Congress Is Waking Up on Mental Health By The Editors
Fervent gun-controllers and cynical political observers sometimes deride efforts to reform America’s mental-health system as a distracting, even unhelpful, answer to the problem of mass shootings. This is unfair, as no small number of young men who commit unspeakable acts of violence do indeed have diagnosable serious mental illnesses. But it is also ignorant, because fixing our mental-health system is also a response to everyday mass suffering — to the burden that serious mental illness presents for the 7 million or so Americans, many of them on the streets or in prison, who have serious illnesses, and the families and communities that want to help them.
Thankfully, Congress seems to be coming around. There is not just one bill currently floating around that would improve the mental-health system, but several, all of which would move public dollars toward treating serious mental illness (schizophrenia, bipolar disorder, etc.) and away from trying to diagnose and treat mental-health problems across the whole population.
The best bill is the one that Republican representative Tim Murphy, a psychologist from Pennsylvania, has been pushing for a couple of years now. Murphy’s bill, which has substantial bipartisan support, attacks some of the most perverse aspects of our laws regarding mental illness. It will finally change the Health Insurance Portability and Accountability Act so that family members of people with serious mental illness can know what medications they have been prescribed, when they are scheduled to see their doctors, and other crucial information. Murphy’s bill will also use federal mental-health grants to encourage the use of assisted outpatient treatment, which, unlike most of the work the federal mental-health bureaucracy supports, has been proven to be effective. The bill will require the Centers for Medicare and Medicaid Services to reconsider whether Medicaid should be paying for long-term hospitalization for the mentally ill. More broadly, the bill would reform the federal mental-health bureaucracy, pushing it toward supporting the seriously mentally ill and reducing support for “patient advocates” efforts that actually hamper effective treatment.