last seven years.
    In spite of this challenge, the Lorain police have done an excellent transition into being the new mental health workers. Since 2002, they have had 36 officers go through this unique and essential training. Though only 12 are on the road because of promotions and turnover, this is still a significant percentage of their department. The long term goal is to have 25% of the road officers certified in CIT. In this era of tight budgets, that is an extraordinary intention that they are committed to achieving.
     It is clear that the Lorain police have learned how to look past the internal disfigurement of mental illness and see real human beings, not animals, or psychos. I have found that many members of this department do their best to humanize sick people and not demean them. Empathy is a term that is synonymous with CIT and this group of men and women understand that  definition in its entirety.      
     So often, perception is not always reality, and the Lorain City police are no exception. It is a department that has been maligned many times in the local media. Over the last several years, I have met many of these officers in different training programs and found no evidence that they deserve the negative connotations associated with them. All of whom that I have come in contact with have been officers like Sergeant Brown; good, hardworking, and dedicated law enforcement officers, with a strong desire to do their job well. More importantly, they prove that they care about doing what is right in helping people. That is something that should create a sense of pride to this entire community.

Sunday, May 5, 2013

Beware Governor Kasich bearing gifts!




     In mythology, during the Trojan war, ancient Rome was celebrating the retreat of the Greek army.  In their haste to withdraw,  they had left statues bearing the likeness of Trojan horses, which the Romans accepted as gifts. Believing in the spoils of war, they were now rightfully theirs,  and they moved them inside the walls of the city and began to celebrate their apparent success. Unbeknownst to them, inside the statues were members of the Greek army who then attacked and destroyed the Roman army. That is a lesson that is played over and over again throughout history. "Beware Greeks bearing gifts"
     With that as a backdrop, it is becoming increasingly likely that a similar situation occurred in Columbus during this current budgetary debate. Sadly, if it turns out to be true, it will end up hurting societies must vulnerable and defenseless citizens.   
     Not long ago, Governor John Kasich was lauded with his ambitious plan to expand Medicaid  by 500 million dollars in this upcoming budget. Many people that I know in the mental health sector were ecstatic with the news that scarce dollars available for treatment were finally  going to be increased, and perhaps, the downward spiral of the entire system would be reversed. It was a proposal that would have restored dignity to groups of people who have been sick and down and out for many years, and at the same time, save lives. I personally knew families who were literally brought to tears of joy over this and all expressed enormous gratitude for this change. Well, almost everybody, as I thought of the old saying, beware of Greeks bearing gifts!
     Immediately, I became skeptical of the true intentions of this proposal, but hoped that I was wrong. However, based on the historical ignorance of the leaders of the Ohio Statehouse, I knew that another old saying could be valid. "If it seems too good to be true, it most likely is!" It did not last long for my skepticism to become a crystal clear prophecy.
     First off, lurking in Columbus like hungry piranha's, is Speaker of the House Bill Batchelder, State Senate  Leader Keith Faber and their personal cast of degenerates. These are groups of people who will rail against what they consider wasteful programs that help people, and at the same time, provide tax breaks for those that are wealthy, or in specific fraternal organizations. All seem to possess a hidden agenda to harm those who are not part of their hedonistic social network.
     Predictably, as the budget moves out of the House into the Senate, Batchelder pulled out his scalpel and took out that expansion, and then indulged himself with self praise. In a recent article,  he proclaimed, "Budget passed by (the) house is a step in the right direction." He is actually proud that along with proteges like State Representative Nan Baker of Westlake, they have metaphorically slit the throats of many people in desperate need of help. Even more disconcerting is that they seemed to find joy and satisfaction in this accomplishment. In reality, their past actions have damaged the lives of people being punished for just getting sick.
     I attempted to get a response from Speaker Batchelders office about his budget, and all I received was the usual, "we will get back to you", which has become his trademark response when the public demands clarity. It is becoming widespread agreement that transparency and integrity are not two of his strong  talking points. He mentioned in that same story that they are dealing with the results of poor budgetary decisions in the past. Revisionism aside, he neglects to mention that many of those decisions were made by him!
