http://azstarnet.com/news/opinion/editorial/article_a1372367-3bd9-5f49-8ea7-91fb0d25e4df.html

Local pyschiatric beds are commonly filled, but I wasn’t aware that psychiatric beds in our prison system are also filled.  Hummmmmm, I wonder what’s going on? Is it possible that we’re starting to see the results of continued budget slashes to mental health care in our state?  Or, is it because more people are becoming mentally ill? I think it’s the former.

Let’s look at some statistics.  One in four families are effected by mental illness in a given year and at least 10% of the population lives with a serious mental illness like schizophrenia or bi-polar disorder.  If Tucson’s population is one million, then that’s 100,000 people right here in the Old Pueblo.  Some are being successfully treated and some are not.  Many are in denial about their illnesses and don’t know about the high success rates of treatment – sometimes as high as 90%  do achieve mental health recovery.  But, not without proper treatment that can include medication, therapy and a strong support system.

Last time I checked there weren’t that many psychiatric beds in Tucson.  Even with the new psychiatric crisis hospital opening soon there won’t be new beds as it will only replace the currently existing beds at UPH.  Without more funding I don’t see any growth for new tratment facilites, but unfortuanately I do see growth in the prison facilities.  It seems like that’s one of the few areas of growth in our state.  Some legislators in Phoenix have stated that it’s time for families and loved ones to “step up” and take care of those struggling with menta illness. I wish it were that simple.

But, I’m glad to see that the Arizona Daily Star is initiating this dialogue.  Hopefully some inovative solutions will come about…….and they won’t cost anything!

So, even if President Reagan was a great man, it was during his presidency that treatment for our nations most vulnerable went from bad to worse.  The following article is a reprint because I found it expresses my concerns adequately and one month after the horrible shootings in Tucson, people seem to be more receptive to learning about this issue.

Ronald Reagan, Mental Health, and Spin . . .

Man Behind the Myth

By Phyllis Vine

For the next twelve months, the Ronald Reagan image machine will be turning out countless vignettes of the nation’s 40th president, the man neighbors called “Dutch.” He will be described as no-nonsense yet kindly, remote but avuncular, a movies-star-turned-politician, and remembered as a local lifeguard rescuing people in troubled waters. With dashing good looks, a sonorous tone that became the voice of General Electric, and an affable smile, even those who disagreed with his policies will say he was genuinely kind-hearted.

So what did this mean practically for policies about mental health? Here we need to  ask how the image departs from the reality.

Contrary to the spin about trimming government, which he called “the problem,” we all know he oversaw increases in federal spending that exploded the national debt, and grew the size of the government he impugned. Another part of the reality, rarely the image, is how he attempted to savage the  entitlement system and roll back supports for people with a mental illness.

When Ronald Reagan arrived in Washington, he inherited the Mental Health Systems Act of 1980. One of the last achievements of Pres. Jimmy Carter, this was passed by the House 277 to 15, in the Senate, 93 to 3. With as many critics as there were special interests, it was far from perfect. Yet it expanded the federal government’s commitment to services, to research, to training professionals, and to patient rights. It identified stigma as an impediment to seeking and receiving services.  It established parity in Medicaid and Medicare. It recognized the link between physical health and mental health. And it dedicated $800 million over 4 years to redress the gross neglect of the commitment to mental health in earlier administrations.  In short, it moved an agenda that minimized homelessness, the reliance on expensive nursing homes, jails and prisons, and one that to more hopeful choices for those who needed help.

The Mental Health Systems Act was a milestone. It came on the heels of four years of hearings and a presidential task force benefiting from First Lady Rosalynn Carter’s active involvement.  Philosophically it affirmed Pres. John F. Kennedy’s Community Mental Health Centers, an attempt to thwart hospitalizations. It fit into the safety-net values championed by Pres. Lyndon B. Johnson with the passage of Medicaid and Medicare.

