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Suicide By Cop Wannabe February 22, 2012

Posted by Crazy Mermaid in mental illness, Psych Ward.
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  • At 9 am, a handsome, barefoot 60 year old man wearing a hospital gown obviously open in the back was wheeled into our group meeting at the mental hospital. His medium frame was covered in scratch marks and black and blue bruises. His dark blue bloodshot eyes were ringed with purple and black. He looked like he had survived a terrible car wreck. He said his name was Chuck.Chuck explained that he had been bipolar for years, but like many manic-depressives, he never experienced the manic state. He only experienced the depressed state. And alcohol made things much, much worse.
  • As he sat at a bar in downtown Seattle downing drink after drink, he became increasingly more depressed the more he drank. He became so depressed that suicide started to look like his best option. But he was too chicken to do it himself.  He wanted someone to do it for him.  Then it came to him:  he could get a cop to kill him! And so he decided to go the “suicide by cop” route.  His intent was to escalate his bad behavior to such an outrageous, over-the-top point that a cop would be forced to kill him.
  • He proceeded to put his plan into action,  stirring up quite a scene until at last the cops were called. He fought hard with the cops, trying to force them to kill him.  But instead of killing him, the cops were forced to beat him until they managed to subdue him. Then they hauled his ass to the mental hospital.  That outcome wasn’t in his plans at all. He expected to be dead.
  • Chuck was very angry about being at the mental hospital.  Know why?  Because according to his plan, he was supposed to either be dead or ship out on a fishing boat back to Alaska in three days. He clearly wasn’t dead, and it didn’t look like he would be able to make that trip to Alaska. When the boat left, he would remain behind, locked up at the psych ward as an involuntarily committed mental patient. Boy was he pissed!
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Competency Restoration February 11, 2012

Posted by Crazy Mermaid in mental illness.
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Competency restoration is the practice of medicating a person who has committed a crime to the point where they can stand trial for their crime.  This doesn’t mean that they automatically are incompetent because they’re mentally ill. It means that they understand the charges against them and can assist their defense attorney in their defense.  If they are competent to stand trial, the insanity defense is still open to them if they believe that their mental illness was the cause of their crime.

 

The way it works in Washington State is this:  Say a man beats his grandmother on the head until she’s dead because he believes she’s part of a conspiracy to murder him.

After he’s caught, he’s interviewed by his public defender.  If the public defender believes he suffers from a mental illness that makes him incompetent to stand trial, the public defender orders an evaluation. The State has up to fifteen days to perform that evaluation.  The reality, though, is that the man sits in jail for six to eight weeks, waiting for a bed to free up at Western State Hospital so an evaluation can be performed.  Unfortunately, what used to be two weeks is now eight weeks because of two factors. The first factor is that the number of beds at Western (and other locations) has been reduced significantly within the past two years due to lack of funding. The second problem is that the Veteran’s Administration is stealing doctors who would have worked at Western because the Federal Government is now competing with the State for the same doctors because of the new national focus on PTSD in war veterans.

As part of the evaluation, the doctor uses a data base to track the subject’s history of mental illness as well as review the subject’s criminal history and medical records. The doctor interviews the subject for one to two hours.  After all of this is done, the doctor writes a report that makes a determination of whether the man is competent to stand trial.

If the man is competent to stand trial, he proceeds to the next process through the court system.  If he is found to be incompetent to stand trial and mentally ill, he proceeds to Western State Hospital for up to 90 days in the hope that he will have his competency restored.  If, after 90 days, he is still found to be incompetent, he can be held for an additional 180 days.  If he still isn’t competent to stand trial, he can be held for up to 180 more days if it is a felony case or the charges can be dismissed against him, with the understanding that he will spend a lot of time at Western State Hospital in their forensic  (criminal) section.

It seems logical that if someone is being evaluated for competency restoration, they are by definition mentally incompetent, but this is not the case. After competency restoration, they can still plead insanity as a defense, but they have to be able to assist in their own defense. Most of the people who are evaluated decline to pursue the insanity defense, because of the stigma of that defense.

As an extreme example of the competence versus insanity, there was a man who was tried for the murder of his grandmother by way of beating her to death with a rock because he believed she was part of a conspiracy by the Federal Government against him.   But the delusion that she was part of the conspiracy was not enough to deem him incompetent.  He declined a public defender, instead deciding to represent himself.  On the stand, he readily admitted to his crime, but declined the insanity defense. He was sentenced to prison.

At the end of the day, the entire competency restoration issue is driven by money- sort of.  There is no mandate that people with serious mental illness be given proper treatment prior to their committing crimes.  The State waits until the mentally ill have been accused of committing a crime before much effort is expended in giving them a mental health evaluation.

Jail and Prison are expensive- more expensive than treatment for mental illness. And then there are the costs that are difficult to put a price on, like loss of life. We simply can’t afford for our mentally ill population to be stored in our prisons and jails, which is what happens now.  Treatment prior to criminal acts being committed is far less expensive than housing them in jail or prison.  And yet the dollars for mental health care are shrinking more with each passing year.  Hospital beds are being eliminated, to the point where Washington State has the fewest mental hospital beds in 50 States.

If you care about this issue, please contact your legislative representatives and tell them to properly fund mental health. It could save someone’s life.

 

A Journey Into Madness… February 1, 2012

Posted by Crazy Mermaid in Insanity, mental illness.
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A journey into madness begins with the first step. It isn’t a case where you wake up one morning and say to yourself  “Oh no! I’ve lost my mind!”  Rather, it’s more like someone who gains say 25 pounds over the course of one year.  It’s a very gradual thing.  One pound. Then a leveling off for a few weeks. Then another pound.  Then a pound two weeks after that. And so on.

The same with mental illness. One small step towards madness the first day. Maybe you think you can communicate with one person via ESP.  And then a leveling off for a little while, as that small step (communicating with one person via ESP) becomes the new “normal”.  Then a few days later, another person is added to the ESP repertoire. Day after day, another person or two is added to the number of people you communicate with via ESP. Then you start seeing green people. Then zombies. Day after day these small steps play out little by little.  Step upon step, all becoming the next “normal”.  It’s not like a heart attack where you wake up and your world changed overnight.  It’s more like Alzheimer’s or Parkinson’s or some other relatively slow-moving disease where your world changes slowly but surely.

But I won’t kid you here.  The progression of my illness wasn’t in years. It was in months.   I went from being a relatively sane 49 year old professional woman (with no history of mental illness or drug or alcohol use) the first week in February 2008 to involuntary committment to a mental hospital with a full-blown case of Bipolar I with psychotic tendencies at the very end of May 2008. Almost four months from start to finish.

That would seem relatively quickly to some, but again think of weight gain.  You don’t feel every single pound of weight gain on a day to day basis. You don’t feel every single daily aspect of the loss of memory that’s the hallmark of Alzheimer’s. One little change at a time, piled upon the other little changes. And so it goes for insanity.