San Jose Mercury News

Saturday, September 12, page 9B




Mental health clients need to be heard

WE as mental health clients and advocates are writing in response to a letter by Marilyn Celebi, ``Society fails in treatment of mentally ill'' (Letters, Aug. 6). We are concerned about the sensationalization of this issue, which reinforces the disturbing trend toward the criminalization of mental health clients.

This letter states some serious misinformation about outpatient commitment. Besides forced treatment for mental illness and no treatment for mental illness, there is the option of skillful, competent, effective partnerships to provide help for those in need.

The letter implied that the most effective alternative to providing no treatment is coercive treatment; and that the central dilemma in mental health is getting troubled persons to take medications prescribed by psychiatrists. In reality, there is no such simple remedy. Mental health problems affect a wide variety of people with a wide range of severity.

While it is true that new medications have helped many troubled individuals lead more satisfactory lives, it is also true that some individuals have recovered fully without the use of psychotropic medications.

And, there are some individuals for whom the use of medications is not effective or is medically counter-indicated. The solutions, for most of us, entail far more than issues of medication.

The letter is quite accurately titled, because society has failed to help troubled individuals effectively. Society has failed to provide us with the dignity of affordable housing and the dignity of acknowledging our worth as sensitive, strong, caring, contributing citizens. We are capable of being productive members of society: Given proper supports and accommodations, we can not only contribute, we can excel.

But, perhaps society's greatest failure is that it has not listened to our voice. Too often, when we have needed help, we have instead been locked up, put in solitary restraints, or suffered more severe "treatment."

The political will this country needs is not the nerve to implement more coercive methods. The political will needed is to listen to us when we say what has worked for us as clients - and what hasn't - and then to work in partnership, to develop effective strategies for dealing with this difficult challenge.

- Tom Jurgensen, Mental Health Clients of Santa Clara County (MHCSCC)

- Allan Rawland, Santa Clara County Mental Health Director

- Terry Fleming, Santa Clara County Mental Health Board