The issue of mental health care is one of the most ongoing,
divisive, troubling topics in our country today. Included in that issue is the
question of how it relates to gun control. But let’s start with the basics.
In several articles regarding studies done on mental health
issues in this country in 2016, this startling fact comes to light: One in five
people in this country suffer from some sort of mental illness. That means in
2016, there were 44.7 million people with some sort of affliction. Here are
some of those mental health issues that are recognized: Autism, Major
Depression, PTSD, Bipolar, OCD, Schizophrenia, Suicide, Eating Disorders, ADHD,
and Personality Disorders. Substance Abuse and Mental Health Services states
that out of that number, 9.3 million have serious issues and that most of them
start at the age of 18 and move upward. Also, states that didn’t expand
Medicaid under Obamacare, refused service to about 4 million people due to lack
of insurance.
So, what is contributing to this problem? In corresponding
with Dr. Julio Busciolano, PsyD he and his associates at the Partial
Hospitalization Mental Health Program feel that the stigma or attitude towards
mental health is a major roadblock. Cultural, religious, and family perceptions
are at the forefront because of a lack of compassion and understanding. Of
course, there is also the fact that those afflicted with mental health issues
often feel that they don’t need help and are “strong enough” to combat this on
their own. It’s what society has taught people over the years … that one must
be “strong,” “no talking of such feelings,” or “forget it and move on,” that
anything less is an admission of failure as a person when the opposite is the
reality.
One of the major setbacks in correcting this is money, or
more to the point, the lack thereof. Without proper financing, there are far
too few professionals, causing burnout because of the hours worked, and
paperwork required as some of the reasons. Also, the lack of resources and
access to mental health professionals is worse than those for other types of
doctors. Limited resources mean fewer outpatient programs, with our youth being
primarily affected. It’s a Catch-22 with cost leading to financial distress,
leading to more mental distress, leading to more financial stress … money
spent, debt acquired, followed by financial hardships.
There is the option of Involuntary Commitment. In Florida, a
state representative, Maxine Baker (1963-1972) sponsored a bill enabling
involuntary admittance for mental health issues. This was titled the Florida
Mental Health Act of 1971 but is commonly referred to as the Baker Act. To
Baker Act, a judge, law enforcement official, doctor, or mental health
professional must deem the individual to have a “substantial likelihood that
without care or treatment, the person will cause severe bodily harm to
themselves or others, in the near future.” One cannot be committed because of past
behavior or actions and alcohol or drug abuse may not be considered but only a
mental instability. However, after 72 hours (or before, depending on the
circumstances) the patient will be released.
How does all this relate to gun control? It seems the sound
byte of the day is that with better mental health background checks, gun
control via the ability to buy a gun, will limit the sales of firearms.
However, after doing research, it seems almost all our states have some sort of
provision in their laws that say (and I’m paraphrasing) “if anyone is found to
have had mental health issues of any sort, they will be prohibited from
purchasing a firearm.” However, anyone that has had a problem will not list it
on the application and health records aren’t allowed to be entered into
national databases due to doctor/patient confidentiality, so there is no
reliable way to detect such issues. Also, were we to be able to have mental
health professionals doing exams, how would we know where they stand on gun
control?
So, what are the answers? The bottom line, as I see it, is
that some help is better than none. If, by getting someone in to counseling,
getting them some sort of medication to balance them, giving them some time
sort out emotions, showing them there are people who care and want to help, we
may give them the chance to restore their lives to some semblance of normalcy,
which is far better than what they had been living. Dr. Renae Lapin, a local
psychologist, said: “stress is a major contributor to mental health
problems and that our youth are being affected in far greater numbers these
days.” Lapin said that research based on studies has shown there are
several other ways that may help besides counseling. Some of these ways are
nutrition, exercise, good sleep habits, and focusing on the positives in our
lives.
One place that offers this type of program is the 9 Muses
Art Center of The Mental Health Association of Southeast Florida. Dr. Julie
Bruno, PsyD, feels there is a need for more long-term facilities for those with
chronic mental illnesses. Insurance needs to be revamped to allow the ability
to get into those facilities, state or private, and receive the proper
medication. With all of that, many of those falling through the cracks might
not.
The truth is, they aren’t cracks they are gaping chasms. Mental
health isn’t considered a priority at the same level as general health. The
money isn’t there to allow for proper help, the law doesn’t allow an indefinite
commitment. Those who are committed (short term), may not really want help or
recognize their need for such.
What
to do? First, we need to address this issue with our government officials. If
enough people speak out, maybe a change can take place. Second, we all need to
be more aware of those around us and pay attention to changes in personality or
habits, no matter how small. If you see changes that alarm you, act on them by
talking to the person. Hopefully, you can convince the person to seek help
voluntarily. If not, then with the right circumstances, you can do it yourself.
Just know that it is likely going to be a short-term solution, but any step
forward is better than one going back.