Arlington, Va.—In the wake of the Navy Yard tragedy, the National
Alliance on Mental Illness (NAMI)
has called on the President and Congress to act immediately on mental health
legislation that has been stalled since the collapse of the gun debate earlier
this year.
"Congress has bills
introduced that are about mental health. They are not about guns," said
NAMI Executive Director Mike Fitzpatrick. "They are modest proposals
that will at least begin to make a difference."
"Mental illness does not
discriminate between Republicans and Democrats. The bills are bipartisan. There
is no reason that they cannot be enacted before the first anniversary of the
Newtown tragedy in December."
In a broader statement
addressing issues reflected in the Navy Shipyard tragedy on Sept. 16,
Fitzpatrick declared:
"Once again, the country is reeling from a senseless
act of mass violence. Families and friends are grieving the loss of 12 innocent
lives. Although information about the tragedy is still emerging, it
is clear that the gunman lived with mental health issues for many years. In
recent weeks, his symptoms seemed like some
associated with psychosis, such as extreme
paranoia.
His struggles were not a
secret. People who knew him observed symptoms of mental health
disorders. He had brushes with the law over the years, including
misconduct with guns. He had at least eight disciplinary infractions during the
time he served in the Navy Reserve. Just last month, Newport, R.I.'s police
responded to a call for help from him and were so concerned about his mental
health that they reported their concerns to the Navy. Yet nothing
apparently was done at the time of these events to get him the mental health
evaluation and care that might have averted tragedy.
The Navy Shipyard tragedy
shares common factors with others, such as Virginia Tech, Tucson, Aurora and
Newtown. The common denominator is an individual struggling with mental illness with other people being aware
of problems, but no meaningful action being taken in time to connect the person
with effective services or support. Common factors include failures of
understanding, resources, engagement, coordination or accountability. They can
occur in schools, the health care system, law enforcement or the criminal
justice system. Too often, there are no clear points of responsibility and few
protocols.
Too often, the response to
people experiencing psychiatric crisis in the United States bears little
resemblance to the response given other medical conditions. People do not
know where to turn for help. Treatment is unavailable or not provided
until an emergency occurs.
Furthermore, care
often lasts only until the emergency is over. Few people would expect, however,
that a person having a heart attack would be given CPR, only to receive little
or no care after being resuscitated. We would never tolerate such a system for
any other health condition.
Concrete steps can
be taken immediately to address our nation's mental health care crisis and help
prevent future tragedies. For example:
- Congress should immediately pass existing
legislation introduced following the Newtown tragedy last year: the Mental
Health Awareness and Improvement Act (S. 689), the Excellence in Mental
Health Act (S. 264; HR 1263) and the Justice and Mental Health
Collaboration Act (S. 162; HR 461). These are modest proposals that
will at least help make a difference.
- All communities should have Crisis Intervention
Teams (CIT) involving police, mental health professionals and other
partners. Approximately 2800 communities in the United States currently
have CIT programs that that give police skills to handle psychiatric
crises and get them to medical care.
- All communities should have mental health courts
to help get treatment for people struggling with mental illness who commit
non-violent offenses.
- Public education on mental health should be
conducted throughout every community, including schools, military
installations and veterans' facilities. Family education and support must
also be integrated and routine within the mental health care system.
Everyone should know symptoms and appropriate responses for mental health
problems-free from prejudice or discrimination.
- Greater research is needed into how to engage
more effectively individuals who are at risk of harm to themselves or
others, in order to improve initial evaluations and ongoing
treatment.
“As a nation, let's
not wait again to act."
About NAMI
NAMI
(the National Alliance on Mental Illness) is the nation's largest grassroots
mental health organization dedicated to building better lives for the millions
of Americans affected by mental illness.
NAMI Southwestern Pennsylvania
(an affiliate of NAMI) is a non-profit organization dedicated to improving the
lives of individuals and families affected by mental illness through recovery
focused support, education and advocacy. More information is available at www.namiswpa.org
or by calling (412) 366-3788.
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