Fifty years of failing America's mentally ill

According to multiple studies summarized by the Treatment Advocacy Center, these untreated mentally ill are responsible for 10% of all homicides (and a higher percentage of the mass killings), constitute 20% of jail and prison inmates and at least 30% of the homeless. Severely mentally ill individuals now inundate hospital emergency rooms and have colonized libraries, parks, train stations and other public spaces. The quality of the lives of these individuals mocks the lofty intentions of the founders of the CMHC program.

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Perhaps the most remarkable aspect of this 50-year federal experiment is its inordinate cost. In 2009, 4.7 million Americans received SSI or SSDI because of mental illnesses, not including mental retardation, a tenfold increase since 1977. The total cost was $46 billion. The total Medicaid and Medicare costs for mentally ill individuals in 2005 was more than $60 billion. …

Nor is President Obama likely to do anything, since his lead agency, the Substance Abuse and Mental Health Services Administration, has essentially denied that a problem exists. Its contribution to the president’s response to the Dec. 14 Newtown tragedy focused only on school children and insurance coverage. And its current plan of action for 2011-14, a 41,000-word document, includes no mention of schizophrenia, bipolar disorder or outpatient commitment, all essential elements in an effective plan for corrective action.

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