Treatment program might have helped Adam Lanza
Your editorial of Jan. 12 was right on the money.
The disaster at Newtown has rightly drawn action from all
levels of government. Banning assault weapons and large bullet clips, requiring
better background checks, closing gun show registration loopholes all make
sense, but what about the violent end of the continuum, the mentally ill person
who did the deed? What must we do about our mental health system? There is no
one fool-proof solution, but a proven answer: pass legislation to provide
Assisted Outpatient Treatment.
Mentally ill people have a brain
disease. In particular people with schizophrenia have distorted perception of
reality, inappropriate thoughts and behaviors, delusions, hallucinations, they
hear internal voices. Within the family a mentally ill member causes havoc.
Where do we get a diagnosis? Perhaps he has stopped eating, bathing or
dressing. Maybe he is responding to internal “voices”. He just lives in his
room or leaves home to live on the street in his car. The family becomes
worried that he may hurt himself or someone else. Do you call a doctor, the
police, go to the emergency room, look through the yellow pages for a
psychiatrist, contact your pastor? People who have a psychiatric disability
often become “known” to the neighbors, local police, a teacher. Over time they
may have been to the hospital emergency room several times, annoyed the
neighbors, had scrapes with the law.
Newtown assailant Adam Lanza had probably shown many of these
symptoms. According to a press report his mother had been searching for
support, but received none from the Connecticut mental health system. He might
have been recognized as a mentally ill person who was at risk to hurt himself
or others. A mental health program designed to address persons like Adam Lanza
is Assisted Outpatient Treatment (AOT). It is a program especially for disabled
people who resist taking the medications that may control their impulses and
was designed and guided, over the years, by Dr. E. Fuller Torrey, a
psychiatrist who founded the Treatment Advocacy Center (www.treatmentadvocacycenter.org).
It is a court-ordered program that combines a judge with a team of specialists
for establishing a treatment program to help this neglected population. It is a
“commitment” to a treatment program.
Forty-four states, not including Connecticut, permit use of
assisted outpatient treatment. Studies and data from states using AOT prove
that it is effective in reducing the incidents and duration of hospitalization,
homelessness, arrests, incarcerations, and violent episodes. Last year in the
Connecticut General Assembly, the joint committee on the judiciary held a hearing on raised
bill, SB452 concerning AOT. It went nowhere.
This is a proven treatment program. Access the website, above,
for details. Connecticut should adopt it, perhaps protecting us from another
Newtown.
Jack Ritchie
Salisbury
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