Still, by 1980 the nation needed more for those with a chronic illness. Many failures accompanied the attempts to close the miserable hospitals, often little more than warehouses, to help patients succeed in the community. The neglect of government support conspired to form a patchwork system with notable gaping holes. A 1977 GAO report said, “Government needs to do more.”  Congressional hearings in 1979 re-affirmed the need to strengthen impoverished services and the failed policies.

Although not perfect, the Mental Health Systems Act responded to these problems. For the first time since the National Institute of Mental Health became part of NIH in 1949, mental health was front and center in federal policy.

Then came Ronald Reagan. Within a month, the Office of Management Budget announced it would curtail the budget of the National Institute of Mental Health (NIMH), phase out training of clinicians, interrupt research, and eliminate services.  Cutbacks to staff followed; chaos ensued. Experienced people left, others remained in government service but were forced into menial jobs. Trained professionals were reassigned to labs to dissect dead rats; science writers were reassigned to typing pools. The Mental Health Systems Act would disappear. Instead, the Omnibus Budget Reconciliation Act (1982) would merge money for mental health programs into block grants, and with fewer dollars going to the states.  They had the discretion to use them however they saw fit, often to perpetuate programs already deemed problematic. The pretense for all this was the president’s concept of a “new federalism.”

“Many of our dreams were gone,” wrote Rosalynn Carter in Helping Someone with Mental Illness. “It was a bitter loss.”

This could have been enough, but it was not. Pres. Reagan attempted to restrict criteria for determining eligibility for SSI, thought to be a safety-net. Nearly 2.6 million people were receiving insurance because their disability prevented them from working. New evaluations for eligibility led to widespread terminations. Of those who were terminated, about half appealed, and in two-thirds of the cases, administrative law judges reversed the decision. The process took nearly a year, during which time they, and their families, were deprived of promised help.

About 340,000 people would lose their insurance before public outcry and courts halted the process. Sen. John Heinz, a liberal Republican from Pennsylvania, told the New York Times the policy was a “meat grinder.” Sen. Carl Levin, Michigan Democrat, said the reviews caused “unconscionable suffering.” In June 1983 HHS Secretary Margaret Heckler announced she would halt suspending about 135,000 people until the government could improve standards for “functional psychotic disorders.”

By then, however, the nation was doubting the president’s kindness. A1982 Louis Harris survey found nearly three-quarters of the respondents said the president was hard-hearted toward the poor.

These are the facts. And they add up to a roll-back of opportunities for people already struggling with a psychiatric illness.  Whatever spin accompanies the birthday celebrations for Ronald Reagan, we should not create yet another mythic figure, larger than life, more pure than Ivory soap, or with qualities he did not have.  He may have portrayed himself as everybody’s lifeguard, but he seemed willing to let people with a psychiatric illness sink.

Originally appeared in MIWatch.org

Undiagnosed depression is the number one cause of suicide, yet few people know what the symtoms are and even fewer seek treatment.  Each year nearly 26,400 teens in Arizona attempt suicide…….and that number reflects only the attempts that end up in an emergency rooms and/or require treatment by a professional! Many times the family is able to do something to treat the effects of the attempt (induce vomiting, CPR, etc.) without anyone outside the home ever being notified.

Education and awareness is crucial and O.P.T.I.O.N.S. (Offering Parents and Teens Information on Needless Suicide) is a free depression education and suicide prevention program offered to Arizona high schools by Mental Health America of Arizona. The successful educational program has been operating in the Phoenix area for several years and it is now available in Southern Arizona. When evaluated, 85%  of the students said the program provided helpful information on clinical depression and were able to identify at least 5 of the symptoms, and 90% felt that schools need a program like this.

Mental Health America of Arizona (MHAAZ) is a 501(c)3 non-profit organization providing leadership to address the full range of mental health, illness and wellness issues in Arizona. We are dedicated to improving care, treatment and recovery for people with all types of mental illness through support services, education and advocacy.

