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The Insanity Offense: How America's Failure to Treat the Seriously Mentally Ill Endangers Its Citizens

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Manufacturer: W. W. Norton

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A leading expert on mental illness outlines the tragic consequences of deinstitutionalization and sounds the call for reform.

Beginning in the 1960s in the United States, scores of patients with severe psychiatric disorders were discharged from public mental hospitals. At the same time, activists forced changes in commitment laws that made it impossible to treat half of the patients that left the hospital. The combined effect was profoundly destructive. Today, among homeless persons, at least one-third are severely mentally ill; among the incarcerated, at least one-tenth. Of those individuals living in our communities, many are the victims of violent crime. Other untreated individuals commit crimes, including murder and assault. In The Insanity Offense, E. Fuller Torrey takes full stock of this phenomenon, exploring the causes and consequences as he weaves together narratives of individual tragedies in three states with sobering national data on our failure to treat the mentally ill. In the book's final chapters, Torrey outlines what needs to be done to reverse this ongoing—and accelerating—disaster.


PRODUCT DESCRIPTIONS:

Binding: Hardcover
Dewey Decimal Number: 362.19689
EAN: 9780393066586
ISBN: 0393066584
Label: W. W. Norton
Manufacturer: W. W. Norton
Number Of Items: 1
Number Of Pages: 288
Publication Date: 2008-06-16
Publisher: W. W. Norton
Studio: W. W. Norton


SIMILAR ITEMS:

• Out of the Shadows: Confronting America's Mental Illness Crisis
• Surviving Schizophrenia: A Manual for Families, Consumers, and Providers (4th Edition)
• Crazy in America: The Hidden Tragedy of Our Criminalized Mentally Ill
• I am not sick I don't need help
• Crazy


CUSTOMER REVIEWS:

Offensive Insanity -
If a really well known plumber wrote a book on making cakes, would you buy the book? Well, that's basically what Torrey has done -- written a book (actually several of them now) on a topic/group of topics that he does not truly understand. His skill with the pen makes for what appears to be a persuasive argument. But any educated mental health professional who is able to see through mass-denial will recognize the charlatan that stands behind the ideas in this book. Its unfortunate that he is such a good writer, because hundreds of people continue to be misled by his archaic understanding of psychosis.

Torrey,s Best Book -
E. Fuller Torrey has been one of the most astute commentators on the deinstitutionalization charade for decades. This is his best book. He takes the key states (California and Wisconsin) which contributed to the legislative and court changes to the involuntary commitment laws for people with mental disorders and traces them from their original passing (late 1960s and early 1970s) to the present. He uses case vignettes and journal articles to convey the consequences of the new legislation and court decisions respectively. The result is deeply disturbing and powerful. Torrey has been controversial for years but he is right on target. The solutions to this very problematic reality are extremely difficult. But talking about it is the beginning. This book is an excellent place to start.

Anyone who works in behavioral health should read this -
I am a psychiatric social worker and have been in the field for years. I think anyone who works in behavioral health should read this book. It clearly explores the relationship between the "deinstitutionalization" of the 1950s and 1960s and the relationship as those in mental hospitals were set free to fend for themselves in the community. The relationship unfolkds as the author explains how the population decline in state mental hospitals has been off-set by the soaring number of mentally ill men and women who are wandering the streets homeless, or are locked away in jails and prisons with little to no treatment.

By now, 50 or so years on, it's obvious shutting down mental hospitals was not the solution -- rather, improving conditions and quality of life in the hospitals was what was needed. The author cites hundreds of specific cases in which institutionalized men and women are set free -- to become victims, or to victimize. The community mental health clinic concept works for a certain segment of the mentally ill population. But, as I have seen and experienced on an almost daily basis, there are far too many chronically mentally ill people who have no insight into their illness and the need to take medication consistently, and thus suffer in poverty, filth, and psychic ghettos in the inner cities of America.

The once-hospitalized men and women have achieved the "freedom" lawyers and psychiatrists a generation ago sought. Sadly, to quote from "Me and Bobby McGee" -- freedom's just another word for nothing left to lose. Those of you who work with the men and women who live in run-down housing, eat out of trash cans, are a revolving door in emergency rooms and jail cells will know what I talking about. This book paints a grave picture of the state of public behavioral health's state of the union in the early part of the 21st Century. It's not an easy book to read, but perhaps it will inspire a few people to push for some changes, because the system's broken and it needs fixing -- bad!

Informative -
I knew nothing about Schizophrenia or the disaster well intended liberals and fiscal conservatives created when they released the mentally ill onto America's streets,before reading this most informative book.

Long ovedue and too nice... -
This author is not kidding...he really tells it as it is, but with a light touch that may miss the mark. State legislators need to be slammed up side the head to get their attention and I fear he is a little too politically correct. As the father of a middle-aged bi-polar daughter, I was blindsided by the impact of her disease. She is one of the lucky ones who found a qualified psychiatrist and medications that are working to keep her off the streets, but barely. Unless you experience the family impact of mental illness most people just walk on by. The civil rights lawyers and courts who curtailed mandatory treatment are the real criminals in this crisis and the author is too easy on them. Mental illness still is a great social taboo in this culture of control and cure. When neither are possible our government seems paralized to respond. Unfortunately, I fear that it will take a lot more homeless people and mentally ill criminal behavior to get the needed attention and reforms. But, hey, never forget that a few highly dedicated people can change things. Meantime, you suffer and hope. Read this book and get involved.

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