> In article <1176680186.720469.4...@b75g2000hsg.googlegroups.com>,
>> Now what this tells _me_ is that 96% of the
>> people who used to depend on mental health
[quoted text clipped - 4 lines]
>> mental hospitals were told to vomit their
>> patients onto the streets.
> Actually this is one of the legacies of the
> Kennedy Presidency and the Community Mental Health
> Centers Act, especially its requirement to treat
> in the least restrictive environment. Over 500,000
> Psych Hospital beds had been closed before RR even
> became president.
Nice attempt at misdirection, but the purpose and
intended effect of the aptly named "Community Mental
Health Centers Act" was to move the mentally ill
from big central state centers to smaller local
community centers. The 500,000 count of
"deinstitutionalized" was just counting how much
lighter the state center burden of patients became,
not how much smaller the overall number of mental
patients in long term care became.
And by the way, that effort began in the Eisenhower
administration, so trying to tag Kennedy with the
results is Yet Another Right Wing Lie.
> But, don't let a little thing like facts get in
> the way of a good Reagan rant.
Well. telling lies as you do to try to exculpate the
Big Miscommunicator isn't going to get you far, your
lies are too easily documented to be what they are,
Reagan's attack against the mental health care
system began during his governorship of California,
but it is easy to see how a habitual liar like you
could fall into the error of worshipping public liar
Reagan, Mr. "Out of the Loop" on Iran Contra.
Let's look at the reality of the situation, as seen
by mental health professionals.
On July 22, 2003, The President's Freedom
Commission on Mental Health released its
final report, "Achieving the Promise:
Transforming Mental Health Care in America"
[which can be found at
http://www.mentalhealthcommission.gov/reports/reports.htm].
If pursued, its recommendations could lead
to great progress. Unfortunately the
Commission maintains that additional funding
will not be necessary--that giving the
states more flexibility in how they use
federal funds is enough. I disagree. Social
progress requires investment, not just
restructuring.
Nation Failed to Keep Promises to People
with Serious Mental Illnesses
Nevertheless, the report is a powerful
reminder that-despite significant
improvements in the care and treatment of
people with mental illnesses over the past
half century-our nation has fundamentally
failed to keep its promises to people with
serious mental illnesses.
In the mid-1950's the first President's
Commission on mental health called for a
shift from an institution-based public
mental health system to a community-based
system. This report led to the Community
Mental Health Centers Act of 1963 and to
deinstitutionalization. In essence this
nation made a promise to people with serious
mental illnesses that they would no longer
be treated as the dregs of humanity and
banished to institutions to live in squalor
and in danger without access to decent
psychiatric treatment. Instead, the nation
promised, they could live freely as full
citizens of their society.
Deinstitutionalization did not Fulfill Its
Promise
Deinstitutionalization did not fulfill this
promise. People were abandoned without
adequate services in the community or were
transinstitutionalized to adult homes, which
were often as squalid and dangerous as the
institutions they left. Most returned to
their families, who became the unofficial
core of the nation's mental health system.
http://www.mhawestchester.org/advocates/opromise81303.asp
The mental health problem among the homeless
may go back to deinstitutionalization of the
late 1960s. Then-governor Ronald Reagan
signed the Lanterman-Petris-Short Act in
1967, which was designed to protect the
civil rights of the mentally ill by making
it more difficult for them to be medicated
or institutionalized against their will.
The bill also emptied out the state's mental
hospitals to save taxpayers money, a move
that lead to an explosion of homelessness.
When the mental hospitals were emptied, the
state promised to still care for those
patients. The intention was to replace
institutionalized care with outpatient care,
medication, and therapy. Many of the
promises never materialized.
[...]
Many mentally ill people also end up in
jail. Since desperate people often do
desperate things, and since there is no
place to put them otherwise, many end up
costing the state millions of dollars in
legal fees. As many as one in five of the
2.1 million Americans in prison are
seriously mentally ill, far outnumbering the
number of mentally ill who are in mental
hospitals, according to a recent study by
Human Rights Watch.
http://www.metroactive.com/papers/sonoma/10.30.03/mental-health-0344.html
The act [California 11/2004 ballot
Proposition 63, restoring part of the
funding for mental health care] represents
one of the largest initiatives related to
mental health since the 1967
Lanterman-Petris-Short Act, which was signed
by Governor Ronald Reagan and led to the
closure of the state's mental hospitals.
http://www.psychservices.psychiatryonline.org/cgi/content/full/56/6/642
Our country has been in a very selfish state
since Ronald Reagan was president.
