News and analysis from The Center for Michigan • http://thecenterformichigan.net
©2015 Bridge Michigan. All Rights Reserved. • Join us online at http://bridgemi.com

Original article URL: http://bridgemi.com/2013/04/mental-health-policy-is-wild-card-in-gun-safety/

Public sector/Quality of life

Mental health policy is wild card in gun safety

Mental illustrate 4-11

(courtesy image/used under Creative Commons license)

On his way home to Chicago, University of Michigan student Kevin Heisinger stepped off Indian Trails bus no. 4560 and walked into the restroom of a Kalamazoo bus station. There he was beaten to death by a paranoid schizophrenic man who was not taking his medication.

Heisinger’s death in 2000 led to a new state law – Kevin’s Law – four years later allowing judges to order those diagnosed with serious mental illness and deemed a threat to themselves and others to receive outpatient treatment. In the nine years since then, the law has been sporadically enforced — partly because it is extremely difficult to identify those most likely to become violent.

MORE COVERAGE — Chelsea school shooter: Gun control won’t help

It is “almost impossible to predict” who the next mass murderer will be, said Mark Reinstein, president of the Mental Health Association in Michigan. “We need to do a better job of identifying people who are severely mentally ill and who, in the absence of treatment, one could reasonably predict are likely to become a threat to themselves or others.”

Guns_hot-spots

CLICK TO ENLARGE

The vast majority of people suffering mental illness are not violent, said Reinstein, who has a doctoral degree in psychological studies. Those diagnosed with severe depression, bipolar disorder or schizophrenia are slightly more prone to violence, he said. Add in alcohol and drugs, and the risk increases. If a person was a victim of abuse, the risk further increases. The danger of violence rises more if that person has a history of violence.

Yet, “if you tried to make a prediction on those four criteria, you’d be wrong the vast majority of times,” Reinstein said. “There is no test you can subject people to with a reasonable degree of reliability and say, ‘Ah ha! We’ve got a potential mass murderer here.’”

Policy shifts from state hospitals to local communities

Michigan’s approach to treating the mentally ill has changed drastically in recent decades. In the past, hospitalization, often against the patient’s will, was the preferred course. Until the mid-1980s, Michigan operated 17 psychiatric hospitals with about 3,500 beds. Between 1987 and 2003, the state closed 12 of those hospitals, paring the number of beds to 893.

MORE COVERAGE – Easier carry permits haven’t led to more gun deaths

The assumption behind deinstitutionalization was that most mentally ill patients could be treated more cheaply and effectively as outpatients in their own hometowns through community mental health agencies. While the idea might have been sound, in practice too many mentally ill patients are going without proper treatment, Reinstein said.

“We have nothing that filled in the gap,” he said. “We have far too many people left to their own resources. They’re part of a revolving door. They don’t recognize their own situation, or, if they do, they don’t care.”

The amount of money Michigan spends treating mental illness (an average of $5,200 for each mentally ill adult and $3,850 for each mentally ill youth) is not nearly enough, he said, though he was unable to put a cost figure on policy changes preferred by his group. Michigan ranked 21st among the 50 states in per capita spending on mental health in fiscal year 2010, according to the Henry J. Kaiser Family Foundation’s State Health Facts, appropriating about $119 a year for each person in the state, slightly below the national average.

In February, Gov. Rick Snyder issued an executive order creating a six-member Mental Health and Wellness Commission to study and recommend ways to strengthen the state’s mental health system. The report is due on or before Dec. 20.

MORE COVERAGE — Snyder, senator at odds over guns in schools

Nine years ago, former Gov. Jennifer Granholm created a similar commission that issued 71 recommendations, centered on more education and so-called mental health “parity” in insurance coverage. Most of the ideas were not implemented.

“We welcome any attention given to mental health,” Reinstein said, “but do we need another commission nine years after Granholm’s?”

State panel will study mental treatment reform

This time will be different, said Lt. Gov. Brian Calley, named by Snyder to head the commission. The killing of 20 children and six adults in Sandy Hook Elementary School “really did elevate the discussion of how well we’re doing delivering mental health services,” Calley said. “Now we feel like people across the political spectrum are talking about how can we prevent things like this from happening? It would be a real shame not to take a lesson out of that. We felt like it was an opportunity to move forward with an unusually high awareness and determination.”

Pushing gun control as the solution is “focusing on symptoms, rather than root causes,” he said. “How many failures were there earlier in the process when we had an opportunity to intervene and prevent that?”

The new commission will begin by reviewing the recommendations from Granholm’s commission and then will work toward its own, Calley said. It starts with the premise that the state’s current mental health system is not doing enough to identify and treat those in need of care.

“Basically in our system today a person needs to, A, know they need services, and, B, know how to get them,” Calley said. “We can do better. We have a long way to go.”

Some doubt, however, that improving mental health care alone will do much to prevent the kind of violence that happened in Newtown. More than 20 leaders in gun policy and violence who convened at Johns Hopkins University in January for a Summit on Reducing Gun Violence in America developed several recommendations to reduce the bloodshed. Improving mental health care was not among them.

