General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsWe need to have a discussion about a difficult topic: What to do with the mentally ill
Our system right now isn't working. There aren't adequate facilities for the mentally ill to seek treatment and there are no safeguards to ensure that those who need medication take the medication. We see it time after time: a mentally ill person commits a violent crime and is sent to the state hospital for a short period of time, just long enough for the doctors there to medicate the person, document a positive response to the medication, and then that person is released. Once released, there are no safeguards to ensure that person sticks to the prescribed medication. Often there is a violent outburst / arrest / medicate / release / fall off medication / repeat cycle.
Of course we will not be able to detect or identify every mentally ill spree killer before they strike. But we need a way to ensure that people like Rodger Elliot are not a danger to society once it becomes apparent that they're suffering from dangerous mental illness. The police contacted Elliot several times. He very publicly posted his disturbing messages. His parents warned law enforcement and mental health professionals to attempt to get resolution.
The system failed because it is designed to fail.
What do we do? Should bring back the insane asylum, albeit a modern, more humanitarian version, designed to protect the wellbeing of those committed and prevent their abuse?

Agschmid
(28,749 posts)I am afraid there is little to no way to prevent abuse of any system that would get put in place.
Another question is how do you catch people who are about to go "off the rails"... People knew all about this guy and nothing happened to stop him.
I just don't have a great idea.
kelliekat44
(7,759 posts)mentally ill or just a rebel? And are rebels mentally ill? We need the discussion on this but it will not be easy.
Agschmid
(28,749 posts)I go to therapy would that be a red flag? Most likely yes.
phil89
(1,043 posts)so I'm not sure what good taking peoples' rights away by putting them in asulums would do.
JJChambers
(1,115 posts)We need a way to ensure that person no longer has access to society until the problem is permanently corrected via forced medication and treatment or incarceration.
karadax
(284 posts)Out of sight out of mind? That is what led to many horrible things happening in mental health facilities of the past. People were sealed up and forgotten about.
Isolating them is not the answer. We can find a better way.
jwirr
(39,215 posts)definition of mental illness will expand and once in they will not be released. That is a good description of what happened in the past. One good change today is that they must be given a chance to defend their situation against their accusers. Back when it only took 10 untrained persons to commit a person. Husbands did this to unwanted wives all the time. 10 friends and he was free.
I agree that something has to be done but we need to be aware of the past.
phil89
(1,043 posts)to be violent, and if you treat the mental illness then the violence stops?
Jamastiene
(38,198 posts)intentions? Why are you singling out "mentally ill" people only? Mentally ill does not equal violent. You are showing how ignorant you are on the topic of mental illness.
nomorenomore08
(13,324 posts)Warren Stupidity
(48,181 posts)JJChambers
(1,115 posts)I'm sure the three people stabbed to death would take great comfort in knowing that their death wasn't as bad as those shot to death by this madman.
joeybee12
(56,177 posts)It is kill much easier to kill someone with a gun than with a knife. That is a fact. Your post sickens me, a disgusting attempt to try avert attention from the real problem...the NRA and cowardly politicians.
Mojorabbit
(16,020 posts)and soundbite solutions are less than useless.
davidn3600
(6,342 posts)That idea that we need to do something about guns before we do something about mental health is ridiculous.
Getting rid of guns doesn't make the mental illness go away.
Warren Stupidity
(48,181 posts)Everything else is a distraction used to deflect away from the primary problem's obvious solution.
Oh and mental health services and the lack thereof is a problem that can be dealt with independently, but note that this person had plenty of access to services. So obviously meeting the needs of people with mental health problems is not going to fix our mass shooting problem.
davidn3600
(6,342 posts)Warren Stupidity
(48,181 posts)Again: the primary problem with mass shootings is guns.
davidn3600
(6,342 posts)But even when you remove the guns, mental illness remains.
From what I read, this latest shooter got a hold of the guns illegally anyway. So more gun laws wouldnt have prevented this.
And please don't give me this fantasy of one day a nation that bans all guns. Seriously...that will never happen. 45% of American own a firearm. There are more guns in this country than people. You aren't banning anything.
Jackpine Radical
(45,274 posts)is an insane, death-worshipping, testosterone-driven, hateful culture that promulgates violence as a solution to a wide variety of problems. The guns are just a symptom.
Jamastiene
(38,198 posts)You assume everyone who ever shoots and kills someone with a gun is mentally ill.
And your diagnosis is based on what type of degree and how many number of years of experience in telepathic diagnosing of people as "mentally ill?" I'm surprised you are not in high demand with that kind of magical ability.