[...]
When the Reagan administration closed the
doors of most mental health hospitals, the
homelessness began.
http://www.pbs.org/now/php/quotes.php?quote_date=2007-01-26
In 1967, Governor Ronald Reagan signed a
landmark bill -- the Lanterman-Petris-Short
Act -- that had bipartisan support. LPS
effectively emptied the state's mental
hospitals. Public care of adults and
children with mental illnesses was delegated
to a system of community-based programs
created under the Short-Doyle Act in the
1950s. Reagan proudly announced that he was
closing several state mental facilities and
eliminating 1,700 staff jobs.
[...]
As an alternative to hospitalization, LPS
required California's counties to provide
the services locally that were needed by
people with mental illness. The state would
assume 90 percent of the costs and the money
would "follow the patients," the legislature
promised. But in 1973, budgetary pressures
led lawmakers to cap the state outlay. Only
cost-of-living increases have been applied
during the intervening three decades -- and
not even those, most recently.
[...]
But for many patients,
de-institutionalization meant the
opportunity to huddle in doorways, cardboard
boxes, cars, or temporary shelters. Homeless
and without support, they often neglected to
take their medications. Relapses meant
section 5150 holds and a renewal of the
destructive sequence.
Nor did counties have the resources,
especially given the state's diminishing
contributions, to follow through on the
promises of LPS. Local jails and prisons
became and remain California's primary de
facto inpatient mental health facilities.
San Francisco police alone answer up to
9,000 section 5150 calls each year -- a
quarter involving a homeless person. The
person is lodged in a cell for an average of
17 hours, at a cost per incident of about
$1,800 in police time and emergency
psychiatric care, the San Francisco Police
Department reports.
From a state budget standpoint, the hand-off
of responsibility for mental health services
has been a good deal. There are now about
4,400 patients in California's four
state-run mental hospitals (Atascadero,
Metropolitan, Napa, and Patton, with a fifth
under construction in Coalinga), as compared
to nearly 36,000 the year LPS was
implemented. Since 1973, only about 2
percent of the state's general fund has been
devoted to mental health services in the
community -- half the commitment of prior
years -- according to Steinberg.
Meanwhile, the population in need is
substantial. One in five people will
experience some form of mental illness
during a lifetime, the World Health
Organization reports; in any given year,
almost one in ten will be suffering from a
depressive disorder. There are 36 million
Californians. Among them are an estimated
300,000 homeless, of whom one in six, or
about 50,000, are believed to be mentally
ill.
http://www.healthvote.org/index.php/site/article/C26/63_background/
It isn't like this stuff is some big secret, so that
you ever had a chance of getting your lies believed:
:- Google Web Search Results ... about 194 for
:- Ronald.Reagan mental.health.funding
>> So as you lay there listening to the gunshots in
>> the big city every day and night, just think how
>> much you might or might not be saving on your
>> taxes by enjoying the ever present gunpowder
>> chorus.
> Of course, this goes against 40+ years of research
> showing that those with severe mental illnesses
> are no more likely than their neighbors to become
> violent in any form let alone "gunpowder
> choruses."
That would be the research done when all of the most
dangerously mentally ill were already
institutionalized, I presume? You'll notice above that
about 13% of the population are mentally ill "at all",
but that 20% of prisoners are "_severely_ mentally
ill", a larger than chance proportion of the mentally
ill population, and a fraction focused among the
worst off members of that population. That indicates,
by a simple check of the facts, that your sources
are completely in error. Of course, your right-wing
agenda requires that you believe them anyway.
Speaking as one of America's forty million or so
mentally ill, I can _promise_ you that your findings
don't apply to me, but then, I used to pet hydrogen
bombs affectionately as part of my submarine missile
technician day job, in between investigating with my
fellow technicians just where jumper wires could be
placed to bypass all the launch permission circuits,
so I might, just might, be an outlier in that data set.
FYI
xanthian.
Bypassing stuff like "Captain's Permission to Fire"
is trivial, can be done with a 10" jumper wire in one
of the Fire Control cabinets, and the nice "One Line"
wiring diagrams all technicians use show just how to
do it. Won't _that_ make you sleep easier tonight!
Kurt Ullman - 22 Apr 2007 16:49 GMT
> > In article <1176680186.720469.4...@b75g2000hsg.googlegroups.com>,
>
[quoted text clipped - 23 lines]
> not how much smaller the overall number of mental
> patients in long term care became.