For more information or to schedule presentations in your child’s school, please contact Susan Moreno at:  smoreno@mhaarizona.org

Recent articles on teen depression and suicide:

http://health.usnews.com/health-news/family-health/childrens-health/articles/2010/10/04/adhd-depression-and-suicide-how-parents-can-keep-children-safe.html

http://www.huffingtonpost.com/dr-harold-koplewicz/gay-teen-suicide_b_760093.html

According to recent press releases, Brewer’s involvement in state politics started with her activism pushing better treatment and care for our state’s seriously mentally ill population.  Her son is diagnosed with a serious mental illness and has spent time in-patient at the Arizona State Mental Hospital.  As a Mom with a son who had a serious mental illness, I certainly can understand her motivation to try and make a difference.  Stigma continues to be pervasive and some still believe it’s the Mother’s fault when a mental illness presents itself.  Character flaws, laziness, and violent behavior automatically get labeled as mental illnesses when medical science knows that these illnesses are actual biological brain disorders that are treatable.  With proper medical treatment and support people have and do live in recovery.

Given all the positive news about the potential for recovery, why in the world has Govenor Brewer decided to not only distance herself from the issues, but supported drastic slashes to budgets that assist people with mental illness?  I understand that we need to cut our spending, but why cut spending for our state’s most vulnerable?  In the long run, as Gov. Brewer knows, we will end up spending more for emergency room visits, hospitalizations and incarcerations for ignored people living with a treatable mental illness.  With all the publicity and nation wide visability she has created over the last several months, it seems a shame to me that she hasn’t used the opportunity to advance anti-stigma and the value of  proper treatment to some of our states most vulnerable…….including her son.  Is the illegal immigraton bandwagon the only issue she can focus on now?

The law included a six month extension of higher Medicaid federal matching funds for states – a major contribution towards some of the drastic slashes in mental health coverage in Arizona.

Recent budget slashes (I prefer that term over cuts as I feel it’s much more descriptive) in the state’s healthcare system for the poor have forced many people to search for alternatives to afford their medications. Some are going to Canada, while some have been fortunate to be able to get discounts directly from the pharmaceutical companies. I applaud the efforts of some of the drug companies to help and I wish they would all step up.

While illegal immigration and calls to enforce the border by sending in troops occupies the headlines, our state’s most vulnerable citizens are doing the best they can just to survive.  In my world they take priority over someone who has illegally crossed our borders to look for a better way of life.  Helping disabled and seriously mentally ill people is not only money well spent, it’s the “right” thing to do!

How Did Your Member Vote?

View the House roll call vote on final passage of HR 1586

Both McCain and Kyle voted no when the bill went through the senate.

Read further details on the provisions in HR 1586 designed to support state Medicaid programs into 2011.

Staying out of the heat can be difficult for our homeless population, many of whom also live with mental illness. I have seen a homeless person on more than one occasion totally overdressed during our 100 degree plus days because he either doesn’t realize how hot it is, or he’s afraid to leave his few possessions, including his clothing, behind.

Stay Safe

Educate yourself about the symptoms of heat stroke , such as:

* An extremely high body temperature (above 103 degrees Fahrenheit)
* Red, hot and dry skin (no sweating)
* Rapid, strong pulse
* Throbbing headache
* Dizziness
* Nausea
* Confusion

Individuals living with mental illness may be more prone to heat stroke because some medications alter the body’s response to heat. In addition, people taking specific medications may be at a higher risk of developing Neuroleptic Malignant Syndrome (NMS) , a serious condition that may be connected to high temperatures and the dehydration that can result from heat stroke. NMS and heat stroke have similar symptoms, so it is especially important that people with mental illness inform their doctors of all medications they are currently taking.

Stay Informed

The National Weather Service is the hub of information about heat alerts. The Weather Channel offers a free service that will send updates about heat advisories to your phone.

Stay Inside

On extremely hot days, limit your exposure to the heat and sun, especially during the hottest part of the day. Don’t walk long distances if you don’t have to. Some public transportation systems offer free bus service on days with a dangerous heat index.