The summit did recommend that those who are seriously mentally ill and deemed dangerous should be barred from buying guns. It also urged the federal government to fund incentives for the states to provide information about such mentally ill patients to the FBI’s National Instant Check System for gun buyers.

Michigan was more conscientious than most states in submitting mental health records to NICS, according to Mayors Against Illegal Guns. In 2011, Michigan sent in 99,268 records, the third-highest rate of all 50 states.

“The idea of the mentally ill committing gun violence is in the zeitgeist right now,” said April Zeoli, a Michigan State University assistant professor of criminal justice who participated in the summit. “But most people who are mentally ill are not violent.”

Instead, research suggests other characteristics of those most likely to commit gun crimes, she said, including:

* A history of domestic violence.

* Violent crimes as a juvenile.

* Two or more crimes involving drugs or alcohol.

* Drug trafficking.

* Gang membership.

* Convictions for stalking.

“There seems to be more political will now than there has been in the past to make changes,” Zeoli said. “That didn’t happen after Aurora. Newtown was something different. If there’s any time we’re going to make progress on this issue it’s now.”

Pat Shellenbarger is a freelance writer based in West Michigan. He previously was a reporter and editor at the Detroit News, the St. Petersburg Times and the Grand Rapids Press.

3 comments from Bridge readers.Add mine!

  1. Charles Richards

    Ms. Zeoli says, “But most people who are mentally ill are not violent.” That is absolutely true, but it is also true that all of the mass killings committed in the last few years were committed by mentally ill people. Moreover, all were committed by males between the ages of fifteen and twenty-five. And people in that group who received treatment were fifteen times less likely to commit acts of violence than those who were untreated. Surely, it would be worthwhile to pay particular attention to this group, and make it considerably easier to require them, involuntarily if necessary, to get treatment. I know that, in recent years, we have put considerable emphasis on individual rights, but isn’t it possible to tilt too far toward individual rights at the expense of the community at large?

  2. Bill Williams

    Bet things would have turned out much different had Mr. Heisinger been armed for his protection. Of course his carry would be illegal once he enters Illinois. Hmmmmm.

  3. Donna Sickels

    I have had to deal with Michigan’s Dept. of mental health, IT’S A JOKE! In Mason County it is NOT a help. We now have a new administrator, and I am just hoping things change from what they were. If kids and families got the mental health that they needed. just maybe Michigan would be better off then what it is now. I believe in gun control to a point (lets enforce the laws we have now) and I also believe in mental health control. A mentally ill person should NOT be able to get its hands on a gun.

Leave your comment...

Your email address will not be published.

Currently on Bridge

Todd Courser hits Lansing like a cannonball

Will we be better off if Proposal 1 passes? Former treasurer says yes

An Earth Day pitch: When you hang up the phone for good, toss it the right way

Michigan’s roads affect everyone, so a 'yes' vote on Proposal 1 makes sense

‘Diplomacy Begins Here’ conference aims to illuminate international relations

What NOT to post on Facebook: Jokes about prison rape, when you’re in charge of preventing prison rape

A program to give young offenders a second chance is sending many to prison

Similar accounts in suit over alleged teen prison rapes pose challenge to state's defense

‘New fish’ ‒ One teen inmate’s account of alleged sexual assault

Early learning summit in June could impact Michigan’s children

Money Smart Week: Be penny wise, and pound savvier

Plan B or no Plan B, here’s what happens if road proposal fails

The political tale behind the selling of Proposal 1

A Bridge primer: Untangling the pothole promise of Proposal 1

Who supports, and opposes, Proposal 1

Let's rebuild Michigan through its greatest asset: its water

Could a public boarding school model work in Detroit?

Coalition supporting Detroit schools a step in the city’s road back

Chasing fads? Today’s schools are struggling too much for that

For one Michigan legislative staffer, an hour or two in the spotlight

A cull is a kill, and it’s an overreaction to deer ‘problem’

Lack of college guidance keeps poor and rural students from applying

Those who can, do – and get their hands ‘dirty’ in the process

For one Detroit mom, a complicated path to employment

Detroit by the numbers – the truth about poverty

Michigan should require dental screening for all children entering kindergarten

Where in the world is the Center for Michigan?

After two years, hard to call ACA anything but a success

Bridge’s Academic State Champs emphasizes all the wrong measurements

A graying population poses challenges for Up North counties

Up North, isolation impedes health care for seniors

Enbridge oil pipes and the Straits of Mackinac: Too risky to ignore

Not bigger government, but better services when Community Health and Human Services merge

Two Michigans gaze across a widening gap

In northern counties, workers and business find each other lacking

Hidden poverty stalks a Pure Michigan setting

Postcard: How a git-’er-done spirit helps one rural school district

Postcard: When elk is for dinner

Postcard: Luxe life at Bay Harbor reflects changing economy

Postcard: A roof and a bed

Invest in non-partisan journalism.

Donate to The Center for Michigan. Find out why.