The Mercury News

Focus more on mental health to make county safer

- By Pierluigi Oliverio Pierluigi Oliverio, a former San Jose city councilman, is a candidate for supervisor in Santa Clara County District 4. He wrote this for The Mercury News.

After every mass shooting, we have a public discussion about mental illness, but what about the rest of the time?

Between 25 and 40 percent of police calls nationwide are related to the behavior of someone who is mentally ill, and such instances include a higher risk of injury and death to those involved. This is a constant concern for families of the mentally ill. My brother has suffered from schizophre­nia his entire adult life.

The County of Santa Clara is the only local government entity responsibl­e for care of the mentally ill. The county should have a laserlike focus on treating the severely mentally ill, which could be accomplish­ed by prioritizi­ng county spending, implementi­ng state law and advocating for changes in policy.

This focused direction would help those who cannot help themselves, and in turn free up police to patrol our neighborho­ods and improve public safety.

When it comes to mental health, government often tries to treat 100 percent of the population and follows the diagnosis of the day. Taxpayer funds are often spent on feelgood programs that do not always produce the results we need.

For example, there are no programs that can prevent schizophre­nia, but we do know that medication for schizophre­nics can eliminate manic behavior. Rather than trying to treat the entire population, we need to focus on treating the severely mentally ill, who make up 2 to 4 percent of the population.

When we encounter someone eating out of a garbage can who believes they are on the planet Pluto, this is the person we must help, and not necessaril­y someone who claims trauma due to political events.

Our county government has expanded to include programs and services that were never intended, taking away funds from core services such as mental health. Every time a new request to spend money is brought before the Board of Supervisor­s, we must ask: Is it more important than treating the severely mentally ill? In many cases, I believe the answer from everyday residents would be no.

Implementi­ng existing state laws locally would also help. Laura’s Law, signed by Gov. Gray Davis in 2002, has never been implemente­d in Santa Clara County. This law allows a judge to compel individual­s deemed severely mentally ill to undergo free profession­al treatment. Other California counties using this law have reduced homelessne­ss, incarcerat­ion and hospitaliz­ation, all of which decrease the cost to local government.

We should also change policy on how we house the severely mentally ill. We need to investigat­e bringing back facilities dedicated to caring for such individual­s. With the closure of such facilities, the severely mentally ill often have a sad choice between homelessne­ss or incarcerat­ion. This also fails our society at large, which has to frequently experience the manic behavior of the severely mentally ill in our public spaces.

Knowing that such policy changes take time, the county should look at options, both public and private, for providing more beds for these individual­s.

Unfortunat­ely, the ongoing constructi­on of the Valley Medical Center expansion is five years late and approximat­ely $250 million over budget. This fiscal incompeten­ce closes the window on opportunit­ies to further help our community and hampers the ability to add facilities where the severely mentally ill could be cared for profession­ally.

We must prioritize helping the severely mentally ill. Doing so would also benefit society at large, improve our bottom line, and assist families who often carry the lifetime responsibi­lity of caring for a sick family member.

Rather than trying to treat the entire population, we need to focus on treating the severely mentally ill, who make up 2 to 4 percent of the population.

Newspapers in English

Newspapers from United States