- Joined
- Jan 30, 2008
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- 5,083
You mean mental health people can't or won't stand in for the precogs in our Minority Report fantasy?
Darn the luck.
Sadly, none of us are psychic. I'd have won the lottery by now (and bought myself some *serious* bling) if I was....
We, the public, are accepting of speech from national, state and local leaders as well as the general public that 10 years ago would have been considered hate speech, 20 years ago would have been considered physical threats; just what did Cruz do that either institution could respond to and what, within the constraints of law, could they have done? Hand wringers rise up after these events decrying that "someone" should have done "something" and, in our zeal to to find a scapegoat, point to "them".
What specific crime could Cruz have been arrested for preceding the incident? That's the only option law enforcement has.
I don't think all of these shooters are mentally ill in the clinical sense. They don't know how to control anger. Which is my concern for young people who are never taught to handle difficult situations. Prisons are loaded with people who cannot control their emotions without being violent.
Edit - I think it makes people feel better if they believe that no one could possibly commit these horrendous crimes without being crazy.
Exactly. This is basically were I was driving. In our today’s atmosphere hateful utterances against other groups do not raise red flags any longer. It became the new norm.
In my native country, there was a law according to which propaganda of nazism was considered illegal. Here, it seems, First Amendment protects any hate speaker.
BTW, @ksinger, after the shooting, the woman taking care of Cruz’s younger brother, involuntary committed him. (Granted, she might have had own interests). But it is possible?
The way I look at it, with every system admitting own impotence to deal with Cruz, he is perfectly within the right to buy a gun.
I’m not sure where everyone is getting their information regarding the Baker act or 5150 hold. Most of it is wrong.
Regarding Cruz, we know he had a diagnosed mental illness because he was receiving services from the school. He refused those services when he turned 18. We also know that he had a history of violence toward his mother and others. We also know that he publicly, on social media, threatened a desire to grave harm toward others. The only other criteria to fill would be to show that he would be unable to keep himself safe on his own, but that would require a health and wellness check by the cops or a Crisis Intervention Team. THIS DID NOT HAPPEN. That is where the ball was dropped.
Once the hold was enacted, they have the option to hold him for 180 days if he is that unstable. There is no place where psychics are involved. Just mental health professionals.
I know many people who have been 5150’d. It was for much less than what Cruz did.
I actually know a man who lives in Florida who has a mental illness, who’s been violent toward his mother, who has expressed homicidal thoughts and he receives..court ordered therapy once per week, a nightly wellness call, and a weekly in person check from a social worker. If he doesn’t comply, he will be permanently committed to the mental hospital. It is possible to address these issues.
I would like to clarify that what makes Cruz’s threats to do harm different that the usual hate group member is that Cruz was diagnosed. This is the portion of what qualifies him to be held.
What I keep reading is that he “refused mental health services after the age of 18.” Would they refer to special-ed as “mental health services?”This house is wondering if he was special-ed. I've not seen any mention of whether he was or not, in my reading.
This house is wondering if he was special-ed. I've not seen any mention of whether he was or not, in my reading.
What I keep reading is that he “refused mental health services after the age of 18.” Would they refer to special-ed and “mental health services?”
I admit, it’s vague but he had a diagnosis. The school wouldn’t give him services without one.
Only mental illnesses apply for a 72 hour hold.
What I keep reading is that he “refused mental health services after the age of 18.” Would they refer to special-ed as “mental health services?”
I admit, it’s vague but he had a diagnosis. The school wouldn’t give him services without one.
Only mental illnesses apply for a 72 hour hold.
BTW, in my post I did not imply specific mental health diagnosis. What I meant was that the case was a hate crime, and should be viewed as such.
The newest: swastikas
https://www.cbsnews.com/news/swasti...florida-school-shooting-suspect-nikolas-cruz/
Makes me wonder if the family who took in this kid so easily, his guns and all, heard something along the lines of what he posted on the media. About the groups he hated. And were OK with it.
The SPLC put out an alert about his (Cruz') alleged ties to White Supremacist groups immediately after the shooting, but then put out a denial of that alert when more was learned. I have now read that the initial news of his ties with Nazi groups was based on unproven claims of meeting with one individual. The current claims are based on his having magazines with swastikas on them in his possession, not of officially belonging to a group. I may be wrong about the latter part of this posting. I am not wrong about the SPLC initial alert and withdrawal of the alert.
I’m not sure where everyone is getting their information regarding the Baker act or 5150 hold. Most of it is wrong.