     I contacted Nan Baker's office with a question;  why she was more than willing to cut off funding to those most in need while allowing tax cuts that will enrich her family business? Like Batchelder, she hides behind a wall of secrecy and personal hatred of those deemed unworthy of her attention. However, I am convinced that the local Chamber of Commerce will award her another plaque of honor for her work providing its members with additional corporate welfare. With the next teenage suicide, she and Batchelder can also add another notch on their gun barrels.
     Which now brings us the Ohio Senate and awaiting the likes of State Senator Keith Faber. In a recent conversation, his staff member defended taking that expansion out of the budget. He said mental health funding "should be discussed outside the context of the state budget." He indicated that this discussion will take place at a later date. Hopefully, this will occur prior to the next resurrection, but I am not holding my breath, as these types of discussions rarely, if ever occur.
     Again, when the history of Faber is examined, an ominous trend unfolds, so there is not an massive deal of hope for anything positive. This is a person who once proposed placing violent sex offenders in mental hospitals. Somehow, he equates a woman with post-partum depression, with that of a child molester or a serial rapist. He is living proof that a keen intellect is not a requirement to hold public office.
     Now comes the difficult part, and that is, did Governor Kasich propose this plan, giving people hope, gaining an significant wealth of publicity, knowing that it stood little chance of getting past the hatchet wielded by Speaker Batchelder? To paraphrase a famous question, "What did the Governor know, and when did he know it?"
     The evidence, though little empirical, does cast doubt on Kasich's intentions. He has been close to Representative Batchelder for many years and knows his true motives. In fact, it was Mr. Batchelder who, many years ago, introduced me to John Kasich. With that in mind, and Nan Bakers hatred, whom Governor Kasich supported, it points to this bill being proposed strictly for positive press, rather than for anything worthwhile and genuine.  Once again, I do want to be proven wrong, but that does not appear to be a likely outcome.
     After several attempts, I did finally reach a subordinate of Governor Kasich. He defended the Governor wholeheartedly and said repeatedly that no one had worked harder and more openly on this issue than Mr. Kasich. He did not respond when I challenged him on their unequivocal support of Baker and Batchelder, who have become roadblocks to any significant positive expansion in the mental health field. Another old saying, "Show me whom you are with, and I will tell you who you are!"
      With this budget now in the Senate, it is still possible for that growth to be reinstated, but, after my conversation with Senator Faber's office, the chances of that are severely diminished. However, with an army of advocates still pushing forward, a possibility for some compromise is still on the table.
     It is essential to add that State Senator Shirley Smith, a Democrat out of Cleveland, has made a proposal to restore those cuts. I hope she succeeds, but in a Republican controlled house and Senate, she will be seriously outgunned. Also to her credit, she has done marvelous work with mental health issues in the past so I would not write her efforts off just yet.
     As far as Governor Kasich is concerned, let us now witness how many  resources he puts forward to convince the people he helped put in office that this program is needed. Let us see if he tells the likes of Nan Baker's that he will support her opposition if she continues to harm the ones that are in dire need of help. However, that is about as likely as a return call from Speaker Batchelders office.
     To formulate a possible epitaph on this proposal, I need to point out that one of the dynamics of those afflicted with mental illness is that it affects everyone connected with that person. It tears loved ones to shreds as they conduct a seemingly helpless campaign for treatment. So often, the resources needed have never been provided, and the families suffer an subsequent tragedy. One of the few things that sustains people dealing with a mentally ill loved one is hope. Many times that are all they have to bolsters their lives, and in time that can be dashed. If this proposal of Governor Kasich turns out to be nothing more than false hope, that is an unforgivable sin. However, with all the people mentioned in this article sleeping well at night knowing the damage they have done to people's lives, I am not sure any of them will sincerely care.
      Once again, I do hope Governor Kasich proves me wrong!

Tuesday, April 23, 2013

NAMI; Pushing to the front of the bus! The National Alliance on Mental Illness in the spotlight!