Stay Cool

If you do have an air conditioner, change the filter and perform other maintenance that will keep the unit working at peak capacity. If you don’t have an air conditioner, try to spend a few hours a day in an air-conditioned public place like a library or mall. Look into area programs that may provide air conditioners for people with disabilities for free or at a reduced cost. In the past, some local United Way chapters have collected donated units and redistributed them to people with the most need.

Here’s a list of some of Tucson’s Homeless Shelters.  I don’t know if any of them have room, but hopefully they can provide a respite from the heat for our city’s people on the streets.

March 27, 2010 -  2805 E. Ajo Way 

 Sam Lena Park, Tucson

 CHECK-IN TIME: 7:30am ~ Opening Ceremony 8:30am

WALK START TIME:  9:00am ~  Entertainment 10:00-11:00am

• The NAMIWALKS – Changing Minds One Step at a Time, is a nationwide fundraising and mental health awareness program that is being held in more than 80 communities around the country in 2010 including right here in Tucson. It is projected that these walks will raise over 8 million dollars in 2010 for NAMI and the educational, support and advocacy programs it provides totally free of charge to thousands of families across the country.  The 2009 Southern Arizona Walk raised almost $178,000 and hosted approximately 3000 participants. This year the crowd is expected to be well over 3500 participants.
• There is no walker registration fee.  All participants are encouraged to collect donations from family members, friends, co-workers and business associates.
• All the funds collected by Walkers will be used to fund NAMI’s programs in Southern Arizona that include support, education, research and advocacy involving schizophrenia, bipolar disorder (manic depression), major depression, obsessive-compulsive disorder and severe anxiety disorders. 

All walkers raising $100 or more with receive a NAMIWALKS event T-shirt. 

• Companies, organizations and families are encouraged to organize teams of walkers made up of employees, organization members, relatives and friends to take part in the Walk. 

 NAMIWALKS – Changing Minds One Step at a Time is a rain or shine event.

For more information please call  NAMI Southern Arizona 520-622-5582 or

 NAMI Southeastern Arizona – Sierra Vista    1-800-380-2322  or

www.nami.org/namiwalks/AZ/Tucson

NAMI of Southern Arizona is just one of the many non-profits in our community that serve people with  mental illness totally free of charge.  Your donation to the organization is tax deductible and a great way to show you care in this season of giving. Please visit the website at www.namisa.org where you can easily donate on-line.

Other ways to show you care about the people in your life:  From the “World of Psychology” by John Grohol, PSYD

1. Do It, Don’t Say It.

You know that old common wisdom, “Actions speak louder than words”? Well, it’s true. While you can apologize for not doing something until you’re blue in the face, you’ll gain so much more appreciation by another in your life by simply doing it in the first place. Yes, it means you have to work harder to keep on top of things to begin with, even with simple things like taking out the trash or running that errand you said you would. But the reward is that your loved one will know you care because you just did it without being asked or reminded to do so.

2. Refuse to Argue and Pick Your Battles.

Arguments are a constant source of relationship strife, even amongst family members or friends. You may say, “How can I just stop arguing?” Easy, because engaging in a conversation with another person is a choice we make (whether we always do so consciously or not). Make a conscious effort to note when you’re entering into an argument, and then just stop. Remember, not every argument is worth engaging in — so don’t feel like you have to get into an argument just because someone else is asking for one. “Sorry, I can’t talk about this right now, let’s talk more about this later…” or “You’re right, I’m wrong, I’m sorry” will put a sudden halt to the argument. Which leads us to…

3. Apologize Often, Even If You’re Not Wrong.

Why should you apologize even if you’re not “wrong?” Well, it depends on your point of view. Is being “right” more important to you than your loved one’s feelings? Is being “right” something you’ll be proud of when you’re on your deathbed — “Well, hell, I may have caused her a world of hurt, but at least she knew who was right!” Apologies are simple, free, and entirely within your world of control. Handing them out just as freely and easily will, in the long-run, make you feel better and also make your loved ones feel better. It shows you care more about them rather than winning any particular (all-too-often, silly) argument. (As with all things, when taken to an extreme, this is also not particularly healthy behavior, but do know when to pick your battles.)