When they leave, can they, please, take their pocket politicians with them? Because they are clearly damaged goods.Citizens United needs to go. Otherwise six million dollars outweighs six million people every time.
Yikes, I feel that either i have not made myself very clear in my other post or you are twisting some of what I have said.Since this seems to be directed at me, I’ll answer. While my opinions here are strictly my *personal* opinions and not a representation of my profession (and I do have to be careful about what I post on a public forum and not specifically identify myself by profession so as to avoid the perception of speaking as a representative of my profession rather than as a private citizen), what I can say is that I spent 25 years of my career working in inpatient psychiatry. I also spent the first 5 years of my career working in a maximum security prison doing mental health and offender risk assessments. I have never practiced in Florida, but I worked in a number of US states for a long time before coming home.
The examples you gave would not apply to this situation, and speak more of someone who has been through the criminal justice system not the mental health care system (court ordered treatment by definition means that someone has been convicted of a criminal offense, that their mental health issues were judged central to their risk of reoffending, and that treatment was a condition of their release - and failure to comply would be like breaching conditions of parole and has the same consequences). This does not apply to anyone who has not been convicted of a criminal offense or even those who have but whose mental health issues are not relevant to their crimes.
Sometimes when we hear about people, we don’t necessarily understand all of the ins and outs of their particular case. My guess is that the man you know had a string of assault convictions committed during times when he was well enough to know that his actions were wrong (the standard for criminal culpability) but sick enough to be doing it anyway. Probation conditions typically address offender risk factors - like banning drinking or using drugs if those were factors in the offenses committed, or mandating mental health care. Of these, the latter is typically ineffective unless the mandated treatment is pharmacology. Psychotherapy requires commitment, a certain level of insight, and cooperation - which is not typically present when someone is compelled against their will to attend.
And no, the majority of violent offenders in prison are not diagnosable (at least not in any way that would put their behavior outside of their conscious control - otherwise they would be found not criminally responsible). And no, simply having a diagnosis is not enough to have someone committed. This is a myth that sadly prevents many people from seeking treatment. And at least in every state I have practiced in, when involuntary holds are necessary, they are for a 72 hour evaluation and then the person has to appear before a panel in order to be held on an involuntarily basis any longer, and then they can only be held until they no longer meet the specific conditions needed to do so. We don’t hold people hostage in hospital if they are competent to make their own healthcare decisions and people leave ama all the time (just like we can’t force people to have surgery or have chemotherapy or other treatments recommended to them). I’ve also never seen a 180 day admission unless someone needs to be placed in an extended treatment unit for intractable schizophrenia. Admissions are typically days to weeks, not months, and are intended to stabilize acute issues until outpatient management becomes possible.
I think you are confusing forensic mental health centers for those who have committed criminal offenses with hospitals. But those who commit crimes while sick (usually while psychotic) is a tiny percentage of those who commit violent offenses. They just get the most media attention for the shock value. (As an example, we had one murder here in he last decade that was committed by a man with schizophrenia who was psychotic at the time - and it was in the news multiple times per day as a headline for almost a year through the trial and at every decision point after; we’ve had 100 per year by those without any diagnosis most of which were barely reported on).
And hate speech, while disturbing, is way more common than people want to admit (as is posting guns on Facebook along with hate speech). It’s enough to flag concerns, but not necessary enough to trigger an involuntary mental health hold. I’m not saying that better screening, better services, and people not turning a blind eye to things won’t help, but it’s not as simple as people might like to think.
I know that people are scared. I know that solutions aren’t easy. I hope that you direct your efforts to doing things that will have real impact on keeping people safe. But the mental health argument that gets trotted out every single time these things happen has not worked to date. It’s not that mental health care is somehow so much better in Japan or France or Germany or Canada or Australia than it is in the US or that we have magically solved the puzzle of predicting violent (or suicidal) behavior. I’ve worked in both systems and they are honestly pretty much the same. And yet mass shootings don’t happen in Japan or France or Germany or Canada or Australia...
Yikes, I feel that either i have not made myself very clear in my other post or you are twisting some of what I have said.
Ok, You don’t want to argue, but you can’t help yourself.House Cat, I don't want to argue with you, but I think if you go back and see what you wrote previously, you'll see that you did actually say some of the things that you are now saying that you didn't say.
I know you think you know things from talking to people, but people have a way of telling you a certain version of events, and that may not be the truth, the whole truth, and nothing but the truth, KWIM?
And rumor and speculation from the media just isn't helpful. In fact it's probably hurtful:
http://www.dontnamethem.org/