SOME PEOPLE NEED TO BE INSTITUTIONALIZED - RETHINKING MENTAL HEALTH
SOME PEOPLE NEED TO BE INSTITUTIONALIZED - RETHINKING MENTAL
HEALTH
By Domenick J. Maglio PhD. Traditional Realist
This conflict between individual freedom and the community
protection has constantly popped up over time. In the 1950s and through the
early 1960s there was a movement to close state mental health institutions while
increasing funds for local mental health centers. Investigative reporters
exposing scandalous behaviors of large mental health centers throughout the
nation accelerated this deinstitutionalizing movement. Patients were not receiving acceptable
treatment, caring and sometimes received horrific abuse according to these
investigative reporter narratives.
The answer to these shameful conditions came in at the same
time as the advancement of modern medicines. The psychotropic drugs were
promoted as “wonder drugs” to stabilize mentally ill people. These patients
were supposed to be able to function outside of the confines of secure lockup
institutions and be placed back into the community. Local mental health clinics
were beefed up with substantial government funding allowing the
deinstitutionalizing of mental health services to be taken over by the local
mental health clinics. This was supposed to better meet the needs of these
mental health clients.
A similar wishful-thinking concept in our federal prison
system has been put in place. The First-Step criminal reform bill was passed in
December 2018 to shorten the prison time of drug related crimes. The inmates were given the opportunity to
earn credits to shorten their drug sentence by as much as 1/3 if they
successfully participated in vocational or rehabilitation programs or were
model prisoners. Under these new guidelines of releasing non-violent drug
convictions back into the community was a requirement that dangerous criminals not
be released. Understandably, some of these convicts had committed other violent
acts of various degrees. Many opponents of this new law argue that many of
these so-called victimless crimes are killing many addicts. They point out that
half a kilo of fentanyl would kill 50,000 people.
Mental Health institutions and prison incarceration are not
pleasant places to be housed. Individuals are locked up against their will.
Their freedoms are significantly curtailed and the other inmates are not people
you want to be around. They are not mentally balanced and are often dangerous.
The accommodations are Spartan-like facilities. It is not a lifestyle that many
people would prefer but some purposefully break rules to “jam their time” in
order to remain institutionalized.
Clearing out our institutions sounds as great as every
citizen will receive free everything from the government. The reality is we
have to have laws to protect others and we have to enforce them to protect
others and people hurting themselves.
The experiment to de-institutionalize our mental health
facilities is becoming too obvious to ignore. The “tent city enclaves” in some
of our previously beautiful city landmarks are revolting places. The defecation,
filth, disease, shooting-up on the street and offensive verbal attacks on
innocent passer-bys is shocking and truly deplorable. No increase in
“injection-sites” will alter or prevent this debasement of humanity.
Many of these street people have mental health issues, drug
addiction, severe and multiple medical issues. Their life styles are not
conducive to physical, mental stability and overall health. This cannot be
denied.
The “supposedly” miraculous drugs that helped spur on the
deinstitutionalization of mental health turned out to be a mirage, as it did
not account for human nature. Mentally ill people as well as normal ones tend
to avoid terrible tasting pills, complicated time schedules for taking and
consistently visiting local mental health centers. Most mentally ill people
just drop out of this confusing, demanding, and degrading commitment. Most of
these impaired people turn away from these unrealistic regiments often ending
up on the street.
This same problem happens with the deinstitutionalization of
prisoners. Once they leave their home, the prison, most have learned or
accepted that they have to suffer with their past reputation. They will be
tested to deal with suspicion and unfairness. Inmates are of average
intelligence but their frustration tolerance, patience and appropriate social
skills are often lacking. The transition of prisoners back into normal society
is a complicated process that requires new ways of thinking and interacting
with others.
Criminal and mental health institutions can never be
eliminated. Both will have people who need to be removed from the public
because of their violent criminal and mentally destructive behavior.
The ultimate question is how much can our professionals
improve non-functioning people’s ability to integrate back into our mainstream
society. This ability will determine the number of people who will need to be
institutionalized. Mental illness and drug addiction should determine the type
of facility needed for the individual’s treatment as well as the public’s
safety, not progressive pipedreams.
Domenick Maglio, PhD.
is a columnist carried by various newspapers, an author of several books and
owner/director of Wider Horizons School, a college prep program. Dr. Maglio is
an author of weekly newspaper articles, INVASION WITHIN and a new book entitled, IN CHARGE
PARENTING In a PC World. You can see many of Dr. Maglio’s articles at
www.drmaglioblogspot.com.