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Deinstitutionalization Did Not Cause Homelessness: Loss of Low-income Housing and Disability Benefits Did
I recently read yet another article that blames homelessness on deinstitutionalization. Yes, a disproportionate number of homeless people have long-term mental disorders, and yes some—perhaps a third—of these people would have been in state hospitals 65 or 70 years ago when that was pretty much...
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Addressing the Psychological Fallout of The Coronavirus Pandemic
The coronavirus pandemic in the United States has led to great efforts to prevent the spread of the virus and to prevent fatalities. But the problems that people will face due to the pandemic will go beyond medical issues. In addition, it will be important to address a variety of psychosocial...
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“Behavioral” Health: What a Difference a Word Makes!
Mental Health News is now Behavioral Health News. It will now be reaching out to the fields of alcohol and substance abuse services and planning to expand its subject matter to include information about these fields in addition to the field of mental health. This is an exciting development that, I...
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Murders and Mental Health Advocacy: Opportunity or Temptation to Resist?
From time-to-time, a person with a severe mental illness (or assumed to have a mental illness) commits a heinous act that makes headlines. The reactive call for better mental health services is entirely predictable, not only on the part of those who are trying to distract us from issues such as gun...
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Let’s Not Forget Older Veterans
Wilbur Cohen’s account of his post-war suffering in Arthur Kleinman’s wonderful book, What Really Matters1 begins with the following: “The war. It’s what happened to me in the war. I could never get over it. But I learned to live with it. Then all of a sudden on my sixtieth birthday it...
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Meeting the Medical Needs of People with Serious Mental Illness: Will New Initiatives Work?
On average, people with serious mental illness die at a much younger age than people without serious mental illness. Estimates range from about 10 to 25 years younger. They are also much more likely to have serious physical disorders including obesity, high blood pressure, diabetes, heart disease,...
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Point of View – Elder Suicide: A Public Health Challenge of the Elder Boom
By the age of 88, Mr. W.* had lost most of his closest friends to death or dementia. His children had moved to other parts of the country. He saw them and his grandchildren rarely. He had retired from his long career as a teacher without finding new interests. But he and his wife were happy. They...
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Stable Housing: Key to Closing the Mortality Gap
Stable housing is critical to closing the disparity in life expectancy between people with serious mental illness and the general population. Providing it should be a major part of the effort to confront the mortality gap. People with serious mental illness die considerably younger than the...
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Mental Health in Health Care Reform: High Hopes but Big Battles Ahead
Federal health care reform promises health coverage for most of the 50 million American citizens and documented immigrants who are currently uncovered. This will include coverage of mental health and substance abuse treatment. It also promises improved quality of physical and behavioral health...
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Point of View – Generational Competence: A Conceptual Framework for Aging in America
Two major demographic trends will unfold in America during the first half of the 21st century. Minorities will grow from 29% to 47% of the American population, and older adults (65+) will increase from 13% to 20%, becoming roughly as large as the population of children and adolescents under 18 for...
