C
ComputerGeek25
Guest
Yeah. I hear that. It is a catch-22. I have a friend that is bi-polar and has been in and out of hospitals for years. I think it would do him good if he got some sort of work, even if part time or temporary/seasonal, because he wouldn’t feel as depressed. But that would affect his government benefits too much (i.e. he wouldn’t be eligible). He needs the benefits for obvious reasons (he can’t hold down a long term stressful job and the medical coverage) but he doesn’t feel valued (which depressess him - is a trigger for his episodes).In my opinion, Republicans and Democrats alike are united in ignoring what it takes to help people with severe mental illness. Just look at anything psychiatrist E. Fuller Torrey says on the subject. In the 80s hospital beds were closed in huge numbers in a process called deinstitutionalization. Community support was supposed to make the difference; it didn’t. The states never came up with the money.
There are basically two groups of people with severe mental illness; those with enough money to live in stable situations and pursue private treatment, which is far superior to public treatment, and those who don’t have that. The picture is much better if you have money. Compliance is better if you have money b/c your doctors will be better listeners, not as swamped, more respectful and etc. Your access to medication is better if you have money. Your life expectancy is better if you have money given that the atypical antipsychotics are associated with higher diabetes risk and it takes money and access to better foods and medical treatment to deal with that, or with diabetes if you have it.
It can be a catch-22 b/c people with severe mental illness often do better if they can work (paid or volunteer if paid is not possible) at least part-time but if they don’t have effective treatment they remain so ill this is not possible. On the one hand you don’t want to tell people their lives are over b/c they are ill and they can’t go to school or work or do anything to improve. On the other hand a lot of people end up in jail/prison for nonviolent crimes like disturbing the peace b/c they have no where else to go, shelters won’t take them for very long and the psychiatric hospitals for people who can’'t pay much are by and large closed except on very short-term emergency stabilization basis.
The alternative is privately funded treatment and based on personal experience it really upsets me how much worse the prognosis is when you don’t have access to that.