Earlier this month, mentally ill Kyle Odom shot pastor Tim Remington in Idaho because he “knew” the pastor was a Martian. In his untreated delusional state, Kyle then flew to the White House and started throwing his possessions over the fence to get the president’s attention so he could inform him about all the other Martians in government, including Senators Mitch McConnell, Elizabeth Warren, Dick Durbin, Roger Wicker, and Patty Murray.
Congress should learn from episodes like that. Yet at the same time Kyle went on his mission, Senators Lamar Alexander (R., Tenn.) and Patty Murray (D., Wash.) went on theirs. They revealed a discussion draft of their Mental Health Reform [sic] Act of 2016, which is perhaps the worst mental-health bill ever conceived. It is a rudderless hodgepodge of studies, reports, commissions, and added bureaucracy that would do nothing to help people like Kyle.
John Snook, of the Treatment Advocacy Center, an organization focused on improving care for the seriously mentally ill, told Modern Healthcare, “If this were to pass as is, it would be of no benefit to [people with] severe mental illness.” Mental-illness-policy advocate, blogger, and former Washington Post reporter Pete Earley wrote, “The Senate has now set a low standard.”
Alexander and Murray should know better. There are plenty of bills floating around that include useful provisions they chose to ignore. Senator John Cornyn (R., Texas) introduced the Mental Health and Safe Community Act of 2015 (S2002) specifically to reduce violence by the most seriously mentally ill. It encourages states to use assisted outpatient treatment (AOT). Assisted outpatient treatment is only for a tiny group of the most seriously ill who have already accumulated multiple episodes of violence, arrest, homelessness, incarceration, or hospitalization because they refused to stay in treatment. It allows judges to order them into six months of mandated and monitored treatment while they continue to live in the community. It is less expensive to taxpayers and less restrictive and more humane to patients than the alternatives, incarceration and inpatient commitment. It is the only program with independent research showing it reduces homelessness, arrest, incarceration and violence in the 70 percent range.
Senators Alexander and Murray also ignored provisions in the Mental Health Reform Act of 2015 (S. 1945), proposed by Senators Chris Murphy (D., Conn.) and Bill Cassidy (R., Louisiana). That bill would slightly ameliorate the federal proscription on using Medicaid mental-health funds for those who are so seriously mentally ill they need hospitalization. New York City Police commissioner William Bratton recently described the lack of hospital beds as the top difficulty for officers who are called to assist the seriously mentally ill.
More importantly, Alexander and Murray ignored all the extraordinary work of Representative Tim Murphy (R., Pa.) and Eddie Bernice Johnson (D., Texas) in the House. They introduced the bipartisan Helping Families in Mental Health Crisis Act (H.R. 2646), which would eliminate wasteful, counterproductive federally funded mental “wellness” programs and reallocate the savings to programs that are proven to help the most seriously mentally ill. H.R. 2646 would start by defanging the Substance Abuse and Mental Health Services Administration (SAMHSA), perhaps the most useless bureaucracy in Washington. Its own employees rated it one of the worst federal agencies. SAMHSA funds anti-psychiatrists who lobby Congress, encourages states to use federal mental-illness funds on people who don’t have mental illness, certifies as “evidence-based” programs that don’t help the mentally ill, and wastes money. There is no support for it other than from those who receive funds from it. Alexander and Murray would add more bureaucracy rather than taking a scalpel to it.