Spider Jerusalem
(21,786 posts)rather than the widespread availability and ease of acquiring firearms? Is frankly stupid. The solution to horrific acts of violence committed by people with guns is actually pretty easy. But Americans will never ever do it.
JJChambers
(1,115 posts)It is beyond despicable to turn this into a gun issue. It is clearly a mental illness issue. He sliced three people to death before the shooting rampage. But let's blame it on guns, because that is easier than addressing the real problem: mental illness.
Spider Jerusalem
(21,786 posts)He didn't commit drive-by stabbings, after all. And it's not just this guy, it's Adam Lanza and James Holmes and dozens of others.
JJChambers
(1,115 posts)Elliot slashed three people to death. I suspect he would have cut more to death with it access to a gun. Maybe it would have been a smaller death toll than with access to a gun, or maybe not, but why does that matter? The real problem is that he was not institutionalized despite his obvious homicidal mental illness.
Spider Jerusalem
(21,786 posts)Frankly? I'm sick of sententious jackasses like Wayne LaPierre claiming "we don't have a gun problem, we have a mental illness problem" every time something like this happens. Especially when there's a very clear correlation between the ease of obtaining firearms and deaths due to firearm violence.
JJChambers
(1,115 posts)The people he stabbed to death? No problem there??
Spider Jerusalem
(21,786 posts)As it is? It looks like you're just trying to deflect attention from the very real problem of easily-obtained firearms being largely responsible for the USA's gun death rate.
JJChambers
(1,115 posts)As it is? It looks like you're just trying to deflect attention from the very real problem of untreated mental illness in our society.
Spider Jerusalem
(21,786 posts)Total murders by weapon, firearms of all types: 8859. Knives or other stabbing or cutting instruments: 1589. Six times as many deaths from firearms as from knives, swords, machetes, straight razors, etc.
...mental disorders are neither necessary, nor sufficient causes of violence. The major determinants of violence continue to be socio-demographic and socio-economic factors such as being young, male, and of lower socio-economic status.
Second, members of the public undoubtedly exaggerate both the strength of the relationship between major mental disorders and violence, as well as their own personal risk from the severely mentally ill. It is far more likely that people with a serious mental illness will be the victim of violence.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525086/
phil89
(1,043 posts)Are there peer reviewed studies showing that mental illness causes people to kill?
Neoma
(10,039 posts)It only serves to stigmatize.
Louisiana1976
(3,962 posts)etherealtruth
(22,165 posts)Stigmatize and vilify ... the problems are not with guns ... it is "those" people. (I added the sarcasm to be clear I DO NOT believe this filth) It is disgusting to attempt to worsen the plight of members of the population already facing significant hurdles (simply to promote an agenda)
Neoma
(10,039 posts)You'll see it in this group. (Trying to guide discussion to over there.)
treestar
(82,383 posts)But would stop gun deaths. We can't ban guns or control them until there is no other way to kill people?
JJChambers
(1,115 posts)treestar
(82,383 posts)Neoma
(10,039 posts)Are you seriously going to sit there and claim I'm a violent psychopath because I have bipolar disorder? My, my, I must be crazy and a lunatic and I must be stopped for having a fucking mental illness! Look at me, the cuckoo flew over the birds nest!
Your topic disgusts me.
Louisiana1976
(3,962 posts)I also have bipolar disorder.
DeadLetterOffice
(1,352 posts)'Murderous' does not automatically mean 'mentally ill.'
'Crazy' is not an actual mental health category. Neither is 'violent psychopath.'
Mentally ill persons are more likely to be victims of violence than to be perpetrators.
phil89
(1,043 posts)You're just repeating things you've heard and enforcing stigma/stereotypes.
nomorenomore08
(13,324 posts)No one's going to take your guns away. Even with stricter gun-control laws.
Bjorn Against
(12,041 posts)You think it is despicable to blame this on a material object, I think it is despicable for you to blame it on people like my brother.
NealK
(5,137 posts)frazzled
(18,402 posts)They're separate, and sometimes they're linked.
There is a shortage of mental health practitioners in this country, and too few of them take insurance. (We have a friend who is a psychiatrist in a major American city--not saying which--and she once told us that she is one of the few who will take on patients with insurance rather than just those able to self-pay; she said she can do this only because she has independent means.)
And, despite the OP's plea, it's not clear at all that drugs are always the answer. Some of these drugs for mental imbalances actually create more problems than they solve. We need a vastly improved therapeutic setting in this country, and we also need more public understanding of mental illness that will de-stigmatize the illnesses for those who need to seek help for themselves or loved ones. The culture needs to change.
