WWL>Topics>>5-14-14 12:10pm Garland: on mental healthcare

5-14-14 12:10pm Garland: on mental healthcare

May 14, 2014|

Garland talks about mental health treatment with New Orleans coroner Dr. Jeffrey Rouse.

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Automatically Generated Transcript (may not be 100% accurate)

So we were talked ever about a subject -- -- I think it was a very important when mental illness. One man's opinion and I'd just these parties and people I've talked to. I don't think most people understand exactly what is that most people. Urgency -- -- many people equated it. Weak willed people older. People that have no discipline. And there there was a reporter years and years through New York is -- still year. -- -- -- -- -- He did report to about. Rigged if conditions in the hospital in New York. And at that portal hospitals -- on the move through -- Some outlying areas and then won a major shutdown at one of -- mentally ill. From everything I read primarily the go to prison and then the Rezko homeless shelters in the restaurant street. And the figures are looked at that are two experts one reached too low and says the country's been at least 400 -- four billion dollars a year. All of this problem. Only about a quarter of the groups and medical care. And the wrestler who goes to building prisons and putting him in prison. And while we're talking to our two experts. Our coroner. And only affairs doctor Jeffrey roles you scroll -- inept and talk of him. It was called back and he has done such doctor welcomes show good talks -- -- This seemed like when I read about it in and do and you're senators who have multiple surgeries alternate. That it seems like it's a huge problem. But we don't seem to be doing much about it am I missing something. -- I would completely agree with that it is a huge problem and it's it's part of this sort of evolving understanding its -- about how to treat mental illness. Now I'm a psychiatrist treating forensics psychiatrist -- special that he won in the -- the -- a little bit more this note unintended. Is it mental illness that it brain disease just like diabetes is a disease of the pancreas. Or Bayreuth disease and does he is -- the -- the knack. Of mental illness. The green does. And so like any other medical condition in -- appropriate treatments and appropriate. Infrastructure and society. That the that he can be sometimes. Cure sometimes mitigated the person can go on to we're happy about an -- lots. It's it's a topic that you -- art and has certainly been. Topic that you want to experienced in full and especially -- Hurricane Katrina when we saw the effects of losing. The -- ultimate destruction. We're just that your national poll and still list. When when you talk to legislative when you talk to leaders when you talk to business people. The figures I'd see that states around this country have caught. Five billion dollars on the middle health services. Job for three years from 2002012. And it the same time where eliminated almost 5000 psychiatric hospital beds. That doesn't seem like much horrible plans. Than it is seems counter intuitive. To what we need is that night. I believe it's partially counter intuitive and I'm not gonna argue that we need you were bent on certainly argue that we need you -- But our child and job and that sport or -- -- -- on your service district still one of the things we also ought to do is work smarter. And working in a more modern way. With a person's mental illness and that has been pushing for more services. That allow these diseases to get adequately treated in the community. So person can. Experience. That the freedom of not having to be confined. For their treatment that is there. So no purpose though doesn't -- then. Hundreds of millions and billions of dollars every year. To put him in prison what -- what's the what's in game about where we benefit. I don't think we do benefit I think it's quite. I think it's I think we can all agree regardless of where we are on the political structure or wherever there are certain individuals and society. For whom it is our duty to take care they are afflicted with conditions that are not to due to weakness they're not cute too. And that they've on the burden on themselves they're just accidentally biology. And so it's incumbent upon for the civilized society. To assist the human beings as best we can't. A question is what is the best most rational most cost effective most humane way to do that and so that. The bottom line is just told judge Johnson maybe five minutes ago. There are some people -- -- okay question is what we're gonna pay a little bit of one of money up front. Over and spent five cents on. Or we're getting ignore them in and the spending a dollar and -- -- and doing and I think that's what we're doing now. Can you know what million of the ten minutes or so. -- -- Or England but from there go right back and noble capable of as Q admittedly your college route through -- should not not about your position about -- a bow. Middle hell and he origin of what can be done. There are back we called think de -- and brought them. We figured about little old growth is how well or nearly reported considerable adults with severe -- -- notes. Such as skills of pro audio or bipolar disorder receive no treatment in the previous years. And according to the national survey in drug use and all adults with in the middle and mental illness. 60% of those untreated. Very lords from -- it's going to prison. We have blow Orleans parish coroner witness doctor Roger -- gross. Doctor. I know this is console bruised Hubert I've been passionate about it. We had a neuroscientist. Or and number of moments ago. In Britain book and he does all of -- search and bring chemistry. And -- lived said he was becoming more more candidates for every. But for -- apart criminally. Mentally ill. Abetted that it's a matter of not moral Toro or will power. It's it's a matter of bringing chemicals. And and report itself that it we've we've developed. A series of -- months. Just like we've taken out -- Hannity can usually goes way this wouldn't go away but it would be you'll -- to control. The middle Leo with the minimum. In courts ritual -- Libyan hospital where -- -- Libyan prison. A long way of asking you in march of issue. Is it is. Of the chemicals that you won't warned we're on the chemicals that came about after -- suffered -- It's a key issue web exceeded your depicting the -- introduced all the science and all that that would help. Society of balls -- Lamar treaties previous stigma with regard. On let's also remember that we're born with a certain genes. But also what we do in the works to throughout our lives affects how the -- war. So not just a question of what we're inheriting and not content each changed but it's also questioned the world with what we've come to the world where. And how the world treats and then later on how we treat ourselves. And so if you take a person who has. Maybe some genetic risk factors for schizophrenic. And have -- grow in a deprived environment where there's abuse poverty. And on top of you have a situation. In which person. We get to be in the range they start