The Mudcat Café TM
Thread #134829   Message #3071778
Posted By: pdq
10-Jan-11 - 09:06 PM
Thread Name: BS: AZ Congresswoman Giffords shot
Subject: RE: BS: AZ Congresswoman Giffords shot
Here is a reasonable statement on the mental health subject...


"My wife worked for the chief of the psychiatric department at the Brentwood VA in California during the early 80s. From the mid-70s to mid-80s there was a strong 'patients rights' movement generated by the mental health advocate community. Although there were many facets to this movement, one of the primary elements was a re-examination of the criteria for institutionalizing patients.

The point of contention revolved around interpretations of what it meant for a patient to be able to 'take care of himself.' Prior to this the interpretation was rather strict; if a patient could not earn an income and provide shelter and food for himself (and if there were no family members able to care for him), then he would normally be institutionalized.

Begining in the late 70s, the advocacy groups began to demand a lower standard. As long as a patient could merely wash and dress himself, and could perform the mechanical tasks of shovelling food into his mouth, then every effort was made to force the institutions to release them. My wife's boss spent many months both in court and testifying before the state assembly trying to stop this lowering of standards. Unsuccessfully.

Predictably, most of the newly discharged patients were unable to take care of themselves in any meaningful sense of the word, and became the homeless people on the street. It's no coincidence that the decline in California's mental health insitution population closely matched the sharp increase of homeless (in California, at least) during the same period. In fact, for about two years, my wife literally was on a first name basis with every homeless person we ran across in the Westwood/Santa Monica area. They were all former patients who had been 'sprung' from the VA by well meaning advocate groups who then simply walked away and left these guys hanging.

Reagan was not involved in this movement, nor was he a symptom or symbolic of it. Quite the contrary. The people who 'liberated' the inmates tended to be on the opposite end of the political spectum. In fact, it was the ACLU who provided legal representation to force the VA to release these patients."