We also need desperately to change the gun culture in this country. We'd be a thousand times better if the public rancor aimed at, say, cigarettes were directed at guns and gun culture. I'd rather have a thousand young angry men smoking on street corners than harbor guns.
bettyellen
(47,209 posts)etherealtruth
(22,165 posts)Mental illness robs people of their lives. It plays a large role in homelessness, unemployment ...it destroys interpersonal relationships
In the context of mass shootings and mass murders we need to address the presence (easy access/ availability) of guns in American society.
JJChambers
(1,115 posts)That we are proposing to enact more gun control.
etherealtruth
(22,165 posts)What exactly is your contention? .... the mentally ill are violent (google can be your friend, you can find a multitude of studies/ data indicating that the mentally ill are far more likely to be the victims of violence rather than the perpetrators) .... perhaps you are trying to imply that knives are a better weapon of mass murder than firearms (again google can be your friend) .... or perhaps you have spoken to the families of those that this mass murderer killed using a knife and they have clearly expressed to you support for guns (possible, but highly improbable)
(for the times one facepalm simply wont do)
Jamastiene
(38,198 posts)LAGC
(5,330 posts)(Just kidding.)
Seriously though, I wouldn't broad-brush all mentally ill folks just because the EXTREMELY rare one goes off on a murderous rampage.
Most folks suffering from mental illness are harmless, even when not medicated. But you're right, in those particular cases where a mental health professional realizes someone is about to snap, it should be easier for them to involuntarily commit someone -- at least a 72-hour hold so they can be evaluated and observed by trained professionals.
Nothing is fool-proof though. Chances are, even if this kid was briefly detained, he could have very well bullshitted his way out of it just like he did those several police contacts prior. Psychopaths are pretty good at presenting a facade.
Sometimes such random (albeit rare) acts of mass violence are just the price we have to pay to live in a free society.
pinto
(106,886 posts)educate family and friends likewise; support and expand mental health services; work to make all interactions into a comprehensive whole.
And maybe most importantly, include those with psych disorders as an integral part of it all. Don't marginalize them - they're obviously the key component to it all.
And on a larger scale, don't marginalize the big picture. "Out of sight, out of mind" is not a solution. It's a cop out.
KT2000
(21,431 posts)and then some action.
First we need to listen to the families of the mentally ill to fully understand what the problems are. They know that there is not much being done now. They know that the family's assets, energy, and time are committed to the mentally ill family member and there is not much help available until laws are broken. When it gets really bad, we house the mentally ill in jails, prisons and the streets where they are preyed upon. Few have the luxuries that Rodger had to maintain a life.
We have come to see the mentally ill as dangerous but in reality most are so vulnerable to the violent actions of others.
We need to do something that protects the mentally ill person and society.
bettyellen
(47,209 posts)YoungDemCA
(5,714 posts)And why these things seem to go hand in hand in these cases.
Spider Jerusalem
(21,786 posts)Considering the percentage of their base that consists of angry white men with guns.
Rosa Luxemburg
(28,627 posts)Maybe they have better systems?
KamaAina
(78,249 posts)'Cause it's, y'know, the law?
KitSileya
(4,035 posts)than they are of killing someone. Most mentally ill people, like most mentally sane people, do not kill. Mental illness should be covered by health insurance just like physical illness, and everyone should work to change our culture that sees mental illness as something shameful. When people talk about imprisoning mentally ill persons in 'insane asylums', we should stop them, and say that being mentally ill should be no more stigmatizing than being physically ill. If someone has a psychotic break and kills someone, how is that different than someone having a heart attack while driving and running down someone? In both cases, the person was sick, and deserved treatment for symptoms that were most likely so obvious in hindsight...
fizzgig
(24,146 posts)as far as i understand, most insurance plans are required to have parity between "physical" health and "mental" health coverage in terms of co-pays and no caps on visits. medicaid (?), however, does not have the same requirement and that desperately needs to be addressed.