     On April 17th, the National Alliance on Mental illness held their annual awards breakfast in downtown Cleveland. It was a day to honor individuals who have dedicated vital parts of their lives and careers to promote awareness to these misunderstood, but common disorders. As a past award recipient, I both respect and admire the work these generous individuals have done.
     When the guests arrive they are greeted with a poster that described the "Multi-Cultural Outreach"  that is advocated by this organization. Like the disorders themselves, the people in attendance were a cross-section of America. This advocacy unites people regardless of race, religion, sexual orientation, and social economic status. All have a common goal to bring awareness to the commonality and dangers of mental illness, and advocate behalf of those afflicted and their loved ones. With that in mind, it is sad to see virtually no media attention was given to honor not only the award winners and speakers; but everyone who tireless efforts contributed to improve the lives of the victims of these invisible disorders.
     What is clear to many is that people who suffer from a mental illness face the daunting task of not only the condition, but the added burden of a disease that is associated with such a dehumanizing stigma. Additionally, the ones plagued tend to experience an immense deal of ignorance from seemingly intelligent individuals. Two good examples of this came from members of the Ohio Statehouse. A former Representative was candid when he told me that, for social service resources, the mentally ill are forced to the back of the bus for the increasingly scarce dollars. Another Former State Senator, was hypocritically blunt when he informed me  "there are more important issues than bigotry!" It must be added, he could not think of one at that time.
     This organization has a mission to confront ignorance, empower individuals to recover, and to recapture the life that everyone is entitled to live. Michael Baskin, the President of NAMI of Greater Cleveland, spoke about this empowerment and specifically, empathy for those in need. When diversity is talked about, he lets his, and NAMI's actions speak for themselves, and one particular speaker proved that.
     Reaver Nelson gave an inspirational discussion of how mental health issues affect that LGBT community (Lesbian Gay Bisexual Transgender). It was an eye opening presentation as this group suffers depression, domestic abuse and chemical dependency at a rate significantly higher than the rest of society.  She put a human side to these stigmatized members of this community and reminded us of the enormous amount of discrimination they face throughout their lives. As she spoke to the audience of about 230 attendees, there were no judgmental comments, just empathy and understanding. That is true diversity and inclusion, as once again, they are united in a common cause.
     The award winners were; Haines Lanctot, Karen Jarr, Craig Fallon, Dr. Nora McNamara, Craig Sams, Dr. George Tesar and Sally Follet. They were all called up to be recognized without the benefit of television cameras, or the famous red carpet. All have done something unique that everyone should be proud of, and that is saving lives! Their generous contributions have helped restore dignity to people who have been punished for just getting sick. They were some of the many who stood up and said no, we will not tolerate people to die needlessly and without hope.
     NAMI itself is rarely in the spotlight for the work that they accomplish. What the public does not realize is that this organization is run on a shoe string budget. The Greater Cleveland chapter which offers 32 support groups throughout Northeastern Ohio, accomplishes this with a budget of less than a half million a year. As anyone can tell, this is significantly less than what an average professional athlete earns in a year.
     There are so many superlatives that can be used to describe this organization and all the people who contribute to helping others. Many sufferers of mental illness, me included, are grateful for what they do accomplish. If I had to pick out one achievement, it would be from personal experience, and that is simply be," they help make people feel human again!" The main reason they do accomplish this  is that  NAMI is a group of people that truly care and understand the roadblocks the unfortunate victims face.
      Many of us discover this organization when we are at the bottom of the barrel of life. Like others, I was alone, my life in ruins when I first met this group of people just over ten years ago. Today, I have a job that I have received a promotion, plus a business, I am a writer, and have given over 500 speeches on this very subject. A major part of my and others success is finding groups of people like the ones honored who cared enough to reach out a helping hand. I can also feel free to express that many of us pay that help forward to assist others.
     Sadly, there is some irony here. A few blocks from the Hilton Garden Center where the awards ceremony took place, serves as a reminder that many do not understand true greatness. It was there that a banner stood to honor a basketball player with the words, "We are Witness." All that this was showcasing was a  rich narcissistic athlete whose only concern is what he can get for himself. At this meeting,  we honored true greatness in ordinary people whose greatest reward is saving lives. Their work is a true witness to something special.
     To all the award winners, thank you, and God Bless!