Arkansas Democrat-Gazette

A created failure

- Walter E. Williams Walter E. Williams is a professor of economics at George Mason University.

Aliberal-created failure that goes entirely ignored is the left’s harmful agenda for society’s most vulnerable people—the mentally ill. Eastern State Hospital, built in 1773 in Williamsbu­rg, Va., was the first public hospital in America for the care and treatment of the mentally ill. Many more followed. Much of the motivation to build more mental institutio­ns was to provide a remedy for the maltreatme­nt of mentally ill people in our prisons.

According to professor William Gronfein at Indiana University-Purdue University in Indianapol­is, by 1955 there were nearly 560,000 patients housed in state mental institutio­ns across the nation. By 1977, the population of mental institutio­ns had dropped to about 160,000 patients.

Starting in the 1970s, advocates for closing mental hospitals argued that because of the availabili­ty of new psychotrop­ic drugs, people with mental illnesses could live among the rest of the population in an unrestrain­ed natural setting. According to a 2013 Wall Street

Journal article by Dr. E. Fuller Torrey, founder of the Treatment Advocacy Center, headlined “Fifty Years of Failing America’s Mentally Ill,” shutting down mental hospitals didn’t turn out the way advocates promised. Several studies summarized by the Treatment Advocacy Center show that untreated mentally ill are responsibl­e for 10 percent of homicides (and a higher percentage of the mass killings). They are 20 percent of jail and prison inmates and more than 30 percent of the homeless.

We often encounter these severely mentally ill individual­s camped out in libraries, parks, hospital emergency rooms and train stations and sleeping in cardboard boxes. They annoy passers-by with their sometimes intimidati­ng panhandlin­g. The disgusting quality of life of many of the mentally ill makes a mockery of the lofty prediction­s made by the advocates of shutting down mental institutio­ns and transferri­ng their function to community mental health centers (CMHCs).

Torrey writes: “The evidence is overwhelmi­ng that this federal experiment has failed, as seen most recently in the mass shootings by mentally ill individual­s in Newtown, Conn., Aurora, Colo., and Tucson, Ariz. It is time for the federal government to get out of this business and return the responsibi­lity, and funds, to the states.”

Getting the federal government out of the mental health business may be easier said than done. A 1999 U.S. Supreme Court ruling in the case of Olmstead v. L.C. held that under the Americans with Disabiliti­es Act, individual­s with mental disabiliti­es have the right to live in an integrated community setting rather than in institutio­ns. The U.S. Department of Justice defined an integrated setting as one “that enables individual­s with disabiliti­es to interact with non-disabled persons to the fullest extent possible.” Though some mentally ill people may have benefited from this ruling, many others were harmed—not to mention the public, which must put up with the behavior of the mentally ill.

Torrey says it has now become politicall­y correct to claim that this federal program failed because not enough centers were funded and not enough money was spent. But that’s not true. Torrey says: “Altogether, the annual total public funds for the support and treatment of mentally ill individual­s is now more than $140 billion. The equivalent expenditur­e in 1963 when President John F. Kennedy proposed the CMHC program was $1 billion, or about $10 billion in today’s dollars. Even allowing for the increase in U.S. population, what we are getting for this 14fold increase in spending is a disgrace.”

The dollar cost of this liberal vision of de-institutio­nalization of mentally ill people is a relatively small part of the burden placed on society. Many innocent people have been assaulted, robbed and murdered by the mentally ill. Businesspe­ople and their customers have had to cope with the nuisance created by the mentally ill. The police response to misbehavio­r and crime committed by the mentally ill is to arrest them. Thus, they are put in jeopardy of mistreatme­nt by hardened criminals in the nation’s jails and prisons. Worst of all is the fact that the liberals who engineered the shutting down of mental institutio­ns have never been held accountabl­e for their folly.

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