Louisiana1976
(3,962 posts)morningfog
(18,115 posts)We are a long way from fixing the broken mental health system in this country. We need to get control of our guns to limit the availability and damage.
fizzgig
(24,146 posts)how about what we can do to HELP us.
right now, the jail is the largest mental health facility in the county. and, no, most do not commit VIOLENT crimes, the commit non-violent offenses so that they can be taken to the jail. they get medicated and back on track (usually) and then get dropped back into a community with only patch-work system of treatment and support.
there are no-cost/sliding scale programs here, but the number of life-time visits you can get for both therapy and psychiatric care is rather limited. then there is the cost of the medication (one of mine is not generic and is more than $200 a month without my insurance). then there's the factor of homelessness. all services, at least in my experience, require proof of residency to receive assistance.
there are also a limited number of inpatient treatment beds and the state mental health facility is not used for everyday folks. inpatient care is also very expensive (i'm speaking from personal experience here).
beyond that, i think the situations in which a person can be forcibly committed should be limited. and i don't think that anyone should be forced to take medication.
i'm tired of the meme that just because someone is mentally ill, it automatically makes them violent. we are far more likely to a) be the victim of violence and b) be of threat to ourselves rather than others. these situations are the exception rather than the rule but are not treated as such.
LittleBlue
(10,362 posts)We give people physicals, preventative care, evaluations, tests, all of this to anticipate problems before they happen.
Unfortunately mental health care is still viewed through the early 20th century viewpoint: an embarrassing last resort when you're "crazy". The truth is that we need mental health care as much as physical health care, but it's viewed as such a stigma that we can't acknowledge this.
Neoma
(10,039 posts)Being mentally ill DOES NOT EQUAL being a violent lunatic. All this case does is stigmatize people with mental illnesses. Because obviously every person who needs help are violent!
joeybee12
(56,177 posts)So this pro-gun OP should have been locked immediately, IMHO.
bettyellen
(47,209 posts)and difficult topic that needs to be discussed despite the NRAs encouragement to focus on it.
Neoma
(10,039 posts)bettyellen
(47,209 posts)I can walk and chew gum. It should not about siding against gun lovers, but about the health of so many in of our communities being neglected.
Neoma
(10,039 posts)Is only going to scare people who do need help, and have us all go in the closet for having an illness.
bettyellen
(47,209 posts)of the mentally ill cannot go it alone. The impact on families is great too. I understand your concerns, but the biggest problems are way worse than concerns over stigma. Increasing care and understanding should help diminish the stigma. Keeping mum about it doesn't help very much.
Neoma
(10,039 posts)You act as if I am!
No, I'm only asking that we don't blatantly stereotype a group that is never in a good position to defend themselves.
bettyellen
(47,209 posts)disappointment that so little has improved in mental health care over the years. I am all about removing the stigma.
And god knows if I would be alive if we had guns in the home growing up, I hate to even speculate.
joeybee12
(56,177 posts)But it's posted right after another senseless tragedy due to the proliferation of guns...it's nothing more than an NRA-backed diversion to the real cause of these deaths.
bettyellen
(47,209 posts)moment to try and have an honest discussion about it, while perople on both sides of the gun debate are appalled by this tregedy.
Part of it is why the fuck didn't they know or have concerns about his recent gun purchases? Why are people falling through the cracks while their families look on in horror.
joeybee12
(56,177 posts)But look at the OP's other posts in this thread...comparing guns to knives...to me, it's blatant what he/she is trying to do.
bettyellen
(47,209 posts)joeybee12
(56,177 posts)It's getting pretty old...I'm pretty cranky too today and not in the mood for it!
bettyellen
(47,209 posts)
JJChambers
(1,115 posts)This guy killed people with BOTH guns AND knives. We should pretend that he didn't kill people with knives because.. why? Because we want gun control?
Or maybe we can use this as a perfect opportunity to address something that needs to be addressed: fixing the abhorrent state of mental health care in our country. We have a MUCH better chance of fixing mental health care than we do of banning guns and knives.
joeybee12
(56,177 posts)So that I can put this and any future disgusting posts of yours on hide.
JJChambers
(1,115 posts)Neoma
(10,039 posts)Warren Stupidity
(48,181 posts)Also: nobody has alerted on it.
moondust
(20,866 posts)
Blue_Roses
(13,731 posts)of being a Social Worker/Mental Health Case Worker/Psychiatric care giver,etc.
As a Social Worker, I can honestly say the system is a joke. While strides have been made, there is a ton more to do. I've seen some slip through the cracks, only because they didn't fit the law's definition of what constituted a mental health issue. It seems unless the person "shows" their disability, like arms, legs, limbs, etc., falling off, then what's the big deal(?)
Denial is a big part of the problem. What you don't see doesn't exist. Once we start to address this problem from a mature, realistic perspective, then we might begin to get somewhere.
