So I read this piece a while ago, and I didn’t know how to respond to it
(still don’t, really), but I thought the author didn’t consider everything. Two
things, the piece was written by Mike
Riggs, and it is good; secondly, I have/had several severely mentally ill family
members. Now, I don’t want to classify mental illness because anyone who has
been or knows someone with diagnosed depression or anxiety know that any mental
illness is a challenge that can prevent people from basic functioning.
That said, the mental illness I’m talking about is schizophrenia,
specifically paranoid schizophrenia. This involves delusions and a breakdown of
cognitive skills. It is also a genetic mental illness, so people who have family
with it are more likely to develop it. It can be managed by a combination of
drugs, but one frequent issue with mental illness is when people are no longer
having episodes they believe they can go off medication, which will trigger a
relapse. The medications are usually used to suppress dopamine and serotonin
receptor activity, which when the medication combination isn’t correct can
trigger symptoms like those found in persons diagnosed with Parkinson’s
disease. Schizophrenics are more likely to be victims of violent and
non-violent crime. More likely to have co-occurring conditions such as
depression, bipolar disorder, and substance abuse problems; they are also more
likely to commit suicide.
Riggs presents a sad story of Keith Vidal, 18, who was killed in North
Carolina after threatening his mother with a screwdriver during a schizophrenic
episode. His mother called the police; two officers restrained Vidal, and a
third arrived and shot and killed Vidal. Riggs then shares two very disturbing
quotes released in the press: “I don’t have time for this. Tase him. Let’s get
him out of here,” said by the third and senior officer. When asked by the
parents why Vidal was killed, the same officer said, “Well, I’m protecting my
officers.” The Vidal family is devastated at the loss. The police have been
called in the past to assist with Vidal, and they have always revolved the
issue calmly.
Riggs then presents several examples where the police response to the
mentally and disabled were inconsistent and damaging. All of these stories
involve the situations escalating and resulting in damage and even death of a
mentally ill or disabled individual. Riggs acknowledges that some of the calls
to the police over the mentally ill do not result in disaster, but there is no
data on this and you have no guarantee. He concludes with quotes from a social
worker and a former police officer/professor on why the police aren’t really
the best option in these situations.
I don’t disagree with anything Riggs says, but something about piece didn’t
sit well with me, and then it occurred to me: poverty and mental illness. I
know, I know, I’m always talking about poverty. But something about Riggs’
piece frustrated me. However, the homeless are disproportionally mentally ill.
Without money and a support system, you can’t imagine the horror show that
befalls the mentally ill. I also, know that part of my reaction to Riggs’ piece
is my own guilt because I am uncomfortable with the situation, but I have no
solution, and things cannot continue the way they have been.
Without getting into too many specifics, an extended family member spent
the last month institutionalized. She was picked up by the police standing
outside without a coat in frigid Cleveland temperatures clutching a piece of
paper with a phone number on it. That is how the police contacted the family. She
should not be released because she is a paranoid schizophrenic that hasn’t been
80% recovered since 1997, but she is on Medicaid, so one month then she is out
and the family is responsible for finding her a place. She can’t live alone;
she has but doesn’t take her meds. She can’t live with her family because she
manipulates, lies, make horrifying accusations, and refuses medication. The
patriarch of our family has been more or less handling it for years, 42 years
to be exact, but the last fifteen without their parents. He can’t, physically,
we were all afraid he was going to have a heart attack after an episode in
church. There is no money for a private hospital or caregiver; she is too
manipulative for a group home. She has to be monitored constantly, but she isn’t
a danger to anyone except herself with the not taking her meds and starving
herself.
When it comes down to it my frustration with Riggs’ piece is the
simplistic nature of it, and I know it was a post online, how long could it
possibly be? A family member’s mental illness can take over your life. Without
resources there is no way to manage it, and unfortunately for the poor the
police is one of the few resources we have left (not so much in Slavic Village,
but I’ve ranted about our waning police force in the past). I have no solution,
and neither does Riggs. So what do we do with the mentally ill who are
threatening you in the street with a weapon if not call the police? I don’t
think Riggs would disagree with me when I say law enforcement needs comprehensive
training ranging from cultural sensitivity to prevent racial profiling to
interventions with traumatized individuals.
In a way, what Riggs writes gave me an image of Russian roulette in my
mind, but honestly, I feel like that is just the way things go for the
low-income all the time. You sure you want to call the police over that
domestic disturbance? Is this a state that has mandatory arrests? Will your
partner you rely on for income be incarcerated? What does that mean for your
kids? Sure you’re sick, but are you so sick you can’t go to work? Or can you
pull through for the money? Sure, the police may show up and shoot your loved
one, but otherwise your loved one might kill you, and you’re the only one
responsible for him/her. These seem like extreme cases, but they’re not. And
they are questions people should never have to ask themselves, but they do. So
yeah, I’m glad my relative’s neighbor called the police after a few hours
because I have no idea what would have happened if they didn’t. And I’m sorry
that kid was murdered.