taking drugs and putting lots of local body. Which is essentially. Is -- set up a a person in many ways. Two and and the more likely that and the prison but sometimes they also and the psychiatric hospitals true. Oh on the I also work in the room church supervising people could -- out of the system that sort consider not just from books but also like clinical experience. That is one person's. Are placed in the right environments that that'll be supermarkets group so this might be in the right. They're taking the right medication. When the mean blood alcohol free and given hope and purpose. And airlines and the community. Miraculous things can happen. -- -- at least work at a group home for. Gentlemen coming out of the criminal justice system in central -- and we had chicken gentleman -- From the very beginning psychotic from jail. And proud to say that they yet of that line in bald gentleman now going to be so it can be done being on every day. And that this is part of the new paradigm. Of the mentally you know a lot and apparent need for psychiatric bed by any stretch that -- But the real question -- that draw the short term are always. You know quick fixes to an acute problem the question is how can we normally -- Living in our communities. Safely and soundly with their illness treated. And becoming productive society so that it's happening in fits and starts are they around city. And on the and do. I'm. At concerts and -- -- so many times over the years. Over shows that we do here and there and often say that they and you know. If if you suddenly you're gonna -- an elementary school we killed children and -- -- going to a military -- and killed soldiers. That's Q2 questions of pursuing it's are you joke and that's not funny. And their views and again it's a or you crazy. But the media and the public -- we have these mass shootings that. That just dumped by comprehension. You never hear coverage of this is another example of somebody that should have been -- hospital nobody ever says. Word they crazy and when they -- to find out that they did have mental problems. It's discounted. I'm not seeing that. About reducing it correctly. That quite frankly the shooting them on page one. And the follow up reporting that discovers some history of mental illness and -- -- ten and so. For example the New York sugar in them lots of information came out. After the fact about how he was being seen in psychiatric. In treatment -- Did you know so. In its in its initial story the media and the violence as you mentioned it's the root causes Dinara. Requires decided that tension between the -- probably in the media but do what they've been neck and that. Well the reason I called him. And it is to remind -- yourself and more importantly the public that. The corners office in much as -- normally but in every parish throughout the state. One of the functions of the corner office he has to be that last resorts. A person to a mentally ill suffering from substance abuse. And who are. Becoming dangerous we're talking about hurting themselves -- in your example talking about going to an elementary school. And she can and should place. In the world. It's a person can get treatment voluntarily. And so -- -- they're buying into the process they're buying into the treatment but sometimes. Situations like -- described. It become necessary to -- voluntarily. Get treatment for people and -- one in the into the corners do so and we remember. In our. As a concern that person is suicide. Homicidal. Or so and figured that they can't provide for their basic deal function of life. And that person can come to the corner. And basically didn't some paperwork that sparked the product. Of having that individual brought in to the hospital. Not for criminal reason. Not in order to put charges. But simply to be delivered to hospital even a little while ago delivered to a hospital. In order to have the -- and the doctors talk to him in to see how they can -- -- that rain in coming back to reality. And protect that person and protect the public that the function of course and we ain't fair to command structure. Which is important for everybody knows that the -- -- -- does more in depth investigations. Really produced like. And do what is important to know because one of the -- Barbara Butler as son of modern Jerusalem was mentally ill. He talked about killing or is mother and Brothers -- if you took all the way called the please ensure law. He's stabbing the car with the naive and she says you're gonna take in the hospital in the tube can do anything he did he created he didn't commit a crime. So the coroner's office would be an alternative voted -- Absolutely absolutely now if policing someone. About to jump off the bridge are holding -- -- to their -- in the middle canal street will then they of course had the authority. We've seen dangerous behavior to protect personal protective custody. And and do the same thing bring them to the hospital but many times -- families. They know about the -- -- they know the content ought to start the process. So I just want to pick. Opportunity. For people lunch hour to remind them that that was one of the most important source of the corner ought to go because. That is a way that we can save lives and not just get lives after the hour increment. Look I know you didn't Hindu student tournament people would meet the institute and almost -- -- more human it's just a call from caller. -- won't take two when call Brad Durham dog. I like Ireland very important programming here congratulations deduct route for its victory at the coroner Tom. By my concern is about the who had been previously. Given protective custody and now our out in the community. And now they're trying to access services that we're all are there bud. They are not being met metropolitan. I'm dealing with one person. We predicted two months ago -- her apartment. And their public. And they're not able to act as the support observers that are so called. Being provided -- one year from the corner and do. Situation. -- Don't control matchup -- -- service districts but I am you know. Close personal friend of the former director and I used to be on the board. It is my understanding. That they're -- number of services. Have been increasing over the number of mass numbered years. But I do know that it's still -- medical system to actually passed and so what I would suggest. It was. Due to squeaky real. And there's not been more squeaky in in medical world and the person -- physical lesions. It is my understanding that person physically -- to trot as part to -- mental health clinic on a lesion fields they have to take. And they have to start providing services and so what I would do. Is -- cut them some of the bureaucratic stuff and physically go to metropolitan. Intake center and studio. And you'll be in the line and they won't get the camera and it doesn't work all -- personal secret -- that you want to serve. Doctor. Albeit too much and booze cruise called -- of benefit to a lot of people I appreciated his time in the call yeah great. Doctor Jeffrey routes or a New Orleans coroner come right back in Garland rough but it would be recalled with the.