Tierra_y_Libertad
(50,414 posts)woo me with science
(32,139 posts)in which human beings are perverted into "workers" running on a treadmill and kept continually desperate and uncertain about their ability to afford food, shelter, and care for their children and parents;
in which education is defunded and twisted into regurgitation for tests and debt traps;
in which health care is permitted to exist as a profit-seeking industry with a motive to create loopholes and deny care;
in which war is valued over investment in human beings, and in which we are continually lectured that "working hard" is more important than time and relationships with our family and neighbors...
in which isolation is bred by a cynical, soul-sucking media machine, ridiculously long work hours, and the systematic elimination of free and accessible public spaces to gather and enjoy one another...
All of this breeds mental illness.
The single most important step we can take toward addressing mental illness will be to wrest this nation back from the sociopathic, human-farming corporate forces that have commandeered it, and return it to the people to build something more humane and respectful of human life and dignity.
upaloopa
(11,417 posts)Have the same civil rights as you do. With in that frame work you tell me what we should do.
We use to force people to spend the rest of their lives in a mental institution. Now we try to a avoid that by treating them in the community. Unless they are KNOWN to be a treat to themselves or others it is the person's choice to seek help or not.
My opinion is that we are so misinformed about mental illness that we can't discuss this intelligently. The system hasn't failed.
Neoma
(10,039 posts)cali
(114,904 posts)first off, all indications are that Eliot was a sociopath/psychopath. There are no effective medications. Secondly, the mentally ill are far more often the victims of violence than the perpetrators of it.
I could go on and on, but I won't. I'll simply say I'm sorry to see such gross ignorance parading as knowledge.
Ugh and double ugh.
JJChambers
(1,115 posts)When we are warned of a sociopath/psychopath who is exhibiting signs of homicidal intent, but hasn't actually done anything yet, as was the case with Mr. Elliot?
Neoma
(10,039 posts)Have professionals determine his illness and leave other perfectly non-violent sick people alone!
cali
(114,904 posts)thucythucy
(8,870 posts)"We see it time after time: a mentally ill person commits a violent crime and is sent to the state hospital for a short period of time, just long enough for the doctors there to medicate the person, document a positive response to the medication, and then that person is released...."
A few recent examples of this might help the discussion. Of course, you have such examples, yes?
Jamastiene
(38,198 posts)See, I am one of "the mentally ill." I have never shot anyone, murdered anyone, or shot and murdered anyone. I am not violent, and neither are most "the mentally ill" you casually all lump in together as one big murderous bunch of people.
Instead, what you need to do is learn the difference between "the mentally ill" and mass murdering gun toting fuckhead. You supposedly sane people with guns need to own up to the killers among you and quit trying to push this off on "the mentally ill," who are more likely to be the victims of violence than the perpetrators of it or gay people or whoever else you want to point at and ask what to "do with" those people...because you aren't going to do a goddamn thing with me. You don't have that right with or without your guns pointed in my face.
Ditto to that.
RandySF
(74,233 posts)I see mentally ill on the streets rolling in their own filth, grabbing pedestrians, pulling their pants down on sidewalks and all I hear (mostly from progressives in the city) is that they should not be compelled to receive treatment. But without treatment, they don't have the capacity to seek the help they need on their own, and wind up remaining homeless.
bravenak
(34,648 posts)I heard the head of the NRA use these same talking points.
I blame access to deadly, easy to use, firearms. Not everyone should have one.
If he had used throwing knives or ninja stars, we'd have fewer victims in this case. Eventually we are going to have to do something about this problem.
The mentally ill are usually the victims of crime not the criminals. They are prey for evil people.
This is an example of how society scapegoats people. Blaming our violent society on the least fortunate, the powerless.
Somebody last night decided to blame it on the Gays. Disgusting.
Maybe next it will be the blacks or jews or asians or hispanics or video games. Anything but the easy access to guns and hate for women.
We sound like a bunch of republicans with these posts.
You should cut it out.
Well said.
nomorenomore08
(13,324 posts)adirondacker
(2,921 posts)steve2470
(37,468 posts)There's just too many guns and our culture is far too violent.
Bjorn Against
(12,041 posts)What we need to do is restrict access to guns, not try to blame a minority group for all the gun violence.
Crunchy Frog
(27,587 posts)is put up any impediments to such people obtaining whatever kinds of firearms they may want.
We must not even discuss such an abomination.
ecstatic
(34,771 posts)Ughh..I hate to even write his name... This guy is receiving millions of hits to his yt channel, millions of people reading all 140 pages of his screed,etc. How many hundreds (thousands?) of new killers has this episode created? I get it, we're all curious to learn more about him, but we're inadvertently inspiring new gunmen.