Dr. Ezekiel J. Emanuel and two of his colleagues from the Department of Medical Ethics and Health at the University of Pennsylvania, have caused a dust up by suggesting that one way to improve long-term psychiatric care is by bringing back mental asylums.

They raised this premise in an article published in the Journal of the American Medical Association in January.

As you might suspect, a call for resurrecting mental asylums outraged many advocates who have been pushing for decades to close all state hospitals in favor of community based treatment services.

Here is a sampling of what Emanuel, along with Dominic A. Sisti, PhD., and Andrea G. Segal, MS, wrote:

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FROM MY FILES FRIDAY (4-24-15) Eight years have passed since Seung-Hui Cho killed 32 persons on the Virginia Tech campus before turning a gun on himself.  In an appearance on Anderson Cooper’s 360 show a few days later, I criticized the state’s “imminent danger” involuntary commitment standard and complained about Virginia’s inadequately funded community mental health system. The state has lowered its commitment standard but has stubbornly refused to pour more money into much needed community services. 

The most meaningful way for us to remember and honor those who died that awful day is by adequately funding community mental health care services, something that a report issued by NAMI found is not being done.

 

From Anderson Cooper 360, CNN – April 20, 2007

I was deeply saddened to learn that Natalie Fuller, the 28 year-old daughter of Doris Fuller, ended her own life recently. In today’s Washington Post, Doris writes poignantly about Natalie’s  six year struggle with her mental illness.

I was aware from Doris that Natalie, who I met briefly when she was in a local hospital, was having trouble. I was deeply touched by Doris’s tireless devotion to her daughter and Natalie’s spirit. I am so sorry that her life ended this way.

Thank you Doris for your courage and for sharing Natalie’s life story with us.

The “Demons” Got My Beautiful, Loving Daughter

By Doris A. Fuller

Published in The Washington Post  on April 21

I lost my darling daughter Natalie to mental illness last month. She killed herself a few weeks short of her 29th birthday by stepping in front of a train in Baltimore.

Natalie and I wrote a book together when she was 16: “Promise You Won’t Freak Out: A Teenager Tells Her Mother the Truth About Boys, Booze, Body Piercing, and Other Touchy Topics (and Mom Responds).” The idea of a teenager telling the truth about her secrets was such a startling concept that we were feature-page headliners in the Baltimore Sun and about two dozen other newspapers, went on TV coast to coast, including on one of the morning shows, and got paid to give speeches. “Oprah” called.

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We turn to medical professionals for help. Sadly, as this email shows, some practitioners are not as benevolent as we might hope.

Dear Pete,

My adult daughter, who is in her twenties, has been diagnosed with bipolar disorder. Late last year, she told me she was going to harm herself. I took her seriously because she had made a suicide attempt five months earlier. Fortunately, our police department has Crisis Intervention Team trained police officers and one came to our house and skillfully talked our daughter into going to a local hospital to be evaluated.

She was transported by ambulance at about 5:30 pm. Our daughter was still waiting in the ER by 11 p.m. and became distraught. I told the staff that she needed to take her medication, SAPHRIS, because it was wearing off. But they told me the hospital pharmacy did not have SAPHRIS available. I had some in my car, but when I said that I would go get it, I was told that wasn’t allowed.

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WUSA Report About Natasha McKenna

In this news story, I push for Crisis Intervention Team training and Ron Honberg, the director of policy and legal affairs for the National Alliance on Mental Illness, asks the all important question: why was a woman with mental illness in jail rather than getting treatment. Thanks to WUSA Reporter Peggy Fox for being the only Washington D.C. television reporter who continues to focus a spotlight on this tragic story.

VOICES, a documentary film by Gary Tsai, MD.,

—tells three stories from the perspective of families and persons with mental illnesses. It’s gripping and well worth seeing when it begins being aired on PBS in May. I am enthusiastically recommending it. Like so many of us, psychiatrist Tsai has a personal reason for caring about our broken mental health system, which he explains on the film’s website.

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April 13, 2015, Shortly after 12 o’clock on Monday, Tom Jackman, an investigative reporter at the Washington Post, confirmed what I had posted in my blog earlier that morning about a January 31st incident during which Natasha McKenna was slapped by a Fairfax deputy. His reporting is based on internal incident reports that he obtained that were written by sheriff’s deputies and other jail personnel and leaked to him.

Several key facts that he revealed were first mentioned in earlier blog posts that I had written about McKenna. However, my posts were dismissed by jail officials, including one who told reporters that I was exaggerating. Another dismissed my earlier posts as “hearsay” that was “completely unsubstantiated.” 

“Pete Earley could just be making that stuff up,” he told a reporter. 

Thank you Tom for your continued vigilance and digging. You have proven that my earlier accounts were not “made up” and you have exposed new and detailed information about this preventible tragedy.

Jackman also is the Post reporter who revealed how county officials were keeping secret information about the Fairfax police shooting of  John Greer .

 

The death of Natasha McKenna in the Fairfax jail: The rest of the story
By Tom Jackman posted April 13 at 12:44 PM

In compiling the article for Sunday’s paper about the death of Natasha McKenna after she was Tasered four times, a number of items were omitted for various reasons related to space and deadlines. To provide additional context on this complicated case, here are some further important items to consider, beginning with this fact: The entire incident was captured on video.

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