Which is pretty much your point. I am merely stating that the CMHCA
was what started the process, not Reagan. Actually the
deinstutionalization was but the result of the "least restrictive
environment" provisions of the Act. YOU Also can't argue (well maybe you
can) with the fact that most of the beds had been closed by the time RR
became President.
> And by the way, that effort began in the Eisenhower
> administration, so trying to tag Kennedy with the
> results is Yet Another Right Wing Lie.
But it was passed by JFK and indeed was one of the things he ran
on. Yet Another Left Wing lie.
> > But, don't let a little thing like facts get in
> > the way of a good Reagan rant.
>
> Well. telling lies as you do to try to exculpate the
> Big Miscommunicator isn't going to get you far, your
> lies are too easily documented to be what they are,
Guffaw.
> Reagan's attack against the mental health care
> system began during his governorship of California,
> but it is easy to see how a habitual liar like you
> could fall into the error of worshipping public liar
> Reagan, Mr. "Out of the Loop" on Iran Contra.
There are none so blind as those who will not see. RR became
governor during the time the CMHCA was actually kicking in. If you look
at his governorship, you will find that CA actually was pretty even with
the average in beds per capita during that time. In otherwords, while
more beds were lost in CA, it was because they had more beds because
they are a big state. The losses by poplulation weren't about the same
as those in Indiana, New YOrk or any number of other places. .
> Let's look at the reality of the situation, as seen
> by mental health professionals.
[quoted text clipped - 13 lines]
> progress requires investment, not just
> restructuring.
IIRC Clinton was in charge by 2003 since those who wanted to did not
actually get the constitution changed.
> The mental health problem among the homeless
> may go back to deinstitutionalization of the
[quoted text clipped - 4 lines]
> it more difficult for them to be medicated
> or institutionalized against their will.
Well we can't have that, can we?
> The bill also emptied out the state's mental
> hospitals to save taxpayers money, a move
> that lead to an explosion of homelessness.
Cause and effect. You can't have it both ways. YOu can
either have the mental hospitals full or you can make it hard to
medicate (which is probably the biggest contributor to the MI as
homeless) and reinstutionalize and then be surprised when they aren't
medicated or reinstuitionalized.
> When the mental hospitals were emptied, the
> state promised to still care for those
> patients. The intention was to replace
> institutionalized care with outpatient care,
> medication, and therapy. Many of the
> promises never materialized.
This was one of the big national problems that was occurring
everywhere and still frustrates many families and mental health
professionals to this day. The Feds never funded most of the CMHCA
provisons way back in the 60s, and continued that forward. Soon the
states pretty much decided the same thing. But again, this was national
long before RR became president and what happened in CA during his
tenure was consistent with what was happening in the rest of the
country.
> That would be the research done when all of the most
> dangerously mentally ill were already
> institutionalized, I presume?
Nope. 40 years would tend to indicate 60s to the present in the
context our discussions.
You'll notice above that
> about 13% of the population are mentally ill "at all",
> but that 20% of prisoners are "_severely_ mentally
[quoted text clipped - 4 lines]
> are completely in error. Of course, your right-wing
> agenda requires that you believe them anyway.
Over and above correlation is not the same as causation...
\
> Speaking as one of America's forty million or so
> mentally ill, I can _promise_ you that your findings
[quoted text clipped - 4 lines]
> placed to bypass all the launch permission circuits,
> so I might, just might, be an outlier in that data set.
So your anecdotes trump my facts?
> Bypassing stuff like "Captain's Permission to Fire"
> is trivial, can be done with a 10" jumper wire in one
> of the Fire Control cabinets, and the nice "One Line"
> wiring diagrams all technicians use show just how to
> do it. Won't _that_ make you sleep easier tonight!
Won't impact my sleep either way.
Kent Paul Dolan - 22 Apr 2007 18:43 GMT
> So your anecdotes trump my facts?
Funny how your "facts" didn't hold up when checked
against history.
So far you have no "facts", just assertions I had no
trouble proving to be lies.
Since you seem addicted to lying, and returned
directly to post more lies in conflict with the
research I've already presented, and since you are
obsessed by a fact-impervous agenda that is in
conflict with usual standards of morality, I won't
be bothering to answer further input from you.
"Avoid Meetings with Time Wasting Morons",
said Scott Adams, in titling one of his Dilbert cartoon
collections.
He meant meetings with the likes of you.
I intend to follow his advice.
xanthian.
Presidents don't "pass" legislation, moron.