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<a href="http://www.nytimes.com/"><img src="http://graphics8.nytimes.com/images/misc/nytlogo153x23.gif" alt="The New York Times" align="left" border="0" hspace="0" vspace="0"></a>
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<div class="">December 28, 2012</div>
<h1>Guns and Mental Illness</h1>
<h6 class="">By
<span><span>JOE NOCERA</span></span></h6>
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<p>
Many years ago, when I was a young reporter at Texas Monthly magazine, I
spent the better part of six months in the company of a man who
suffered from schizophrenia. His name was Fred Thomas; he was 23 years
old; and he had been steadily deteriorating since high school, which is
when most men first show symptoms of the disease. </p>
<p>
I watched Fred as he was shuttled in and out of the state hospital in
Austin, Tex. — one of the few that had not been closed down by the
mid-1980s — where he was wildly overmedicated, and then released to
either his mother’s home, which was invariably disastrous, or a halfway
house ill equipped to help someone as delusional as he was. </p>
<p>
I learned about the group homes that had sprung up after the closure of
the mental hospitals. They were so gruesome that one outplacement worker
told me she had never been to one “because I don’t want to know where I
am sending them.” I spent time at a homeless shelter that had become,
in effect, a mental institution without doctors or aides. Ultimately, <a title="The November 1986 article" href="http://www.texasmonthly.com/preview/1986-11-01/feature4">the article I wrote</a>
was about how the “deinstitutionalization movement” of the 1960s and
early 1970s — a movement prompted by the same liberal impulses that gave
us civil rights and women’s rights — had become a national disgrace.
</p>
<p>
What spurs this recollection are two things. The first is <a href="http://www.nytimes.com/2012/12/27/nyregion/new-yorks-mental-health-system-thrashed-by-services-lost-to-storm.html">Nina Bernstein’s powerful report in The Times</a>
this week about the plight of the mentally ill in New York. Although
the article was pegged to the loss of services after Hurricane Sandy, in
truth, Sandy only exacerbated a situation that was already terrible.
With the mentally ill rarely institutionalized for any length of time —
on the theory that their lives will be better if they are not confined
in a hospital — other institutions have sprung up to take their place.
</p>
<p>
Prisons, for instance. According to <a href="http://www.treatmentadvocacycenter.org/about-us/dr-e-fuller-torrey">E. Fuller Torrey</a>,
a psychiatrist who founded the Treatment Advocacy Center, a staggering
20 percent of the prison population is seriously mentally ill. Around a
third of the homeless are mentally ill. </p>
<p>
And one more statistic: “Ten percent of homicides are committed by
seriously mentally ill people who are not being treated,” says Torrey.
</p>
<p>
In the wake of the massacres in Aurora, Colo., and Newtown, Conn., there
have been essentially two central arguments about the cause. Liberals
have stressed the need for new gun regulations that would make it more
difficult for the likes of James Holmes and Adam Lanza to get ahold of
killing machines like semiautomatics. There is no lack of sensible
ideas: background checks for all gun purchasers, a national registry
that would allow guns to be traced, an assault weapons ban, controls on
ammunition, and so on. Nouriel Roubini, the economist, wrote in a
Twitter message that gun owners should be <a href="http://www.economist.com/blogs/democracyinamerica/2012/12/gun-control-0http:/www.economist.com/blogs/democracyinamerica/2012/12/gun-control-0">required to have liability insurance</a>,
an intriguing idea. Some legislators who once blindly followed the
bidding of the National Rifle Association are now saying they are
reconsidering in the wake of Newtown. </p>
<p>
Many conservatives, however, have placed the blame for the recent rash
of mass shootings not on the proliferation of guns but on the fact that
James Holmes and Adam Lanza were allowed to go about their business
unfettered, despite their obvious mental illness. The editorial writers
at The Wall Street Journal <a href="http://online.wsj.com/article/SB10001424127887324907204578187412604319142.html">recently wrote</a>
that changing the way we treat the mentally ill “strikes us as a more
promising path” for reducing mass killings than a fight over gun
control. </p>
<p>
In truth, both are necessary. If conservatives need to face the need for
gun regulations — controls that will make guns less ubiquitous while
still staying on the right side of the Second Amendment — liberals need
to acknowledge that untreated mental illness is also an important part
of the reason mass killings take place. Yes, it is true, as has been
noted in recent weeks, that <a href="http://www.msnbc.msn.com/id/41002034/ns/slate_com/t/mental-illness-not-explanation-violence/#.UN5BIuQ73N6">most mentally ill people don’t commit crimes</a>.
But it is equally true that anyone who goes into a school with a
semiautomatic and kills 20 children and six adults is, by definition,
mentally ill. </p>
<p>
The state and federal <a href="http://www.nytimes.com/2012/06/24/magazine/when-my-crazy-father-actually-lost-his-mind.html">rules around mental illness are built upon a delusion</a>:
that the sickest among us should always be in control of their own
treatment, and that deinstitutionalization is the more humane route.
That is not always the case. Torrey told me that Connecticut’s laws are
so restrictive in terms of the proof required to get someone committed
that Adam Lanza’s mother would probably not have been able to get him
help even if she had tried. </p>
<p>
“Mentally ill street people shame the society that lets them live as
they do,” I wrote toward the end of that article in Texas Monthly. It
has been 50 years since deinstitutionalization became the way we dealt
with the mentally ill. </p>
<p>
How much more proof do we need that it hasn’t worked? </p>
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<br><br>-- <br>Art Deco (Wayne A. Fox)<br><a href="mailto:art.deco.studios@gmail.com" target="_blank">art.deco.studios@gmail.com</a><br><br><img src="http://users.moscow.com/waf/WP%20Fox%2001.jpg"><br><br></div>