The tragic shootings in Tucson, Arizona earlier this month bring into sharp focus a key public policy issue. How do we care for individuals with serious mental health challenges? So far, the answer to this question is not very well at all!
Dr. E. Fuller Torrey, a national advocate for improved care for the mentally ill, recently wrote a concise and well argued piece in the Wall Street Journal documenting the problem. Here's an excerpt—
A 2007 study by the U.S. Justice Department found that 56% of state prisoners, 45% of federal prisoners, and 64% of local jail inmates suffer from mental illnesses.
So, we have a choice. Pay for effective treatment before problems—like the Arizona shootings—occur or pay a lot more after predictable tragedies occur later. I favor for former.
This issue will arise soon in another context here in Washington State. Because of state revenue declines, the Legislature is closing prisons and releasing prisoners back to the streets. It's essential that the Legislature allocate some of the saved expenses for community supervision and monitoring of the released prisoners. We erred when closing state mental health hospitals and failing to provide effective community-based treatment services and we will err again if we release prisoners without proper community-based supervision and monitoring, such as the Neighborhood Corrections Initiative that has been so successful.