About Mental Illness Policy Org.
Mental Illness Policy Org. was founded in 2011 to provide unbiased and easy-to-access information for the media and policy makers about the care and treatment of people with serious and persistent mental illness. The issues facing the seriously mentally ill differ from the problems that affect the much broader population of people who have issues like anxiety and mild depression. The needs of the seriously ill often get lost in the larger dialogue about mental health. Being honest about this population requires addressing difficult issues like violence and involuntary treatment, issues many organizations prefer to avoid.
Mental Illness Policy Org. brings together the best research and insights from writers and researchers around the world who have studied serious mental illness, and synthesizes their scholarship into actionable policies designed to improve care, save money, and keep public and patients safe.
Difference between Mental Illness Policy Org. and other organizations
Mental Illness Policy Org. focuses on serious mental illness, not mental health. We focus on the 4% of adults over 18 who are most seriously ill, mainly suffering from schizophrenia and treatment-resistant forms of bipolar disorder. Other organizations focus on the 50% of people they claim will have a diagnosable mental illness during their lifetime. Rather than ignoring the most seriously ill, we attempt to help them.
People with serious mental illness account for a disproportionate share of suicides, homelessness, violence, and incarceration.
- 2 million mentally ill Americans go untreated.
- One third of America’s mentally ill are homeless (200,000).
- 16% of incarcerated Americans (300,000) have serious mental illness.
- 1,000 homicides a year in the U.S. are committed by the mentally ill.
- 10-17% of the seriously mentally ill kill themselves.
- $15 billion is spent incarcerating the mentally ill in the U.S.
- Preventable acts of violence by a minority are tarring the majority.
Five Policies that Save Money, Improve Care, and Keep Public and Patients Safer
- Spend smarter: Spend government and non-profit dollars on reducing homelessness, arrest, incarceration, suicide and hospitalization in those with serious mental illness, rather than on “improving mental wellness” in all others.
- Use Assisted Outpatient Treatment (court-ordered outpatient treatment) to help those with a history of violence, dangerousness or multiple re-hospitalizations due to noncompliance.
- Reform involuntary commitment laws so they prevent violence, rather than require it.
- Reform Medicaid law to preserve psychiatric hospitals (eliminate the IMD Exclusion).
- Mandate treatment for those found not guilty by reason of insanity and unfit to stand trial.
Are people with mental illness more violent?
The 50% of the population diagnosed with a mental disorder like anxiety or depression is no more violent than the population at large.
Likewise, the 4% of the population suffering from a serious mental illness like schizophrenia or treatment-resistant bipolar disorder is no more violent than the general population.
But members of the 4% group who go off the treatment that previously prevented them from being hospitalized, psychotic or violent, are, as a group, more violent than the rest of the population. The violence rate among members of this group increases when they abuse substances like drugs and alcohol.
What can make people with serious mental illness become violent?
Violence is almost always associated with going off treatment. It leads to delusions and psychosis in those with serious mental illness. Psychotic delusions can prompt violent acts. A mentally ill person who thinks the devil is trying to kill him will try to harm the devil before the devil harms him. There are many reasons people with serious mental illness quit treatment.
- Anosognosia: Up to 50% of people with schizophrenia and many with bipolar disorder suffer from anosognosia, defined as unawareness they are ill. In other words, they are so sick they don’t know they are sick.
- Cost: Given the escalating cost of health care and prescription drugs, combined with lack of insurance, many people with serious mental illness can’t afford their medications.
- Side effects: Anti-psychotic medications produce a range of side effects, from nausea to weight gain, and people with serious mental illness often quit taking their drugs in an effort to ameliorate the side-effects.
- Civil liberties advocacy: Though well-intentioned, civil liberties groups advocate for policies that encourage the mentally ill to go off treatment and prevent them from being treated.
- Lack of funding: Supportive housing and community-based treatment for people with serious mental illness are highly effective, but costly. Government programs pour money into mental health programs that do nothing for people with serious mental illness while underfunding proven practices that help the most seriously ill.
Almost everyone has issues with involuntary commitment and involuntary treatment. Rather than saying “it’s a difficult issue” and dropping it, we study science and law and support policies that balance patients’ right to freedom, their right to receive treatment, the public’s right to safety, and sound fiscal policy.
Maintaining Mental Illness Policy Org. and advocating for people with mental illness is a labor of love. But it is expensive. We accept no government funds nor funds from pharmaceutical companies or healthcare providers, in order that we may speak truth to power. Our funding comes primarily from small donations from families of the seriously mentally ill. Donations are appreciated.
DJ Jaffe has a sister-in-law with schizophrenia and has been advocating for the seriously mentally ill since the mid 1980s. He has held positions with the following organizations:
- Treatment Advocacy Center (Founding board member with Dr. E. Fuller Torrey and others)
- National Alliance for the Mentally Ill
- New York State chapter, National Alliance for the Mentally Ill
- Metro-New York City Alliance for the Mentally Ill
- Leadership council: National Alliance for Research on Schizophrenia and Depression.
His articles and recommendations have been published in numerous magazines and newspapers including The New York Times, The Wall Street Journal, The Washington Post, National Review, Forbes. He has appeared on national news broadcasts explaining issues surrounding mental illness and violence. Federal, state and local policy makers have solicited and relied on his scholarship. He is widely credited as the primary mover behind Kendra’s Law, New York state legislation that allows judges to mandate treatment for people with serious mental illness and a history of violence. He is the author of Insane Consequences: How The Mental Health Industry Fails The Mentally Ill (Prometheus Books, 2017).
DJ played a major role in passing certain provisions of the Helping Families in Mental Health Crisis Act that were eventually incorporated in the 21st Century CURES Act.