by jon » Sat Apr 19, 2008 7:41 am
Maybe it says something that the most common topic of conversation in our household was the topic of Hicks on Six (Edmonton Sun) on Friday:
END RESULTS
Provincial auditor general Fred Dunn took the provincial government to task for inaction over lack of follow-up to the four-year-old mental health program.
On the same day, a senior is stabbed to death in a west-end parking lot by a stranger with no apparent motive.
These two news items are likely intertwined.
Dunn says mental health is getting the pointed end of the stick.
When police track down the murder suspect, there is a chance he could be severely mentally ill, his actions partially the responsibility of a society that isn't doing enough to ensure the chronically and severely mental ill do not harm themselves or others. (P.S. Severely mentally ill includes brains shredded by massive drug use.)
FIXING A BROKEN SYSTEM
This is not a rant against the mental health treatment system - Sharon Sutherland of the Alberta Alliance on Mental Health advocacy group says many good people do their best.
In Edmonton, Capital Health is doing its best to fix a broken system.
The Mental Health Amendment Act, stopping the mentally ill from harming themselves and others, is close to becoming law. Former health minister Dave Hancock was pushing for enhanced services for the mentally ill.
But the system remains terribly broken.
WHO CARES?
Psychiatric wards in our hospitals are holding adult patients for up to a year.
The patients are too far gone. No group homes or residences will take them.
These poor creatures require highly qualified, 24-hour-a-day supervision.
Before they turned 18, Alberta Children's Services would fund whatever care was needed. Specialized agencies could provide 24-hour expert staffing to handle the worst of the worst ... for $150,000 to $180,000 per child, per year.
But at 18, Children's Services funding dries up.
What's left? Maybe AISH, welfare, a little Alberta Health money.
They'll be assigned a therapist (nurse/social worker/babysitter). But the therapist has 200-plus clients. The department is underfunded. Therapists are underpaid. Even with decent pay, skilled people can't be found.
So the 18-year-old ends up on the street. Doesn't take his meds. Gets messed up on street drugs ... goes crazy ... ends up in emergency ... is released because the beds in the psych ward are filled by long-term patients who can't be placed elsewhere ... and the cycle begins again.
Same song, second verse, a little bit louder and a little bit worse.
HOPE MISSION
Meanwhile, back at the psych ward, the hospital social workers do their best to find a home for their psych patients. But nobody will take them.
Finally, these poor people are dropped off at the Hope Mission or other shelters, where great humanitarians do their best to help, with next to no resources.
Out of the hospital, no home, mentally ill, no social worker with time to help ... off their meds they go, taking drugs or alcohol to dull the pain, ending up back at emergency ...
Same song, third verse, a little bit louder and a little bit worse.
LOGICAL CONSEQUENCE
I've covered this relationship between chronic mental illness and homelessness for a long time.
I'm convinced at least half of the chronically homeless are also chronically mentally ill.
We've abandoned them.
Left them to fend for themselves, to be aggressive panhandlers, to rage at passers-by as they wander the streets. To let the voices in their head, unsuppressed by medicines, get worse and worse. Voices in their head that might urge them to kill innocent people.
Same song, fourth verse, a little bit louder and way, way worse.