4. Do Something Unexpected.

Most people love a surprise, especially when that surprise is something that helps them or makes their life a little bit easier, if just for a minute. It could be as simple as a card to show appreciation “Just because,” or offering to watch the kids one night when it wasn’t your turn. It could be saying, “Hey, I’ll cook dinner tonight” or “Hey, I’ll take out the trash,” and then just doing it. Even simple actions can speak volumes, especially if the other person has had an especially difficult day. Imagine if it were your night to cook but you’ve had an especially difficult, stressful day. Your significant other knows this, and offers to cook instead. It’s a great expression of caring, even when it may seem too obvious or simple.

5. Sharing is Caring.

Sound trite? You bet it does, but guess what, it’s also true. It’s so much easier to eat the last cookie, or to get a glass of water just for yourself. But it shows you care when you offer someone else the last cookie or ask the other person if there’s anything you can get them while you’re up. Simple acts of kindness are the ones we so easily overlook in everyday life. Yet they speak volumes to others in our lives.

6. Wake Every Morning with An Appreciation for The Other Person.

Being grateful for the people and things in our lives is one of the most simple ways to achieve a sense of daily happiness. You don’t have to engage in huge displays of love or affection. Simple actions, like saying, “I love you” or packing someone’s favorite lunch may be all that’s needed. Often time, living with someone day in and day out can breed a certain familiarity (or, as the old saying goes, “contempt”). Keep that in mind, acting in a manner consistent with someone who loves another, not someone who is keeping silent score. Even if your partner never knows it, it’s a way of showing you care that can be just as important as any outward, direct display.

* * *

Showing you care to those in your life on a regular basis is more challenging than it sounds. The people we hold closest and dearest to us are often the ones we expend the least amount of effort in displays of caring and affection. Yet, most people appreciate and need the occasional display of caring.

It’s not hard, but it does take a conscious effort on our parts, and one that we may need to remember to do at least once a week, if not every day.

Close has appeared on numerous television talk shows with her sister, Jessie, who lives in Montana.  Jessie’s son is also living with schizophrenia and they credit NAMI with giving them the strength to speak out.

They star in a new public service announcement that is airing on several major market television stations.  Ron Howard, who made the movie “A Beautiful Mind”, directed the PSA “film shoot” in New York’s Grand Central Station.  The campaign has received broad support from the mental health community.

Earlier this year, Close helped lead Maine’s NAMI Walks near her home. The campaign Web site, www.bringChange2Mind.com  has had over 80,000 visitors to date and its Facebook community has over 3,000 friends.

see the video here:  “http://blip.tv/play/hMYXgafJfwI“

It’s trick or treat time again. We don’t mind ghosts and goblins, but when “haunted house” attractions become “insane asylums,” featuring “mental patients” as murderous ghouls, we protest.

Violent stereotypes are inaccurate and offensive and the U.S. Surgeon General has determined that stigma is a major barrier to people getting help when they need it. Help send the message!

Local Attractions
Here’s an example. NAMI New Jersey is fighting an “Asylum of Terror” sponsored by a local museum and supported by a local Walmart and Dunkin’ Donuts, to name a few. Please e-mail the museum to let them know that perpetuating stigma towards persons with a mental illness is a national — as well as local — concern.

In Your Own Communities:
If offensive Halloween attractions or products appear, contact sponsors, advertisers or sellers personally. Educate them. Ask them to remove offensive parts of any attraction, advertisements or merchandise that mock mental illness.
If dialogue fails, alert NAMI members, family and friends to phone, send letters or e-mail the sponsors or stores.
Contact local newspaper editors and television news directors. Educate them about stigma and your concerns. Make the protest a “news event” and a “teaching moment.” Offer consumers and family members for personal interviews.

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